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Mr DEAN ( Windermere ) - The local government elections are going quite
well and it could be Councillor Kons shortly.
Madam PRESIDENT - That has nothing to do with mental health legislation.
Mr DEAN - No, it does not. This is a very important matter and I was
delighted to have been on the select committee, albeit I had a bit of
an interrupted phase through the hearing of the witnesses and so on
in relation to this select committee.
Ms Forrest - Called an election, wasn't it?
Mr DEAN - Because of my election and unfortunately I missed out on a
lot of the interesting parts of it, but I have tried to gather that
knowledge on the way through and pick it up again. I am going to talk
briefly in relation to the impact on police. I do not think there is
any doubt at all that one of the most challenging areas for police to
work with is the mental health side of things.
It is very difficult for police to be able to recognise a person who
is suffering with a sickness and who has a mental health issue when
dealing with issues that arise out there in the public. In fact it did
lead, in the early stages shortly after de-institutionalisation, to
a situation where police were finding themselves in some trouble.
There was one case that brought the whole thing to a head, as it were,
with police training. The member for Nelson would well remember the
case which happened here in Hobart where police were called to a situation
in Liverpool Street where a person was acting violently and the police
were unable at that stage to identify the difference between a criminal
act and recognising that this person did in fact have a mental health
problem. The Leader would probably remember that case as well. Leading
from that case a number of police were charged, from memory, as a result
of it. It really changed the way that police were able to react, their
training, what they needed to know et cetera. We were given quite a
lot of evidence through the hearings process in relation to this. At
the time I was an inspector of police here in Hobart and was asked to
put together a submission for police in relation to de-institutionalisation.
I identified then all of these problems that police would experience
with that when it occurred.
Mr Parkinson - Are you talking about holding onto video records of interview?
Mr DEAN - No, that came in a long time after that. What it meant was
that police training was simply increased vigorously in relation to
the way that they treated people and their understanding of mental health
issues.
When we spoke to Professor Malpas he told the committee that he was
involved in ethics training of police recruits at the academy and that
he was now involved in that in a large way. As a result of that he felt
that police were able now to demonstrate a sense of compassion as a
part of their job and that most police were now able to identify reasonably
quickly and easily those suffering with a mental illness. He believes
that that is responsible for the lowering of the rate of complaints
against police officers. Perhaps it is.
Dr Crawshaw made comment in relation to this issue as well, and I will
quote from the paper we have before us:
'
to be much clearer about what happens when someone is taken
into protective custody and what happens in terms of the handover process
with respect to protective custody. There will always be times when,
because of the risk associated, the police or the ambulance service
may well need to assist our clinicians.'
That is another problem that needs to be properly covered for in an
act moving forward and in changes moving forward. Inspector Mark Mewis
identified this as one of the real issues that concerns police, that
when they are involved in these activities, when they do bring a person
in for an assessment, they are required to remain in situ in many instances
for up to four and five hours and at times longer. I had personal experiences
of that myself and also police who were under my command.
Inspector Mark Mewis says this, that police expect their job to finish
after they bring that person into the hospital system. He says that
is when they should be able to leave the precinct and leave the person
in the care of the medical experts and the other people within the hospital
system. I think that is what should happen myself. I think that it needs
to be taken care of. There needs to be proper and effective security
employed within the hospital system to ensure that that occurs. Police
do not have the numbers to take them off the street for the purposes
of remaining in the hospital simply to give some protection to the staff
and to keep some control over a person who is being assessed. It is
not really the responsibility of the police. Many do do the right thing;
on many occasions police are not even called to assist in that situation
but they are there.
Inspector Mark Mewis, who is well known to many members in this Chamber,
a responsible and learned police officer, made this comment:
'We would like to see the legislation reflect the fact that once we
present them to the primary admission centre for assessment, the health
authorities then take responsibility.'
I quote him again:
'The Northern Territory and the ACT both have legislation that quite
clearly states that the primary admission centre will take responsibility
for custody of the person once they are presented. At the moment that
is not the case here; our people will sit there for anything up to four
hours until that person is assessed.'
Well, four hours. I think Inspector Mewis was being careful there because
I know of times when it has been much longer than four hours and I think
many police out there would be able to identify with that. So, maybe
we need to look at the Northern Territory and the ACT and what is happening
around the rest of the country, to come up with a strategy that will
provide the relief that police are entitled to have.
