ABORIGINALANDTORRESSTRAITISLANDER PERSPECTIVESONTHERECURRENTAND INDEFINITEDETENTIONOFPEOPLE WITHCOGNITIVEANDPSYCHIATRIC IMPAIRMENT ASubmissiontotheSenateInquiryontheIndefiniteDetentionof PeoplewithCognitiveandPsychiatricImpairment Preparedby: FIRSTPEOPLESDISABILITYJUSTICE CONSORTIUM AnallianceofAboriginalandTorresStraitIslandercommunity organisations,disability,justiceandlegalresearchers, UniversitiesandResearchInstitutes. AninitiativeofFirstPeoplesDisabilityNetwork(Australia),its strategicpartnersandsupports. April2016 TableofContents CORRESPONDINGCONTRIBUTORS 4 EXECUTIVESUMMARY 5 SUMMARYOFRECOMMENDATIONS 8 1.APREDICTABLEANDPREVENTABLEPATH:INDIGENOUSAUSTRALIANSWITHMENTALAND COGNITIVEDISABILITIESINTHECRIMINALJUSTICESYSTEM 11 PROFESSOREILEENBALDRY,DRRUTHMCCAUSLAND,ASSOCIATEPROFESSORLEANNEDOWSE,ELIZABETHMCENTYRE, UNSW 2.THELIFETRAJECTORYFORANABORIGINALANDTORRESSTRAITISLANDERPERSONWITH DISABILITY 16 SCOTTAVERY,POLICYANDRESEARCHDIRECTOR,FIRSTPEOPLESDISABILITYNETWORK(AUSTRALIA) 3.FRAMINGRECURRENTANDINDEFINITEDETENTIONFROMADISABILITYPERSPECTIVE 20 ASSOCIATEPROFESSORLEANNEDOWSE,CHAIRININTELLECTUALDISABILITYBEHAVIOURSUPPORT 4.ADDRESSINGCOGNITIVEDISABILITYINCHILDRENANDYOUNGPEOPLE 23 PROFESSORCAROLBOWER,SENIORPRINCIPALRESEARCHFELLOW;NONIWALKER,SENIORRESEARCHFELLOW; SHARYNNEHAMILTON,RESEARCHERBANKSIAHILLFASDPROJECT;GLENNPEARSON,HEAD,ABORIGINALRESEARCH DEVELOPMENT,TELETHONKIDSINSTITUTE. 5.THEIMPACTOFTRAUMAANDFAMILYVIOLENCEUPONABORIGINALANDTORRESSTRAIT ISLANDERWOMENWITHDISABILITY 29 ELISETHOMAS,NATIONALSECRETARIATSUPPORTOFFICER,FAMILYVIOLENCEPREVENTIONLEGALSERVICES 6.DIVERSION 31 DRLINDASTEELE,LECTURER,SCHOOLOFLAWUNIVERSITYOFWOLLONGONG 7.TOWARDSNATIONALSTANDARDSFORLAWSANDREGULATIONSAFFECTINGINDIVIDUALS WHOHAVEBEENDECLAREDMENTALLY-IMPAIREDORUNFITTOPLEAD(PARTA) 40 NATIONALABORIGINALANDTORRESSTRAITISLANDERLEGALSERVICES 8.IMPLEMENTINGANATIONALSTANDARDFORLEGISLATION 47 PROFESSORPATRICKKEYZER,CHAIROFLAWANDPUBLICPOLICYANDHEADOFSCHOOL,LATROBELAWSCHOOLAND DARRENO’DONOVAN,SENIORLECTURERINLAWATLATROBELAWSCHOOL 9.SUPPORTINGABORIGINALANDTORRESSTRAITISLANDERPEOPLEWITHMENTALHEALTH CONDITIONSINCOURT 52 ASSOCIATEPROFESSORTHALIAANTHONY,FACULTYOFLAWUNIVERSITYOFTECHNOLOGYSYDNEY;ANDPROFESSOR ELENAMARCHETTI,SCHOOLOFLAWUNIVERSITYOFWOLLONGONG 2 10.SUPPORTEDTRANSITIONFROMPRISONTOCOMMUNITY 57 DRMEGANWILLIAMS,SENIORRESEARCHFELLOW,UNIVERSITYOFWESTERNSYDNEY 11.TRANSLATIONOFEVIDENCEINTOPOLICY 64 SCOTTAVERY,POLICYANDRESEARCHDIRECTOR BIOGRAPHIESOFCONTRIBUTORS 66 3 CorrespondingContributors ScottAvery PolicyandResearchDirector FirstPeoplesDisabilityNetwork Phone:0283990882 Email:[email protected] ProfessorPatrickKeyzer HeadofSchoolandChairofLawandPublicPolicy LaTrobeLawSchool Phone:0394792423 Email:[email protected] 4 ExecutiveSummary Thissubmissionistheresultofworkbyanallianceofthenation’sleadingauthoritiesondisability justiceforAustralia’sFirstPeoples.ThisallianceincludesthreeAboriginalandTorresStraitIslander nationalpeakbodies,andresearchersfromsixdifferentuniversitiesandresearchinstitutes.We havecometogethertopresentAboriginalandTorresStraitIslanderperspectivesontheproblemof theindefinitedetentionofpeoplewithcognitiveandpsychiatricimpairment. Thissubmissionpresentsthebestavailableevidenceonwhattheissuesare,thefactorsthat contribute,andmostimportantlyliststheactionsthatcanbetakentoalleviatetheproblemandits consequences. AlifetimeofbeingdetainedbecomestherealityfortoomanyAboriginaland TorresStraitIslanderpeople BythetimeanAboriginalorTorresStraitIslanderpersonwithdisabilityfirstcomesintocontactwith thecriminaljusticesystem,theywillmostlikelyhavehadalifeofunmanageddisability.Coupled withdiscrimination,basedontheirAboriginalityanddisability,theywillhavefacedbarriersfromthe timetheyareborn,ofpoverty,earlyexposuretolifeininstitutionsthroughthechildprotection system,strugglesatschool,lackofappropriatehealthcareandaninabilitytosecureemployment. Comingintocontactwiththepolice,courts,juveniledetentionandprisonsisnormalizedintheirlife trajectory. Asthechaptersinoursubmissionhighlight,thejusticesystemdoeslittletoaddressthesefactors andoutcomesandinfactoftenmakesthemworse.Peopleacquirethelabelofaprisonerwhomust bepunished,notapersonwithdisabilitywhoneedssupport.Whenreleasedfromprison,the personal,socialandsystemiccircumstancesthatpropelledthemintodetentionorprisonwillnot havechanged.Thusmanyfaceacycleofrecurrentdetentionthatgoesonindefinitely. AnissuewhichspeakstotheheartofinjusticetowardsAboriginalandTorres StraitIslanderpeople AboriginalandTorresStraitIslanderpeoplewithdisabilityarethemostmarginalisedpeoplein Australiansociety.Unjustdeprivationofliberty,poorhealthcareandpoorsupportintensifythe marginalisationofAboriginalandTorresStraitIslanderpeopleandresultinseriouscasesofhuman rightsabuses. ThehistoricalexclusionofAboriginalandTorresStraitIslanderpeoplewithdisabilityfromsociety hasmeantthisissuehasbeenkeptfromthepubliceye.Theresultinglackofpublicscrutinyhas meantthatlittlehasbeendonetoredresstheseabuses.Onlyinrarecasesdoessuchabusebecome 5 publiclyevident,usuallyexposedthroughvigilanthumanrightsadvocacyandinthemedia,rather thanthroughtheoperationofchecksandbalancesinthecriminaljusticesystem.Takeforexample thecaseinwhichanAboriginalmanwithcognitiveimpairmentwasimprisonedforoveradecadefor anallegedoffencethatneverwenttotrial. CasessuchasthispointtoadeeperproblemofthenormalisedmanagementofAboriginaland TorresStraitIslanderpeoplewithdisabilitybythepoliceandwithinthejusticesystem.That AboriginalandTorresStraitIslanderpeoplecanbeimprisonedbecauseoftheirdisabilitypointsto thehistoricalinjusticesthathavebeengoingonsincecolonisation.Thatthisisallowedtocontinue perpetuatesthatinjusticeandhurt. ThisiswhatAboriginalandTorresStraitIslanderpeopletelltheFirstPeoplesDisabilityNetwork,the community-basedorganisationcreatedbyandforFirstPeopleswithdisability.ThisNetwork,with theactivesupportandassistanceofLaTrobeLawSchool,coordinatedthecontributionstothis submission.ThemandatetotakeactioncomesdirectlyfromtheFirstPeopleswithDisability community. Amulti-disciplinaryapproachbringingtogetherexpertsacrosslife’sspectrum OfferinganewlifetrajectoryforanAboriginalandTorresStraitIslanderpersonwithdisability requiresmorethanalegalsolution.Whilstfairlawsareessentialandareimportantchecksand balances,thefactorsthatcultivateincarcerationforpeoplewithdisabilitymustalsobetackled. ThissubmissionincludescontributionsthatexplainissuesexperiencedbyAboriginalandTorres StraitIslanderpeoplewithdisabilityacrosstheirlifecourse.Contributionsarefrom: ● communitypractitionersandresearcherswhoworkwithAboriginalandTorresStrait Islanderpeopleandunderstandthetraumatheyhavebeenexposedto; ● earlychildhooddevelopmentexpertswhoknowwhatittakestoputachildwithdisability ontherightcourse; ● organisationswhichunderstandthedisablingimpactoffamilyviolenceonwomen; ● systemsthinkerswhocandesignearlydisabilitysupportforchildrenandfamiliesand supporteddiversionprogramsasanalternativetoprison; ● expertsinlegislationwhichhaveasolidfoundationinhumanrights; ● researchersandpractitionerswhohaveworkedwithAboriginalandTorresStraitIslander peoplepost-prisonreleasetopreventrecidivism;and ● policyadviserswhounderstandthemechanismsthatareneededtotranslatetheevidence intopolicyreform. ThestrengthsandsupportstructureswithinFirstPeoples’communitieshaveanuntappedpotential todrivepositivechange.TheybestunderstandtheuniquetraumathatfacesFirstPeoplesandhow thisimpactsupontheirsocialwellbeing.Whicheverpartoftheproblemyoulookat,community 6 basedandcommunity-directedservicesforFirstPeopleswithadisabilityarefundamentaltothe solution. AproposalforCommonwealthleadership ThissubmissionshowshowAboriginalandTorresStraitIslandercommunityorganisationscancome togetherwiththeresearchcommunitytocriticallyevaluatetheevidenceandcomeupwiththe solutionsneededtoaddresstheproblemofrecurrentandindefinitedetention.AllAustralian Governmentsneedtostepuptosupportthesesolutions. ThereformsoutlinedbyourallianceofexpertsarecrucialtopreventingevermoreAboriginalpeople beingcapturedindefinitelyinthecriminaljusticeandreducingspiralingcriminaljusticecosts.This reformagendahasbeenderivedfromourevaluationoftheavailableevidence,recognisesthe federatednatureofAustraliangovernment,andtherespectiverolesandresponsibilitiesofFederal, StateandTerritoryGovernments.Therecommendationsinthissubmissionfocusparticularlyonthe leadershiproleoftheCommonwealth,whichcanserveasamodelforreformintherespective jurisdictions. Thereismomentumforchange.InNovember2015,MinistersattendingtheLawCrimeandSafety Councilagreedtoestablishaworkinggrouptobringtogetherthedataanddevelopresourcesfor nationaluseinthetreatmentofpeoplewithcognitivedisabilityormentalimpairmentunfittoplead orfoundnotguiltybyreasonofmentalimpairment. TheAustralianGovernmenthasalsomadeavoluntarycommitmentintheUnitedNationsUniversal PeriodicReviewtoimprovingthewaythecriminaljusticesystemtreatspeoplewithcognitive disabilitywhoareunfittopleadorfoundnotguiltybyreasonofmentalimpairment. Thebreadthanddepthofpeople’scontributionstothisandothersubmissionsreflectthepersonal andcollectivecommitmenttoprovideafairer,betterlifeforAboriginalandTorresStraitIslander peoplewithdisabilitywhoareatriskofbeingorarealreadycaughtupinthejusticesystem. Correctingthisinjusticeisanationalpriority. 7 SummaryofRecommendations 1. 2. 3. 4. 5. 6. 7. 8. 9. AstrategicapproachisneededtoaddressthefactorsimpactingonAboriginalandTorres StraitIslanderpeoplewithcognitiveimpairment: (i) toimproveaccesstotheirrightsuponcomingincontactwiththejusticesystem; (ii) toaddressthesocialriskfactorstoaltertheirlifetrajectoryandreducethe likelihoodoftheircomingincontactwiththejusticesysteminthefirstinstance. AstrategicapproachtotherecurrentandindefinitedetentionofAboriginalandTorresStrait Islanderpeoplewithcognitiveandmentalimpairmentshouldbebasedontheprinciplesof selfdetermination;personcentredcare;holisticandflexibleapproach;integratedservices; andCulture,DisabilityandGender-informedpractice. Asocialmodelofdisability,accommodatingthecomplexsocialandculturaldeterminants, shouldbethebasisfordefining‘cognitiveandpsychiatricimpairment’asitaffectsthe recurrentandindefinitedetentionofAboriginalandTiresStraitIslanderpeoplewith cognitiveimpairment. Systemsforaddressingdisabilityinandrelatedtothejusticesystemmustbediscretionary toaccommodateanindividual’slevelofimpairmentaswellascontributingsocial circumstances.Theprincipleofdiscretionshouldapplyinjudicialadministrationaswellas disabilitysupports. Aboriginalcommunity-controlledorganisationsshouldberesourcedtoprovidespecialised andculturallyappropriatesupporttoAboriginalandTorresStraitIslanderpeoplewith cognitiveandpsychiatricimpairmentsindetention. EarlydiagnosisofFetalAlcoholSpectrumDisorders(FASD)andinterventiontoprevent engagementwiththelaw. EarlyrecognitionthatayoungpersonhasFASDorotherneurocognitiveimpairmentswhen firstengagingwiththelawsothatcourtscanprovidealternativestrategiestosentencing andappropriatemanagementtoreducerecidivism. Researchprogramsandincentivesshoulddevelopresourcesforthebetteridentificationand managementofcognitivedisability,includingFASD,acrossarangeofsocialpolicyareas includingearlychildhoodandchildprotection,educationandjustice. Workforcedevelopmentstrategiesarerequiredtoincreasetheawarenessofdisabilityand itsimpactuponjusticeoutcomesforpeoplewithdisability.Thesestrategiesshouldinclude culturallycompatiblepracticeguidelines,protocolsandtrainingprogramsforpublicofficers 8 andprofessionalsworkingwithAboriginalandTorresStraitIslanderpeoplewithdisabilityin thejusticeandrelatedsectors. 10. AppropriatesupportservicesshouldbeprovidedtoAboriginalandTorresStraitIslander peoplewithcognitiveandpsychiatricimpairmentswhohaveexperiencedviolenceor trauma,including: (i) (ii) (iii) 11. 12. 13. screeningforpastexperiencesoftrauma,includingfamilyviolence,sexualassaultor otherformsofgender-basedviolence counsellingandemotionalandpsychologicalsupporttohelpsurvivorsontheirroads torecovery,and legalsupporttohelpthemaccesstheirrightsandobtainjustice. Systemsfordiversionontosupporteddisabilityprogramsshouldbeestablishedatcritical pointsofcontactwiththecriminaljusticesystem,withlinkagestotheNationalDisability InsuranceScheme. TheCommonwealthshouldadoptaleadroleinthecreationofnationallegislativestandards forlegislationandregulatoryframeworksaffectingindividualswhohavebeendeclared mentallyimpairedorunfittoplea.Thenationalstandardlegislationshouldataminimum providefor: (i) Judicialdiscretiontoimposeanappropriateorderdependingonthecircumstances ofthecase,includinglevelofimpairmentandcontributingsocialcircumstances. (ii) SpecialhearingsthatincludeinputfromAboriginalandTorresStraitIslander communityrepresentativestotesttheevidenceagainstamentallyimpaired accusedwhoisunfittostandtrial.Thisshouldentailaprocedurefordetermining whether,ontheevidenceavailable,theaccusedcommittedtheobjectiveelements oftheoffencesothatifitcannotbeproventhattheaccusedcommittedthe objectiveelementsoftheoffence,theaccusedisdischarged. (iii) Minimumproceduralfairnessrequirementssuchasarighttoappear,rightof review,righttowrittenreasonsfordecisionandrighttoinformation. (iv) Finitetermsforcustodyorders(andreleaseorders)–thedurationoftheorder shouldbenolongerthanthedurationofthesentencethatwouldhavebeen imposediftheaccusedhadbeenconvictedoftheoffence. (v) Determinationsaboutreleaseofmentallyimpairedaccusedfromcustodyor communityreleaseordersshouldbemadebytherelevantboardwithanannual rightofreviewbeforetheSupremeCourt. TheCommonwealthshouldprovideasupportprogramforAboriginalandTorresStrait Islanderpeoplewithcognitiveimpairment,asa‘safetynet’whentheseservicesarenot madeavailableatalllevelsofcourtswithintheStateandTerritoryjurisdictions. 9 14. 15. 16. Establishaworkinggrouptoestablishinterfaceprinciplesbetweenstateandterritorybased post-releaseprogramswiththeNationalDisabilityinsuranceScheme,basedontheeffective featuresofthethroughcaremodel. Establishamulti-disciplinary‘PolicyTranslationGroup’includingAboriginalandTorresStrait IslanderrepresentativestoadviseontranslatingevidenceemanatingfromCommunity knowledgeandacademicresearchintopolicy. ThattheserecommendationsformthebasisofaNationalDisabilityJusticeStrategywitha dedicatedfocusontherightsandcircumstancesofAboriginalandTorresStraitIslander people. 10 1.APREDICTABLEANDPREVENTABLEPATH:INDIGENOUS AUSTRALIANSWITHMENTALANDCOGNITIVEDISABILITIESINTHE CRIMINALJUSTICESYSTEM ProfessorEileenBaldry,DrRuthMcCausland,AssociateProfessorLeanneDowse,Elizabeth McEntyre,UNSW Keyissues: ● Thereisasevereandwidespreadlackofappropriateearlydiagnosisandpositive, culturallyresponsivesupportforIndigenouschildrenandyoungpeoplewithcognitive impairment. ● Intheabsenceofholisticdisability,educationandhumanservicessupport,thepathways intoprisonforAboriginalandTorresStraitIslanderpeoplewithcognitiveimpairmentare predictable.Theyarealsopreventable. ● Effectiveresponsesshouldbefoundedontheprinciplesof:selfdetermination;person centredcare;aholisticandflexibleapproach;integratedservices;andculture,disability andgender-informedpractice. 1. TherecentreportoftheIndigenousAustralianswithMentalandCognitiveDisabilityinthe CriminalJusticeSystem(IAMHDCD)Project,APredictableandPreventablePath1foundthat acrossAustralia,thousandsofIndigenouspeoplewithmentalandcognitivedisabilitiesare being‘managed’bypolice,courtsandcorrectionsratherthanbeingsupportedinthe community.Thisquantitativeandqualitativestudyrevealsthewaysthatsystemsofcontrol ratherthancareorprotectionarebeinginvokedforthisgroup,oftenfromaveryyoungage. ThefindingsofthisprojecthighlightthewaysthatIndigenouspeoplewithmentaland cognitivedisabilitiesexperiencemultiple,interlockingandcompoundingdisadvantageous circumstances. 2. Thefindingsofthisprojectunequivocallydemonstratethatpathwaysintoandaroundthe criminaljusticesystemformanyIndigenouspeoplewithmentalandcognitivedisabilitiesare embeddedandentrenchedbytheabsenceofcoherentframeworksforholisticdisability, educationandhumanservicessupport.Indigenouspeoplewithmentalandcognitive disabilitiesareforcedintothecriminaljusticesystemearlyinlifeintheabsenceof alternativepathways.Althoughthisalsoappliestonon-Indigenouspeoplewithmentaland cognitivedisabilitieswhoarehighlydisadvantaged,theimpactonIndigenouspeopleis 1 EileenBaldry,RuthMcCausland,LeanneDowse&ElizabethMcEntyre,APredictableandPreventablePath: Aboriginalpeoplewithmentalandcognitivedisabilitiesinthecriminaljusticesystem(UniversityofNewSouth Wales,2015)<http://www.mhdcd.unsw.edu.au> 11 significantlygreateracrossallthemeasuresandexperiencesgatheredinthestudiesacross theIAMHDCDProject. 3. Theseriousimplicationsofpoordiagnosisanduncleardefinitionsofmentalandcognitive disabilityarestarklyhighlightedintheresearch.Thefindingsdemonstratethatthereisa severeandwidespreadlackofappropriateearlydiagnosisandpositive,culturallyresponsive supportforIndigenouschildrenandyoungpeoplewithcognitiveimpairment.Thisis connectedtoschoolsandpoliceviewingcertainkindsofbehaviourthroughaprismof institutionalracismratherthandisability,aswellasIndigenouscommunityreluctanceto havechildrenassessedusingparticularcriteriathatareperceivedasstigmatisingandleading tonegativeinterventioninAboriginalfamilies.Foradultsinthecriminaljusticesystem, cognitiveimpairmentiseithernotrecognisedatall,orifrecognised,itispoorlyunderstood. 4. FormanyIndigenouspeople,diagnosisoftheircognitiveimpairmentcomeswithassessment onentrytoprison.Howeversuchadiagnosisrarelyleadstoappropriateservicesorsupport whileinprison;analysisofthedatarevealsthatsubsequentinterventionstendtocontinue toforegroundoffendingbehaviourratherthancomplexsocialdisadvantageordisability, mentalhealthoralcoholandotherdrugsupportneeds.Thefindingsilluminatethe particularchallengesandvulnerabilitiesfacingIndigenouswomenwithmentalandcognitive disabilitiesasthemostdisadvantagedgroupintermsoftheirmultipleandcomplexsupport needs. 