JOHNSON v. THE UNITED KINGDOM
Doc ref: 22520/93 • ECHR ID: 001-45830
Document date: June 25, 1996
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EUROPEAN COMMISSION OF HUMAN RIGHTS
Application No. 22520/93
Stanley Johnson
against
the United Kingdom
REPORT OF THE COMMISSION
(adopted on 25 June 1996)
TABLE OF CONTENTS
Page
I. INTRODUCTION
(paras. 1-16). . . . . . . . . . . . . . . . . . . . . .1
A. The application
(paras. 2-4). . . . . . . . . . . . . . . . . . . .1
B. The proceedings
(paras. 5-11) . . . . . . . . . . . . . . . . . . .1
C. The present Report
(paras. 12-16). . . . . . . . . . . . . . . . . . .2
II. ESTABLISHMENT OF THE FACTS
(paras. 17-47) . . . . . . . . . . . . . . . . . . . . .3
A. The particular circumstances of the case
(paras. 17-36). . . . . . . . . . . . . . . . . . .3
B. Relevant domestic law and practice
(paras. 37-47). . . . . . . . . . . . . . . . . . .7
III. OPINION OF THE COMMISSION
(paras. 48-79) . . . . . . . . . . . . . . . . . . . . 10
A. Complaints declared admissible
(para. 48). . . . . . . . . . . . . . . . . . . . 10
B. Points at issue
(para. 49). . . . . . . . . . . . . . . . . . . . 10
C. As regards Article 5 para. 1(e) of the Convention
(paras. 50-73). . . . . . . . . . . . . . . . . . 10
CONCLUSION
(para. 74). . . . . . . . . . . . . . . . . . . . 14
D. As regards Article 5 para. 4 of the Convention
(paras. 75-76). . . . . . . . . . . . . . . . . . 14
CONCLUSION
(para. 77). . . . . . . . . . . . . . . . . . . . 15
E. Recapitulation
(paras. 78-79). . . . . . . . . . . . . . . . . . 15
SEPARATE, PARTLY DISSENTING OPINION OF MR. S. TRECHSEL . . 16
DISSENTING OPINION OF MR. F. MARTINEZ . . . . . . . . . . . 18
APPENDIX : DECISION OF THE COMMISSION AS TO THE
ADMISSIBILITY OF THE APPLICATION . . . . . . 19
I. INTRODUCTION
1. The following is an outline of the case as submitted to the
European Commission of Human Rights, and of the procedure before the
Commission.
A. The application
2. The applicant is a British citizen, born in 1947 and resident in
Leicester. He was represented before the Commission by Mr. A.K.
Bergman, a solicitor practising in Leicester.
3. The application is directed against the United Kingdom. The
respondent Government were represented by Mr. Martin Eaton, Agent,
Foreign and Commonwealth Office.
4. The case concerns the applicant's detention in a mental
institution after successive Mental Health Review Tribunals found him
mentally sound. The applicant mainly invokes Article 5 para. 1(e) of
the Convention.
B. The proceedings
5. The application was introduced on 8 July 1993 and was registered
on 24 August 1993.
6. On 1 December 1993 the Commission (First Chamber) decided,
pursuant to Rule 48 para. 2 (b) of its Rules of Procedure, to give
notice of the application to the respondent Government and to invite
the parties to submit written observations on the admissibility and
merits of the applicant's complaints under Article 5 para. 1 of the
Convention.
7. The Government's observations were submitted on 25 April 1994
after one extension of the time-limit fixed for this purpose. The
applicant replied on 18 July 1994 after one extension of the time-
limit. On 17 May 1994 the Commission granted the applicant legal aid
for the representation of his case.
8. On 16 January 1995 the Commission (Plenary) decided to hold a
hearing of the parties. The applicant submitted further written
observations on 5 May 1995. The hearing was held on 18 May 1995. The
Government were represented by Mr. Martin Eaton, Agent, Foreign and
Commonwealth Office, and Mr. James Eadie, Counsel, together with Ms.
Rosemary Davies and Mr. Nigel Shackleford as advisers. The applicant
was represented by Mr. Edward Fitzgerald, Q.C., Mr. Oliver Thorrold,
Counsel and Mr. Andrew Bergman, Solicitor.
