ࡱ> ikhg PYbjbjVV 8r<r<Q5FF8\HD(" ( ( ( ( ( ( ($)4,n/(BBB/(D(n#n#n#BR (n#B (n#n#9&&UQ&'Z(0(Y&,,.4,&,&p]Nn# /(/(b" (BBBB,F f: Access to Justice in the criminal justice system for people with disability Submissions of Legal Aid WA August 2013 Background The Legal Aid Commission of Western Australia is an independent, government funded organisation that assists clients involved in the criminal justice system. Legal Aid has a Criminal Law Division which provides a number of different types of services including duty lawyer services, written and oral advocacy on a minor assistance basis and ongoing case representation for criminal matters. The level of assistance provided depends on the circumstances of each case. There are a number of specialist courts within the criminal justice system of Western Australia for which we also provide advice and representation including the Drug Court, Specialist Treatment and Referral Team Court and the Intellectual Disability Diversion Court. Legal Aid is assisting some clients on an ongoing basis with advice and representation regarding indefinite custody orders under the Criminal Law (Mentally Impaired Accused) Act 1996 (WA). Legal Aid also has a Civil Division that assists clients with discrimination, guardianship and administration and compensation for victims of crime and a Domestic Violence Legal Unit which assists with advice and representation in relation to domestic violence. Barrier 1 Community Support, programs and assistance to prevent violence and disadvantage and address a range of health and social risk factors may not be available to some people with disability. This means that people with disability are left without protection and face ongoing violence, or have repeated contact with the criminal justice system because appropriate programs and community support are not available. Emergency response for mental health Often when people come into contact with the criminal justice system it is part of a crisis situation. Even before committing offences their surrounding family and friends have attempted to seek assistance from mental health services. Due to large demands on mental health services the assistance is not always given, not provided in time or is limited. For example persons are discharged because of bed shortages while still suffering from symptoms of their mental illness. Lack of services is particularly concerning in country areas. Funding for health services Resourcing continues to be an issue. Persons involved in the criminal justice system in Western Australia and who have serious mental health concerns can be held at the Frankland Centre of Graylands Hospital under the treatment of the State Forensic Mental Health Service. The Frankland Centre has a limited number of beds and has to accommodate, persons coming to the Centre from court on hospital orders (for urgent treatment and assessment), long term court orders, and referrals from the prisons. Similar psychiatric wards at public hospitals within the state have limited bed space and acutely unwell patients are released only to commit serious crimes within a short period following release. Community Supports There are a number of short falls with long term planning for persons within the criminal justice system in the community. The Department of Corrective Services has limited ability to tailor programs to specific client needs upon release on parole or pursuant to a court order for engagement in programs. Lack of appropriate accommodation, practical and financial support also impacts on the ability to engage properly in the programs in the community. The Specialist Treatment and Referral Team Court is designed to support people with a mental illness who are appearing in the Magistrates Court. It is currently a pilot program. It provides benefits through limited treatment and counselling. It can also provide for referrals to other services. However the intended support services are not operational yet. There is also an Intellectual Disability Diversion Court that is a therapeutic court operating within the Magistrates Court. It aims to provide programmatic intervention that will reduce the likelihood of future contact with the criminal justice system and is an alternative to general sentencing options. It can however involve people in the criminal justice system for some time while the charges are resolved and the program is completed. There is limited follow on, long term planning for treatment and support once a persons court proceedings are finished. Barrier 2 People with disability do not receive the support, adjustments or aids they need to access protections, to begin or defend criminal matters, or to participate in the criminal justice processes. Commencing proceedings There is no provision in Western Australia for persons to commence criminal proceedings themselves as such. Any action needs to be commenced by the police and would require the person to make contact with the police and then for the police to decide to start proceedings. Physical design of courts The courts within Western Australia do have regard to some physical disabilities and the need to ensure interpreters and other supports are available however in practice this can be difficult. Court rooms are often designed in a way that does not provide easy psychical access around the room. Legal Assistance The form of assistance provided to clients by Legal Aid varies depending on all the circumstances of the case. Priority is given under Legal Aid guidelines for ongoing assistance where the client has a disability. Barrier 3 Negative attitudes and assumptions about people with disability often result in people with disability being viewed as unreliable, not credible or not capable of giving evidence, making legal decisions or participating in legal proceedings. It is often difficult from a legal perspective to ascertain a clients capability to provide instructions. This is particularly difficult where there are concerns about a clients fitness to stand trial. Solicitors at Legal Aid remain bound by their duties to the court and their duty to act in the best interests of their client. Difficulties in obtaining clear instructions can often delay the court process. At times people appearing in court refuse to instruct a solicitor and the court are reluctant to continue proceedings without representation when they have concerns about the persons ability to participate in the proceedings. Barrier 4 Specialist support, accommodation and programs may not be provided to people with disability when they are considered unable to understand or respond to criminal charges made against them (unfit to plead). Instead they are often detained in prisons or psychiatric facilities without being convicted of a crime. This situation mainly happens with people with intellectual disability, cognitive impairment and people