5. Thereisanurgentneedforanevidence-informedresponsebypoliticalleaders,policymakers,peopleworkingincriminaljusticesystems(police,magistrates,correctionalofficers, paroleofficers)andserviceproviders.Fundamentally,usingthelawandcriminaljustice servicesasmanagementtoolsforIndigenousAustralianswithcomplexsupportneedsisbad policyandpracticeandhavingadevastatingimpactonthehumanrightsandwellbeingof Indigenouspeoplewithmentalandcognitivedisabilities. SolutionsfromtheCommunity 6. Basedonthequalitativeandquantitativefindingsofthestudy,theresearchteam recommendedthefollowingfiveprinciplesandassociatedstrategies,derivedfrom interviewsanddiscussionwithIndigenouspeopleinthestudy,shouldunderpinpolicy reviewandimplementation. Principle1:Self-Determination 7. Self-determinationiskeytoimprovingaccesstoandexerciseofhumanrightsandtothe wellbeingofIndigenouspeoplewithmentalandcognitivedisability,especiallyforthosein thecriminaljusticesystem.Strategiesinclude: 12 • • • Indigenous-ledknowledgeandsolutionsandcommunity-basedservicesshouldbe appropriatelysupportedandresourced; theparticulardisadvantagefacedbyIndigenouswomenandpeopleinregionaland remoteareasshouldbeforegroundedinanypolicyresponsetothisissue;and resourcesshouldbeprovidedtobuildtheculturalcompetencyandsecurityofnonIndigenousagencies,organisationsandcommunitieswhoworkwithIndigenous peoplewithmentalandcognitiveimpairmentwhoareincontactwiththecriminal justicesystem. Principle2:Person-CentredCare 8. Person-centredcarethatisculturallyandcircumstantiallyappropriateandwherebyan individualisplacedatthecentreoftheirowncareinidentifyingandmakingdecisionsabout theirneedsfortheirownrecoveryisessentialforIndigenouspeoplewithmentaland cognitivedisability. Strategiesinclude: • disabilityservicesineachjurisdiction,alongwiththeNationalDisabilityInsurance Scheme,shouldensurethereisacomplexsupportneedsstrategysupporting Indigenouspeoplewithdisabilityincontactwithcriminaljusticeagencies; • specialisedaccommodationandtreatmentoptionsforIndigenouspeoplewith mentalandcognitivedisabilityinthecriminaljusticesystemshouldbemade availableinthecommunitytopreventincarcerationandincustodialsettingsto improvewellbeing;and • Indigenouspeoplewithmentalandcognitivedisabilitywhoareatriskofharmto themselvesorothersandwhohavebeeninthecustodyofpoliceorcorrections shouldnotbereturnedtotheircommunitywithoutspecialistsupport. Principle3:AHolisticandFlexibleApproach 9. AdefinedandoperationalisedholisticandflexibleapproachinservicesforIndigenous peoplewithmentalandcognitivedisabilityandcomplexsupportneedsisneededfromfirst contactwithservicesystems. Strategiesinclude: • earlyrecognitionviamaternalandinfanthealthservices,earlychildhoodandschool education,communityhealthservicesandpoliceshouldleadtopositiveand preventivesupport,allowingIndigenouschildrenandyoungpeoplewithdisabilityto developandflourish; • arangeof‘step-down’accommodationoptionsforIndigenouspeoplewithcognitive impairmentinthecriminaljusticesystemshouldbeavailable(theNewSouthWales CommunityJusticeProgramprovidesausefultemplate);and 13 • community-basedsentencingoptionsshouldbeappropriatelyresourced,integrated andinclusivesotheyhavethecapacityandapproachneededtosupportIndigenous peoplewithmentalandcognitivedisability. Principle4:IntegratedServices 10. Integratedservicesarebetterequippedtoprovideeffectivereferral,informationsharing andcasemanagementtosupportAboriginalandTorresStraitIslanderpeopleswithmental andcognitivedisabilityinthecriminaljusticesystem. Strategiesinclude: • justice,correctionsandhumanservicesdepartmentsandrelevantnon-government servicesshouldtakeacollaborativeapproachtodesigningprogrampathwaysfor peoplewithmultipleneedswhorequiresupportacrossallthehumanandjustice sectors;and • allprisonerswithcognitiveimpairmentmustbereferredtothepublicadvocateof thatjurisdiction. Principle5:Culture,DisabilityandGender-informedpractice 11. ItisvitalthatAboriginalandTorresStraitIslanderpeoples’understandingsof‘disability’and ‘impairment’informallapproachestothedevelopmentandimplementationofpolicyand practiceforIndigenouspeoplewithmentalandcognitivedisabilityinthecriminaljustice system,withparticularconsiderationofissuesfacingAboriginalandTorresStraitIslander women. Strategiesinclude: • bettereducationandinformationareneededforpolice,teachers,educationsupport workers,lawyers,magistrates,health,corrections,disabilityandcommunityservice providersregardingunderstandingandworkingwithAboriginalandTorresStrait Islanderwomenandmenwithcognitiveimpairment,mentalhealthdisordersand complexsupportneeds; • informationandresourcesareneededforIndigenouscommunities,familiesand carers,providedinaculturallyinformedandaccessibleway;and • thedistinctandspecificneedsofAboriginalandTorresStraitIslanderwomenshould beforegroundedinsucheducationandinformation. RecommendedResponses: 12. Withthesefiveprinciplesinmind,APredictableandPreventablePathmadewide-ranging recommendationsrelatingtothecriminaljusticesystem,includinglegislationand sentencing,police,resourcesandsupportforLegalAidandAboriginalLegalServices,courts, 14 corrections,diversionaryprograms,post-releaseservicesandsupport;2aswellasto communityservices,schools,disabilitymodels,servicesandsupport,mentalandother healthconcerns,andhousing.3 2 Ibid,164-166. 3 Ibid,166-168. 15 2.THELIFETRAJECTORYFORANABORIGINALANDTORRESSTRAIT ISLANDERPERSONWITHDISABILITY ScottAvery,PolicyandResearchDirector,FirstPeoplesDisabilityNetwork(Australia) Keyissues: ● AboriginalandTorresStraitIslanderpeoplewithdisabilityareatheightenedriskof encounteringindefinitedetentionduetothecomplexinteractionofpersonalandsocial factorsaffectingboththeirIndigenousanddisabilitystatus. ● BythetimethatanAboriginalorTorresStraitIslanderpersonhascomeintocontactwith thejusticesystem,theyarelikelytohavehadalifetimeofunmanageddisability. ● AstrategicapproachisneededtoaddressthefactorsimpactingonAboriginalandTorres StraitIslanderpeoplewithcognitiveimpairment: (iii) toimproveaccesstotheirrightsuponcomingincontactwiththejusticesystem; (iv) toaddressthesocialriskfactorstoaltertheirlifetrajectoryandreducethe likelihoodoftheircomingincontactwiththejusticesysteminthefirstinstance. 1. AnAboriginalorTorresStraitIslanderpersonwithdisabilityisamemberoftwo communities;onepertainingtotheiridentityasanIndigenouspersonandanother pertainingtotheirdisability.Addressingoneaspectofapersonrightsinisolationfromthe compositerightscanleavethemexcludedfromanotheraspectofsocietyimportanttotheir senseofidentity. 2. Intersectionalityisafieldofhumanrightsresearchwhichisanemerginginfluenceonpublic policy.Intersectionalityacknowledgestherearemultipledimensionsofapersonsidentity asaframeforunderstandingthelayersinwhichsocialinequitycanaccumulate.This involvesunderstandingtherightstoculturalinclusionasanIndigenouspersonaswellasthe rightsofinclusionasapersonwithdisability.Afailuretounderstandbothdualaccessrights forIndigenousandtherightsofapersonineffectcreatesaminoritygroupwithinaminority group. 3. ThesocialexclusionthatcanoccurbecausesomeoneisbothAboriginalorTorresStrait Islanderandhasdisabilityhascolloquiallybeenreferredtoasexperiencinga‘double discrimination’byAboriginalandTorresStraitIslanderpeoplewithdisability.Whilstmore overtformsofdiscrimination(suchasvilification)aremoreeasilydetectable,thereisalso institutionalorsystemicbiaseswhichactagainsttherightsandinclusionofAboriginaland TorresStraitIslanderpeoples.Forexample,theincidenceandimpactofinstitutionalracism 16 inthehealthsectorhasbeenwelldocumented,anditsfindingscouldreadilyapplytothe justicesystem.4 4. Institutionalisedformsofdiscriminationsitswithinthesubconsciousofthosechargedwith responsibilityforundertakingpublicfunctions–apolicywhichisnotintendedtobe discriminatorycanbecomediscriminatorywheninterpretedbyanofficialbasedontheir ownlevelsofawareness,assumptionsandsubconsciousprejudicesaboutAboriginaland TorresStraitIslanderpeopleand/orpeoplewithdisability. 5. FailuresinaddressingtherightsofanIndigenouspersonintheirearlyyearscanleadtoa further,andoftenrapid,deteriorationinrightsoverthecourseofalifetime.Hereisone scenarioasanexample; • AnIndigenousmotherlivinginpovertyandinacommunitywithinadequatepublic healthfacilitiesismorelikelytohavealow-birthweightbabycomparedtononIndigenouspeople. • Lowbirthweightisaknownriskfactorforchildhooddisabilityandlearning impairment. • TherateofremovingachildfromtheirfamiliesissignificantlyhigherforIndigenous childrencomparedtonon-Indigenouschildren.InAustralia,thisdisparityisa10-fold increaseintherateofchildremovalforIndigenouschildren. • Clinicalprotocolsfortheassessmentfordisability,particularcognitiveimpairments, canrequireastablehomeenvironmenttoenableanaccurateassessment.Ifshifting fromhometohomeinanout-ofhome-caresystemcontinuallydisruptsachild,then anassessmentofdisabilitymaynotoccur. • Medical-basedmodelsofdisability(notjustinhealth,butalsoineducation)require adiagnosistotriggersupportsforachild. 6. So,whenthebarrierstoaccesstherighttohealthforanIndigenouspersoninteractwith thoseforapersonwithdisability,theconsequenceforachildwhoisIndigenousandwith disabilityisthattheyareatheightenedlikelihoodofgoingthroughtheirearlychildhoodwith anundetectedandunsupporteddisability.Theeffectsofthiscarriesforwardintotheir schoolingyearsandplacesthemonatrajectorywheretheyaremorelikelytomatriculate intoprisonthanintotertiaryeducation. 7. Whilstthisparticularperspectiveemphasisesdisabilityasanintersectionalrisktotherights, healthandwellbeingforAboriginalandTorresStraitIslanderpeople,theconceptalso 4 ALarsonetal,‘It'senoughtomakeyousick:theimpactofracismonthehealthofAboriginalAustralians’ (2007)31(4)AustralianandNewZealandJournalofPublicHealth322;NPriestetal,‘Experiencesofracism, racial/ethnicattitudes,motivatedfairnessandmentalhealthoutcomesamongprimaryandsecondaryschool students’(2014)43(10)JournalofYouthandAdolescence672-876;AFerdinandetal,MentalHealthImpactsof RacialDiscriminationinVictorianAboriginalCommunities:TheLocalitiesEmbracingandAcceptingDiversity (LEAD)ExperiencesofRacismSurvey(TheLowitjaInstitute,2012). 17 appliesinrelationtootherriskfactorswhichcanhaveacumulativedetrimentalimpact. Theseriskfactorscaninclude: • Gender • Childrenandyoungpeople • Exposuretotrauma,bothacuteandinter-generational • Psychiatricandmentalhealthconditions • Lesbian,gay,bisexual,andtransgender • Drugandalcoholdependence • Exposuretofamilyviolence • Deprivationofliberty. 18 Table:ThedeteriorationofrightsacrossthelifetrajectoryofAboriginalandTorresStraitIslander peoplewithdisability 19 3.FRAMINGRECURRENTANDINDEFINITEDETENTIONFROMA DISABILITYPERSPECTIVE AssociateProfessorLeanneDowse,ChairinIntellectualDisabilityBehaviourSupport Keyissues: ● Understandingcognitiveimpairmentfrompurelyamedicalmodel–ie.whereamedical diagnosisisneededtoaccesssupports,willnarrowaccesstosupportsforthosemostin need. ● Asocialmodelofdisabilitywillbetteraccommodatethecomplexsocialandcultural determinantsaffectingtherecurrentandindefinitedetentionofAboriginalandTiresStrait Islanderpeoplewithcognitiveimpairment. ● Thesocialmodelapproachwillleadtoamorediscretionarysupportsystemthatwillbe moreeffectiveinaddressingthefactorsaffectingindividualswhoaredetainedoverthe longerterm. Overview 1. Therecognitionofcognitivedisabilitywithinthecriminaljusticesystemisamatterofsome contention.Thisreflectstheunsettlednatureofterminology,variationinapproachesto assessmentandthehistoricalconflationofmentalhealthdisorderandcognitive impairment.Cognitiveimpairmentisatermutilisedtoencompassavarietyofdiagnostic labelsincludingintellectualdisability,borderlineintellectualdisability,acquiredbraininjury, autismanddementia.Cognitivedisabilityisusedtodenotethesocialunderstandingthat impairmententailsarangeofsocialexclusionsthatattendtothepresenceofimpairment. Generally,havingacognitiveimpairmentmeansthatapersonwillhavedifficultywiththings suchasself-management,decision-makingandcommunication.Thismeansthatthisgroup havesignificantdifficultyoperatingintheworld. 2. Whilemanypeoplewithcognitivedisabilitymayseemoutwardlyindependent,whenwe drilldowntotheirfunctionalcapacityitisclearthattheirdisabilityisdirectlyrelatedtothe likelihoodofoffending.Theirriskofoffendingisinfactoutofproportionbutitisdifficultto separatedisabilityandoffending.Cognitiveimpairmentisalsorecognisedtobeassociated witharangeofsocialdisadvantageincludingpooreducationaloutcomes,unemployment andeconomicdisadvantage,theriskofahigherincidenceofmentalhealthproblemsand co-existingmentalillnessordrugandalcoholissues.Commonlytheycomefromsituations wheretheyfundamentallylacksocialsupport.Keychallengesinthisareaarethatpeople withcognitiveimpairmentsmaybereluctanttoacceptadisabilitylabel,recognitionof disabilityinoneservicedoesnotreadilytransfertoanother,andthatindividualsdonotfit 20 intothelimitingcategoriesrequiredforadisabilityservice.Thismeansthatmanyinthis grouparenotrecognisedashavingadisabilityuntiltheyareassessedinprison. 3. Peoplewithcognitiveimpairmentinthecriminaljusticesystemareaverydiversegroup withabroadspectrumofoffending,rangingfromminortroubletoseriousandmajorviolent andsexualoffences.Offendingoftenbeginsatayoungage,withearlypolicecontact– typicallyfromtheearlyteens,andwithcontactfrequentandextendingforlongerovertheir lifetime.Inrelationtothenatureofdetentionexperiencedbythisgroup,theirpropensity forlowleveloffendingandtheirinabilitytocomplywithbailconditionsandcommunity ordersmeansthatformany,frequentshortsentencescombinedwithremandseethem regularlycyclingbetweenprisonandthecommunity.Sowhiledetentionformanymaynot beintheformofasingleindefinitelong-sentence,theinevitabilityoftheircyclinginand outofprisonmeans,frequentandrecurrentdetentionthroughoutthelifecourse. ComplexSupportNeeds 4. Inrelationtohumanlivesandsupportneeds,‘complexity’isaproductofthecompounding ofindividuallifesituationsandthelackofcapacityofsupportstructurestorespond appropriatelyovertime,thatis,theyarecreationsofsocialsystemsandorganisation,not thefaultofanindividualperson.5Inapplyingacomplexityanalysistothelivedexperienceof IndigenousAustralianswithMHDCDincontactwiththecriminaljusticesystem,anapplied conceptualframingofthemultipledomainsofdisadvantageidentifiedas‘complexsupport needs’hasbeenutilisedintheresearch.Whilethereremainsalackofagreementaround terminologyinthearea,theterm‘complexsupportneeds’movesbeyondlimited categorizationsdefinedbythepresenceofaprimarymedicaldiagnosis,andwhichattributes thepresenceofaparticularcharacteristic,impairmentordysfunctionorcombinationstothe individual. 5. Asanoverarchingconcept,complexsupportneedsprovidesaframeworkforunderstanding multipleinterlocking6experiencesandfactorsthatspandisability,healthandsocialissues, andcapturestheirnatureassimultaneousness,multifacetedandcompounding.7Broadly thosewithcomplexsupportneedsareseenaspeoplewhorequirehighlevelsofhealth, welfareandothercommunitybasedservicesandincludeindividualswhoexperiencevarious combinationsofmentalillness,intellectualdisability,acquiredbraininjury,physical disability,behavioursthatarearisktoselforothers,socialisolation,familydysfunction, haveproblematicdrugand/oralcoholuse,insecureorinadequatehousing;cultural, 5 MargaretHamilton,‘PeoplewithComplexneedsandtheCriminalJusticeSystem’(2010)222CurrentIssues inCriminalJustice307. 6 JenniferRankinandSueRegan,‘DisabilitiesandOffendingBehaviour’(2004)73Meetingcomplexneedsin socialcare,Housing,CareandSupport4. 7 EileenBaldryandLeanneDowse,‘Compoundingmentalandcognitivedisabilityanddisadvantage:policeas caremanagers’inDuncanChappell(ed)PolicingandtheMentallyIll:InternationalPerspectives(CRCPress, TaylorandFrancisGroup2013)219,222-223. 21 circumstantialorintergenerationaldisadvantage;familyanddomesticviolenceandcontact withthecriminaljusticesystem.8 6. Importantfortheanalysispresentedinthisreportistherecognitionthatcomplexsupport needsarenotstaticandhaveatemporaldimension,suchthatheightenedneedforsupport ismorelikelytoemergeduringcertainsituations,episodesorlifestagesincluding transitionsaroundoutofhomecare,engagementwithorreleasefromthecriminaljustice system,intimesoffamilystresssuchasillness,death,familyconflict,orremovalofchildren. Theexperienceisparticularlycharacterisedbylackofsupportinacrisisandmaybe exacerbatedinsituations,whichrequirenegotiationofmulti-agencysupport.Thosewith complexsupportneedsarealsofrequentlydefinedinthecontextoftheirrelationshipor otherwisetoservicesystems.Thesesystems,suchasthechildprotection,health,housing andcriminaljusticesystemsstruggletoworkcollaborativelywithandsupporteffectively suchindividualsandsopeoplewithcomplexsupportneedsareoftenmarginalisedand disadvantagedwithintheservicesystemandinthecommunity.9 8 EileenBaldry,LeanneDowseandMelissaClarence,‘Peoplewithmentalandcognitivedisabilities:Pathways intoPrison’(2012)BackgroundPaperforOutlawstoInclusionConference;TerryCarney,‘Complexneedsatthe BoundariesofMentalHealth,JusticeandWelfare:GatekeepingIssuesinManagingChronicAlcoholism Treatment?’(2016)173CurrentIssuesinCriminalJustice347;Draine,Jetal,‘Roleofsocialdisadvantagein crime,joblessness,andhomelessnessamongpersonswithseriousmentalillness’(2002)535Psychiatric Services565;MargaretHamilton,‘PeoplewithComplexneedsandtheCriminalJusticeSystem’(2010)222 CurrentIssuesinCriminalJustice307. 9 MargaretHamilton,‘PeoplewithComplexneedsandtheCriminalJusticeSystem’(2010)222CurrentIssues inCriminalJustice307;aboven7. 22 4.ADDRESSINGCOGNITIVEDISABILITYINCHILDRENANDYOUNG PEOPLE ProfessorCarolBower,SeniorPrincipalResearchFellow;NoniWalker,SeniorResearchFellow; SharynneHamilton,ResearcherBanksiaHillFASDProject;GlennPearson,Head,Aboriginal ResearchDevelopment,TelethonKidsInstitute. Keyissues: ● Ifunmanaged,cognitivedisabilitycancontributetolowerattainmentineducation, employmentandincreasedcontactwithpolice. ● Childhooddisabilityisunder-identifiedinAboriginalandTorresStraitIslander communities.Thisisduetoarangeofsocialfactorsincludingrelativelylowlevelsof disabilityawarenessandstigmatisation.ThisisparticularlythecasewithFoetalAlcohol SpectrumDisorders. ● ResearchonanAustraliandiagnosticinstrumentforFASDisclosetocompletion.Wide disseminationanduseofthediagnosticinstrumentshouldleadtobetteridentification andmanagementofcognitivedisabilityacrossarangeofsocialpolicyareasincludingearly childhoodandchildprotection,educationandjustice. ● Complementaryresearchisdevelopingastrengths-basedmodelforthemanagementof disabilitywithinjuvenilejustice(theBanksiaHillFASDProject).Thisresearchshowsthe greatpotentialfortheintegrationofdisabilityexpertisewithinajusticesetting,for adoptionbyjusticeanddisabilityagenciesincludingtheNationalDisabilityInsurance Agency. 1. ThegoaloftheTelethonKidsInstituteis“..tobuildonoursuccessandcreatearesearch institutethatmakesarealdifferenceinourcommunity,witharenewedfocusontranslation anddiscovery,whichwillbenefitchildrenandfamilieseverywhere.Wewilldothistogether- unifiedinourleadership,excellence,passion,andvision.” 2. AddressingthisgoalisamajorprogramofresearchattheTelethonKidsInstituteonalcohol useinpregnancyandFetalAlcoholSpectrumDisorders(FASD). 3. Theaimsofthisprogramofresearchareto: • preventalcoholuseinpregnancyanditseffectsonchildhealth; • decreasetheincidenceofFASD; • improveFASDdiagnosticcapacity;and • improvemanagementofchildrenandyoungpeoplewithaFASDthrougheffective interventions. 23 4. Weareworkingwithcommunitygroups,includingAboriginalcommunities,health,justice andeducationprofessionstochangethewayFASDisprevented,diagnosedandtreated. 5. FASDarecharacterisedbycentralnervoussystemdysfunctiongivingrisetodevelopmental, sensory,learningandbehaviouraldifficulties.Althoughonlyabout30%ofchildrenwith FASDhaveanintellectualdisability(IQ<70),allhaveneurocognitivedeficitsthatare permanent,resultinginlifelongprogressiveandcompleximpairment. 