9. On 18 May 1995 the Commission declared admissible the applicant's
complaints about the lawfulness of his detention after June 1989 and
its judicial control. It declared inadmissible the remainder of the
application.
10. The text of the Commission's decision on admissibility was sent
to the parties on 2 June 1995 and they were invited to submit such
further information or observations on the merits as they wished. No
such further information or observations were received.
11. After declaring the case admissible, the Commission, acting in
accordance with Article 28 para. 1 (b) of the Convention, also placed
itself at the disposal of the parties with a view to securing a
friendly settlement. In the light of the parties' reaction, the
Commission now finds that there is no basis on which such a settlement
can be effected.
C. The present Report
12. The present Report has been drawn up by the Commission in
pursuance of Article 31 of the Convention and after deliberations and
votes, the following members being present:
MM. S. TRECHSEL, President
H. DANELIUS
E. BUSUTTIL
G. JÖRUNDSSON
A. WEITZEL
H.G. SCHERMERS
F. MARTINEZ
Mrs. J. LIDDY
MM. L. LOUCAIDES
B. MARXER
M.A. NOWICKI
B. CONFORTI
N. BRATZA
J. MUCHA
A. PERENIC
C. BÎRSAN
13. The text of this Report was adopted on 25 June 1996 by the
Commission and is now transmitted to the Committee of Ministers of the
Council of Europe, in accordance with Article 31 para. 2 of the
Convention.
14. The purpose of the Report, pursuant to Article 31 of the
Convention, is:
(i) to establish the facts, and
(ii) to state an opinion as to whether the facts found disclose
a breach by the State concerned of its obligations under
the Convention.
15. The Commission's decision on the admissibility of the application
is annexed hereto.
16. The full text of the parties' submissions, together with the
documents lodged as exhibits, are held in the archives of the
Commission.
II. ESTABLISHMENT OF THE FACTS
A. The particular circumstances of the case
17. On 8 August 1984 the applicant was convicted of causing actual
bodily harm, for which the maximum sentence is five years'
imprisonment. The circumstances of the offence were that the applicant
had, for no apparent reason, punched a pregnant woman in the stomach
and head as she walked down the street. The applicant had been
previously convicted of an assault on his mother in 1974, of an assault
on a girl in 1977 and of two further assaults in 1981.
18. The applicant was, at the time of his conviction in 1984, found
to be suffering from mental illness involving delusions of conspiracy
and "astral beings". Therefore the trial court made him subject to a
hospital order under section 37 of the Mental Health Act 1983, together
with a restriction order under section 41 of the same Act. The hospital
order specified that the applicant was suffering from "mental illness".
The section 41 order imposed restrictions on his discharge without
limit of time.
19. On 15 August 1984 the applicant was admitted to Rampton Hospital,
a maximum security psychiatric institution, where he was diagnosed by
the Responsible Medical Officer ("RMO") as suffering from schizophrenia
superimposed on a psychopathic personality. Subsequently, the
applicant's case was considered by successive Mental Health Review
Tribunals ("the Tribunal") and the background to these reviews,
together with the psychiatric and social work evidence before those
Tribunals, is outlined below.
1986 Review
20. Before the Tribunal, the psychiatric reports of both the RMO and
the applicant's psychiatrist confirmed the continued existence of
mental illness in addition to a drug problem. The applicant was also
reported as having been devious with staff and dishonest about his
problems. Neither psychiatrist recommended any change in the
applicant's status. On 17 December 1986 the Tribunal therefore ordered
that the applicant continue to be detained.
1987 and 1988 Reviews
21. The applicant's case was again considered by the Tribunal on 14
August 1987 and 10 February 1988. No direction for discharge or
reclassification was made, as it was found that the applicant required
treatment in hospital for his own health and safety and for the
protection of others.
