Protecting the Public?
Protecting the Public?
Detention and release of mentally
disordered offenders
Tessa Boyd-Caine
First published by Willan Publishing 2010
This edition published by Routledge 2012
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Tessa Boyd-Caine 2010
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First published 2010
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Contents
Acknowledgements
As much as it defies orthodoxy to say so, I loved doing my PhD. This was thanks largely to excellent supervision and the ongoing support of great friends, colleagues and family. I undertook my doctorate at the London School of Economics and Political Sciences (LSE) primarily for the opportunity to work with Professors Paul Rock and Jill Peay. I could not have hoped for better supervisors. Their guidance challenged my own boundaries, as well as that of the terrain I was researching. Moreover, the immense respect with which they are held in their respective areas played no small role in the access I obtained to my own field of study. I am most appreciative of their ongoing advice, support and friendship. The Crime and Deviance research seminar at the LSE was another formative environment, albeit at times intimidating. A number of the chapters in this book began as papers to that group and I acknowledge their comments and suggestions with thanks. I also acknowledge institutional support in the form of scholarships and travel funding from the Department of Sociology, LSE and the Central Research Fund of the University of London; and the facilities of the Monash Centre at Prato, which made for the most pleasurable environment in which to draft a chapter.
I am grateful to Paul, Jill, Dr Linsay McGoey and to the publishers reviewers who generously read parts or all of the first draft of this manuscript and provided insightful comments. Throughout the PhD and writing of this book many dear friends and family provided advice and support and I thank them also: Larry Boyd, Barbara Caine, Marina Carman, Megan Clinch, Krisztina Csedo, Peter Dunn, Kim Frost, Chris Hamilton, Emma Keene, Dominic Millgate, Eva Neitzert, Ruth Poisson, Joanne Smith, Julie Stubbs, Gabrielle Walsh and Daniel Woods.
The care of family was a constant source of reassurance as well as providing wonderful locations for respite. I thank Boyds, Caines, Duffys and Murphys in that regard. I am particularly grateful to Barbara for comments on the final draft; and for an immense proofreading effort by Peter Duffy.
Finally, this work could not have been possible without the participation of practitioners, administrators and scholars in the field: Nigel Battson, Jon Basson, Richard Charlton, Jeremy Cooper, Nihal Danis, Mark Darby, Rowena Daw, Sarah Denvir, Nigel Eastman, Kelly Foreman, Julian Gibbs, Nick Hearn, Tony Maden, Richard Mendon, Elizabeth Moody, Claire Ratcliffe, Wendy Robinson, Lucy Scott-Moncrieff, Nigel Shackleford, Penny Snow, Tim Spencer-Lane, Sandra Sullivan, Geoff Tremelling and Jacqui Woodward-Smith. I hope the book provides some small return for their generosity of time and for their insights into the care, treatment and control of mentally disordered offenders.
This book is dedicated to Louise, Vanessa and Rebecca, who provided me with an idyllic Sydney beachside setting at an important point in the writing of it.
Preface
The separation of powers between executive and judicial functions is a crucial principle of law and justice and is central to most democratic penal systems. Yet the exercise of executive discretion remains a key element of decision-making in a number of areas of public policy. These range from the release of certain categories of criminal offenders, to assessing applications from refugees and asylum seekers. Most recently, the worldwide increase in anti-terrorism laws has featured an expansion of executive power on an unprecedented scale, from the detention of suspects without charge or trial, to extending police powers of surveillance and limiting movement. Far from an obsolete process, executive discretion seems to have increasing currency. The common element in each of these areas is the exercise of executive discretion over detention as a measure to contain certain people who are deemed to threaten public safety.
Protecting the Public? analyses the use of executive discretion at the intersection of the criminal justice and mental health systems, through an empirically grounded study of restricted patients in England and Wales. Restricted patients have been convicted of a criminal offence. Instead of being given a prison sentence, they are detained in hospital under the powers of the Mental Health Act 1983. This allows them to be detained indefinitely for the purpose of compulsory treatment of their mental disorder. Once a restricted patient, they become subject to executive discretion, via the powers vested in the Secretary of State. Decisions about the location and level of security of their detention; any change in those conditions; leave from that detention; and discharge to the community all require an order from the Secretary of State. The presence of an independent, quasi-judicial institution is reflected in the powers of the Mental Health Tribunal. However, the Tribunal's power over restricted patients is limited to discharging a patient from hospital into the community, either subject to ongoing conditions or unconditionally. While this is an essential element of the restriction process, it usually comes after a long period of care, treatment and detention, during which time patients have been solely subject to executive discretion.
The book explores what it is about this group of offenders that renders them subject to executive discretion. Why does a cabinet minister make decisions about their discharge and not the psychiatrists or hospitals usually authorized to do so for people detained under the compulsory provisions of mental health legislation? Why not the courts, tribunals and parole boards that determine the release of other offenders? What is it about the conflation of mental illness and criminal offending that necessitates a minister making decisions about movement and discharge, rather than the institutions usually charged with such responsibility?
Underpinning these questions is the increasing dominance of the public protection agenda in various areas of public policy. The function of executive discretion is directly related to the contemporary political (and hence policy) imperative to provide the public with a measure of protection. But this agenda begs many more questions. Who do we mean by the public? How are they protected through the function of executive discretion? Conversely, how is the public protection agenda reflected in the decisions made under executive authority?