6. Theseimpairmentshaveanegativeimpactuponthelifetrajectoryofchildrenandyoung peoplewithFASDincluding:impairedearlyattachmentandpsychosocialdevelopment, impairedattention,increasedimpulsivityandmemoryandlearningdifficulties.Theycan oftenleadtosecondaryproblemsincludingpooreducationaloutcomes,socialexclusion,low self-esteem,mentalhealthdisorders,substancemisuseanddependence,andcontactwith thelaw. 7. FASDcanleadtosociallyunacceptableharmfulbehaviours,antisocialactivities,violent crime,andbeingsubjecttoorcommittingsexualpredation.DeficitsassociatedwithFASD suchasmemory,understandingabstractconcepts,reasoning,understandingcauseand effect,learningfrompastmistakes,andunderstandingandmeetingsocialnormsand expectationshavespecificrelevancetoyouthengagingandinteractingwithpolice,lawyers andjudicialofficers. 8. YoungpeoplewithFASDareeasilyledandcoercedbytheirpeersandmayalsobevictimized bothoutsideandinsidethejusticesystem.Theymaybeunabletoprovidearecordof events,namesofpeopleinvolvedandtimelines,andtheymayprovidedifferentversionsof thestoryforpoliceatdifferentstagesoftheintervieworarrestprocessleadingto allegationsofconfabulationandpossiblefalseconfessions.Thesedeficitsalsoinhibittheir abilitytoprovideinstructiontotheirlawyer,understandthecourtprocessandproceedings anddecisionmadebythemagistratesuchasmeetingbailconditionsorparoleorders. 9. AllaspectsoftheFASDresearchattheTelethonKidsInstitute-prevention,diagnosisand management-arerelevanttothisInquiry,butthreeresearchfocusareasareparticularly pertinent. DiagnosisofFASD 10. TheTelethonKidsInstitutehasdevelopedanAustralianFASDdiagnosticinstrument,on contracttotheFederalDepartmentofHealth,whichwillbedisseminatedAustralia-wide (fromMay2016)alongwithon-linetrainingmodulesforhealthprofessionals.Diagnosisof FASDinAustraliahasbeenlimitedbylackofknowledgeandexperienceofhealth professionalsandanabsenceofacceptednationaldiagnosticcriteria.Withgreaternational capacityfordiagnosis,FASDwillbegintobediagnosedearlierinlife,providingopportunities 24 forearlierinterventionandreductioninsecondarydisabilities,suchasengagementwiththe law. FASDinthejuvenilejusticesystem 11. AprojectattheBanksiaHillDetentionCentreinWesternAustraliaaimstotodetermine howcommonFetalAlcoholSpectrumDisordersareinyoungpeopleindetention,developa FASDscreeningtoolappropriateforyoungpeopleenteringthejuvenilejusticesystem,and developappropriatemanagementstrategiesfortheseyoungpeople.Theprojectisfunded bytheNHMRCTargetedCallforResearch:FetalAlcoholSpectrumDisorderamong AboriginalandTorresStraitIslanderPeoples. 12. SeventypercentofyoungpeopleinthejuvenilejusticesystemareAboriginalandand reportedratesofFASDaregreaterinAboriginalcomparedwithnon-Aboriginalchildren.The outcomesoftheresearchwillestablishthefirstAustralianestimateofFASDamongyoung peopleindetentiontocomparewithoverseasdatathat20%youngpeopleinjuvenile detentionhaveFASD. 13. YoungpeopleatBanksiaHill(between10and17years)whochoosetoparticipate,and whoseparent/guardianconsents,areinterviewedbytheprojectresearchassistantandare assessedbyapaediatrician,neuropsychologist,occupationaltherapistandspeech pathologisttoprovideinformationthatmayidentifyFASDorotherconditionsor impairments. 14. Areportforeachyoungpersonprovidesassessmentfindings,aprovisionaldiagnosisif identified,theirindividualstrengthsanddifficultieswithrecommendationsforimproved managementstrategiesfortheyoungpersonandreferralsifappropriate.Discussionwith theyoungperson,theirparent/guardian/carersanddetentioncentrestaffabouttheir strengthsanddifficultiesaimstofacilitateimprovedsupportforyoungpeoplewithFASD andotherimpairmentsduringdetentionandinthecommunityfollowingtheirrelease. 15. DatawillalsobeanalysedtodevelopaFASDscreeningtoolappropriateforuseamong youngpeopleenteringjuveniledetentioninAustralia.Improvementsintheidentification andmanagementofindividualswithFASDinthejusticesystemhavethepotentialtobe cost-effectiveandimprovewellbeingthroughtheprovisionofservicesandsupportthatis moreappropriatetotheneedsoftheseyoungpeople. 16. Exploringhowtherecommendedstrategiesmatchwithexistingcommunicationand managementpathwaysatBanksiaHillandwithprofessionaldevelopmentandtrainingfor custodialofficersisunderwayintheworkforcedevelopmentcomponentoftheproject. Interventionresourcesdevelopedwillbemadeavailableforusenationally. 25 17. Resourcesforjusticeprofessionalsavailablecurrentlyweredevelopedfromresearchbythe TelethonKidsInstitutetoidentify: • whatjusticeprofessionalsknewaboutFASD; • howthisimpactedontheirwork; • whatinformationtheyrequired;and • howthisinformationshouldbedelivered. 18. Resourcesincludeaseriesof5onlinepresentationsandanoverview:FASDandissuesinthe justicesystem.Acontinuingprofessionaldevelopmentmoduleforlawyersisalsoavailable freeonline:http://alcoholpregnancy.telethonkids.org.au/fasd-justice/professionaldevelopment/ 19. FASDinformationprovidedbytheTelethonKidsInstitutetotheDepartmentoftheAttorney GeneralforWesternAustraliawasincludedinChapter4‘Peoplewithdisabilities’inthe EqualitybeforetheLawBenchBook. 20. TelethonKidsInstitutealsocontributestoadvocacyforimprovementstothewayyouth justiceisdeliveredinWAthroughitsrepresentationbyProfessorJonathanCarapetis (Director,TelethonKidsInstitute)ontheYouthJusticeBoard. ManagementandsupportforpeoplewithFASDandtheirfamilies 21. FundingfromtheNationalDisabilityInsuranceAgency(NDIA)hasprovidedTelethonKids Institutewiththeopportunitytoconductacomprehensivereviewoftheinformation availableonservicesandsupportsforpeoplelivingwithFASDtoinformthedevelopmentof draftbestpracticeguidelinesforNDIAplanners.Theprojecthasledtodevelopmentof: • adraftfunctionalseverityindexforpeoplewithFASDtoassistplannersindecision makingaroundthelevelandtypeofservicesandsupportsrequired;and • principlesthatprovideafoundationforworkforcerequirements. TheNDIAExpertPanelhasassessedthesedraftguidelinesandfunctionalseverityindexfor considerationofsupportforimpairmentsfromFASDintheNDIS. 22. TheAlertProgram®StudyistakingplaceintheFitzroyValleywhichislocatedapproximately 400kmeastofBroomeintheremoteKimberleyregionofWesternAustralia.TheValleyis hometoapproximately3500predominantlyAboriginalpeoplebelongingtofourlanguage groupsandlivinginmorethan45remotecommunities,someupto190kmfromthemain townofFitzroyCrossing.Afterimplementingalcoholrestrictionsin2007,thecommunity turnedtheirattentiontotheissueoffetalalcoholspectrumdisorders(FASD)andearlylife trauma(ELT),whichposedathreattointergenerationaltransferoflanguageandculture. Thisledtotheinitiationofacomprehensive,multifacetedprogram,theMaruluFASD Strategy,whichincludedAustralia’sfirststudyintotheprevalenceofFASD(theLililwan Project).SincetheLililwanProject,attentionhasbeenfocusedonhowtosupportchildren, familiesandteachersimpactedbyFASDandELT. 26 23. ChildrenwithFASDandELTcanexperiencedifficultieswiththeirself-regulationand executivefunctioning.Thiscanimpactonchildren’sabilitytoplan,organise,maintain attentionandchooseanappropriatelevelofalertnesstosuitaparticulartaskorsituation. TheAlertProgram®isbasedontheanalogyofthebodybeinglikeacarenginetoteachselfregulationandimproveexecutivefunctioning.Thebodycanrunatdifferentlevelsof alertnesssuchashigh,loworjustright.Childrenaretaughtfivewaystochangetheirlevel ofalertnessthroughlistening,moving,touching,lookingorputtingsomethingintheir mouth. 24. Thegoaloftheresearchistodevelop,implementandevaluateacurriculumversionofthe AlertProgram®,tobedeliveredbyteachersandschoolstafftoimproveimpairmentsinselfregulationandexecutivefunctioningofprimaryschoolagedchildrenintheFitzroyValley withandwithoutFASD. 25. AnotherareaofresearchthatisrelevanttotheInquiryistoidentifychangesinthemental healthsysteminordertoimproveservicedeliverytoNyoongarpeoplewithmentalillness. TheLookingForwardAboriginalMentalHealthProjectisaparticipatoryactionresearch projectaimedatincreasingaccesstoandtheresponsivenessofthementalhealthanddrug andalcoholservicesystemforNyoongarfamilieslivinginthesouth-eastPerthmetropolitan corridorwhoselivesareaffectedbymentalillness.TheresearchrevealedthattheNyoongar communitywouldprefermentalhealthservicestobedeliveredinawaythatdemonstrates acomprehensiveunderstandingandrespectforaNyoongarworldview,incorporatingits protocols,practicesandculturalcontexts.Organizationalchangepracticesaredirectly informedbythepartnershipbetweenEldersandservicestaffbasedonsharedhistories, respectfulunderstanding,andopen,authenticrelationships. 26. Akeyoutcomeoftheprojectisthedevelopmentandimplementationofaculturallysecure systemschangeframeworkformentalhealthservicedelivery,theMinditjKaart-Moorditj Kaart(‘Sickhead,GoodHead’)EngagementFramework,whichenhancestheknowledgeand skillsbaseofthementalhealthworkforcebybringingthemtogetherwithElderssoasto betterrespondtothementalhealthneedsofAboriginalfamilies.NyoongarElders,ensure thatservicestaff(1)haveanunderstandingaNyoongarworldviewandtheenduringimpact ofColonisation,(2)aredevelopingwaystoworkwiththeneedsandaspirationsofthe community,(3)arebuildingservicecapacitytoworkmoreconfidently,competentlyand culturallysecurelywithNyoongarfamilies.Together,Eldersandservicescommittodevising newwaysinwhichfamiliescanbetteraccessservicesandservicesbemoreresponsiveto theirneeds. Recommendations: 27. Wewilllearnfromexperienceabouthowbesttotranslateknowledgeintoaction–wedo notneedtowaitformoreresearch! 27 i)EarlydiagnosisofFASDandinterventiontopreventengagementwiththelaw. ii)EarlyrecognitionthatayoungpersonhasFASDorotherneurocognitive impairmentswhenfirstengagingwiththelawsothatcourtscanprovidealternative strategiestosentencingandappropriatemanagementtoreducerecidivism. 28. ByidentifyingyoungpeoplewithFASDorcognitivedisabilities(theearlierthebetter)and providingthemandtheirfamilieswiththenecessarysupportsandappropriatemethodsto understandpoliceinterviewing,courtprocesses,bailconditionsandotheryouthjustice processes,thechanceofendingupinindefinitedetentionisgreatlylessened. 28 5.THEIMPACTOFTRAUMAANDFAMILYVIOLENCEUPON ABORIGINALANDTORRESSTRAITISLANDERWOMENWITH DISABILITY EliseThomas,NationalSecretariatSupportOfficer,FamilyViolencePreventionLegalServices Keyissues: ● AboriginalandTorresStraitIslanderwomenwithcognitiveandpsychiatricimpairments facemultipleformsofintersectingdisadvantage,discriminationandmarginalisation. ● Thesebarriers,whichwomenfaceonbothindividualandsystemiclevels,effectivelyclose thedoorsonalternativepathwaysandfunnelthemdownanincreasinglynarrowroadof optionswhich,formany,sadlyendswithincarceration. 1. AboriginalandTorresStraitIslanderpeoplewithcognitiveandpsychiatricimpairmentsare subjecttodiscriminationanddisadvantageasaresultofthelegaciesofcolonisation;the StolenGeneration;pastandpresenttraumasofchildremovalandseveredfamilyties; racism;ableism;highlevelsofundiagnoseddisability;andfrequently,intergenerational cyclesoflowsocioeconomicstatus,unemployment,substanceabuseandincarceration. Theseintersectingtraumasandvulnerabilitiesontheirownaremorethanenoughtoplace individualsathighrisk.When“woman”isaddedintothismix,withallofthegender-specific barriersandvulnerabilitiesthatentails,thisriskbecomesmagnified. 2. ThesesystemicfactorsmeanthatAboriginalandTorresStraitIslanderwomenwithcognitive andpsychiatricimpairmentsareoftencaughtinanexusofvulnerability,victimisationand criminalisation.AsBaldry,McCausland,DowseandMcEntyreindicateintheirreporton Aboriginalpeoplewithmentalandcognitivedisabilitiesinthecriminaljusticesystem,itis notdisabilityalonebutratherthecombinationofcomplexformsofdisadvantagewhich placesparticularindividualsatveryhighriskofvictimisation.10Theirreportalsofoundthat AboriginalandTorresStraitIslanderwomenwithinthestudyexperiencedthehighestrates ofcomplexneeds,includingmultiplecontactswiththepolice,havingbeeninoutofhome careaschildren,havingbeenhomelessandhavingbeenvictimsofcrime.11 3. Multiplestudieshavealsoindicatedastaggeringrateofmentalillnessandpsychiatric impairmentamongstAboriginalandTorresStraitIslanderwomenindetention.Forexample, arecentstudybyBeyondBluefoundthatupto47%ofAboriginalandTorresStraitIslander 10 EileenBaldry,RuthMcCausland,LeanneDowse&ElizabethMcEntyre,APredictableandPreventablePath: Aboriginalpeoplewithmentalandcognitivedisabilitiesinthecriminaljusticesystem(UniversityofNewSouth Wales,2015)75,<http://www.mhdcd.unsw.edu.au>. 11 Ibid,45. 29 womenindetentionsufferfrompost-traumaticstressdisorder(PTSD).70%weresuffering fromanxietydisordersand39%withdepression.63%ofAboriginalandTorresStraitIslander womeninthestudywerealsostrugglingwithsubstanceabuse,12whichitseemsreasonable tothinkmightbebothcausedbyandcontributingtotheirpoormentalhealth. 4. ManyAboriginalandTorresStraitIslanderwomenindetentionhavethemselvesbeen victimsofmultipleformsoftrauma,includingfamilyviolence,rape,sexualassault,genderbasedand/orracialisedviolence.Frequentlywomenarealsore-traumatisedbythevery systemsandinstitutionswhichshouldbesupportingthem,includingbypolice,courtsand childwelfaresystems.Theseoftenunresolvedanduntreatedexperiencesoftrauma contribute,directlyandindirectly,tothecircumstanceswhichsetAboriginalandTorres StraitIslanderwomenontheroadtodetention. 5. AddressingthemultipleandcomplexneedsofthatAboriginalandTorresStraitIslander womenwithcognitiveandpsychiatricimpairmentsindetentionrequiresaculturally appropriate,traumainformedandgenderawareapproach.Itisnotenoughtoaddresstheir needsasAboriginalandTorresStraitIslanderpeople;aswomen;aspeoplewithdisabilities; andasvictimsoftraumaseparately.Thecompoundingandintersectionalnatureoftheir disadvantageandthebarrierstheyfacemustberecognised,andaneffectiveresponsetoit mustbeequallyintersectionalandmultifaceted. 6. TheNationalFamilyViolencePreventionandLegalServicesForumthereforerecommends: ThatAboriginalandTorresStraitIslanderpeoplewithcognitiveandpsychiatric impairmentsindetentionbescreenedforpastexperiencesoftrauma,including familyviolence,sexualassaultorotherformsofgender-basedviolence. • AppropriatesupportservicesshouldbeprovidedtoAboriginalandTorresStrait Islanderpeoplewithcognitiveandpsychiatricimpairmentswhohaveexperienced violenceortrauma.Thisshouldincludebothcounsellingandotheremotionaland psychologicalsupporttohelpsurvivorsontheirroadstorecovery,andlegalsupport tohelpthemaccesstheirrightsandobtainjustice. • Inparticular,thegender-specificneedsofAboriginalandTorresStraitIslander womenwithcognitiveandpsychiatricimpairmentsmustberecognisedand respondedto. • Aboriginalcommunity-controlledorganisationsshouldberesourcedtoprovide specialisedandculturallyappropriatesupporttoAboriginalandTorresStrait Islanderpeoplewithcognitiveandpsychiatricimpairmentsindetention. • 12 EHeffernan,KAndersen,SKinner,AAboud,COber,AScotney,TheFamilyBusiness:improvingthe understandingandtreatmentofpost-traumaticstressdisorderamongincarceratedAboriginalandTorres StraitIslanderwomen(BeyondBlue,2015)5. 30 6.DIVERSION DrLindaSteele,Lecturer,SchoolofLawUniversityofWollongong Keyissues: ● Diversionshouldaddressthedeepentrenchmentinthecriminaljusticesystemof IndigenousAustralianswithcognitiveandpsychiatricimpairmentandtheirindefinite cyclinginandoutofmultipleformsandepisodesofpunishmentovertheirlifecourse. ● Diversionwhichhaspunitive,coerciveand/orsupervisorydimensionswillnotonlyfailto addresstheissuesofentrenchmentandcyclingbutlikelyexacerbatethem. ● Diversionshouldtriggerappropriatedisabilityandsocialsupport,ratherthanbeanout-ofprisonformofpunishment. ● AsasignatorytotheConventionontheRightsofPersonswithDisabilitiesthe Commonwealthhasanobligationtoensurediversionaryschemesdonotbreachhuman rights,includingtherighttoequalityandnon-discrimination. 1. Diversionintosupporteddisabilityprogramsasanalternativetoimprisonmentisacritical processtostemtheunnecessaryincarcerationofpeoplewithcognitiveandpsychiatric impairment.Theuseofdiversionisanunderutilisedopportunityacrossthejurisdictions, usedinanadhocandinconsistentmanner.TheSenateInquirypresentsanopportunityto establishanationallyconsistentmodelfordiversion,solongasitisbasedonsupporting peoplewithdisabilityandnotcreatinganalternativeformofpunishment. 2. Diversionmustbeconsideredinthecontextofthebiggerpictureofthecomplexwaysin whichIndigenousAustralianswithcognitiveandpsychiatricimpairmentaredeeply entrenchedinthecriminaljusticesystemandsubjectedacrosstheirlifecoursetoan ongoingcycleofmultipleformsandepisodesofpunishment.Thecoreissuesof criminalisation,incarcerationandmarginalisationwhichareapparentinthisbiggerpicture willnotbeaddressedifthe‘problem’ofindefinitedetentionisseenasbecoming‘fixed’ifit isreplacedwithyetanotherformofpunishment. 3. DiversionshouldaddressthedeepentrenchmentinthecriminaljusticesystemofIndigenous Australianswithcognitiveandpsychiatricimpairmentandtheirindefinitecyclinginandout ofmultipleformsandepisodesofpunishmentovertheirlifecourse.Diversionwhichhas punitive,coerciveand/orsupervisorydimensionswillnotonlyfailtoaddresstheseissuesof entrenchmentandcyclingbutlikelyexacerbatethem.ItisparticularlyimportanttheSenate Committeeismindfuloftheseriskswhenconsideringdiversionbecauseofthetypical positiveperceptionthatdiversionisnon-punitive,therapeuticandbeneficial. 31 WhatisDiversion? 4. Inthecontextofallegedoffenderswithcognitiveandpsychiatricimpairment,diversion typicallyinvolvesshiftinganindividualfromtheirpassagealongthecriminaljustice continuumfromcharge,conviction,sentenceandpunishmentintoanalternativesystemof disabilityandmentalhealthservices. 5. Thereisnouniformityacrossjurisdictions(bothinternationallyandwithinAustralia)in relationtotheservice,institutionalorlegalformthatdiversiontakes.Forexample,diversion mightinvolveanindividualcourthavinganinformalpracticeofusinggeneralistbailand sentencinglegislationtoattachconditionsrelatingtodisabilityormentalhealthservice engagementtoallegedoffenders’bailorcommunitysentencingorders(‘informaloradhoc diversion’).Attheotherextremediversionmightinvolveaspeciallegislativescheme applicableexclusivelytopeoplewithcognitiveandpsychiatricimpairmentwhichprovides forspecificlegalorderscompellingengagementwithdisabilityandmentalhealthservices (‘formalisedlegaldiversion’).13 6. Whilediversioncanmeanmanythings,itisimportanttobeclearabouttheinstitutional, serviceand,mostimportantly,legalformsthataparticulardiversionaryschemetakes. Formalisedlegaldiversionhasgenerallybeensupportedinpastlawreforminquiries14and bylegalstakeholdersbecauseitsformallegalstatussuggestsitwillbemoreaccessible acrosscourtsandprovidegreatercertaintyofaccesstosupportservices.Yet,byveryreason ofitsformallegalnature,thisformofdiversionisalsothemostdifficultformofdiversionto removeorchangeonceinplaceandhassignificantlegalramificationsonindividuals subjectedtodiversionaryorders(egcoercedengagementwithtreatmentandservices, supervisionbyserviceprovidersofcomplianceandreversionbacktocriminalchargesif ordersarebreached).Assuch,thissubmissionfocusesonadiscussionofformalisedlegal diversion. WhatHappensWithoutDiversion? 