1989 Review
22. Three reports were before the Tribunal. In the first place, the
RMO reported that the applicant was free of any symptoms of mental
illness. However the RMO noted that the applicant was in need of
rehabilitation and was not therefore fit for full discharge. Secondly,
an independent psychiatrist, Dr. C, was of the view that the applicant
was "a schizoid personality with a history of explosive anti-social
behaviour induced by intoxication" and that, while the applicant had
some insight into his problems, he would benefit from a stay in a
hostel for people with drink problems as a half-way house prior to full
discharge. Dr. C indicated that he had asked the staff of a hostel if
they would arrange to visit the applicant.
23. Thirdly, a further psychiatric report of Dr. E dated 5 May 1989
recognised the likelihood that the applicant had suffered from a brief
drug-induced psychosis at the time of his offence and original
admission to Rampton Hospital. It stated that by May 1989 the applicant
was showing no evidence of mental illness and that under the
circumstances the applicant was not detainable under the mental health
legislation and should be discharged. The report concluded by noting
that Dr. C had indicated that he was willing to provide a hostel place
for the applicant.
24. The Tribunal hearing took place on 15 June 1989 and the Tribunal
held as follows:
"The Tribunal accepts the medical evidence that the patient is
not now suffering from mental illness. The episode of mental
illness from which he formally suffered has come to an end."
However, the Tribunal went on to note that the applicant had an
unrealistic opinion of his ability to live on his own in the community
after nearly five years in a hospital and required rehabilitation under
medical supervision. The Tribunal was of the opinion that the
"recurrence" of mental illness requiring recall to hospital "could not
be excluded" without successful rehabilitation. The Tribunal therefore
ordered the applicant's conditional discharge, the conditions being
that the applicant attend a supervised hostel and be supervised by a
psychiatrist and a social worker. The applicant's discharge was to be
deferred until arrangements could be made for suitable accommodation.
1990 Review
25. A social work report dated 6 October 1989 indicated that a hostel
place had not yet been found for the applicant and that when the
applicant visited hostels he had appeared intent on portraying himself
unfavourably, thus failing to make a good impression on the hostels.
26. A further social work report dated 4 April 1990 described the
search for hostels. It was noted that progress on finding a hostel had
been disappointing despite considerable efforts having been made. The
applicant had visited two hostels, one of which rejected him almost
immediately. The second hostel, Ashcroft Hostel, remained interested
but with some reservations. A third hostel rejected the applicant
without seeing him. The Housing Associations running hostels in
conjunction with the Leicestershire Probation Service also felt unable
to offer the applicant any hope for some time, given staff composition.
Common concerns were expressed by all the hostels in question. Those
concerns related to the applicant's attitude to his drinking problem,
his history of assaults on women which had to be taken into
consideration since all of the hostels had female members of staff and
the applicant's lack of appreciation of the life style needed to
achieve a successful rehabilitation.
27. That report also went on to point out that almost all
possibilities as regards hostels had been exhausted and that Ashcroft
Hostel was "ultimately the only viable option", which was subject to
the applicant accepting an eight week trial period in an open ward in
another hospital. The applicant had stated that he would consider the
proposition of the trial period but that he still wished to go ahead
with his forthcoming review by the Tribunal because he hoped for an
absolute discharge. In concluding, the social work report indicated
that, if the applicant was left to his own devices and discharged
without support, he would get back into trouble quickly.
28. On 9 May 1990 the Tribunal, having heard the applicant who
presented his own application, noted that the necessary arrangements
for supervised accommodation had not been easy to make "probably
because the patient is himself not easy to please". The Tribunal
accepted the reasoning of the 1989 Tribunal and noted that the
applicant would infinitely prefer an absolute discharge but felt that
it was in the interests of the applicant and the public that "he remain
liable to hospital recall and to have the support that is assured by
a discharge that is conditional". Accordingly, the Tribunal directed
the applicant's conditional discharge but deferred the discharge until
suitable arrangements had been made for supervised accommodation.
1991 Review
29. On 10 September 1990 the applicant commenced trial leave at
another hospital which was less secure than Rampton Hospital. On 9
October 1990 the applicant, having been to a local pub, assaulted
another patient (due, according to the applicant, to some provocation)
and he was returned to Rampton Hospital on 22 October 1990. The
applicant was given the choice to return to the pre-discharge unit at
Rampton Hospital, where he could pursue other pre-discharge
possibilities, or to go to another ward containing more long-term
patients. The applicant chose the latter option.
