Psychiatric and psychological evidence
21 Extensive material has been tendered. In view of the position taken by the defendant I do not propose to detail all of the tendered material.
22 The defendant is 73 years old. He was born on 13 October 1936. Whilst in custody, he did not undertake any sex treatment programs including the custody based intensive treatment program (CUBIT) for high sex offenders. He was not considered suitable for CUBIT as he continued to deny that he had committed any of the serious sexual offences. From December 2007 to February 2008, he attended 10 sessions of the PREP Pre-Treatment Program which is aimed at motivating and preparing an offender to undertake a treatment program. The defendant voluntarily withdrew from the PREP program before its completion. Sharon Klamer, a Correctional Services psychologist, in a summary case note dated 11 March 2008 observed (tab 41, p 292):
" Overall Mr White experienced difficulty understanding the purpose of treatment and voiced on a number of occasions that he does not believe treatment is effective.
Mr White was observed through the group to externalise responsibility for all behaviours (offending and non-offending) to other people, particularly those in positions of authority such as the police and DCS staff members."
23 The defendant is an untreated sex offender.
24 It may be accepted that the defendant has had an extensive medical history which is detailed in the psychiatrists' reports and in the affidavit of Tony Sellathambu his solicitor. His history includes iscaemic heart disease with an acute myocardial infarction (heart attack) in 1999, stroke, vascular disease, Type II diabetes, elevated cholesterol, hypertension and osteoarthritis with hip pain. The psychiatrists in their reports note the extensive medication which the defendant has been taking.
25 Two psychiatrist Dr Samson Roberts and Dr Jeremy O'Dea have provided reports to the court pursuant to the orders made by Grove J. The defendant participated in one interview with Dr Roberts and two interviews with Dr O'Dea.
26 Dr Roberts in a report dated 5 May 2009, in answer to the question whether the defendant is likely to commit a further serious sex offence if released into the community and not kept under supervision states at p 22:
" Mr White has offended against teenagers who found themselves in his care, giving the impression that he orchestrated contact with them. The impression of his sex offending behaviour overall however is that it is substantially driven by opportunism. Mr White's attraction to women of a variety of ages is also noted. His persistent denial with regard to the offences and his propensity to redirect blame for his circumstances onto the victims has precluded him from courses during his time in custody. It is noted that he withdrew prematurely from the one course in which he was involved. Mr White has essentially not undertaken any treatment whatsoever to address his offending behaviour. His assertion of impotence and lack of sex drive as factors which could mitigate his risk in this regard Is not considered relevant given that the offences for which he has been convicted occurred during the period of sexual dysfunction asserted by him.
In summary, with regard to his risk of re-offending, it is my opinion that Mr White remains at high risk of engaging in sex offences in the future by virtue of the fact that the risk factors present at the time of his offences remain unchanged."
27 It is apposite to observe that at the time of the offending against JKN, the defendant was 60 years old.
28 Dr Roberts commented on the defendant's claim that he had been unable to engage in sexual intercourse since the early 1960s and on the defendant's account of the lack of desire for sexual contact since that time. He considered that whilst the defendant's account of impotence could not be verified without plethysmography, it was considered probable that a degree of sexual dysfunction is present in an elderly man with type II diabetes, hypertension, elevated cholesterol and vascular disease. The defendant's assertion that it was a sexually transmitted disease which the defendant thought might have been gonorrhea had curtailed his sexual abilities was unlikely although not impossible. Dr Robert's considered that the defendant's assertion of no interest in sex since his late twenties to be implausible.
29 Dr O'Dea did not diagnose the defendant as suffering from a major psychiatric illness. He opined that the defendant would satisfy the psychiatric diagnostic category of personality disorder with antisocial traits.
30 The psychiatrist noted that the defendant continued to deny his history of sex offending behaviours and projects blame onto the victims of at least the most recent three sets of sex offences. As to the defendant's age and medical problems, Dr O'Dea states at [50]:
" I note his age and significant medical problems, including amongst other conditions, vascular disease and diabetes. These conditions and the current prescription of a number of medications, can and do impair erectile functioning and sex drive. However, these issues and problems do not preclude men from gaining erections and engaging in sexual behaviour."
31 As to a prediction of future serious sex offending Dr O'Dea states at
[52-54]:
" From a full clinical psychiatric risk assessment and risk management perspective, (and as judged by the actuarial risk assessment instruments, the STATIC-99, the widely used actuarial risk assessment instrument aimed at estimating future risk of recidivism of sex offenders, in which Mr White was given a score of 8/12, thereby placing him in the group with a high risk of engaging in further sex offending behaviour over time), Mr White would be considered as having a significantly high risk of engaging in further sex offending behaviours in the longer term.
Specific identified risk factors pointing to such a significant risk in Mr White's case of engaging in further sex offending behaviours in the community in the long term would be at least his history of past sexual offending behaviours and his apparent personality. Although there is limited evidence in relation to these issues, his increasing age and medical infirmity may decrease this risk.
That being said, and although Mr White's risk of engaging in further sex offending behaviours would be considered significantly high, I do not consider that the current evidence regarding the assessment of risk is suitably advanced to predict his risk of committing a further "serious sex offence" with the required degree of accuracy."
32 Ms Sahm, a psychologist, assessed the defendant's risk of sexual re-offending by reference to both his static risk factors using an instrument known as a STATIC-99 and his dynamic risk factors. The defendant's score of 8 by the application of the STATIC-99 placed him in the high category of sexual recidivism relative to other adult male sex offenders.
33 Ms Sahm in a report dated 9 January 2009 identified a number of key dynamic risk factors exhibited by the defendant that contribute to the characteristics of a persistent sexual offender which included the presence of sexually deviant interests, difficulties in general life stability, anti-social lifestyle and difficulties in interpersonal relationships. Ms Sahm expressed the view that whilst the defendant may have been considered at a lower risk of recidivism due to his age of 73, there were a number of issues which impacted upon that possibility. She concluded that lowering the defendant's risk of sexual re-offending because of his age was not recommended. She opined that the defendant who is 73 years old was a high risk, untreated sexual offender.