7. ResearchledbyEileenBaldryandLeanneDowseetalontheMHDCDdataset15establishes thatIndigenousAustralianswithcognitiveandpsychiatricimpairmentwhoareinthe 13 See,eg,MentalHealth(ForensicProvisions)Act1990(NSW)s32.Foradiscussionofsomeexamplessee ElizabethRichardsonandBernadetteMcSherry,‘DiversionDownUnder—ProgramsforOffenderswith MentalIllnessesinAustralia’(2010)33(4)InternationalJournalofLawandPsychiatry249;RichardD Schneider,‘MentalHealthCourtsandDiversionPrograms:AGlobalSurvey’(2010)33InternationalJournalof LawandPsychiatry201. 14 See,eg,theNewSouthWalesLawReformCommission:NewSouthWalesLawReformCommission,People withCognitiveandMentalHealthImpairmentsintheCriminalJusticeSystem:Diversion(ReportNo135,2012). 15 SeegenerallyAustraliansWithMHDCDintheCJSProject(29June2012)MentalHealthDisordersand CognitiveDisabilitiesintheCriminalJusticeSystem<http://www.mhdcd.unsw.edu.au/australians-mhdcd-cjsproject.html>. 32 criminaljusticesystemasallegedoffendersexperienceongoingcriminalisationand punishmentacrosstheirlife,whichformanyindividualsgenerallybeginsinchildhood. Moreover,theirresearchhighlightsthesignificancetothisongoingcriminalisationand punishmentofdisabilityandIndigeneity,compoundedbydynamicssuchasmarginalisation, institutionalfailure,victimisationandlackofappropriatesupports,aswellascolonialism, historicalinjusticesandintergenerationaltrauma.Moreover,theirresearchemphasisesthe contributionofthecriminaljusticesystem,includingincarcerationandcommunity-based interventions,totheongoingcriminalisationandpunishment.16 8. Yet,paradoxically,theongoingnatureofmanyoftheseindividuals’contactwiththecriminal justicesystemisnottypicallyviewedbythecriminaljusticesystemandcriminallawasa systemicproblem(inwhichthecriminaljusticeandotherinstitutionsarecomplicit) requiringsolutionswhichoperateatasystemicandindividuallevelandwhichsupport ratherthanpunishindividuals.Instead,theongoingnatureofcontactwiththecriminal justicesystemisindividualisedandtypicallyviewedasaproblemofthefailureofthe individualtorehabilitateandengageconstructivelywithcriminaljusticeandwelfare agenciesandinturnbecomesanindicatorthattheindividualisahigherriskandinneedof moreseriousformsofpunishment.Moreover,whentheindividualhasadisability,their ongoingcontactwiththecriminaljusticesystemisattributedtointernal,pathological characteristicsassociatedwiththeirdisabilityanddivorcedfromsocial,historicaland politicalcircumstances.Mainstreamandconventionalformsofpunishmentthatindividuals becomeincreasinglysubjectedtoastheybecomefurtherentrenchedinthecriminaljustice systemfailtoaddressthesystemic,complexandhistoricalcircumstanceswhichhave compoundedovertimetoshapethecriminaljusticepathwaysofIndigenousAustralians withcognitiveandpsychiatricimpairment. 9. Diversion–ifunderstoodasamethodofshiftingindividualsfromthecycleofpunishment andcriminalisationandaddressingsystemiccausesofcriminalisation(asopposedtoa methodofshiftinganindividualawayfromconventionalpunishmentinrelationtoone instanceofaspecificcriminalcharge)providesthepossibilityofinterveninginthiscycle. Diversioncandothisifitisanalternativetopunishmentperseandanalternativeto entrenchmentinthecriminaljusticesystemasopposedtoanalternativeformof punishment–ifitoperatesinalegalandinstitutionalframeworkwhichisnotpunitive, coerciveorsupervisory.Moreover,diversioncanaddresssomeofthesystemicissues relatedtodisadvantageifitprovidesaccesstodisabilityandsocialsupportservicesand providespathwaystoaccesstojusticeforpastexperiencesofvictimisation,institutional failureandhistoricalinjustice. 16 EileenBaldry,RuthMcCauslandandLeanneDowseetal,APredictableandPreventablePath:Aboriginal PeoplewithMentalandCognitiveDisabilitiesintheCriminalJusticeSystem(UniversityofNewSouthWales, October2015). 33 WhyAreAboriginal-SpecificSolutionstoDiversionNecessary? 10. Additionally,diversionmustinvolveAboriginal-specificsolutions.Thisisnotonlytoensure culturalandgeographicappropriateness,butalsobecauseoftheintensifiedmarginalisation andcriminalisationofIndigenousAustralianswithcognitiveandpsychiatricimpairmentwho areinthecriminaljusticesystemwhencomparedtotheirnon-Indigenouscounterparts.This isdemonstratedbyabriefdiscussionofthefindingsofastudyofallindividualsinthe MHDCDdataset(referredtoabove)whohadeverbeendivertedpursuanttosection32of theMentalHealth(ForensicProvisions)Act1990(NSW)(‘section32cohort’).Thissection32 cohortconsistedofacohortof149individualswithdiagnosedcognitiveandpsychiatric impairmentwhohavebeenincustodyinaNSWprisonandhavereceivedasection32order atsomepointintheirlives.17Belowisasummaryofthekeyfindingswhichcomparethe situationforIndigenousandnon-Indigenouscohortmembers. 17 See,generally,LindaSteele,LeanneDowseandJulianTrofimovs,‘WhoisDiverted?:MovingBeyond DiagnosisTowardsaSocialandPoliticalAnalysisofDiversion’(2016)38(2)SydneyLawReview(forthcoming); seealsoLindaSteele,LeanneDowseandJulianTrofimovs,‘Section32:AReportontheHumanServiceand CriminalPathwaysofPeopleDiagnosedWithMentalHealthDisorderandCognitiveDisabilityintheCriminal JusticeSystemWhoHaveReceivedOrdersUndertheMentalHealth(ForensicProvisions)Act1990(NSW)’ (UniversityofNewSouthWales,2013) http://www.mhdcd.unsw.edu.au/sites/www.mhdcd.unsw.edu.au/files/u18/Steele%2C%20Dowse%20and%20 Trofimovs%20_MHDCD%20Section%2032%20Report.pdf. 34 Indigenous Australian membersof section32 cohort(42) Not-Indigenous Australian membersof section32cohort (107) Percentagewithcognitiveimpairmentdiagnosis(eithersingle diagnosisofCDorcomplexdiagnosisofCD-MHD) 95% 83% Percentagewithcomplexdiagnosis(CD-MHD) 71% 50% Averageagewhendatadrawn 31.74years 36.62years Percentageinoutofhomecare(OOHC)aschild 21% 11% Percentagewholeftschoolwithoutqualifications(ieHSC, VCE,LeavingCertificate) 45% 40% 19% 36% Averageageoffirstpolicecontact(FPC) 14.9yearsold 17.4yearsold PercentagewhowereDJJclients(whetherinDJJcustodyor not) 57% 27% PercentagewhowereinDJJcustody 48% 19% Averagenumberofcontactswithpoliceasapersonof interest(POI) 106 110 Averagenumberofconvictions 34 27 Averagenumberofadultcustodyepisodes(DCS) 14episodes 12episodes AveragetotalnumberofcustodydaysacrossallDCScustody episodes 1259 944 Percentagewhohaveareportedself-harminDCScustody 76% 57% Averagenumberofcontactswithpoliceasavictimofcrime 11 17 Diagnosis Childhoodsocialdisadvantage Disabilitysupport Everreceiveddisabilityservices(ADHCsupport) Contactwithcriminaljusticesystem 35 Percentagewhohavehadcontactwithpoliceundercivil mentalhealthlegislation 50% 22% Diagnosticbreakdownofgroupwhohavehadcontactwith policeundercivilmentalhealthlegislation ComplexCDMHDdiagnosis: 43% ComplexCD-MHD diagnosis:54% Note:singleCDindicatesnoMHDdiagnosis SingleMH diagnosis:5% SingleCD diagnosis:52% SingleMH diagnosis:8% SingleCD diagnosis:38% Diversionundersection32oftheMentalHealth(ForensicProvisions)Act1990(NSW) Divertedasachild 0 1 Averagenumberofdiversionorders 1.9 1.6 Table1:Diagnostics,DemographicsandCriminalJusticePathwaysofaCohortofIndigenous AustraliansandNot-IndigenousAustraliansDivertedPursuanttoSection32oftheMentalHealth (ForensicProvisions)Act1990(NSW) 11. Table1indicatesthattheIndigenousAustraliancohortmembersaresubjectedtomore intensecriminalisation(onaverageearlierentry,moretimeincustodyandmore convictions)thantheirnon-Indigenouscounterparts.Thus,ingeneral,thesefindingsindicate theextremeimportancethatdiversionfocusnotmerelyonshiftinganindividualawayfrom conventionalpunishmentvis-à-visonespecificcriminaloffence,butbefocusedonproviding analternativetopunishmentperseandaimtointerveneintheentrenchmentinthe criminaljusticesystem.Furthermore,themoredeeplyentrenchednatureofIndigenous Australiancohortmembersinthecriminaljusticesystemillustratesthatlengthycriminal historiesmustnotbecomeacontra-indicatorofsuitabilityfordiversion.Instead,thisfact aloneshouldindicatethegreatneedtointerruptthecycleofpunishmentandtoavoidany furthercriminaljusticeorders(includingforensicmentalhealthorders)andpunishmentof anysortwhichwillultimatelyexacerbatethiscycling. 12. Table1indicatesthatnoneoftheIndigenouscohortmembersweredivertedaschildren, eventhoughonaveragetheywerealreadyinthecriminaljusticesystematanearlierage andpotentiallyincarceratedinjuvenilecustodywhencomparedtotheirnon-Indigenous counterparts.Thedataillustratestheneedtoconsiderhowdiversionwilloperateinthe juvenilejurisdiction,includingitsinterfacewithoutofhomecareandeducation(given higherincidenceofOOHCandpooreducationaloutcomes). 13. Table1alsoillustratesthatIndigenousAustraliancohortmembersexperiencedloweraccess todisabilitysupportserviceswhencomparedtotheirnon-Indigenouscounterparts.Thus,a 36 diversionschememustensureequityofaccesstodisabilityservicesforIndigenous Australianswithcognitiveandpsychiatricimpairment.Moreover,Table1indicatessocial disadvantageexperiencedbyIndigenousAustraliancohortmembers,suchthatthrough diversionIndigenousAustralianswithcognitiveandpsychiatricimpairmentmusthave equitableaccesstosocialsupportservicesandaccesstojusticeandsupporttoaddress institutionalinjusticesrelatedtopastsocialserviceprovision. 14. TotheextentthatTable1illustrateshighvictimcontactwithpoliceaswellashighincidence ofOOHCandpooreducationaloutcomes,diversionshouldprovideaccesstojusticeand supporttoaddressinstitutionalinjusticesandinstitutionalorpersonalviolenceexperienced byIndigenousAustralianswithcognitiveandpsychiatricimpairment.Onasimilarnote,this accessshouldextendtoaddressingpastinjusticesandviolencewhichhaveoccurredinthe criminaljusticesystem. 15. Table1alsoillustratesthesignificanceofcivilmentalhealthlegislationtothepolicecontact ofIndigenousAustralianswithdisability.Surprisingly,thisincludesahigherproportionof Indigenousthannon-Indigenousindividualswhodonotevenhaveadiagnosedmental illnessandhencedonotfallwithinthejurisdictionofthislegislation.Thisindicatestherisk thattheuseofcivilmentalhealthservicesindiversion(particularlywheretheindividual doesnotconsenttotreatmentordetention)mightprovideanadditionalmeansof criminalisation. WhyMustDiversionBeDoneProperly? 16. Theservice,institutionalandlegaldimensionsofadiversionschememustbecarefully considered,becausethereareunforeseenramificationsofpoorlyimplicateddiversionorof diversionthatoperatespursuanttocoercivecourtorders.Whilethelinkingofpeoplewith disabilitysupportservicesispositiveifitiswhatanindividualwantsandchoosesandis focusedoninterveningintheirentrenchmentinthecriminaljusticesystemandin addressingsystemicfactors,thelegalframingofaformallegaldiversionschemecan undercutanyservicebenefitsofdiversion.Thisisbecauseformallegaldiversioncaninvolve courtorderswhichrequiretheindividualtocomplywithservicesandfailuretodosocan resultintheirchargesbeingbroughtbackandhencepossibleconvictionandpunishment. Furthermore,theuseofguardianshipandcivilmentalhealthordersasanadditionalwayto coerceindividualsinrelationtotreatment,lifestyleoraccommodationcanprovide additionalopportunitiesforcontactwithpolicebecausetheretrievalordersorcoercive ordersassociatedwiththesecivillawframeworks. 17. Poorlyimplicateddiversionthatdoesnotinvolveserviceswhichareappropriatelyresourced orstaffwhoareappropriatelytrainedandwhodonotholdprejudicesconcerningdisability, Indigeneityorcriminality,canresultinvolatilesituationswhichcanresultinconflictand additionalcontactwithpolice.Relatedtothis,considerationmustbegiventohowservice 37 governance,riskmanagement,workhealthandsafetyanddutyofcareframeworksprovide additionalopportunitiesforindividualstohavecontactwiththecriminaljusticesystem. 18. Diversionwhichinvolvescoercionofindividualswhohavenotbeenconvicted(where individualswithoutdisabilityarebeyondthescopeofpunishmentpursuanttocriminalor forensicmentalhealthlaw)orwhichinvolvescoerciveengagementwithtreatmentor servicesisdiscriminatoryandbreacheshumanrightsofnon-discrimination,legalcapacity andpersonalintegrity.18Diversionmustalsohavemaximuminvolvementofplace-based, communityownedIndigenousservicestoensureitsmaximumeffectiveness.19 HowShouldDiversionBeViewed? 19. Inconsideringthe‘roleandnature,accessibilityandefficacyofprogramsthatdivertpeople withcognitiveandpsychiatricimpairmentfromthecriminaljusticesystem’(aspertermof reference(i))theSenateCommitteeshouldconsiderthefollowingprinciples: • • • • • • Commonwealthinter-jurisdictionconsistencyintheinstitutional,serviceandlegal formofdiversion. Diversionshouldbegovernedbyoverridingprinciplesofself-determinationand non-discriminationandequality,andbedirectedtowardsaddressingthe entrenchmentofIndigenousAustralianswithcognitiveandpsychiatricimpairment inthecriminaljusticesystem. Diversionshouldnotinvolvecoercion,punishmentorsupervision.Diversionshould notonlyavoidcoercionbycriminallaworforensiclaworders,butalsoavoidtheuse ofcoercionviacivilguardianshipormentalhealthlaws. Diversionshouldbedirectedtoavoidinganyformofpunishment,ratherthan merelybeinganalternativetopurportedlymoresevereformsofpunishment. Diversionnotjustbeanalternativetoindefinitedetentionbutanalternativeto punishmentandalternativetoalifeentrenchedinthecriminaljusticesystem Diversionmustalsohavemaximuminvolvementofplacebased,communityowned Indigenousservices. Diversionshouldprovideculturallyandgeographicallyappropriatedisabilityand socialsupportservicesandindividualsshouldonlybeexpectedtoengagewiththese servicesiftheychoose. 18 Onregulatoryandcoerciveandpunitiveuseofcivilorders,seeegClaireSpivakovsky,‘FromPunishmentto Protection:ContainingandControllingtheLivesofPeopleWithDisabilitiesinHumanRights’(2014) 16(5)Punishment&Society560;ClaireSpivakovsky,‘MakingDangerousnessIntelligibleinIntellectual Disability’(2014)23(3)GriffithLawReview389. 19 HarryBlagg,TamaraTulichandZoeBush,‘DiversionaryPathwaysforIndigenousYouthwithFASDin WesternAustralia:DecolonisingAlternatives’40(4)AlternativeLawJournal257. 38 • • • • Diversionshouldprovidewaystoconsiderimpactofinstitutionalandcriminaljustice failuresontheindividual’scurrentsituationandopportunitiestoconsiderjustice andotheravenuesforredressingthese DiversionneedstoaddresstheneedsofyoungIndigenousAustralianswithcognitive andpsychiatricimpairment,andalsoensurethatlongerorentrenched criminalisationisnotacounter-indicatortosuitabilityfordiversion. Ifdiversiondoeshavealegalorderattachedincludingcoercingengagementwith servicesorisotherwisepunitive,itmustbeviewedasaformofcriminalpunishment andbesubjectedtohumanrights,civillibertiesandsocialjusticescrutinyasare otherformsofpunishment. Ifdiversiondoeshavealegalorderattachedincludingcoercingengagementwith servicesorisotherwisepunitive,itispertinentthatsupportservicesare appropriatelyresourcedandstaffbeappropriatelytrainedtominimisevolatile situationsandadditionalcontactwithpolice.Itisalsovitalthatthelegalprocessfor determiningbreachesofdiversionaryordersgiveconsiderationtotheplaceof services’legal,resourceandstaffdynamicsinthecircumstancesgivingrisetothe allegedbreach.Diversionshouldaddresssocial,institutionalandpoliticalfactors,as wellaslegalfactors(theroleoflawandjusticesystemthemselves),inthe entrenchmentofIndigenousAustraliansinthecriminaljusticesystem.Diversion shouldnotonlyprovideaccesstodisabilityandsocialservicestoaddresscurrent circumstances,butalsoprovideaccesstojusticeandsupporttoaddresspast injustices,includingthosewhichhaveoccurredinthecriminaljusticesystem. 39 7.TOWARDSNATIONALSTANDARDSFORLAWSANDREGULATIONS AFFECTINGINDIVIDUALSWHOHAVEBEENDECLAREDMENTALLYIMPAIREDORUNFITTOPLEAD(PARTA) NationalAboriginalandTorresStraitIslanderLegalServices Keyissues: ● Legislationandregulationsaffectingpeoplewhohavebeendeclaredmentallyimpaired unfittopleaareinconsistentacrosstheStateandTerritoryjurisdictions. ● Eventhebestpracticelegislativemodelsdonotcontainadequatesafeguardsagainstthe indefinitedetentionofpeoplewithcognitiveimpairment. ● TheCommonwealthhasaroleinleadinglegislativereformtosecuretherightsofpeople withcognitiveimpairmentinthejusticesystemthroughnationallegislativestandards. ● TheNationalAboriginalandTorresStraitIslanderLegalServicesproposesfivecore principlesforminimumnationsstandardsforlegislationaffectingmentallyimpairedand unfittoplea. 1. Thissectionofthesubmissionbrieflyhighlightsanumberofissueswithlegislationrelating toaccusedwhoarefoundnotguiltybyreasonofunsoundnessofmind(insanityormental impairment)orunfittostandtrial.NATSILSrecommendsthatminimumstandardsbe introducedinlegislationinallstatesandterritories.Currently,therearesignificant differencesinthelegislativeframeworksbetweenjurisdictionsandconsequentlyweare unabletoprovideathoroughanalysisofjurisdictionaldifferencesandspecificneeded reforms.However,wehaveprovidedexamplesfromparticularjurisdictionsinorderto demonstratetheneedforrecommendedminimumstandards.Foranalysisofjurisdictional specificissues,NATSILSnotesthatthereareanumberofsignificantreportsincludingthose producedbytheVictorianLawReformCommission20,theNewSouthWalesLawReform Commission21andtheGovernmentofWesternAustralia’sdiscussionpaperontheCriminal Law(MentallyImpairedAccused)Act1996. 2. Itshouldbestressedthatinmakingtheserecommendations,wenotetheimportantrole thattheCOAG’sStandingCouncilonHealthcouldplay.AsarguedintheAustralianLaw ReformCommission(ALRC)reportondisabilities,theCOAG’sStandingCouncilonHealthhas 20 VictorianLawReformCommission,ConsultationpaperontheReviewoftheCrimes(MentalImpairmentand UnfitnesstobeTried)Act1997 21 NewSouthWalesLawReformCommission,PeoplewithCognitiveandMentalHealthImpairmentsinthe CriminalJusticeSystem:Diversion(May2012);NewSouthWalesLawReformCommission,Peoplewith CognitiveandMentalHealthImpairmentsintheCriminalJusticeSystem:CriminalResponsibilityand Consequences(June2013). 40 longoverseendevelopmentsinmentalhealthlaws,andmaybeabletoadvancethereview andamendmentoflegislationinthisarea.22 MinimumStandards 3. BasedonNATSILS’analysisandthefirsthandexperiencesofourmembers,thefollowing havebeenidentifiedasminimumstandardsthatalllegislationformentallyimpaired accusedshouldadhereto.Ataminimumlegislationshouldprovidefor: • Judicialdiscretion; • Specialhearingstotestevidence; • Proceduralfairness; • Finitetermsforcustodyorders(andreleaseorders);and • Rightsofreview. Theseareexploredbelow. Judicialdiscretion 4. Recommendation:Thereshouldbejudicialdiscretiontoimposeanappropriateorder dependingonthecircumstancesofthecaseand,assuch,thereshouldbenoprovisionfor mandatorycustodyordersformentallyimpairedaccused. 