30. In December 1990 the applicant was reported, by his then
supervising psychiatrist, Dr. C., as having terrorised staff at the
hospital which he attended during his trial leave, as having assaulted
a fellow patient and as having rejected any attempt at rehabilitation.
It was also indicated that the applicant was suffering from "an
explosive disorder of personality" which meant that when he was not in
the middle of an explosion he was "not in the formal sense mentally
ill". In addition, it was noted that intoxication played some part in
the breakdown of the rehabilitation process and that such explosions
were likely to reoccur whenever the applicant was discharged into the
community with access to intoxicants. Dr. C. concluded by stating that
he was pessimistic about the applicant's future and that he would be
unwilling to take on the role of supervising psychiatrist in the
future.
31. The RMO's report to the Tribunal concluded as follows:
" is not mentally ill and does not require to
remain in Rampton Hospital. Since June 1989 attempts to obtain
his conditional discharge have been foiled by his inability to
cooperate with the arrangements made and it is now difficult to
envisage any conditions of his discharge that would be acceptable
to ."
32. A further social work report dated 22 January 1991 reiterated
concerns in relation to the applicant's attitude to alcohol and drugs,
and to his resistance to treatment for this.
33. On 9 April 1991 the Tribunal found that the applicant was not
suffering from mental illness, psychopathic disorder, severe mental
impairment or mental impairment or from any of those forms of disorder
of a nature or degree which made it appropriate for him to be detained
in hospital for medical treatment. However, the Tribunal was satisfied
that it was appropriate for the applicant to remain liable to be
recalled to hospital for further treatment. The reasons given were that
the applicant did not accept sufficient responsibility for his own
behaviour to be able to cope with the pressures of life in the
community without a considerable degree of supervision and support.
Hence the applicant was again ordered to be conditionally discharged,
such discharge to be deferred until alternative supervised
accommodation could be found.
1993 Review
34. Prior to the applicant's final review he was assessed by the RMO,
who indicated that the applicant had no mental illness symptoms and
that, provided the topic of rehabilitation was avoided, the applicant
was constantly pleasant, friendly and cooperative. This psychiatrist,
Dr. W, concluded as follows:
"There is no basis for continuing to be
classified as suffering from mental illness and with the benefit
of hindsight it appears unlikely that he ever experienced more
than a drug induced psychosis. ... He does not require to remain
in Rampton Hospital but it is difficult to envisage any
conditions of his discharge that would be acceptable to him and
his current application for an absolute discharge must now be
considered on its merits."
35. On 12 January 1993 the Tribunal ordered the applicant's absolute
discharge on the basis that the applicant:
"is not now suffering from any form of mental disorder and that
it is not appropriate for the patient to remain liable to be
recalled to hospital for further treatment."
It noted that the RMO, Dr. W, had stated that the applicant had
not suffered from mental illness since 1987, that the applicant was not
receiving any treatment from the hospital in any sense of the word and
that he was "often acting more like a member of staff than a patient"
in his role on the ward.
36. The applicant was released from Rampton Hospital on 21 January
1993 and, since then, he has not been convicted of any other crimes or
relapsed into mental illness.
B. Relevant domestic law and practice
Mental disorder
37. Section 1(2) of the Mental Health Act 1983 ("the 1983 Act")
defines "mental disorder" as mental illness, arrested or incomplete
development of mind, psychopathic disorder and any other disorder or
disability of mind. A personality disorder would not, of itself,
justify detention unless it came within the definition of psychopathic
disorder.
Hospital order
38. Section 37 of the 1983 Act empowers a court to order a person,
on being convicted of a criminal offence, to be admitted to and
detained in a specified hospital ("a hospital order").
39. The court can only make a hospital order if it is satisfied on
the evidence of two registered medical practitioners that the offender
is mentally disordered (see above) and that -
"1. the disorder is of a nature or degree which makes it
appropriate for him to be detained in a hospital for
medical treatment, and in the case of psychopathic disorder
or mental impairment, that such treatment is likely to
alleviate or prevent a deterioration of his condition; and
2. the court is of the opinion ... that the most suitable
method of disposing of the case is by [a hospital order]."
