the plea
8 On 20 April 1999, upon the application of counsel for Ms Watson, the Court proceeded, in accordance with s 122 of the Act, to find the offences proved and, having regard to the matters referred to in s 122(1)(a) and (b), ordered her to submit herself for assessment by a treatment assessment panel and, if so required by the panel, for assessment at an approved treatment centre. Bail was continued, subject to the additional condition that she comply with the s 122 order.
9 The Court heard Ms Watson's plea in mitigation over part of two more days, namely, 3 and 30 June 1999. When the hearing resumed on 3 June 1999, the Crown tendered a notice of assessment dated 2 June 1999. The notice recorded the panel's assessment that:
· the offender is a drug dependent person as defined by s 123(1) of the Act;
· the offender is dependent upon heroin;
· the offender is suitable for a Treatment Order to be issued by the Court pursuant to s 123(1) of the Act;
· the most suitable treatment for the offender would be a 24 month treatment order, incorporating residential rehabilitation, counselling, and continuation of methadone;
· the offender to report to the Treatment Panel as directed.
The panel further recorded that Ms Watson had been assessed as "suitable for the Phoebe House residential rehabilitation program (which is the only female residential rehabilitation centre taking clients on methadone treatment)". Phoebe House is in New South Wales.
10 On the hearing of the plea, the Crown relied, amongst other things, on the statement of facts (to which reference has already been made and which was not contested by Ms Watson) and a taped record of interview.
11 Amongst other things, Ms Watson relied on a report from Dr William Knox, consultant psychiatrist, and very many references, including from Dr L R H Drew, psychiatrist; Professor R M Douglas, Director, National Centre for Epidemiology and Population Health ("NCEPH"), The Australian National University; Mr David McDonald, research scholar, NCEPH; Dr Gabriele Bammer, senior fellow, NCEPH; Mr Peter McCormack, chief librarian, Alcohol and Other Drugs Council of Australia Library; Dr Alex Wodak, Director, Alcohol and Drug Service, St Vincent's Hospital, Sydney; Dr Keith Powell, physician; Mr M Kennedy, General Manager, AIDS Action Council; Mr David Crosbie, Chief Executive Officer, Alcohol and other Drugs Council of Australia; and Ms Sera Pinwill, Executive officer, WISE in the ACT Inc. As the sentencing judge noted, these references attested to Ms Watson's accomplishments in the drug rehabilitation and treatment field. Some also referred to the work undertaken by her whilst she was on bail and awaiting sentence.
12 In his report dated 18 May 1999, Dr Knox referred to some aspects of Ms Watson's childhood and noted that she continued "more or less regular use of [heroin] during her 20's". According to Dr Knox's report, when aged about 28 years of age, she sought and received treatment for her addiction. His report relevantly continued:
Your client began a new direction in her life in 1980, undertaking studies for a community health degree at the then Canberra College of Advanced Education, completing her studies in late 1983. She then moved to work at the Welfare Rights Centre as a project officer.
Ms Watson reportedly did not use heroin from approximately 1980 until late in 1996.
Ms Watson was invited to take up community health work in the drug abuse area on account of her previous familiarity with these matters. Sister Pat Moriarty apparently guiding her in this direction. Ms Watson herself had hitherto thought to work in non-drug health areas.
…
Ms Watson initially undertook work as a drug counsellor herself, but increasingly moved to an administrative role with a number of local, national and international organisations, developing initiatives for public health measures surrounding the epidemic of drug abuse in this and other countries. The introduction of initiative for AIDS control was one very important area of Ms Watson's work. I understand that Ms Watson, on account of her background, has been a very useful communicator between drug using communities and the various health bodies attempting to assist the drug-use population.
…
I believe the beginning of the recent tragic circumstances for Ms Watson began with her leaving the ADDInc organisation in 1994. While the full circumstances surrounding Ms Watson leaving this organisation are unknown to me, I believe that the internal politics of the organisation, and various personality issues, led to Ms Watson being asked by the president of ADDInc to leave, with the understanding that he too was leaving. The president did not in fact eventually leave the organisation. Your client was deeply hurt by these developments.
Ms Watson's father had died in 1994. She returned to live with her mother who had significant health problems related to a fractured pelvis which required a hip replacement operation. Your client lost much of her autonomy and self-assurance in returning to the home of her mother.
Ms Watson then experienced further career disappointments in leaving AIVL - an AIDS prevention organisation in Australia - in 1995 or 1996, and then again in being sidelined in her work for an international health organisation following a late-1996 meeting in Rotterdam where United States representatives of the "Women and Addiction" organisation took over executive control.
This was a difficult time for your client and I believe that she was significantly depressed. Much of the structure and focus of her life had been taken from her and she described to me feeling lost and "shitty".
Given Ms Watson's high public profile in the public health arena I believe it would have been very difficult for her to have admitted her emotional difficulties at this time and sought help for herself. …
…
Ms Watson at some later time came to deal in heroin, telling me that it was the "only way to keep using … I saw dealing as a sensible arrangement to allow my addiction … there was no other way".