5. Acriticalissuewithlegislationinthisareaisthelackofjudicialdiscretiontomake appropriateorders.Forexample,inWesternAustralia,undertheCriminalLaw(Mentally ImpairedAccused)Act1996(WA)(‘theCLMIAAct(WA)’)acourtdealingwithapersonwho hasbeenfoundtobeunfittostandtrialhasoneoftwooptions:indefinitecustodyor unconditionalrelease.23Incontrast,amentallyimpairedaccusedwhoisacquittedon accountofunsoundnessofmindmaybeplacedonacommunity-basedorder,conditional releaseorderoranintensivesupervisionorder.24However,thecourtmustimposean indefinitecustodyorderforamentallyimpairedaccused,whohasbeenacquittedon accountofunsoundnessofmind,iftheoffencecommittedislistedinSchedule1ofthe CLMIAAct(WA).WhileSchedule1includesoffencessuchasmurder,manslaughterand sexualpenetration,italsoincludesoffencessuchasassaultoccasioningbodilyharmand criminaldamage.Thislackofjudicialdiscretionisamajorobstacletothecourtsmaking appropriateorders,asappropriateresolutionswillseldombereachedbyeitherofthe extremeoptionsofunconditionalreleaseorindefinitedetention.Thiscanbecompared withlegislationinVictoriawheretherearenomandatoryordersformentallyimpaired accusedundercriminallegislation.Instead,treatment,custodialandjudicialmonitoring 22 AustralianLawReformCommission,DiscussionPaper:Equality,CapacityandDisabilityinCommonwealth Laws(May2013,Canberra),233. 23 CriminalLaw(MentallyImpairedAccused)Act1996(WA)(“CLMIAAct(WA)”),ss16(5)and19(4). 24 CLMIAAct(WA),ss21(b)and22(b).Theseordersareonlyapplicableiftheoffencecommittedisnotlistedin Schedule1oftheCLMIAAct(WA). 41 ordersareatthecourt’sdiscretion.Likewise,inSouthAustralia,thecourtshavewide discretionarypowerstomakeappropriateorders.25 Specialhearingstotestevidence 6. Recommendation:Thereshouldbespecialhearingstotesttheevidenceagainstamentally impairedaccusedwhoisunfittostandtrial.Thisshouldentailaprocedurefordetermining whether,ontheevidenceavailable,theaccusedcommittedtheobjectiveelementsofthe offencesothatifitcannotbeproventhattheaccusedcommittedtheobjectiveelementsof theoffence,theaccusedisdischarged. 7. AseriousissueinWesternAustraliaisthatorderscanbemadeagainstaccusedunderthe CLMIAActeventhoughevidenceagainsttheaccusedmaybesubstantivelylacking.In WesternAustraliathecourtmustnotimposeacustodyorderunlesssatisfiedthatitis appropriatetodosohavingregardtothestrengthoftheevidenceagainsttheaccused;the natureoftheallegedoffenceandtheallegedcircumstancesofitscommission;theaccused’s character,antecedents,age,healthandmentalcondition;andthepublicinterest.26 However,theassessmentofthestrengthofevidenceagainsttheaccusedisonlyundertaken byreferencetothewrittenbriefofevidence–nowitnessesarecalledtogiveevidence,nor cantheybecross-examined. 8. ThiscanbecomparedwiththeNorthernTerritory27andVictoria28wheretherearespecial hearingsbeforeajurytodeterminewhetherthepersonisnotguiltyoftheoffence,not guiltybecauseofmentalimpairment,orcommittedtheoffencecharged.29Afindingof"not guilty"and"notguiltybecauseofmentalimpairment"aretobetakenforallpurposesasif theywerefindingsmadeatacriminaltrial.30Findingsthattheaccused"committedthe 25 Forexample,inSouthAustralia,underDivision4,Section269O(1)oftheCriminalLawConsolidationAct 1935(SA)“CLCAct(SA)”),thecourtbywhichthepersonisdeclaredtobeliabletosupervisionhasthree discretionarypowers: 1. 269O(1)(a):toreleasethedefendantunconditionally 2. 269O(1)(b)(i):tomakeasupervisionordercommittingthedefendanttodetention 3. 269O(1)(b)(ii):tomakeasupervisionorderreleasingthedefendantonlicense,subjecttocertain conditions. 26 CLIMAAct(WA),ss16(6)and19(5). 27 IntheNorthernTerritory,theregimefordealingwithquestionsoffitnesstobetriedisfoundunderPartIIA oftheCriminalCodeAct(NT)(“CriminalCode(NT)”).InboththeNorthernTerritoryandVictoria,thematter mustgobeforeaspecialhearingwithin3months.(CMIAct(Vic)s12(5);CriminalCode(NT)s43R(3)). 28 SeeCrimes(MentalImpairmentandUnfitnesstobeTried)Act1997(Vic)(“CMIAct(Vic)”),ss12,15and 18(1),(2). 29 CMIAct(Vic),s15;CriminalCode(NT),ss43G(2)(c),(d),(e).InVictoriaandtheNorthernTerritory,wherea juryataspecialhearingfindsthattheaccusedpersonisnotguiltyoftheoffenceduetomentalimpairment,or thatthepersoncommittedtheoffence,thecourtmustmakeacustodialsupervisionorder,anon-custodial supervisionorderorreleasetheaccusedpersonunconditionally:CriminalCode(NT),ss43X(2)(a),43X(3)and 43ZA;CMIAct(Vic),ss18(4),23(a)and26(2). 30 CMIAct(Vic)ss18(1),(2);CriminalCode(NT),ss43X(1),(2)). 42 offencecharged"mustbeproventothecriminalstandardofbeyondreasonabledoubt.31 Thisfindingissubjecttoappealinthesamemannerasiftheaccusedhadbeenconvictedof theoffenceinacriminaltrial.32InNSW,ifaMentalHealthReviewTribunalmakesafinding thatapersonwillnotbecomefittobetriedwithin12months,thecourtmustholdaspecial hearingtotesttheevidenceagainsttheaccusedassoonaspracticableunlessDPPadvises nofurtherproceedingswillbetaken.33Inthesehearingstheprosecutionmustprovebeyond reasonabledoubtthattheaccusedcommittedtheoffences(s)charged.34However,evidence maybelimitedinvariouswaysincludingaccusedmaybeunabletogiveevidenceoraccused maybeunabletoadequatelyinstructtheirlawyer. 9. InSouthAustraliathelawprovidesadivisionbetweenobjectiveelementsandsubjective elementsofanoffence.Undertheobjectiveelementsoftheoffencethecourthears evidenceandrepresentationsbytheprosecutionandthedefenceonwhetherthecourt shouldfindthattheobjectiveelementsoftheoffenceareestablished.35Ifthecourtis satisfiedbeyondreasonabledoubtthattheobjectiveelementsoftheoffenceare established,thecourtmustrecordafindingtothateffect,butotherwisethecourtmustfind thedefendantnotguiltyoftheoffenceanddischargetheaccused.36 Proceduralfairness 10. Recommendation:Legislationshouldensureminimumproceduralfairnessrequirementssuch asarighttoappear,rightofreview,righttowrittenreasonsfordecisionandrightto information. 11. InWesternAustralia,thereisnostatutoryrightforamentallyimpairedaccusedorhisorher advocate/representativetoappearbeforetheMentallyImpairedAccusedReviewBoard and/ortoprovidewrittensubmissionstotheMentallyImpairedAccusedReviewBoard.In additiontomakingrecommendationsforthereleaseofmentallyimpairedaccused,37the MentallyImpairedAccusedReviewBoardalsomakesrecommendationsastowhetherit shouldbegrantedthepowertomakealeaveofabsenceorder.38Furthermore,apartfrom therequirementtoprovideacopyofawrittenreportoftheMentallyImpairedAccused ReviewBoard(suchreporteitherrecommendingornotrecommendingthereleaseofthe 31 CMIAct(Vic),s17(2);CriminalCode(NT),s43V(2)).Suchafindingisnotthesameasaverdictofguilty,but aqualifiedfindingofguilt,anddoesnotconstituteaconvictioninlaw(CMIAct(Vic)s18(3)(a);CriminalCode (NT)s43X(3)(a)). 32 CMIAct(Vic),ss18(3)(b),(c);CriminalCode(NT),s43X(3)(c). 33 S19(1). 34 S19(2).Verdictsavailablearenotguilty,notguiltybyreasonofmentalillness,oronthelimitedevidence available,theaccusedcommittedtheoffenceoranalternativeoffence(s22(1)) 35 CLCAct(SA),s269NA(1). 36 CLCAct(SA),s269NA(2). 37 CLMIAAct(WA),ss33(2),(3). 38 CLMIAAct(WA),s27(1). 43 mentallyimpairedaccused)thereisnofurtherstatutoryrighttotheprovisionof information. 12. ThiscanbecomparedwithlegislationinNSWlegislationwhichprovidesimportant safeguardstoensureproceduralfairness,includingprovisionsthatapersonmustbelegally representedatanymatterbeforetheMentalHealthReviewTribunal(MHRT)39andthat anyonedeemedunfittostandtrialmustbelegallyrepresentedataspecialhearing. Legislativeprovisionthatanaccusedmusthavelegalrepresentationataspecialhearingalso existsintheAustralianCapitalTerritory(ACT).40 13. Furthermore,inNSWallmattersintheMHRTaretoberecorded41andanypersonwitha matterbeforetheMHRT,ortheirrepresentative,isentitledtoinspectandhaveaccessto anymedicalrecordsrelatingtotheperson.42InNSWtherearealsorightstoappealtothe SupremeCourtagainstadeterminationoftheTribunalorthefailureorrefusalofthe Tribunaltomakeadetermination.43 Finitetermsforcustodyorders(andreleaseorders) 14. Recommendation:Thedurationoftheordershouldbenolongerthanthedurationofthe sentencethatwouldhavebeenimposediftheaccusedhadbeenconvictedoftheoffence.44 15. Amajorissueisthatinsomestatesandterritories,therearenofinitetermsforordersmade forpeoplewithmentalimpairments.Forexample,custodyordersinWesternAustraliaare indefiniteandamentallyimpairedaccusedcanonlybereleasedfromacustodyorderbyan orderoftheGovernor.45Theeffectofacustodyorderisthatthementallyimpairedaccused mustbedetainedinanauthorisedhospital,declaredplace,prisonordetentioncentre.46 39 Unlessovertheageof16anddoesnotwanttoberepresented(s154MHA). S316(6). 41 S159MHA. 42 S156MHA. 43 S163MHA. 44 ThisrecommendationhasalsobeenmadebytheAustralianLawReformCommission:Proposal7–3:“State andterritorylawsgoverningtheconsequencesofadeterminationthatapersonisunfittostandtrialshould provideforlimitsontheperiodofdetention(forexample,byreferencetothemaximumperiodof imprisonmentthatcouldhavebeenimposedifthepersonhadbeenconvicted)andforregularperiodicreview ofdetentionorders.”AustralianLawReformCommission,‘AccesstoJustice’,Equality,CapacityandDisability inCommonwealthLaws(AustralianLawReformCommission,No124)156,167, <https://www.alrc.gov.au/sites/default/files/pdfs/publications/dp817._chapter_7_access_to_justice.pdf>. 45 IftheGovernormakesanorderforthereleaseofamentallyimpairedaccusedfromacustodyorder,the Governormayreleasethepersonunconditionallyormakeareleaseorderwithconditions.SeeCLMIAAct (WA),s35. 46 CLMIAAct(WA),s24.Untilrecentlytherewasno‘declaredplace’inWesternAustraliatoprovidean alternativetoprisonforpeoplewithintellectualdisabilityorcognitiveimpairmentwhoarefoundunfitto pleadtocriminalchargesandhavebeendeemedtobe'mentallyimpairedaccused'becauseoftheirdisability. InAugust2015thefirstdeclaredplacetheBennettBrookDisabilityJusticeCentreopened. 40 44 16. Asaconsequencetherehavebeenanumberofhighprofilecasesofmentallyimpaired accusedbeingdetainedinprisonformanyyearsandfarlongerthantheywouldhavespent incustodyhadtheybeenconvictedoftheoffence.AsnotedbytheWesternAustralianChief Justice,WayneMartin,theeffectisthat: “lawyersdonotinvokethelegislationevenincasesinwhichitwouldbeappropriatebecauseof theconcernthattheirclient,mightendupindetention,incustody,inprison,foralotlonger 47 periodthantheywouldiftheysimplypleadguiltytothechargebroughtbeforethecourt." 17. InVictoria,therearefinitetermsforcourtsecuretreatmentorderswhereanaccusedhas beenfoundguiltythroughordinarytrialprocedures.48However,foranaccusedfoundunfit tostandtrialorfoundnot-guiltybyreasonmentalimpairment,therearenofinitetermsfor thesupervisionorderstowhichtheymaybesubject.Thisincludescustodialsupervision orders.49Theparadoxicalresultisthattherearerightfullylimitsonthetimespentincustody forthoseconvictedofcrimes,includingthosewhoarementallyimpaired,whilstthecurrent legislationallowsforindefinitedetention,ofthosementallyimpairedaccusedwhoarenot convictedinlawofanycrime. 18. IntheNorthernTerritory,custodialsupervisionordershavenoexpirydate.50Theonlyway foranordertoceaseisiftheCourtacceptsexpertevidencethatthepersonsubjecttothe orderisnolongeraseriousriskofharmtothecommunityorthemselves.51Theresultisthat oncepeopleareputoncustodialsupervisionorders,thereisarealriskofbeingheld indefinitely.52OurmemberorganisationCentralAustralianAboriginalLegalAidService (CAALAS)andNorthAustralianAboriginalJusticeAgency(NAAJA)bothhaveclientswho havebeendetainedonsupervisionordersforyearsbeyondthelikelylengthofsentence theywouldhavereceivediftheywerefitornotmentallyimpairedatthetimeofoffending. 19. ThiscanbecomparedwithlegislationinSouthAustraliawhichexpresslyprovidesthatcourt orderscannotexceedthatwhichwouldhavebeenimposediftheaccusedhadbeenfound guiltyandsentencedfortheoffence.Inparticular,thelegislationprovidesthatinorderto 47 BronwynHerbert,‘Urgentreformneededinhowjusticesystemtreatspeoplewithmentalimpairment,says ChiefJustice’ABCNews(10July2015). 48 Detentionpursuanttoacourtsecuretreatmentordercanonlybeimposedwhere,butforthepersonhaving amentalillness,acourtwouldhavesentencedthepersontoatermofimprisonment:SentencingAct1991 (Vic),s94B(1)(a).Acourtsecuretreatmentorderisforafixedterm,anditsdurationmustbenolongerthan theperiodofimprisonmentthatwouldhavebeenimposedhadtheordernotbeenmade:SentencingAct1991 (Vic),s94C(3). 49 SeeCIMAct(Vic),s27.Thecourthasthepowertovaryasupervisionorder,includingthepowertodirect thatthematterbebroughtbackbeforethecourt(CIMAct(Vic),ss32(1),32(5),33(1)and33(5))morethan once(CIMAct(Vic),ss32(6)and33(3).Sincethereisnolimittothenumberoftimesamattermaybebrought backbeforethecourt,thereisnolimittotheeffectivelengthofasupervisionorder. 50 CriminalCode(NT),s43ZC. 51 CriminalCode(NT),ss43ZN(1)-(2),43ZJand43ZK. 52 SeeMindySotiri,PatrickMcGeeandEileenBaldry,NoEndinSight:TheImprisonment,andindefinite detentionofIndigenousAustralianswithaCognitiveImpairment(September2012),66. 45 makeasupervisionorder,53thecourthastoseta“limitingterm”whichis“equivalenttothe periodofimprisonmentorsupervision(ortheaggregateperiodofimprisonmentor supervision)thatwould,inthecourt’sopinion,havebeenappropriateifthedefendanthad beenconvictedoftheoffenceofwhichtheobjectiveelementshavebeenestablished.”54 Afterthelimitingterm,thesupervisionprocesslapses55andthepersonisreleasedintothe communityunlessthereisasuperveningguardianshipormentalhealthorder.Thelawin theACTalsoprovidesthattheSupremeCourtmustnotorderthatanaccusedbedetained foraperiodgreaterthanthenominatedterm.56 Rightsofreview 20. Recommendation:Determinationsaboutreleaseofmentallyimpairedaccusedfromcustody orcommunityreleaseordersshouldbemadebytherelevantboardwithanannualrightof reviewbeforetheSupremeCourt. 21. Anotherissueisthelackofreviewavailableforcustodyorsupervisionorders.InWestern AustraliawheredecisionsforreleasefromcustodyordersaremadebytheMentally ImpairedAccusedReviewBoardorinthealternativetheGovernor-General,thereisnoright ofrevieworappealaboutthemeritofdecisions.57InVictoriatherearesomerightsof reviewunderthecurrentlegislationwhichallowsanewapplicationforthevariationofan orderwithinthreeyearsoralesserperiodatthecourt’sdiscretion.However,threeyearsis toofartoolongforaperiodicreviewprocess. 22. ThiscanbecomparedwiththeNorthernTerritorywherethereisarightofappealwiththe reviewprocessbeingundertakenbytheSupremeCourtandwhereaccusedarelegally represented.Thefirstmajorreviewisdeterminedaccordingtothenominalsentence,but thereisscopeforannualreview.InNSWtherearealsorightstoappealtotheSupreme CourtagainstadeterminationoftheTribunalorthefailureorrefusaloftheTribunalto makeadetermination.58InSouthAustraliapersonssubjecttodetentionhaveannual reviewsbypsychiatristsandthereareprovidedtothejudgewhosetthelimitingterm. 53 Pursuanttos269O(1)(b)(ii)or269O(b)(iii)oftheCLCAct(SA),asdiscussedinfootnote8. CLCAct(SA),s269O(2). 55 CLCAct(SA),s260O(3). 56 CrimesAct1900(ACT)s301and302. 57 ForsupportofthispositionseecommentsbytheChiefJusticeofWesternAustralia,WayneMartin.ABC News,'Urgentneed'forlawchangeasmentally-impairedaccuseddetainedindefinitely,WAChiefJustice WayneMartinsays’10July2015. 58 MHA,s163. 54 46 8.IMPLEMENTINGANATIONALSTANDARDFORLEGISLATION ProfessorPatrickKeyzer,ChairofLawandPublicPolicyandHeadofSchool,LaTrobeLawSchool andDarrenO’Donovan,SeniorLecturerinLawatLaTrobeLawSchool Keyissues: ● ProcessesarerequiredtoestablishlegislationwithinallStateandTerritoriesthatis humanrightscompliant. ● Legalresearchershaveproposedproformalegislationwhichdemonstratesthatanational approachtolegislativereformundertheleadershipoftheCommonwealthisan achievableobjective. 1. TheSenateInquiryprovidesanexcellentopportunityforthestoriesofMarlonNoble,Rosie AnnFultonandmanyotherindigenous(andnon-indigenous)Australianstobeheard.These peoplehavelanguishedinprisonsforyearsbecausethereareaninsufficientnumberof securecarefacilitiesavailableforpeoplewithcognitiveimpairmentinthecommunity.The FederalParliamentnowhasawonderfulopportunitytoaddressthesignificanthumanrights issuesraisedbytheAustralianHumanRightsCommissionintheirJuly2014reportonthis topic. 2. Someofthewaysinwhichthechallengesinthisareacanbeaddressedmayalreadybe known.InNovember2014,theLaTrobeUniversity“TransformingHumanSocieties”Group supportedthe“LineintheSand”Conferenceinordertogeneratepossiblesolutionstothe overrepresentationofindigenousAustralianswithcognitiveimpairmentinprison.The conferencebroughttogethersixtyindigenousandnon-indigenousdisability,legaland humanrightsadvocatesfromaroundthecountry,whowererecruitedonthebasisthatthey havedirectexperienceworkingwithindigenouspeoplewithcognitiveimpairmentinthe criminaljusticesystem. 3. Togeneratedatafromthisuniquegathering,afocusgrouptechniquecallednominalgroup technique(NGT)wasused.InanNGTsession,participantsareaskedtoprovideresponses toaparticularissueorquestion,pooltheirresponses,andthenasecretballotisconducted tolistandrankresponsesinorderofimportance.Groupconsensusisreachedwithout beinghamperedbyunevengroupdynamicsorpowerrelationships.NGTenablesthe generationofdatathatisfreefromconfirmationbiasandalsoenablesthedevelopmentof follow-upquestionnairesthathavecontentandconstructvalidity. 4. Conferenceparticipantswerefirstaskedtoidentifythesixmostsignificantchallengesfacing indigenousAustralianswithcognitiveimpairmentwhocomeintocontactwiththecriminal 47 justicesystem.Thesechallenges,intheorderinwhichtheywererankedbythe stakeholders,areasfollows: i.Thereisalackofdistinctive,culturally-responsivesentencingandserviceoutcomesother thanprisonforpeoplewithcognitiveimpairment:thereisaneedforsustainable,stable, secure,individualised(non-congregate)culturally-responsiveaccommodation,community supportsandtransitionaloptionsthatarespecificallyfunded,andstaffedbyindependent, culturally-responsivecaseworkersforpeoplewithcognitiveimpairmentthatrecognisethe effectofsystemsandagenciesandtheirinteractions,makesthemresponsive,andthat adoptsystemiccaseandriskmanagementapproachesusingnon-punitive,therapeutic,least restrictivepracticeframeworksthatleveragesupportfromfamiliesandotherrelevantsocial services. ii.Thereisaneedforearlyassessment,diagnosis,supportandintervention(includinginthe juvenilejusticesystem)thatpreventscriminalizationandthatiscapableofidentifyingand addressingrootcausesofoffending/anti-socialbehaviour. iii.Thereisaneedfortargeted,uniform,human-rightsfocusedlawreformthat acknowledgesindividualneeds,accommodatesbothsupportforpeoplewithcognitive impairmentwithprotectionofthecommunitythataddressestheneedsfortestsofcapacity tobenuanced,thatensurestermsarelimitedandregularlyreviewed,thatincorporatesa complaintsmechanism,andensuresaccesstojusticeandproceduralfairnessareprovided. iv.Thereisaneedforintegrated,long-termpoliticalwillandpublicsectorleadershipto respondtothecrisisofoverrepresentationofindigenouspeoplewithcognitiveimpairment inthecriminaljusticesystembybuildinganappropriateframeworkofresponsivepolicies, administeredbyagenciesthatareaccountable. v.Thereisaneedforidentificationandrecognitionofpeoplewithcognitiveimpairmentby thejusticesystem(e.g.lawyers,police,corrections,guardians)thatacknowledgesindividual differences(e.g.gender,language)anddiversityofsituations,conditionsandneeds. vi.Thereisaneedtoraisepublicawarenessandknowledgeinthecommunity,withinand acrossthecriminaljusticesystemandservicesystems(includingamongcorrections,among lawyers),tobetterunderstandwhyandhowindigenouspeoplewithcognitiveimpairment comeintocontactwiththecriminaljusticesystem. 