Restriction order
40. Section 41 of the 1983 Act empowers a court to make a restriction
order (without limit of time) at the same time as it makes a hospital
order. The restriction order gives the Secretary of State, inter alia,
increased powers over the movement of a patient and may be made if it
appears to the court (having regard to the nature of the offence, the
antecedents of the offender and the risk of his committing further
offences if set at large) that it is necessary for the protection of
the public from serious harm to make the order.
The Mental Health Review Tribunal ("the Tribunal")
41. Under section 70 of the 1983 Act, a person who is subject to a
hospital order and restriction order ("a restricted patient"), and who
is detained in hospital, can apply to the Tribunal after six months'
detention for a review of his detention. After twelve months' detention
such applications can be made annually. The Secretary of State may at
any time refer the case of a restricted patient to the Tribunal
(section 71 of the 1983 Act). Tribunals are made up of a legally
qualified member who sits as the chairperson, a medically qualified
member who interviews the patient and a lay member.
Absolute discharge
42. Under section 73(1) and (2) of the 1983 Act, read with section
72(1), where an application is made to the Tribunal by a restricted
patient or where his case is referred to the Tribunal by the Secretary
of State, the Tribunal is required to direct the absolute discharge of
the patient if satisfied -
(a) (i) that the patient is not then suffering from mental
illness, psychopathic disorder, severe mental impairment or
mental impairment or from any of those forms of disorder of
a nature or degree which makes it appropriate for the
patient to be liable to be detained in a hospital for
medical treatment; or
(ii) that it is not necessary for the health or safety of
the patient or for the protection of other persons that he
should receive such treatment; (section 73(1) of the 1983
Act) and
(b) that it is not appropriate for the patient to remain liable
to be recalled to hospital for further treatment (section
73(2) of the 1983 Act).
43. Pursuant to section 73(3), where a patient is absolutely
discharged he ceases to be liable to be detained by virtue of the
hospital order and the restriction order ceases to have effect.
Conditional discharge
44. Under section 73(2) of the 1983 Act, where the Tribunal is
satisfied as to either of the matters referred to at (a) in paragraph
42 above but not as to the matter referred at (b) in paragraph 42
above, it is required to direct the conditional discharge of the
patient - this power of conditional discharge being designed for the
support of the patient in the community and for the protection of the
public (R v. Merseyside Mental Health Tribunal ex parte K (1990).
45. By virtue of section 73(4) of the 1983 Act, a patient who has
been conditionally discharged may be recalled by the Secretary of State
and must comply with the conditions attached to his discharge. In
contrast with absolute discharge, a conditionally discharged patient
does not cease to be liable to be detained by virtue of the relevant
hospital order.
46. Under section 73(7) of the 1983 Act, a Tribunal can defer a
direction for the conditional discharge of a restricted patient until
such arrangements, as appear to be necessary for the purpose of
discharge, have been made to their satisfaction. However, in the case
of restricted patients, whose discharge has been accordingly deferred,
the Tribunal does not have the power to direct the discharge if the
specified conditions are not fulfilled or to adjourn its consideration
of the case to await further developments or to recommend that the
patient be granted leave of absence or to specify a time within which
the conditions are to be complied with and to re-convene the
proceedings failing such compliance with the time fixed. However, once
the case comes back before the Tribunal on an application by the
patient (which at the earliest will be the following year) or on a
reference from the Secretary of State (which may be at any time) the
Tribunal must consider the case afresh.
47. The Secretary of State may also order a patient's conditional or
absolute discharge (section 42 of the 1983 Act).
III. OPINION OF THE COMMISSION
A. Complaints declared admissible
48. The Commission has declared admissible the applicant's complaints
about the lawfulness and judicial control of his detention after June
1989.B. Points at issue
49. Accordingly, the issues to be determined by the Commission are:
- whether there has been a violation of Article 5 para. 1
(Art. 5-1) of the Convention in relation to the applicant's
detention after June 1989, and
- whether there has been a violation of Article 5 para. 4
(Art. 5-4) of the Convention in relation to the applicant's
detention after June 1989.