My experience of heroin using individuals, no matter what their background, is that they are robbed of their usual motivations and moral sense, their lives being dominated by securing the next source of heroin to preserve their drug-induced state and to avoid the pain of withdrawal.
Ms Watson did however partially come to appreciate the seriousness of her situation, commencing a methadone program in 1997.
Although Ms Watson does not concede this, it is my view that she became burnt out by her work efforts during the early and mid-1990's, and in the face of the losses already referred to became significantly depressed. Probably fearful of admitting to herself, as an ex-psychiatric nurse, and high profile public health worker, her own psychiatric disability, Ms Watson unwisely chose to enter the abyss of drug addiction.
Ms Watson's life is now in tatters and she sees the great harm done to her family, including her children, and reputation that she had justly earned for her years of unselfish public health work.
…
From my clinical experience a typical heroin-addicted individual is bereft of the usual human attributes of judgment, in particular awareness of the consequence for themselves or others of their actions. Such an individual becomes psychologically very regressed, and dependent beyond reason on their drug source and the means to provide for it.
Dr Knox's report was referred to without criticism in a subsequent pre-sentence report.
13 Apart from Ms Watson, whose evidence we discuss below, three other witnesses gave evidence on her behalf at the 3 June hearing. They were Dr Wodak, the Director of the Alcohol and Drug Service at St Vincent's Hospital in Sydney, Ms Tamarisk Tree Jakobson, and Ms Watson's mother.
14 Dr Wodak gave evidence that:
[Ms Watson] has made an enormous contribution to a very difficult field and really provided leadership at a time when … it was extraordinarily difficult. There are a lot of features in the defendant's case … that … give grounds for optimism. There have been - the fact that the defendant has made an important contribution in her own right and is recognised for that I think is something that gives me some confidence that her future course is likely to be better than it has been. And the fact that she has had long periods where she's managed to … abstain from drugs and function very well in the community … is further indication. The fact that she has got family who have rallied behind her in these difficult times. I think all of these are factors that give me some confidence.
…
I think that [abstinence from further drug use] is achievable and one of the other things that gives me confidence about this is that the defendant is in an age group where those people who have used up until this age group, start to abstain for longer and longer periods and many of them abstain permanently.
Dr Wodak said that other indicators of successful rehabilitation were good job prospects (for both paid and unpaid work), opportunities for educational advancement, and participation in methadone treatment. He concluded his evidence with the following observation:
Given all the factors I've mentioned before - her age, the fact that there's an offer of employment, possible education, there's a very supportive family, very good points in her previous record - all of this, to me, points to something like 80 per cent, 90 per cent chance that there would be very good outcomes and I think … the chances are very reasonable that at the end of all this process we would have yet again someone that the community could be very proud of … .
If she received an immediate custodial sentence, then, in Dr Wodak's opinion, "the prospects of her being an effective member of the community again" were "in the 10 to 20 per cent range, if that".
15 Ms Jakobson, who was a clinical psychologist employed by the ACT Alcohol and Drug Program, ACT Community Centre, gave evidence that she had been counselling Ms Watson since early in 1999 on a weekly, but sometimes fortnightly, basis. She also gave evidence about the program that she had prepared in the event that the Court directed Ms Watson to continue the counselling recommended by the treatment assessment panel. Ms Jakobson testified that there had been some improvement in Ms Watson's "insight into her drug use, into her history of drug use, into her goals around her drug use, what she wants to do, and clarifying of those things." Ms Watson's mother, Ms Isabel Watson, who was 77 years of age at the time, gave evidence that Ms Watson was her "daughter, [her] companion, [her] housekeeper and sometimes [her] nurse".
16 Marion Watson gave evidence, on 3 June 1999, on numerous matters, including her employment prospects (principally in research and writing), work while on bail, response to counselling, reasons for relapsing into heroin use, subsequent methadone treatment and her attitude towards Phoebe House and towards the offences.
17 The hearing resumed before the sentencing judge on 30 June 1999 when the Crown tendered a pre-sentence report. The report stated that, by the time Ms Watson was apprehended for the offences for which she was to be sentenced, she "was using $200-250 worth of heroin as well as collecting methadone daily". It went on to record that "[b]reach action was initiated by this service on two occasions due to urinalysis results indicating use of illicit substances". The report stated that, whilst Ms Watson regretted the consequences of her offences for herself and her family, she did not consider selling drugs to drug dependent people to be harming them. The report concluded:
It is clear that Ms Watson committed the offences currently before the Court in order to finance her own dependence on heroin. She says her drug use made her decision to break the law by selling drugs "less of a moral dilemma". While she regrets offending against the people who made the law, it does not appear Ms Watson's conduct offended against her own values in that she believes that drugs should be more easily accessible to drug dependent people. She does not consider that her actions harmed the people to whom she sold drugs and is satisfied that she also provided them with health education in the process.
Ms Watson is not considered to be at high risk of re-offending. However, the main factors which underlie her behaviour, namely her own beliefs about the criminality of drug use and an insufficiency of personal coping skills, remain largely unresolved.