5. ResearchersintheLaTrobeLawSchoolhavealsodevelopedDraftMinimumLegislative StandardsfortheSenateInquirytoconsider,andarewelladvancedinadministeringa nationalsurveywhichwillproduceadditionalusefuldatafortheInquiry.Thelegislation couldbesupportedbyusingtheexternalaffairspower(s51(xxxix)oftheConstitution). 48 Proposeddraftlegislation:MentalImpairmentandCognitiveDisability (TreatmentandSupport)Bill Obligationtoprovideappropriateservices.AnidentifiedMinisterineveryStateorTerritory(‘the Minister’)shallberesponsibleforensuringprovisionofreasonableaccesstoasecurecarefacility orothersupportedaccommodationandcareandtreatmentforapersonaccusedofanoffencewho isfoundunfittoplead(‘therelevantperson’)byanycourtofthatStateorTerritorybyreasonof cognitivedisabilityormentalimpairment.Fortheavoidanceofdoubt,thisprovisionconfers jurisdictiononeverycourtofaStateorTerritory,includingallinferiorandsuperiorcourts,to determineforthesepurposesthatapersonisunfittopleadbyreasonofcognitivedisabilityor mentalimpairment. AssessmentofNeeds.EachStateandTerritorywillprovideadequateresourcesfortheprovisionof expertreports,wherethisisrequired,inordertoassessthecognitivedisabilityand/ormental impairmentoftherelevantpersonandtheirneeds(‘theassessment’).Anapplicationforan assessmentcanbemadebytheCourtorbythelegalrepresentativeoftheaccusedperson.Afresh assessmentmaybeundertakenwherethepreviousassessmentwasmademorethan12months previouslyannually. ObligationtodevelopandimplementServicePlan.TheMinisterhasanobligationtodevelopand implementaserviceplan(‘theserviceplan’)whichmustprovidedetailedparticularsofwhat measureswillbetakenandthetimeframeforaction,andanystepstheyhavealreadytaken,to ensurethatthepersonhasreasonableaccesstoasecurecarefacilityorothersupported accommodationandcareandtreatment.Takingassessmentsintoaccount,theserviceplanmust detailhowtherelevantpersonwillhavereasonableaccesstolessandleastrestrictiveenvironments overareasonableperiodoftime.AcourtofficerofthatcourtshallcausetherelevantMinisterfor HealthoftheStateorTerritoryinwhichanaccusedpersonhasbeenchargedtobenotifiedof makingoftheorderanditsreturndate,sothattheserviceplancanbepreparedandfurnishedto thecourt. Programmesandservicesforresidentsinsecurefacilitiesorthosesubjecttocommunitysupervision aretobedesignedandadministeredsoastobesensitiveandresponsivetotheindividual’s circumstancesandneeds.Theyshallinparticulartakeintoaccounttheirage,gender,spiritual beliefs,culturalorlinguisticbackgroundandfamilyrelationships. TheserviceplandevelopedbytheMinistershallalsoaddressthegoalsof: a) promotingtheindividual’sdevelopment;and b) providingfortheindividual’smanagement,care,supportandprotection;and c) supportingtheindividual’sreintegrationintothecommunity. Circumstanceswhencustodialordercanbemade.AnAustraliancourtmustnotmakeacustodial supervisionordercommittinganaccusedpersonfoundunfittopleadtocustodyinaprisonor 49 remandfacilityunlessitissatisfiedthatthereisnoreasonableorpracticable,lessrestrictive alternative,inthecircumstances.TherelevantCourtshallensure: a) thatitsdecisionshouldtakeintoaccountnotonlytheadviceofaMinisterand/or relevanthealthauthorities,butalsoindependentevaluationsbypersonsqualified inriskassessmentofthefacilitiesorservicestheindividualrequires. b) thatitconsidersanylessrestrictiveoptionsavailablebeforemakingasupervision orderandnotdeclaresomeoneliableforacustodialorderunlesssatisfiedonthe evidencethatthepersonwouldbelikelytoseriouslyendangerthecommunityif notdeclaredliabletosupervision. Returndatewithinthreemonths,andannually.AnAustraliancourtthatmakesacustodial supervisionordercommittinganaccusedpersonfoundunfittopleadtocustodyinaprisonor remandcentremustsetareturndateforareviewoftheorderwithinthreemonthstoascertain progressindevelopingandimplementingaserviceplan.Thecourtmustalsosetreturndatesfor annualreviewsforthesamepurpose. Inrecognitionoftheuniqueandabidingnatureofmentalimpairment,whichisdistinctfrommental illness,thereshallbearebuttablestatutorypresumptionthatatreview,apersonshalltransitionto alessrestrictiveorder.Thispresumptionisappliedtoensurethatthefocusofthereviewprocess shallnotbemerelyuponthemanagementofrisk,butupontheobligationtoensurethattreatments andsupportsremainappropriateandaretheleastrestrictivepossibleinallthecircumstances. Allreportspreparedforthereviewhearingshallbeprovidedtoallpartiesatleast21dayspriorto anyreviewhearing. Reviewonapplication.Theguardianorlegalrepresentativeofarelevantpersoncommittedto prisonorremandbyacourtmay,unlessasimilarapplicationhasbeenmadewithintheprevious3 months,makeanapplicationtothatcourt,ormayseekleavetohaveaspecialhearing,seeking reviewoftheircontinueddetentiononthebasisthattheMinisterforHealthoftheStateorTerritory inwhichtheaccusedpersonhasbeenchargedhasfailedtomeettheirobligationtoensurethatan accusedpersonhasreasonableaccesstoasecurecarefacilityorothersupportedaccommodation andcareandtreatment.TheMinistermaybeorderedtopaythereasonablecostsofsuch applications. Applicationsforleave.Bothcommunityandresidentialpatientsshallhavetherighttoapplyfora leaveofabsencefromplaceofresidenceorotherrestrictiveconditionsoftheirorders.Aleave applicationmaybemadewhereitpromotesgreaterparticipationinthecommunityandlifeskills. Decisionsonleaveapplicationsaresubjecttotheguidingprinciplethattheleastrestrictiveapproach totheindividual’slibertyshallbeadopted.Applicationsforleaveshallthereforebeapproved, absenttheprospectofseriousendangermenttothecommunity,wheretheleaveperiodenablesthe individualinquestion: a) toaccessmedicalservicesnototherwiseavailable; b) toattendcourt; 50 c) toattendsignificantfamilyeventsandotherwisefurthersignificantfamilyand othersocialandculturalrelationships; d) topreparetheindividualinquestionforreintegrationintothecommunityorto transitiontoalowerleveloforder. Inassessingapplicationsforleave,therelevantdecision-makershallrecogniseandrespectthe distinctculture,historyandwayoflifeofindigenouspeoples,andshallensureleavedecisions properlyrespecttheneedtopracticeculturaltraditions,relationshipsandcustoms. Non-compliancewithcommunitysupervisionorders.Incircumstanceswhereanindividualfailsto complywiththetermsoftheircommunitysupervisionorder,acourtshallalsohavetherightto delayproceedingsinrelationtonon-compliance,wherethisisreasonableinordertoaffordthe individualinquestionanopportunitytoresumecompliance. RecognisingandClosingtheGapsintheCriminalJusticeSystem 6. Thisproposedlegislationaimstocombatthebureaucraticgapsthroughwhichindigenous AustralianssuchasMarlonNobleandRosieAnnFultonhavepassed.Yetbeyondthedetails oflegalwording,anystatutoryinterventionalsohastotriggerabroaderconversationabout howsocialclassinteractswiththecriminaljusticesystem.AsBaldryetal59argue,prevailing approachesseeindigenousyoungpeopleoftenbeingcharacterisedasbeing‘arisk’rather thanbeing‘atrisk’. 7. Legislativereforminthisareamustensurethatengagementwiththeindividual’sspecific circumstancesandcapabilitiesreplacesthebureaucraticdriftanddefaultscausedby institutionalisedfailings,timeandresourcepressures.Thechangesproposedaboveare motivatedbyadesiretoavoidthefalseisolationofcourtroomproceedingsfromthe individuals’othercontactswithgovernmentservices–fromunstable,inappropriate accommodationplacements,ahistoryofpooreducationalexperienceorhealthsupports. 8. Theissueofintellectualdisabilityandthecriminaljusticesystemcannotbedetachedfrom broaderchallengesaroundtherecognitionofself-determinationortheneedforthe NationalDisabilityInsuranceSchemetoallowindigenouspeoplestodesignflexible, culturallyappropriate,community-basedservices.CommittingAustraliangovernmentsto designingpathwaysbackhomeforthoseindigenouspeoplewhosecomplexsupportneeds havenothistoricallybeenmet,canthusbeanimportantsteptopractical,notmerely, symbolicrecognition. 59 EileenBaldry,RuthMcCausland,LeanneDowse&ElizabethMcEntyre,APredictableandPreventablePath: Aboriginalpeoplewithmentalandcognitivedisabilitiesinthecriminaljusticesystem(UniversityofNewSouth Wales,2015)<http://www.mhdcd.unsw.edu.au> 51 9.SUPPORTINGABORIGINALANDTORRESSTRAITISLANDER PEOPLEWITHMENTALHEALTHCONDITIONSINCOURT AssociateProfessorThaliaAnthony,FacultyofLawUniversityofTechnologySydney;andProfessor ElenaMarchetti,SchoolofLawUniversityofWollongong Keyissues: ● Communityinputinsentencingprocessesfacilitatesagreaterunderstandingofthe culturalsocialfactorsthataffectanindividual’scase. ● Accesstoadequatesupportservicesduringthecourtprocessesarenotalwaysmade availableatalllevelofcourts,particularlyforAboriginalandTorresStraitIslanderpeople withmentalhealthconditions.Thiscontributestounnecessaryincarceration. ● AssignatorytotheConventionoftheRightsofPersonswithDisabilities,Conventiononthe EliminationofRacialDiscriminationandotherhumanrightsinstruments,the Commonwealthhasaresponsibilitytosafeguardtherightsofanaccusedtosupport servicesnecessaryfortheirdefence. 1. OftenIndigenouspeopleinprisonhave‘complexneeds’duetothecoexistenceofmultiple mentalandcognitiveissues.60Thissubmissionaddressesthelimitationsofcurrentprocesses andtheneedforculturallycompetentandcommunity-basedinputintothesentencing hearinganddecisionsforIndigenouspeoplewithmentalhealthissues.Thisinformation wouldbeequallyrelevantformentalhealthtribunalprocessesthatreviewthe imprisonmentofpeoplewithpsychiatricillnesses. 2. WefocusonthefollowingtermsofreferenceinrelationtoIndigenousdefendants: (h)accesstojusticeforpeoplewithcognitiveandpsychiatricimpairment,includingthe availabilityofassistanceandadvocacysupportfordefendants; (j)theavailabilityofpathwaysoutofthecriminaljusticesystemforindividualswithcognitive andpsychiatricimpairment. Needforsystemicunderstandingofmentalhealthissues 3. ForIndigenouspeople,mental(andphysical)healthissuesareoftenintimatelytiedto intergenerationaltraumaflowingfromcolonialandpostcolonialpracticesandpolicies.61 Sherwoodstates, 60 EileenBaldryetal,APredictableandPreventablePath:Aboriginalpeoplewithmentalandcognitive disabilitiesinthecriminaljusticesystem(UniversityofNewSouthWales,2015)19, <http://www.mhdcd.unsw.edu.au>. 61 SeeJuanitaSherwood,‘Colonisation–it’sbadforyourhealth:thecontextofAboriginalhealth’(2013)46(1) ContemporaryNurse28. 52 Thishasresultedinwell-beingco-morbiditiesthataredirectlylinkedtotraumaand loss(mhfa,2008).Traumaisanormalandpredictableresponsetooverwhelming distressresultingfromaneventwhichisleftuntreatedor,atworst,ignored.Itleads tointergenerationalhopelessnessandunresolvedgrief(mhfa,2008,p.2).Reviewing theevidence,itisclearthatithasnotbeenjustoneact;ithasbeenasustainedand mercilessprocess.Acknowledgingthedeeplyetchedimpactthelast200+yearsof colonisationhashadonthehealthandwell-beingofIndigenousAustralians,the significanceofthisprocesscanbegintobeappreciated.62 4. Indigenoushealingandwell-being,accordingtohealthresearch,requiresstrengtheningof culturalidentity.63Whenitcomestojusticeprocesses,culturalidentityisstrengthenedby providingaccesstocommunity-basedservicesandlocalcommunityresourcessuchas ‘elders,culturalactivitiesandfamilies’.64Italsorequiresimprovinghousingconditions65and buildingconnectionstoCountryforIndigenous,including,whererelevant,accessto Indigenoushomelands.66Thehealingoftheindividualisintimatelylinkedtothehealingof thecommunity67andrequiresself-determinationinthehealingprocess.68 Lackofjudicialrecognitionofsystemicfactorsincriminalsentencing 5. In2013theHighCourtofAustralia,initsdecisionofBugmy,69rejectedthesubmissionthat Indigenoussystemicfactorsarerelevantsentencingconsiderations.TheseincludeoverimprisonmentofIndigenouspeople,over-representationofIndigenouschildrenremoved fromtheirfamilies,socio-economicdisadvantage,poorhealthstatus,lackofaccesstohealth services,institutionaldiscriminationandtherestraintsonself-governancewithinIndigenous societiesduetocolonisation. 62 Ibid,36. 63 RHintonetal,‘DevelopingabestpracticepathwaytosupportimprovementsinIndigenous Australians'mentalhealthandwell-being:aqualitativestudy’(2015)5(8),BMJOpen. 64 Ibid. 65 RSBailie,MStevensandELMcDonald,‘Impactofhousingimprovementandthesocio-physical environmentonthementalhealthofchildren'scarers:acohortstudyinAustralianAboriginalcommunities’ (2014)14,BMCPublicHealth472. 66 CPBurgessetal,‘HealthyCountry:HealthyPeople?ExploringthehealthbenefitsofIndigenousnatural resourcemanagement’(2005)29(2)AustralianandNewZealandJournalofPublicHealth,117;StephenT Garnettetal,‘HealthyCountry,HealthyPeople:PolicyImplicationsofLinksbetweenIndigenousHumanHealth andEnvironmentalConditioninTropicalAustralia’(2009)68(1)AustralianJournalofPublicAdministration,53; ChristopherPBurgessetal,‘Healthycountry,healthypeople:therelationshipbetweenIndigenoushealth statusand“caringforcountry”’(2009)190(10)MedicalJournalofAustralia567. 67 RWildandPAnderson,‘AmpeAkelyernemaneMekeMekarle‘LittleChildrenAreSacred’,Reportofthe NorthernTerritoryBoardofInquiryintotheProtectionofAboriginalChildrenfromSexualAbuse’(Northern TerritoryGovernment,2007)175. 68 DCox,MYoungandABairnsfather-Scott,‘NoJusticewithoutHealing:AustralianAboriginalPeopleand FamilyViolence’(2009)30AustralianFeministLawJournal151. 69 (2013)249CLR571. 53 6. Thisjudicialoutcomedefiessubstantialevidence,emergingwiththeRoyalCommissioninto AboriginalDeathsinCustody,thatsystemicfactorsarerelevanttothecollectiveand individualcircumstancesoftheIndigenousoffender.70ForIndigenouspeoplewithcomplex needs,theyareincreasinglybeing“managed”bypolice,courtsandprisonsduetoacritical lackofappropriatecommunity-basedservicesandsupport.71Exacerbatingthistrendisthe characterisationofindividualIndigenouspeoplewithcomplexneedsasahighriskthat requirescontainmentinpenaldetention.Suchcharacterisationneglectsthecontributionof systemicfactorstotheirconditionandoffending,theroleofthecriminaljusticesystemin reproducinganotionofanIndigenouscrimeproblem,andtheroleofcommunityinassisting Indigenouspeoples’healingandrehabilitation. Needforcommunityinputinsentencingprocesses 7. ThesimilarsituationinCanadainrelationtotheimprisonmentofFirstNationspeople, includingoverwhelminglywithmentalhealthissues,precipitatedanamendmenttothe CanadianCriminalCodethatrequiredthatsentencingcourtsaccountfortheunique circumstancesfacingFirstNationsdefendants.Thisledtotheintroductionofreports,known asGladueReports,producedbyAboriginalorganisationsonthecircumstancesofthe offenderandhis/hercommunity,includingastheyaffectmentalhealth.Theyaddress communityprogramsandfamilysupportstructuresforoffenderswithawidespectrumof needs,includingrelatingtoFASD,post-traumaticstress,addictionissues,anxietyand depression.Thesereportsaresubmittedtothecourtpriortosentencingandconstitutean importantconsiderationinthesentencingoutcome.Theyhelppromotenon-prison outcomes.Thecommunitycaseworkerpreparingthereportalsohasresponsibilityin followinguptheoffender,assistingcomplianceofordersandfacilitatingaccessto communityprogramsandotherservices. 8. AcrossAustralia,withexceptionsinsomecourtsinQueenslandandtheNorthernTerritory, pre-sentencereportsdonotgenerallyincludetheperspectivesofIndigenouscommunity organisations,respectedpersonsorElders.TheyareproducedbyCorrectiveServicesstaff foroffenderswhoarelikelytofaceaprisonsentence.Toaddressthisshortcoming, IndigenousLawandJusticeGroupsintheNorthernTerritoryandCommunityJusticeGroups inQueenslandhaveendeavouredtosupplementtheinformationwithcommunityreports. Theirreportscanexplaintheconnectionsbetweentheoffender’smentalhealthand wellbeingtosystemicandcommunityfactors,aswellasopportunitiesforhealingand supportinthecommunity.InformationisalsoprovidedthroughAboriginalfieldofficers, 70 RichardEdney,‘ImprisonmentasaLastResortforIndigenousOffenders:SomeLessonsfromCanada?’ (2005)6(12)IndigenousLawBulletin23,23. 71 Baldryetal,aboven48,19.Seealso,EileenBaldry,LeanneDowseandMelissaClarence,‘Peoplewith mentalandcognitivedisabilities:pathwaysintoprison’(BackgroundPaperfortheNationalLegalAid ConferenceDarwin,2011)16. 54 employedbyAboriginalLegalServices.Whiletheyonlyoccasionallyprovideinformationto courts,duetolimitedresources,theycancriticallyaffectsentencingoutcomes. 9. AnothercourtinitiativethatgoessomewayinallowingIndigenouscommunityinputina sentencehearingoccursincourtsitesthatofferIndigenoussentencingcourts.Thesecourts werefirstestablishedin1999inPortAdelaide,SouthAustralia,andsincethenhavebeen operatingineveryjurisdictionasidefromTasmaniainsomeformoranother.Indigenous sentencingcourtsinvolveonetofourEldersorCommunityRepresentativessittingwiththe magistrate(orotherjudicialofficer,wherethecourtsoperateathigherlevels)inthe sentencingprocess,wherebytheyhavetheopportunitytoparticipateinafrankdiscussion withtheoffenderabouttheiroffendingbehaviour.Notonlydoesthisprocessbetterengage theoffenderinthesentencingprocess,makingthemmorelikelytounderstandandaccept thepenaltiesimposed,andtoleavecourtwithanimprovedperceptionofjustice,72italso providesthecourtwithinformationaboutanoffender’srehabilitationneedsasaresultof theinputofEldersandCommunityRepresentativeswhoknowtheoffenderandhis community.Indeed,inanevaluationoftheCountyKooriCourtinVictoria,alegal practitionerwhoseclienthadanintellectualimpairmentthatwasdiagnosedasaresultof theIndigenoussentencingcourtprocessmadethefollowingcomments: Thethingthatblewmeawaythemostwasthatthisclienthadanintellectual disability,hewas[ayoungman],andhehadbeendiagnosedfive(5)yearsbefore butnoneofthatinformationhadcomethroughtome,andnoneofthatinformation hadactuallybeenrecordedwithinthesystem.SotheJudgedidn’tknow,Ididn’t know,nobodyknewaboutit,exceptCorrections.Butwhathadhappenedwasthe Judgesaid‘Iwanthimassessed’,thentheycamebackandsaid‘Ohhehasan intellectualdisability’,fromthispassingcommentintheirreport,andthenweall went,“What?!”AndthethingthatIlikedaboutthissystemwasthatassoonasthis issuewasidentifiedtheJudge,myselfandtheclientthensatdownandstarted discussingwheretogowithit.Becauseallofasuddentheballgamechangesdoesn’t it?Imeanhere’sakidwithanintellectualdisabilitysoheneedstobedealtwith quitedifferentlytoanordinarypunterwho’scommittingoffences.TheJudgecame backdownandsaid‘Iunderstandhowangryandfrustratedyouareaboutnot findingoutaboutthisinformation,Iamtoo’.Sowecameupwithaformula togethertosentencehim,andIreckonthiswholethingwouldneverhavehappened inanordinarycourt,wewouldneverhavebeenabletogettheinformationout, whichiswhymyoneexperienceintheCountyKooriCourthasreallyhighlightedhow theordinarysystemissoinconclusiveinthatitdoesn’tallowinformationtocome out.Butbyhavingthisdiscussion,averyrelevantpieceofinformationcameout whichisgoingtoaffectthiskidfortherestofhislife.Butnooneknewaboutit,not hismum,no-one,andforfive(5)yearsnothingwasbeingdoneforhim,hewas 72 EMarchetti,‘AnAustralianIndigenous-FocusedJusticeResponsetoIntimatePartnerViolence:Offenders' PerceptionsoftheSentencingProcess’(2015)55(1)BritishJournalofCriminology86. 