C. As regards Article 5 para. 1 (Art. 5-1) of the Convention
50. Article 5 para. 1 (Art. 5-1) of the Convention, insofar as
relevant, provides as follows:
"1. Everyone has the right to liberty and security of person. No
one shall be deprived of his liberty save in the following cases
and in accordance with a procedure prescribed by law: ...
(e) the lawful detention ... of persons of unsound mind,
..."
1. As to applicability
51. The Commission notes that there was a "conviction" within the
meaning of Article 5 para. 1(a) (Art. 5-1-a) of the Convention but
considers that, in view of the fact that the applicant was not dealt
with by way of punishment but rather by way of committal to a
psychiatric institution for treatment for a mental illness pursuant to
the Mental Health Act 1983 ("the 1983 Act"), Article 5 para. 1(e)
(Art. 5-1-e) is applicable (Eur. Court H.R., X v. the United Kingdom
judgment of 5 November 1981, Series A no. 46, pp. 17-18, paras. 38-39).
2. As to the merits
52. The applicant's main argument is that the basis for his original
detention was his mental disorder and that the Mental Health Review
Tribunal ("the Tribunal") accepted in June 1989 that he was no longer
suffering from any such disorder. Accordingly, he should have been
discharged immediately and unconditionally. Instead his discharge was
made conditional on psychiatric and social worker supervision and on
the applicant spending a period of rehabilitation in a hostel. His
discharge was indefinitely deferred pending the location of an
appropriate hostel. His detention after June 1989 was, therefore, in
violation of Article 5 para. 1(e) (Art. 5-1-e) of the Convention. The
fact that the Tribunals of June 1989 and thereafter were of the opinion
that a recurrence of the episode of mental illness "could not be
excluded" did not provide any lawful basis in Convention terms for the
applicant's further detention - the diagnosis that the applicant no
longer suffered from mental illness remained constant after June 1989.
53. The applicant also submits that his detention after June 1989 was
arbitrary as evidenced by the fact, inter alia, that there was no real
change in the position between June 1989 and January 1993 - it was
simply the passage of time which prompted his discharge. The imposition
of pre-conditions on his discharge constituted, of itself, a further
deprivation of liberty in that the conditions required compulsory
residence at a hostel subject to severe restrictions. For those
additional reasons his detention after June 1989 was in violation of
Article 5 para. 1 (Art. 5-1).
54. As to the conditional release procedure, the Government submit
that the conditional release of the applicant was recommended by the
relevant psychiatric experts as being necessary in order to provide for
the applicant's rehabilitation into the community after a considerable
period of time in a psychiatric institution. The Government argue that
such a conditional release procedure and the deferral of that release
in the present case pending suitable accommodation being found, was a
sensible and necessary measure falling within the margin of
appreciation afforded to the State by the Convention. To interpret the
Convention in any other way would lessen the availability and
effectiveness of care in the community for those who have suffered from
mental illness and result in an unacceptable risk to the public. In the
circumstances of the present case, an appropriate balance had to be and
was found between the interests of the applicant and those of the
public. The Government add, inter alia, that the successive Tribunals
were attempting to release the applicant in an appropriate manner and
not to detain him. It was the applicant's failure to co-operate with
the conditional release procedure that led, at least in part, to his
not being released until 1993.
55. Finally, the Government do not accept that the applicant's
detention after June 1989 was arbitrary and do not agree that the
conditions imposed on the applicant were such as to amount to a
deprivation of liberty within the meaning of Article 5 para. 1
(Art. 5-1) of the Convention.
56. The Commission recalls that detention under Article 5 para. 1(e)
(Art. 5-1-e) of the Convention must, in the first place, be "lawful".
This term presupposes conformity with the procedural and substantive
rules of domestic law. However, the detention must also be in
conformity with the object and purpose of Article 5 para. 1 (Art. 5-1)
of the Convention which is to ensure that no one is deprived of his or
her liberty in an arbitrary fashion. In this latter respect, the
Commission recalls that, except in emergency cases, an individual
should not be deprived of his or her liberty under Article 5 para. 1(e)
(Art. 5-1-e) of the Convention unless three criteria have been
fulfilled. In the first place, the individual must have been shown to
be of unsound mind on the basis of objective medical expertise.