Ms Forrest - It was interesting, too, that there was a witness who talked
about how his son, who had a mental health disorder, was known to the
police, known to the hospital, was brought in from Huonville by the
police and he actually managed to make it back to Huonville before the
police did -
Mr DEAN - Yes, that is right.
Ms Forrest - when he absconded from hospital.
Mr DEAN - That is one situation and that evidence came forward. I was
not a part of the committee but I did read about it through the documentation.
Ms Forrest - We are not really sure how he did it but he managed to
get back before the police.
Mr DEAN - Yes, so that happens and the police are rather frustrated,
I suppose.
Dr Crawshaw made this comment, Madam President, and I quote part of
the comment:
'
the current legislation makes it difficult for all involved.
I fully understand the frustration of the police at having to sit around
for four hours.'
Dr Crawshaw and others are very clearly aware of the problems and the
situations that occur so one would hope that all of our recommendations
are taken on board and that we will see a lot of changes to this act
during the review process.
Another comment of Inspector Mewis I want to quote, Madam President,
is:
'Realistically, the police should only intervene when it really becomes
a matter of public safety or safety to the individual. Beyond that we
really shouldn't be involved. The general principles of human rights
state that police are a last resort in intervening with people suffering
mental illness, for a whole range of reasons. Our preference would be
that that was the case on all occasions.'
There is a tendency to call police for all sorts of situations where
a person has difficulties, where they have been treated at mental institutions,
where in fact the police ought not be called and ought not be there.
People get a little frightened, a little concerned and they see the
police as the easiest to become involved. It is very difficult for police
in those situations to start to use their authority or their service
to help in those situations. It is a difficult one.
We have outlined in the document a number of areas there that we would
like a review to take on board and consider.
Our chairman, the member for Murchison, raised the situation of the
12-year-old. I found that absolutely horrendous. Here we have a mother
responsible for her 12-year-old daughter but she was not able to get
the information that was necessary for her to properly care for her
daughter who had been treated at the mental institution. Really, it
is just a sad situation and I cannot accept that the privacy laws were
ever set up to provide for that situation. I really cannot accept that
because if a parent does not look after a child responsibly they can
be committing offences against that child; neglecting their child, et
cetera, et cetera, but if they do not know what is required and what
is necessary it makes it very difficult for them. It was such a sad
situation.
There was another matter involving an older person at the mental institution
at Launceston, Ward IE. I am not quite sure of the new name, but I have
referred to it in this Chamber before, where a lady was suffering post-natal
depression after the birth of her child, and went into Ward 1E - I refer
to it as Ward 1E at this stage - and was there for some period of time.
She recovered, was given support, and several years later she and her
husband made a decision to have a second child. She again suffered post-natal
depression after the birth of the second child and she was in hospital
for quite some time.
Her next of kin at this stage were in fact her parents and they were
never notified of her release. She had told the staff that she was feeling
well, that she was okay, so she could leave the hospital. Her parents
were never notified of that. Of course an extremely tragic situation
followed, where she arrived home and shortly thereafter, went out and
hanged herself.
It was just tragic, her father, a 60-something-year-old man, crying
like a baby in front of me, explaining the situation and saying that
had he known about her release, they may well have been able to help
their daughter, and the daughter of course left behind two very young
children. There do need to be a lot of changes, but I cannot accept
how the privacy laws were ever set up to interfere with processes such
as these, I really cannot.
Ms Forrest - To exclude family?
Mr DEAN - Pardon?
Ms Forrest - Are you saying it was not set up to exclude family in this
sort of setting? Is that what you are talking about?
Mr DEAN - Yes. To me it is a very, very sad situation, so I would certainly
like to see changes there and I think so would a lot of other people.
I would like to commend our Chairman, the member for Murchison, in the
way she handled this matter and chaired the many meetings that we had
and her contributions to them. If I could also recognise our secretary,
Mrs McLeod here, the Usher of the Black Rod, for her very strong support
of this committee throughout the whole process. Indeed it was extremely
professional and certainly has assisted us tremendously in putting together
this report, so I just thank all the other members.
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