55 committingseriousoffences;andhehadanintellectualdisability,anditwasthis systemthatfounditout.73 10. WesuggestthatasimilarprovisiontothatintheCriminalCodeinCanada,enacted uniformlythroughCOAG,wouldhelppreventunnecessaryprisondetentionforIndigenous peoplewithmentalillness.Crucially,thisshouldbesupplementedwithsupportfora communitypre-sentencereportingstrategy,supportforfieldofficerstoprovidein-court statementsonrelevantIndigenouscommunityconditions,andIndigenoussentencing courts. 11. Ultimately,aholisticapproachisneededtodecarcerateIndigenouspeoplewithmental illnessesfromprison.ThisrequiresappropriateservicesandprogramsforIndigenouspeople withmentalhealthissuesand,importantly,addressingsystemicissuesincludinginstitutional discrimination(egintheover-policingIndigenouspeopleonstreets;disproportionately removingIndigenouschildrenfromfamiliesratherthansupportingfamilies),socio-economic disadvantageandprovidingsubstantiveaccesstoearly-interventionservices74aswellas adequatelyresourcedcommunity-basedsanctionsintheformofrehabilitativeprograms andservices(suchasdrug,alcoholormentalservices).Thereisalsoaneedforgreater specialisedsentenceoptionsthataccommodatetheintersectionsofIndigenousbackground andgenderand/ormental,cognitiveorphysicalimpairment.Forexample,servicesthat accommodateIndigenouswomen’scircumstancesofongoingvictimizationtofamily violence;thetraumaticeffectsofremovalofIndigenouswomen’sownchildren;and/ortheir ‘complexneeds’whereacognitivedisabilitycoexistswithamentalhealthand/oraddiction issueand/orotherdisorder.75 73 ZDawkinsetal,CountyKooriCourt:FinalEvaluationReport(CountyCourtofVictoriaandtheVictorian DepartmentofJustice,2011),29. 74 Hinton,aboven63. 75 SeeJuanitaSherwoodandSachaKendall,‘Reframingspacesbybuildingrelationships:Community collaborativeparticipatoryactionresearchwithAboriginalmothersinprison’(2013)46(1)Contemporary Nurse83;Baldryetal,aboven48. 56 10.SUPPORTEDTRANSITIONFROMPRISONTOCOMMUNITY DrMeganWilliams,SeniorResearchFellow,UniversityofWesternSydney Keyissues: ● AssessmentofneedsinmakingtransitionfromprisontoCommunityarenotalways culturallyrelevantnorsuitedtothecomplexneedsofpeoplewithcognitiveimpairment. Thiscontributestorecidivism. ● Modelsofthroughcare,withintegratedandtailoredservices,areaneffectivemeansfor supportingpeoplewithcomplexneedspost-release,althoughjurisdictionalcommitment tothethroughcareconceptissporadic. ● Specificactionisrequiredtointegratestateandterritorybasedpost-releaseprograms withtheNationalDisabilityInsuranceSchemebasedonthedesirablefeaturesofthe throughcaremodel. 1. WhileratesofincarcerationofAboriginalandTorresStraitIslanderpeopleareamongthe highestintheworld,thesebelieanevengreaterproblem:thatwhenreleased,amajority (77%)facethelikelihoodofbeingreincarcerated,oftenmultipletimes.76Thisisnotto suggestthatpeopleshouldnotbereleasedonthebasisoffailingatcommunity reintegration.Rather,highrecidivismrateshighlighttheurgentneedtoaddressunderlying factorsandmakeavailablemoresupportservices.Thefollowingpagesoutlineimportant featuresofrecidivismpreventionandpost-prisonreleasecareinculturallysensitivewaysfor andbyAboriginalandTorresStraitIslanderpeople. Assessment 2. Beginningattheirentryintocustody,allpeoplearetoundergoassessmentstoascertainthe needsandissuesthatarelikelytoimpactontheirtransitionfromprisontocommunitylife andposerisksforreoffendingandreincarceration.Theassessmentsareintendedtobring aboutanactionplanforrehabilitationaswellasrelease-planning. 3. However,reoffendingriskassessmenttoolshaveoftenbeenquestionedfortheircultural relevancetoAboriginalandTorresStraitIslanderpeople,77ashaveotherassessmenttools78 76 AustralianBureauofStatistics,PrisonersinAustraliaCatno.4517.0 <http://www.abs.gov.au/ausstats/[email protected]/mf/4517.0> 77 RJonesetal,‘CulturallyrelevantassessmentofIndigenousoffenders:Aliteraturereview’(2002)37(3) Australianpsychologist197;ESavinaandMWilliams,ReducingIndigenousImprisonmentForumreport(2009), ANTaR&theBridgeNetwork. 78 MYoungetal,‘SF-36:notthetooltomonitorthehealthofsubpopulationswithintheQueenslandwomen's prisonsystem’(2005)29(5)AustralianandNewZealandJournalofPublicHealth487. 57 becausetheyarenotderivedfromtheholisticnotionofindigenouspeople’shealthand healing79,prioritisationofneeds80norregardforthecomplexityofissuesexperienced.81 Few,ifany,prisonassessmentsandreleaseplanningtoolsarerelevanttothelivesof AboriginalandTorresStraitIslanderpeoplegenerally,northoseinprisonwithcognitiveand psychiatricdisabilities. Rehabilitation 4. In-prisonrehabilitationprogramsandprogramsthatpreparepeopleforlifeafterprisonare insufficientlydesignedtotakeintoaccounttheneedsofAboriginalandTorresStraitIslander people,orculturalprotocols,processesandknowledges.82Programsrarelyaddressunique needsofAboriginalandTorresStraitIslanderpeopleincludinganger,forcibleremovalasa childandintergenerationaltrauma,83nordotheyaddressfactorscontributingto incarcerationincludingmarginalisedsocialandeconomicposition.Onedecades-oldstudy did,however,findthatAboriginalandTorresStraitIslanderpeople’spost-release participationinwork-releaseprograms,financialsupportandemploymentuponrelease wereassociatedwithlowerrecidivism84–addressingsomeofthedeterminantsofboth crimeandhealth. Legislatedandpolicyimpetustoprovidethroughcare 5. Onerelativelyrecentshiftincorrectionalprogramminghasbeentheintroductionof ‘throughcare’programs,conceptualisedasthecontinuousprovisionofsupportbothin 79 MSheldon,‘PsychiatricassessmentinremoteAboriginalcommunities’(2001)35(4)AustralianandNew ZealandJournalofPsychiatry435;LMuller,AtheoryforIndigenousAustralianhealthandhumanservicework: ConnectingIndigenousknowledgeandpractice(Allen&Unwin,2014). 80 JPerkinsetal,‘Thedevelopmentofanewmethodologytoassessperceivedneedsamongindigenous Australians’(1995)41(2)SocialScience&Medicine267. 81 CMSchlesingeretal,‘ThedevelopmentandvalidationoftheIndigenousRiskImpactScreen(IRIS):A13itemscreeninginstrumentforalcoholanddrugandmentalhealthrisk’(2007)26(2)DrugandAlcoholReview 109. 82 JAnaya,ReportbytheSpecialRapporteuronthesituationofhumanrightsandfundamentalfreedomsof indigenouspeople,15thsess,UNDocA/HRC/15/37/Add.4(1June2010);EBaldry,‘Prisonsandvulnerable persons:Institutionsandpatriarchy’(ConferencepaperpresentedattheAustralianandNewZealandCritical CriminologyConference,Melbourne,2009);CCunneen,‘Criminology,criminaljusticeandIndigenouspeople: Adysfunctionalrelationship?’(2009)20(3)CurrentIssuesinCriminalJustice323;EJohnston,Reportofthe RoyalCommissionintoAboriginalDeathsinCustody(AustralianGovernmentPublishingService,1991). 83 ADayetal,‘ThemeaningofangerforAustralianAboriginaloffenders:Thesignificanceofcontext’(2006) 50(5)InternationalJournalofOffenderTherapyandComparativeCriminology520;Jonesetal,aboven62;D Goulding,Severedconnections:Anexplorationoftheimpactofimprisonmentonwomen'sfamilialandsocial connectedness(CentreforSocialandCommunityResearch,MurdochUniversity,2004);PMalsetal,‘Adapting violentrehabilitationprogramsfortheAustralianAboriginaloffender’(2000)30(1)JournalofOffender Rehabilitation121;BSteelsandDGoulding,‘Whenit'saquestionofsocialhealthandwellbeing,theansweris notprison’(2009)7(12)IndigenousLawBulletin15. 84 RGBroadhurstetal,‘AboriginalandnonaboriginalrecidivisminWesternAustralia:Afailurerateanalysis’ (1988)25(1)JournalofResearchinCrimeandDelinquency83. 58 custodyandafterreleaseintothecommunity,includingplanningforprisonrelease,and supervisionorsupportpost-release.85 6. Fordecadesinternationalhumanrightsinstrumentshaveassertedtheneedforthroughcare, statingthatprisonershavetherighttorehabilitationappropriatetotheirageandlegal status,andwithrespectfortheirdignity86fromthebeginningoftheirsentence.Such rehabilitationincludeshealthcare,specialattentiontoimproverelationshipswithfamily andcommunity,preparationforworklife,educationintegratedwiththecommunity, culturalactivitiesandcoordinatedafter-care.Thesebuildonthe1955UNMinimumRules fortheTreatmentofPrisonersstatements,whichassertthatpost-prisonreleaseaftercare shouldbeconsideredfromtheoutsetofpeople’sincarceration.87 7. Recommendedfeaturesofthroughcareforthelocalcontextinclude‘floatingcare’with integratedandtailoredservices,asinglecasemanagerwhoactsasanintensivesupport personandaleadagencybrokeringappropriateservicesbeforerelease,andpostrelease wasfoundhighlydesirable.88Baldryetal89foundthatthoseprisonerswhoreceivedpostreleasesupportinadditiontoaccommodationweresignificantlylesslikelytoreturnto prison,with24%ofthoseincontactwithaservicereturningtocustodycomparedto45% whodidnotreceivespecialistaccommodationsupport. 8. ‘Front-loading’ofclient-centredservicesisrecommendedinthefirsthours,days,andweeks afterrelease90,supportingthe“’person-in-context’”91andbasedondischargeplanning.92In addition,WinnungaNimmityjahAboriginalHealthService’s93throughcaremodel 85 CJardineandBWhyte,‘Valuingdesistence?ASocialReturnonInvestmentcasestudyofathroughcare projectforshort-termprisoners’(2013)33(1)SocialandEnvironmentalAccountabilityJournal20;SRoss, Bridgingthegap:AsupportprogramforVictorianprisoners:Finalevaluationreport(MelbourneCriminology ResearchandEvaluationUnit,UniversityofMelbourne,2013);MMaguireandPRaynor,‘Howdoesthe resettlementofprisonerspromotedesistancefromcrime:Ordoesit?’(2006)6(1)CriminologyandCriminal Justice9. 86 InternationalCovenantonCivilandPoliticalRights;InternationalCovenantonEconomic,Social,andCultural Rights. 87 Standardminimumrulesforthetreatmentofprisoners(UnitedNations,OfficeoftheHighCommissioner,30 August1955)<http://www.ohchr.org/EN/ProfessionalInterest/Pages/TreatmentOfPrisoners.aspx> 88 MBorzyckiandEBaldry,‘Promotingintegration:Theprovisionofprisonerspost-releaseservices’in AustralianInstituteofCriminology,TrendsandIssuesinCriminalJusticeNo.262(AustralianInstituteof Criminology,2003);EBaldry,DMcConnell,PMaplestoneandMPeeters,Ex-prisonersandaccommodation: Whatbearingdodifferentformsofhousinghaveonsocialreintegration?(AustralianHousingandUrban ResearchInstitute,2003). 89 Baldryetal,aboven73. 90 BRichie,NFreudenbergandJPage,‘Reintegratingwomenleavingjailintourbancommunities:Adescription ofamodelprogram’(2001)78(2)JournalofUrbanHealth:BulletinoftheNewYorkAcademyofMedicine290. 91 AJShinkfield,Athree-partecologicalmodelofcommunityreintegrationofex-prisoners(Doctoral dissertation,2006)246. 92 CVisherandKMallik-Kane,‘Reentryexperiencesofmenwithhealthproblems’inR.Greifinger(ed),Public healthbehindbars:Fromprisonstocommunities(Springer,2007)434-60. 93 NPoroch,Youdothecrime,youdothetime,WinnungaNimmityjahAboriginalHealthService,2007). 59 incorporateshealthandspiritualcareandfamily-basedandlessformalcommunity-based strategiessuchaslocalsportingclubs,andtheAboriginalMedicalServiceofWesternSydney providedintegratedprimaryhealthcare.94 9. On-the-groundserviceshavebeendescribedasoftenactiveandinnovativeintheir responses.95Theyhaveexpertisein“developingcommunity-basedsolutions”96particularly becausethey“provideaccesstoresourcesthatpromotereintegration”97informallyinthe community,inadditiontoformalinterventions. Barrierstothroughcare 10. Mostjurisdictionshavemadeonlyarelativelyrecentcommitmenttothroughcare. AdministrativedatafromQueenslandindicatedonly7%ofQueenslandprisonershadaccess tothroughcareandnumbersofAboriginalandTorresStraitIslanderpeopleparticipating wereevensmaller.98Preparationfortransitionfromprisonisgenerallylacking99and arguablymoresoamongAboriginalandTorresStraitIslanderpeople,particularlythosewith complexneedssuchascognitiveandpsychiatricdisabilities. 11. Aformativeevaluationofthreepost-prisonreleasesupportservicesforAboriginalwomen foundmultiplesystemandorganisational-levelbarrierstothroughcare,beyondthe individualresponsibilityandpowerofwomenexitingcustody.100 12. Throughcaremodelsdependalmostentirelyonbrokerageofservicesinthecommunityfor supportofpeople,101ratherthantheprovisionofsupportassuch.Fromthe1950sto1970s 94 DDelaney-ThieleandJLloyd,SPRINTqualitativefindings(Presentationnotes,2013) <http://files.aphcri.anu.edu.au/resources/lectures-presentations/conversationsaphcri/SPRINT%20findings%20-%20SPRINT%20TEAM%20-%2017%20Sept%202013.pdf>;MHaswelletal, Returninghome,backtocommunityfromcustodialcare:Learningsfromthefirstyearpilotprojectevaluation ofthreesitesaroundAustralia(Manuscriptsubmittedforpublication,2014). 95 Project10%,SubmissiontoQueenslandGovernment-ReducingincarcerationratesinQueensland:Athree yearplan(Project10%,2010). 96 ASKrieg,‘Aboriginalincarceration:Healthandsocialimpacts’(2006)184(10)MedicalJournalofAustralia 534. 97 CRobbins,SMartinandHSurratt,‘Substanceabusetreatment,anticipatedmaternalroles,andreentry successofdrug-involvedwomenprisoners’(2009)55(3)Crime&Delinquency388. 98 LRobsonandAEugene,‘TheOffenderReintegrationSupportService:Supportingthroughcarewitheffective partnershipsbetweenthegovernmentandNGOsector’(conferencepresentation,ReintegrationPuzzle Conference,Melbourne,June2008). 99 PJSchrametal,‘Supervisionstrategiesandapproachesforfemaleparolees:Examiningthelinkbetween unmetneedsandparoleoutcome’(2006)52(3)Crime&Delinquency450;RPSeiterandKRKadela,‘Prisoner reentry:Whatworks,whatdoesnot,andwhatispromising’(2003)49(3)Crime&Delinquency360;BSteels, Declaredguilty:Anever-endingstory:Ananalysisoftheimpactofthecriminaljusticesystemupontheself (Doctoraldissertation,2005) <http://catalogue.curtin.edu.au/primo_library/libweb/action/search.do?vid=CUR_ALMA> 100 Haswelletal,aboven79. 101 RobsonandEugene,aboven83. 60 aprisonerwasthoughttobecloselyassistedwithre-entryplansandwasoftenreleasedtoa halfwayhousewithacaseworker,volunteersupportandcarefulcommunitysupervision.102 However,comparativelyfewpart-timetransitionaryreleaseprogramsorhalfwayhousesare nowavailable,comparedwiththenumbersofoftenthesamepeopleenteringandexiting prisons.103Overthepastfewdecadesaweakeningandreductioninavailabilityofpostreleasesupportprogramshasoccurred.104 13. AlargeUSstudyof7000inmatesreleasedfromFloridaprisonsfoundthatanyvisitsfrom familyandfriendswereassociatedwithalowerlikelihoodofrecidivismovertwoyears.105 OntheonehandlegislationinAustraliaisveryclearaboutmaintaininganddeveloping familyrelationshipswhilstamemberisincustody,howeverinrealitytherearemany barriers.106 Multipledifficultiesinthetransitionfromprisontocommunity 14. Muchresearchdemonstratesthatpeoplehavecomplexneedsandthattheyexperience challengingobstacleswhentheyexitprison.Theyfacemanyofthesameproblems,or worse,thatmayhaveledtoincarcerationinthefirstplace.107Peopleexitingcustodyalso facetherealitythattheirfamiliesandcommunitieshavechangedwhiletheywereaway108 andaredamagedasaresultoftheirmember’sabsencewhileincarcerated.109 15. Datashowthatmortalityratespost-releaseamongAboriginalpeopleareamongthehighest reportedintheworld110andhealthandwellbeingdeclinepost-prisonrelease.111 102 SeiterandKadela,aboven84. 103 JPetersilia,Whenprisonerscomeshome:Paroleandprisonerreentry(OxfordUniversityPress,2003);Seiter andKadela,aboven84. 104 JTravis,Buttheyallcomeback:Rethinkingprisonerre-entry(SentencingandCorrections,NationalInstitute ofJustice,USDepartmentofJustice,2000). 105 ASolomonetal,Understandingthechallengesofprisonerreentry:ResearchfindingsfromtheUrban Institute’sPrisonerReentryPortfolio(WashingtonDC,2006). 106 MAlexander,DMartinandMWilliams,ReportonQueenslandCorrectionalCentres(PrisonersLegalService andCatholicPrisonMinistry,2011);Haswelletal,aboven79. 107 Baldry,aboven67;Goulding,aboven68;Johnston,aboven67;SMaruna,Makinggood:Howex-convicts reformandrebuildtheirlives(AmericanPsychologicalAssociation,2001);SRose,BBurdekinandRJenkin, Humanrightsandmentalillness:ReportoftheNationalInquiryintotheHumanRightsofPeoplewithMental Illness(HumanRightsandEqualOpportunitiesCommission,1993);TWalsh,InCorrections:Investigatingprison releasepracticeandpolicyinQueenslandanditsimpactoncommunitysafety(QueenslandUniversityof Technology,2004). 108 CUggen,JManzaandABehrens,‘Lessthantheaveragecitizen’:Stigma,roletransitionandthecivic reintegrationofconvictedfelons’inSMaruna&RImmarigeon(eds),Aftercrimeandpunishment:pathwaysto ex-offenderreintegration(WillanBooks,2004)261. 109 SteelsandGoulding,aboven68. 110 SDarkeetal,‘Heroin-relateddeathsinNewSouthWales,Australia,1992–1996’(2000)60(2)Drugand AlcoholDependence141;AGraham,‘Post-prisonMortality:UnnaturalDeathAmongPeopleReleasedfrom VictorianPrisonsBetweenJanuary1990andDecember1999’(2003)36(1)AustralianandNewZealandJournal ofCriminology94;CMcGregoretal,‘AccidentalfatalitiesamongheroinusersinSouthAustralia,1994-1997: 61 16. Individualsarethoughttoenteralongaprocessofde-institutionalisation,112needing “recommunalisation”,113recoveryandhealingfromthetraumaofincarcerationandremoval fromsocial,culturalandeconomiclife.114Peoplewhohavebeenincarceratedhavebeen describedasexperiencinghostility,isolationandworry,aswellashopeforthefuture,115 albeitsometimesunrealisticallygiventheobstaclestheyhavetocontendwith.116Stigma associatedwithbeinganex-prisonerhasbeendescribedaspotentiallylastingalifetime, resultinginpeoplebeingfurtherestrangedfromfamiliesandneighbourhoods,andlimiting employment,housingandcommunityparticipationopportunities.117 17. Itisobvioustoothatthereisaneedforgreatereffortfosteringrelationshipsbetween correctionalhealthservicesandcommunityorganisations,forcontinuityofcareovertime118 andopportunitiestoconnectwithfamilyandcommunity.119 18. Theimportantpointhereisthatregardlessofaperson’sengagementincrime,orcognitive andpsychiatricdiagnosesandexperiences,“itisnotthatex-offendersshouldbeleftalone togetonwiththebusinessofself-change”.120 19. WillisandMoore’s121qualitativeresearchamongAboriginalpeoplepost-prisonrelease foundthat: Toxicologicalfindingsandcircumstancesofdeath’(2002)10(4)AddictionResearchandTheory335;LStewart etal,‘Riskofdeathinprisonersafterreleasefromjail’(2004)28(1)AustralianandNewZealandJournalof PublicHealth32. 111 SAKinner,ThePost-releaseexperienceofprisonersinQueensland(AustralianInstituteofCriminology, 2006);MBorzycki,Interventionsforprisonersreturningtothecommunity(AustralianInstituteofCriminology, 2005);Graham,aboven95. 112 KEllem,JWilsonandWHChui,‘Effectiveresponsestooffenderswithintellectualdisabilities:Generalist andspecialistservicesworkingtogether’(2011)65(3)AustralianSocialWork398. 113 Steels,aboven84. 114 NMorseu-Diop,Healinginjustice:AninternationalstudyofIndigenouspeoples’custodialexperiencesof prisonrehabilitationprogramsandtheimpactontheirjourneyfromprisontocommunity(Doctoral dissertation,2010)<http://espace.library.uq.edu.au/view/UQ:210170> 115 TClearetal,‘Coercivemobilityandcrime:Apreliminaryexaminationofconcentratedincarcerationand socialdisorganization’(2005)20(1)JusticeQuarterly33;AHochstetler,MDeLisiandTCPratt,‘Socialsupport andfeelingsofhostilityamongreleasedinmates’(2010)56(4)CrimeandDelinquency588. 116 RBurnett,‘Toreoffendornottoreoffend?Theambivalenceofconvictedpropertyoffenders’inSMaruna andRImmarigeon(eds),Aftercrimepunishment:Pathwaystooffenderreintegration(WillanPublishing,2004). 