with psychosocial disability. The court process An order that a person is not fit to stand trial is a formal order of the court. This requires the court to make a legal decision based on medical opinions. Opinions can be obtained by various specialists. These can be obtained privately or through court ordered reports. There are a limited number of specialists in Western Australia who can provide appropriate opinions for the court. This creates time and cost complications. It would generally take six weeks to obtain a report. During this time the person may be remanded in custody. Depending on the position of all parties and the court, finalising a matter where fitness is an issue can take some time. This can cause a lot of stress and uncertainty for the person. Solicitors find it difficult to assist persons who are not fit to stand trial. Such persons are often not able to provide any instruction as to what they would like their lawyer to do on their behalf. Even if a guardian is appointed they can not provide instructions in relation to criminal matters. Despite this such persons require assistance and so solicitors are placed in a situation of trying to abide by our duties to the court and to the client to put the information before the court regarding fitness to stand trial and the courts alternatives. Further if a client is able to give some instructions but meets the criteria for not being fit to stand trial we have an obligation to advise them of the potential options and the risks associated with each and ensure this doesnt conflict with our duties to the court. It is noted in the issues paper that this situation mainly occurs with persons who have an intellectual disability, cognitive impairment and people with psychosocial disability. However there are times when persons also appear in the court with a mental illness to the extent that they are not capable of standing trial. This difficulty also arises where a person is considering raising a defence under s27 of the Criminal Code (WA) and is therefore at risk of a custody order being made if found not guilty. The difficulties also become more complicated where there are concerns of both an intellectual disability and mental illness. Limited options once a finding is made Upon a finding that a person is not fit to stand trial the court only has two options. That is to release the person unconditionally or to make a custody order, s16(5) and 19(4) of the Criminal Law (Mentally Impaired Accused) Act 1996. Courts are reluctant to release a person unconditionally. This would only occur if the court were satisfied that there were sufficient supports in place. In one example a person had been in custody for 8 months before a finding that they were not fit to stand trial due to an intellectual disability. Arrangements for his supervision and accommodation through a support organisation funded by the Disability Services Commission were outlined to the court. However the court was ultimately concerned that there was no overarching authority such as a court or a Board to oversee the arrangements and a custody order was made. The Judge, however, indicated their hope that the person be released as soon as lawfully and practically possible. For various reasons the person remains in custody 3 years since the courts decision. For the past year they have had limited and conditional provisions for leave each week. Unfortunately the support organisation and accommodation organised were withdrawn in the interim as there was no clear certainty when the person would be released and the placements could not be put on hold indefinitely. This meant new arrangements, funding, accommodation and a new support organisation had to be prepared before a submission could be made to the Mentally Impaired Accused Review Board for release. These arrangements were essentially a proposal and could not be confirmed until a decision was made by the Board. Because of the limited options available to the judiciary a person may have multiple fitness to stand trial proceedings over their lifetime. This can either be where they were released unconditionally and then allegedly re offended or where they were placed on a custody order but then committed offences during a form of leave or upon release by the Mentally Impaired Accused Review Board. The legislation as it currently stands fails to consider the individual needs of the accused person and the least restrictive appropriate alternative should be a specific consideration. Amendments to the legislation and an appropriate system for alternative options would provide more flexibility for the court. One option would be the ability to make orders for people to engage in community based orders that could be supervised by the Department of Corrective Services similar to those already provided for under the Sentencing Act 1995 (WA). Similar difficulties also arise where a person is found not guilty on account of unsoundness of mind. Section 21 of the Criminal Law (Mentally Impaired Accused) Act 1996 provides that a custody order must be made in relation to set offences including some relatively minor offences like assault occasioning bodily harm. For the remainder the court has a discretion to impose a custody order, release the accused unconditionally or impose an order for supervision in the community. Supports Whether or not the court ultimately imposes a custody order is largely influenced by what supports are in place. The Disability Services Commission has been helpful in arranging support for persons with an intellectual disability. Unfortunately there will always be limits to the amount of funding available and the how long certain levels of funding can be maintained. Additional access to services and engagement in the community is also hampered by funding restrictions. While there is funding for accommodation and support, funding for general engagement in the community, food and expenses is limited. Centrelink has in the past refused to provide any payments to persons who are subject to long term orders to remain in custody despite being in the community pursuant to leave provisions as much as 50% of the week. Discussions regarding this issue continue. Experiences while subject to a custody order There is no time limit for a custody order in Western Australia. There is no correlation with the maximum sentences that could be imposed if the person was found guilty of the alleged crime. This can lead to examples where people unconvicted of a crime spend significant periods of time in custody. The Mentally Impaired Accused Review Board are only required to review a person subject to a custody order annually although reviews can happen more frequently if requested or considered necessary. Any release can be pursuant to a leave of absence order, a conditional release order or an unconditional release order. All