Secondly, the mental disorder must be of a kind warranting compulsory
confinement. Thirdly, the validity of the continued confinement depends
upon the persistence of such a disorder (Eur. Court H.R., Winterwerp
judgment of 24 October 1979, Series A no. 33, pp. 17-18, para. 39).
57. As to the basis in domestic law for the applicant's detention
after June 1989, the Commission notes the powers of the Tribunal to
order conditional discharge and to defer that discharge (section 73(2)
and (7) of the 1983 Act). It considers that the applicant's detention
after June 1989 was in accordance with domestic law.
58. As to the three criteria laid down in the Court's Winterwerp
judgment which are designed to avoid arbitrariness and to ensure the
"lawfulness" of the detention of persons of unsound mind, the
Commission notes that, since the applicant's original committal to the
psychiatric institution is not in issue, the first two criteria do not
arise for consideration in this case. The Commission would add that it
is not of the view that Dr. W's comments in 1993, to the effect that
it was unlikely that the applicant had ever suffered from anything
other than a drug-induced psychosis, raise issues as to the compliance
of the applicant's original detention with Article 5 para. 1(e)
(Art. 5-1-e) of the Convention.
59. As to the third of these criteria, relating to the "persistence"
of the mental disorder, the Commission notes the following. On the one
hand, it is clear that the Tribunal accepted in June 1989 that, not
only did the applicant not suffer from mental illness warranting
confinement, but that he did not suffer from mental illness at all.
However, the Tribunal ordered the conditional discharge of the
applicant and, most importantly, deferred that discharge pending the
availability of suitable supervised accommodation.
60. On the other hand, the Commission notes the constructive and
practical nature of the Tribunal's reasons for deferring the
applicant's detention namely, its concern to ensure, in the interests
of the applicant himself and of the public, that the applicant
successfully re-entered the community and that the risk of his re-
offending was minimised.
61. The Commission has therefore considered whether this criterion,
relating to the persistence of the mental disorder, means that once it
is established that the individual no longer suffers from a mental
disorder the individual must be released immediately and
unconditionally, as the applicant submits, or whether it contains an
element of flexibility allowing the relevant authority a measure of
discretion as to the time at which, and the conditions under which, a
psychiatric detainee is discharged.
62. In this respect, the Commission notes that the Court in the
Winterwerp judgment itself referred to "emergency" situations as
constituting an exception to the criteria noted above when a person is
initially detained (Eur. Court H.R., Winterwerp judgment, loc. cit.,
p. 18, para. 39). In such situations, the interests of the community
and of the person so detained allow a certain measure of flexibility.
63. In addition, the Commission recalls that the Court has held, in
a case where psychiatric and other evidence was presented to the
relevant authorities to the effect that an individual no longer
suffered from a mental disorder, that a certain margin of appreciation
is accorded to the authorities in deciding whether the individual
should continue to be detained as a person of unsound mind (Eur. Court
H.R., Luberti judgment of 23 February 1984, Series A no. 75, p. 12,
para. 27). The Court observed that:
"The termination of the confinement of an individual who has
previously been found by a court to be of unsound mind and to
present a danger to society is a matter that concerns, as well
as that individual, the community in which he will live if
released. ... Accordingly, the had to
proceed with caution and needed some time to consider the case."
(p. 14, para. 29)
64. Subsequently, and again in the context of a complaint about the
delay of the relevant authorities in reaching a decision to discharge
a psychiatric detainee, the Commission found that, given the State's
margin of appreciation in such matters, the national authorities had
to proceed with caution and needed time to consider cases of
individuals who had been found by the domestic courts to be of unsound
mind and to present a danger to the public (No. 10213/82, Dec. 9.10.85,
D.R. 47 p. 36).