117 Petersilia,aboven88;Steels,aboven84;SteelsandGoulding,aboven68;Uggenetal,aboven93. 118 Baldryetal,aboven73;BorzyckiandBaldry,aboven73,EOgilvie,Post-release:Thecurrentpredicament andthepotentialstrategies(AustralianInstituteofCriminology,2001);Visher,aboven77. 119 MBorzycki,Interventionsforprisonersreturningtothecommunity(AustralianInstituteofCriminology, 2005);JBurrowsetal,Thenatureandeffectivenessofdrugsthroughcareforreleasedprisoners(HomeOffice Research,DevelopmentandStatisticsDirectorate,2000). 120 SMaruna,RImmarigeonandTLeBel,‘Ex-offenderreintegration:Theoryandpractice’inSMaruna&R Immarigeon(eds),Aftercrimeandpunishment:Pathwaystoex-offenderreintegration(WillanBooks,2004)2, 16. 62 Respondentsacknowledgedthattostoptheirownviolentbehaviour,changesneededto occurwithinthefamilyunitandwithinthecommunityatlarge.Whenaskedhowtoimprove suchprograms,oneprisonerfromSouthAustraliasaid: ‘Wegobacktoourfamiliesandweneedtotaketheinformationbacktothe communitytobreakthecycleofviolence.Weneedthemtostopviolencetoo.’ 20. Itisarguablyalsotheresponsibilityofcommunitymembers,particularlyfamiliesandservice providers,tocreatemoreinclusivecommunitiesandshareresourceswithpeoplewhohave beenconvictedandsentencedforacrime,then‘donetheirtime’toalsoincludecivic participationanddevelopmentofsocialcapital.122BazemoreandErbe123believethat opportunitiesinthecommunitytobuildthesesociallysupportiverelationships,however, arealmostentirelymissingfromcurrentpolicyandpracticeabouttransitionsfromprison andpreventingreincarceration. 21. QualityevidenceisincreasinglyavailableaboutAboriginalandTorresStraitIslanderpeople’s community-drivencollectivehealingprograms,indicatingthatsuchprogramsarecosteffectiveandhaveanimportantroleinreducingincarcerationrates.124 121 MWillisandJPMoore,ReintegrationofIndigenousprisoners(ResearchandPublicPolicySeriesNo.90) (AustralianInstituteofCriminology,2008)88. 122 SFarrall,‘Socialcapitalandoffenderreintegration:Makingprobationdesistancefocussed’inSMaruna&R Immarigeon(eds),AfterCrimeandPunishment:PathwaystoOffenderReintegration(WillanBooks,2004)57; Maruna,aboven92;Marunaetal,aboven105;FTaxman,DYoungandABehrens,‘Witheyeswideopen: Formalizingcommunityandsocialcontrolinterventioninoffenderreintegrationprogrammes’inSMarunaand RImmarigeon(eds),Aftercrimeandpunishment:Pathwaystoex-offenderreintegration(WillanBooks,2004) 233. 123 GBazemoreandCErbe,‘Operationalizingthecommunityvariableinoffenderreintegration:theoryand practicefordevelopinginterventionsocialcapital’(2003)1(3)YouthViolenceandJuvenileJustice246. 124 AboriginalandTorresStraitIslanderHealingFoundation,Prospectivecostbenefitanalysisofhealingcentres (AboriginalandTorresStraitIslanderHealingFoundation,2014)<http://healingfoundation.org.au/ourpublications/?category_name=reports>;MWhitesideetal,PromotingAboriginalhealth:TheFamilyWellbeing empowermentapproach(Springer,2014). 63 11.TRANSLATIONOFEVIDENCEINTOPOLICY ScottAvery,PolicyandResearchDirector Keyissues: ● UnderstandingtheissuesaffectingAboriginalandTorresStraitIslanderpeoplewith cognitiveandmentalhealthimpairmentrequiresamulti-disciplinaryapproach. ● AsGovernmentAgenciestendtobeorganisedalongdisciplinarylines(ie.separate departmentforjustice,education,healthetc),thereisnonaturalhomewhereanalysisof theissuesandpolicydiscussionscantakeplace,andawealthofsocio-legalresearchon theissuegoesunder-utilised. ● Amechanismisneededtocapturecurrentandexitingresearchandknowledge,bothfrom theCommunityandacademicresearch,toadviseGovernmentsontranslationofevidence intopolicy. ● APolicyTranslationGroupcouldguidethedevelopmentoftheseprinciplesintoaNational DisabilityJusticeStrategywhichspecificallyaddressestherightsandcircumstancesof AboriginalandTorrsStraitIslanderpeople. 1. ThiscompositesubmissionhasbroughttogethercontributionsfromthreeAboriginaland TorresStraitIslandernationalpeakbodiesandthirteenofthenation’sleadingdisabilityand justiceresearchersfromsixdifferentuniversitiesandresearchinstitutes. 2. Collectively,theexpertisecoveredinthissubmissioncoversabreadthofdisciplines includingAboriginalandTorresStraitIslanderhealthwellbeingandculture,disability, humanrights,earlychildhood,education,familyviolenceprevention,genderstudies,laws andlegislation,courtprocessesandsentencing,postreleaserehabilitation,researchand datamanagement.Thebreadthofthisexpertisereflectsthecomplexity,whichisareality whendealingwiththeproblemofrecurrentandindefinitedetentionofAboriginaland TorresStraitIslanderpeoplewithcognitiveandmentalimpairment. 3. Contrastingly,publicpolicyisderivedfromagovernmentstructurenaturallyorganisedalong functionallines.ThereareseparatedepartmentsforAttorneysGeneral,Health,Education, andSocialServices.Thereconsequencesofafunctionalapproachmeanthattheissuesare notcomprehensivelydealtwith: • Governmentagencyledpolicysolutionsaffectingonepartoftheproblem.Ajustice ledapproachwillnaturallyleadtoalegalresponse,butriskinadequatelyhavinga balancefromdisabilityperspective;andconverselyadisabilityledapproachrisks inadequatelyaddressinglawslegislationandsystemicbarriersinjudicial 64 • administration.Bothperspectivesareneededinbalancewithco-ordinationacross thespectrumofissues. IntersectionalissuesaffectingpeoplewhoarebothAboriginalandTorresStrait Islanderandhavedisabilityfallintothetoo-hardbasket.Theneedsandrightsofthe marginalisedofthemarginalisedareultimatelyignored. 4. Thecomplexityofthisissueneedstoberecognisedandembraced.Athereisnonatural homewithinthegovernmentagencystructuretoaddressthebreadthofissues,a mechanismneedstobecreated.Werecommendtheformationofa‘PolicyTranslation Group’toreviewthebreadthofresearchactivityandevidence,andformallyadvisethe variousgovernmentagenciesonaco-ordinatedapproachtopolicyandgovernmentaction plans.Thisshouldbemultidisciplinaryandcompriserepresentativesfromgovernment,the researchcommunity,andAboriginalandTorrespeoplewithdisability. 65 Biographiesofcontributors FirstPeoplesDisabilityNetwork(Australia)isanationalorganisationestablishedby,forandbehalf ofAboriginalandTorresStraitIslanderpeople,familiesandcommunitieswithlivedexperienceof disability.WithaBoardofDirectorsentirelycomprisingFirstPeopleswithdisability,weareguided bythelivedexperienceofdisabilityindeterminingourprioritiesandourwayofdoingbusiness. FPDNiscommittedtoresearchandpolicydevelopmentthatcapturestheknowledge,expertiseand experienceofdisabilityinourcommunities.FPDNaimstobetheinterfacebetweentheFirstPeoples disabilitycommunity,policymakersandresearchersingeneratingpracticalmeasuresthatsecure thehumanrightsofFirstPeopleswithinasocialmodelofdisability.Wehavealong-standinghistory ofadvocatingfortherightsofFirstPeopleswithdisabilitythroughhigh-levelpolicyadviceto AustralianGovernmentsandininternationalhumanrightsforums.FDPNisundertakinga community-directedresearchprogram,whichissupportedthroughtheNationalDisabilityResearch andDevelopmentScheme. TheNationalFamilyViolencePreventionLegalServiceswasestablishedinMay2012tocoordinate andfunctionasaunitednationalvoiceforthe14FamilyViolencePreventionLegalServices(FVPLS) memberorganisationswhoprovidelegalassistance,casework,counsellingandcourtsupportto AboriginalandTorresStraitIslandervictim/survivorsoffamilyviolence,includingsexualassaultand abuse.FVPLSsalsoprovidecommunitylegaleducation,andearlyinterventionandprevention activities.FVPLSsservicesareculturallyinclusiveandaccessibletoAboriginalandTorresStrait Islanderadultsandchildreninthespecifiedserviceregion,regardlessofgender,sexualpreference, familyrelationship,location,disability,literacyorlanguage. NationalAboriginalandTorresStraitIslanderLegalServices(NATSILS)isthepeaknationalbodyfor AboriginalandTorresStraitIslanderLegalServices(ATSILS)inAustralia.NATSILSbringstogether over40years’experienceintheprovisionoflegaladvice,assistance,representation,community legaleducation,advocacy,lawreformactivitiesandprisonerthrough-caretoAboriginalandTorres StraitIslanderpeoplesincontactwiththejusticesystem.TheATSILSaretheexpertsonthedelivery ofeffectiveandculturallycompetentlegalassistanceservicestoAboriginalandTorresStraitIslander peoples.ThisrolealsogivesusauniqueinsightintoaccesstojusticeissuesaffectingAboriginaland TorresStraitIslanderpeoples.NATSILSrepresentsthefollowingATSILS: ·AboriginalandTorresStraitIslanderLegalService(Qld)Ltd(ATSILSQld); ·AboriginalLegalRightsMovementInc.(ALRM); ·AboriginalLegalService(NSW/ACT)(ALSNSW/ACT); ·AboriginalLegalServiceofWesternAustralia(Inc.)(ALSWA); ·CentralAustralianAboriginalLegalAidService(CAALAS); ·NorthAustralianAboriginalJusticeAgency(NAAJA); ·TasmanianAboriginalCommunityLegalService(TACLS);and ·VictorianAboriginalLegalServiceCo-operativeLimited(VALS). The‘ChangetheRecord’(CTR)CoalitionisagroupofleadingAboriginalandTorresStraitIslander, communityandhumanrightsorganisationsworkingcollaborativelytoaddressthedisproportionate 66 ratesofincarcerationandviolenceexperiencedbyAboriginalandTorresStraitIslanderpeople.The ChangetheRecordcampaignhastwooverarchinggoals,to: 1.Closethegapinratesofimprisonmentby2040;and 2.Cutthedisproportionateratesofviolencetoatleastclosethegapby2040withprioritystrategies forwomenandchildren. ToChangetheRecord,weneedtoworkwithAboriginalandTorresStraitIslandercommunitiesto investinholisticearlyintervention,preventionanddiversionstrategies.Thesearesmarter, evidence-basedandmorecost-effectivesolutionsthatincreasesafety,addresstherootcausesof violenceagainstwomenandchildren,cutre-offendingandimprisonmentrates,andbuildstronger communities. CarolBowerisaSeniorPrincipalResearchFellowatTelethonKidsInstitutewithqualificationsin medicine,epidemiologyandpublichealth.Herareasofresearchexpertiseincludeepidemiologyof birthdefects,includingFetalAlcoholSpectrumDisordersandneuraltubedefects.Herresearchhas astrongfocusoninvestigatingcausesandeffectsofbirthdefects,ontranslatingresearchfindings intopublichealthpolicyandpracticeandonevaluatingtheeffectivenessofthattranslation. Leadingexamplesarethepreventionofneuraltubedefects(promotingpericonceptionalfolicacid supplementuseandmandatoryfortificationofflourwithfolicacid)andresearchonprevention, diagnosisandmanagementofFetalAlcoholSpectrumDisorders(FASD). DamianGriffisisanAboriginalpersonidentifyingwiththeWorimipeople,CEOofFirstPeoples DisabilityNetwork(Australia)andaleadingadvocateforthehumanrightsofAboriginalpeoplewith disability.In2004-05,DamianundertookamajorconsultativeprojectvisitingAboriginal communitiesacrossthestateofNewSouthWalesdiscussingtheunmetneedsofAboriginalpeople withdisabilitydirectlywithAboriginalpeoplewithdisabilityandtheirfamilies.Thisculminatedin theground-breakingreportentitledTellingItLikeItIs.Hehasworkedformorethan20yearsin variouscapacitieswithinthedisabilitysectorandhasbeeninstrumentalinconsolidatingthe developmentofthesocialmovementofAboriginalpeoplewithdisability.Damianwasawardedthe TonyFitzgeraldMemorialCommunityAwardatthe2014HumanRightsAwardsinrecognitionofhis advocacyfortherightsofAboriginalandTorresStraitIslanderpeoplewithdisability. DrDarrenO’DonovancompletedhisPhDthesisonequality,multiculturalismandhousingrightsat UniversityCollegeCorkinIrelandin2009.HeworkedatUCCasalecturerforthreeyearsbefore movingtoAustralia.DarrenwillsoontakeuparoleasseniorlecturerinlawatLaTrobeLawSchool, wherehewillbeworkingwithLaTrobe’sscholarsattheLivingwithDisabilityResearchCentre. Darrenteachesadministrativelaw,humanrightsanddisabilitylaw,andrecentlyco-wrotethe secondeditionoftheEndeavourFoundation’sguidetotheNDIS,Discover. ProfessorEileenBaldry(BA,DipEd,MWP,PhD)isaProfessorofCriminologyatUNSWAustralia whereshehasbeenanacademicsince1993.Eileenisanesteemedresearcherintheareasof Criminology,SocialPolicyandSocialWorkandwasrecentlynamedasoneoftheinauguralPLuS AllianceFellowsinSocialJustice.EileenalsoholdsthedistinguishedpositionofAcademicChair, UNSWDiversityandEqualityBoardandisthecurrentDeputyChairoftheDisabilityCouncilNSW.In 67 2009,theLawandJusticeFoundationofNSWrecognisedBaldry’s“indefatigable”supportfor justice-relatedcausesbyawardingheritshighesthonour:theJusticeMedal. ProfessorElenaMarchettiisaResearchProfessorintheSchoolofLawandamemberoftheLegal IntersectionsResearchCentre,UniversityofWollongong.Herresearchexaminesthejustice experiencesofIndigenousAustraliansinthecriminaljusticesystem,howtobetteraccommodate thejusticeneedsofvictimsofIndigenouspartnerviolence,andwhatmethodsshouldbeusedto evaluateIndigenous-focusedjusticeprocessestobetterreflecttheIndigenous-centricnatureofthe programs.ShewasawardedanAustralianResearchCouncil,5-yearAustralianResearchFellowship in2009andanAustralianResearchCouncil,4-yearFutureFellowshipin2014. GlennPearson,aNyoongarfromWesternAustralia,istheHeadAboriginalResearchDevelopment atTelethonKidsInstitutewhichincludesmanagingtheKulungaAboriginalResearchdevelopment Unit(KARDU).HisareasofresearchexpertiseincludeAboriginalHealthandEmotionalWellbeing; AboriginalResearchMethodologies;PolicyandAdvocacy.GlennisaChiefInvestigatorinthe Institute'sCentreofResearchExcellenceinAboriginalHealthandWellbeingandiscompletinga DoctorateattheUniversityofWesternAustralia(UWA).HeisalsoamemberoftheHealth ConsumerCouncilofWA,CurtinUniversity'sHumanResearchEthicsCommitteeandtheInstitute's CommunityandConsumerParticipationAdvisoryCouncil. LeanneDowseisAssociateProfessorandChairinIntellectualDisabilityandBehaviourSupportinthe SchoolofSocialSciences,UNSW.TheworkoftheChairaimstoexpandthebodyofknowledgeand increasecapacityinthedeliveryofappropriateandeffectiveservicestopeoplewithanintellectual disabilitywithcomplexneedsthroughtrainingandeducation,enhancedpolicyandservicemodels andtargetedresearch.Leanne’sresearchgenerallyseekstounderstandthedynamicsofgender, raceandethnicity,ageingandcontemporarysocial,politicalandculturaldiscoursesastheyintersect withdisability.Herrecentworkaddressesissuesforpeoplewithcomplexneeds,particularlythe intersectionsofcognitiveandpsychosocialdisabilitywithotherdimensionsofsocialdisadvantage andthewaystheseinterlockforpeopleinthecriminaljusticesystemasbothvictimsandoffenders. Shealsoundertakesresearchexaminingtheintersectionofdisability,genderandviolence. DrLindaSteeleisalecturerinlawattheUniversityofWollongongwheresheteachescriminallaw andtortlaw.Linda’sresearchexploreslaw’scomplexandcontradictoryrolesinthemarginalisation ofpeoplewithdisability.Linda'sdoctoralthesiswasondiversionofindividualswithcognitive impairmentfromtheNSWLocalCourt.Hercurrentresearchisfocusedonviolenceagainstpeople withdisability.Lindahasaprofessionalbackgroundinsocialjustice,includingasasolicitoratthe IntellectualDisabilityRightsServiceandanexecutivecommitteememberoftheWomeninPrison AdvocacyNetwork. DrMeganWilliams,fromMuruMariAboriginalhealthunitatUNSW,isadescendentof theWiradjuripeopleofcentralNSWthroughherfather’sfamily.Shehasqualitativeandquantitative researchtraining,specialisinginusingresearchasatoolforcapacitybuilding,andfocussingonthe 68 strengthsofAboriginalpeopletodeterminestrategiestoreducerecidivism,morbidityandmortality post-prisonrelease. NoniWalkerisaSeniorResearchFellowintheAlcoholPregnancyandFASDResearchgroupat TelethonKidsInstitutewithexperienceinpublichealthandhealthpromotion.Herroleistosupport theprojectandclinicalteammembersworkingontheBanksiaHillFASDprojectfundedbythe NHMRCthataimstoimprovethemanagementofyoungpeoplewithFetalAlcoholSpectrum Disorderintheyouthjusticesystem. ProfessorPatrickKeyzerisHeadoftheLaTrobeLawSchoolandChairofLawandPublicPolicyatLa TrobeUniversity.Patrickco-coordinatedthedevelopmentofthisSubmissionwithScottAvery. Patrick’scontributiontothisSubmission,co-writtenwithDarrenO’Donovan,wasrecentlypublished inslightlydifferentform,intheIndigenousLawBulletin.Patrickco-wrotetheEndeavour Foundation’sguidetotheNationalDisabilityInsuranceScheme,Discover.Patrickhaswrittenor editedfivebooksandreportsonthetopicofpreventivedetention,andinhiscapacityasabarrister hasprovidedlegaladvicetotheAboriginalDisabilityJusticeCampaignforsomeyears. DrRuthMcCauslandisaResearchFellowintheSchoolofSocialSciencesatUNSW.ShewascoauthorwithEileenBaldry,LeanneDowse andElizabethMcEntyreoftherecentreportAPredictable andPreventablePath:Indigenouspeoplewithmentalandcognitivedisabilitiesinthecriminaljustice system,andanearlierstudyontheeconomiccostsoftheover-representationofpeoplewithmental andcognitivedisabilitiesinprison.HerPhDwasonevaluationandthediversionofAboriginal womenfromprison,anddevelopedanalternativeapproachtoevaluationofdiversionaryprograms thatcouldprovidemoremeaningfulmeasuresofimpactandwellbeing.RuthisalsoVice-President oftheBoardoftheCommunityRestorativeCentre. ScottAveryisdescendantfromtheWorimipeopleandisthePolicyandResearchDirectoratthe FirstPeoplesDisabilityNetwork(Australia),anon-GovernmentOrganisationconstitutedbyandfor AustralianAboriginalandTorresStraitIslanderPeopleswithdisability.Hehasanextensivecareerin researchandpublicpolicyinAboriginalandTorresStraitIslanderaffairs,health,disability,justice andeducation.HeisundertakingadoctorateonIndigenousdisabilityandistheleadInvestigatoron acommunity-directedresearchprogramwhichhasbeenawardedfundingsupportthroughthe NationalDisabilityResearchandDevelopmentScheme,andisareceiptofascholarshipthroughthe LowitjaInstituteforAboriginalandTorresStraitIslanderHealthResearch. SharynneHamiltonisaNgunnawalwomanfromCanberra.Sharynnehasworkedintheareaof parentalandfamilyengagementinchildprotectionformorethan20yearsasacommunityworker, advocateandscholar.From2010,sheworkedwiththeRegulatoryInstitutionsNetwork’s(Australian NationalUniversity)CommunityCapacityinChildProtectionProjectteamresearchingthe experiencesofcommunityworkers,workingwithfamilieswithchildprotectioninterventions. SharynnejoinedtheTelethonKidsInstituteinAugust2015workingtheAlcohol,PregnancyFASD Researchgroup,undertakingresearchfortheNHMRCscreening,diagnosisandworkforce developmentprojectatBanksiaHillJuvenileDetentionCentre. 69 AssociateProfessorThaliaAnthonyisaLawacademicattheUniversityofTechnologySydney.Hr researchexpertiseisintheareasofcriminallawandprocedureandIndigenouspeopleandthelaw, ThaliaAnthony’sresearchhasinfluencedpolicydevelopmentandpublicdebateregardingremedies forwrongsinflictedonIndigenouspeoples.Herworkhasbeenutilisedinsenatecommitteereports, parliamentarydebate,policyannouncementsandlawreformcommitteereports.Shehas contributedtoHighCourtcases,theworkofUnitedNationscommittees,conductedresearchforthe RoyalCommissionintoInstitutionalResponsestoChildSexualAbuseandappearedbefore parliamentaryinquiriesonIndigenousredress. ResearchAssociates GabriellaRaetzisaResearchAssistantandstudentatLaTrobeUniversitycompletingherfinalyear ofaBachelorofLaws/Arts. HaninaRindisaResearchAssistantandstudentatLaTrobeUniversitycompletingherfinalyearofa BachelorofLaws. 70
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