recommendations for release must be forwarded to the Minister to advise the Governor in Council regarding approval or refusal. There is limited provision for access to information and reports prior to review and there is no appeals process. Persons with a mental illness This barrier raises concerns primarily for persons with an intellectual disability, cognitive impairment and people with psychosocial disability. While there are difficulties, as outlined above, there is at least a system in place for seeking support. The Disability Services Commission has a Disability Justice Co-ordinator whose role is to oversee persons registered with the commission who are having contact with the criminal justice system. There is also a set funding arrangement and guidelines regarding what support and funding are available. There is no similar system for persons with mental illnesses. There are much more limited arrangements and funding for accommodation and support in the community. People are generally referred voluntarily for follow up with treatment teams without any additional assistance from support services. Working with people in prison subject to custody orders it has become clear that there is a real distinction between those who have an intellectual disability, cognitive impairment or psychosocial disability and therefore can be supported by Disability Services Commission and those that are subject to a custody order because of their mental illness. Our experience is that persons with a mental illness are spending far longer in custody subject to a custody order. This is despite the fact that their mental illness is or has been treated and their risk of re offending has reduced. Barrier 5 Support, adjustments and aids may not be provided to prisoners with disability so that they can meet basic human needs and participate in prison life. They often face inhuman and degrading treatment, torture and harmful management practices. Medical Treatment within the prison There are medical centres within each prison. However information from clients suggests it is difficult to obtain appointments to see medical staff. This is particularly so when specialist appointments are required. Often clients are forced to go without pain medication until confirmation can be obtained that it has been prescribed by their treating practitioner. Clients have informed of experiences when medication for pain relief and mental illnesses have been changed from their normal medication upon their entering the prison system. Prisoners are required to take their medication at set times in front of medical staff. This means there is no flexibility to take the medication at more appropriate times such as taking their medication before going to sleep when side effects such as drowsiness can be better managed. There is limited access to specialist services like occupational therapy that might otherwise be available in the community. Clients, their family and solicitors find it difficult to communicate with medical staff and obtain information. Generally if a person is initially going into the prison system from the community (for example from court) it is possible to leave a message that the person requires certain medication however it is often difficult to speak to a staff member directly or ensure that this occurs. If follow up information is required for court or the client has concerns we can rarely obtain the information from the medical centre directly even when a client has provided a medical authority. Often requests need to be made for reports or documentation from the Medical Services branch of Department of Corrective Services which can result in delays. Prisoners who require additional medical care and support are often considered a higher security rating because of this. They can also be transferred to higher security prisons when issues arise and there are concerns for their health and safety. Once a prisoner with a mental illness is considered able to be treated within the prison system they will be transferred back from the Frankland Centre to a prison. Our understanding is that prisoners with a mental illness are likely to see a psychiatrist approximately once every three months unless they or prison staff specifically request an additional appointment. Prisoners are then released with a general referral to their local mental health service. Often prisoners may be released without long term planning for their mental health, accommodation and financial needs and so are likely to re offend. Proper engagement within the prison Prisoners with a mental illness or intellectual disability are also often excluded from prison based programs like employment training, drug and alcohol prevention programs and re offending prevention programs. This may be on the basis that their offending was said to be related to their mental illness or that they are not able to engage fully in the program. In Western Australia there are only two programs run within the prisons that are designed for intellectually impaired prisoners. One is a Sex Offender Treatment Program and the other is a Legal and Social Awareness program. These are group programs which can include prisoners with very different life experiences and capabilities. Positions in the programs are limited and they are only run at certain times. This can delay their release. It can also mean that there is no process that properly assists them to return to the community. There is also less opportunity to engage in work opportunities within the prison. This can lead to boredom. It also impacts on the amount of money they can earn within the prison for the work they do. Prisoners subject to indefinite custody orders are not eligible for work release or reintegration leave from the prison. Punishments Despite our concerns prisoners with a disability remain subject to some of the general prison legislation in particular procedures for prison offences. Prisoners who have previously been formally found not fit to stand trial by a court are being charged and punished for prison offences. In one case there was a finding of guilt where it was not clear that the person understood that they could not take pain medication and it was unclear whether he obtained it in or out of the prison (while out of the prison but subject to leave provisions) or who provided it to him. The prisoner had previously been found not fit to stand trial by a court. This raises concerns about the validity of the charge and proceedings. This can also result in proceedings for prison offences and punishments being imposed that can have significant impacts. In a different matter a young Aboriginal male, having been found not fit to stand trial and in prison subject to a custody order was given 7 days solitary confinement as a punishment for a prison offence.     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