65. The Commission considers that a similar margin of appreciation
applies as regards the lawfulness of detention of a patient under
Article 5 para. 1 (Art. 5-1) of the Convention, even when it has been
accepted by the relevant authorities that the mental disorder no longer
exists and when the authorities are considering the appropriate method
of discharging an individual, this determination likewise involving the
balancing of the interests of that individual and of the public.
66. In the present case, in light of the nature of the applicant's
earlier convictions and the considerable evidence before the Tribunal
in May 1989 as to the necessity for his rehabilitation before his
discharge into society, the Commission considers that the Tribunal in
June 1989 was entitled to proceed with caution and with due regard to
the interests of the community. It could, in principle, have been
justified in deciding that a phased discharge was called for even if
this entailed some period of deferment of the applicant's release.
67. However, such a release cannot be indefinitely deferred. The
Commission recalls the general principle that the exceptions to the
applicant's right to liberty set out in Article 5 para. 1 (Art. 5-1)
of the Convention call for a narrow interpretation (cf. Eur. Court H.R.
Winterwerp judgment, loc. cit., p. 16, para. 37). The margin of
appreciation afforded to the national authorities, allowing a deferral
of the discharge of a person who has been found to have recovered from
mental illness, must be correspondingly limited and must be subject to
strict procedural safeguards to ensure the discharge of such a person
at the earliest opportunity.
68. The Commission finds that the necessary safeguards were lacking
in the present case. The Commission notes that in its decision of June
1989 the Tribunal deferred the conditional discharge of the applicant
pending the finding of suitable supervised accommodation. At the time
of the Tribunal's decision no detailed examination of the availability
of such accommodation appears to have been carried out. Nor was there
any certainty as to whether, and if so when, a suitable hostel might
be found. The best evidence as to the availability of hostel
accommodation at that stage was that of Dr. C. who, in his report to
the Tribunal, indicated that he had asked the staff at a particular
hostel to visit the applicant.
69. Moreover, the Commission notes that, in deferring the discharge
of the applicant on these terms, the Tribunal had no powers to ensure
that the conditional discharge of the applicant was not unduly delayed.
In particular, the Tribunal was not empowered to direct that, in the
event that no suitable accommodation should become available within a
fixed period, the applicant should be discharged or that the matter
should be referred back to the Tribunal for further consideration or
directions. In the absence of such powers, the practical effect of the
Tribunal's decision was that, if suitable accommodation could not for
whatever reason be found in the meantime, the applicant would remain
in detention in Rampton Hospital for at least a further twelve months,
being the earliest date on which the applicant could require a further
review by the Tribunal. It is true that, at all times, the Secretary
of State had powers to order the discharge (conditionally or
absolutely) of the applicant and to refer the matter back to the
Tribunal. However, such powers are discretionary and were not at any
stage exercised in the applicant's case.
70. In the event, since no suitable accommodation could be found
despite the efforts of the authorities, the applicant continued to be
detained until the next review in 1990 when his conditional discharge
was again deferred on the same terms, as it was again in the 1991
review. In consequence, apart from the short period of trial leave, the
applicant remained in detention at Rampton Hospital for a period of
over three and a half years after he had been found to be no longer
suffering from any mental illness.
71. Accordingly, the Commission finds that the deferment of the
applicant's discharge on 15 June 1989 and thereafter failed to comply
with the requirements of Article 5 para. 1(e) (Art. 5-1-e) of the
Convention.
72. The Commission therefore concludes that, in the circumstances
described above, the applicant's continued detention after June 1989
constituted a violation of Article 5 para. 1 (Art. 5-1) of the
Convention.
73. In light of the above conclusion, the Commission does not
consider it necessary to examine the further issues raised by the
parties under Article 5 para. 1 (Art. 5-1) of the Convention, including
the question whether the applicant's residence in a supervised hostel
would also have amounted to a deprivation of liberty within the meaning
of that Article.
CONCLUSION
74. The Commission concludes, by 15 votes to 1, that in the present
case there has been a violation of Article 5 para. 1 (Art. 5-1) of the
Convention.
D. As regards Article 5 para. 4 (Art. 5-4) of the Convention
75. As regards Article 5 para. 4 (Art. 5-4) of the Convention, the
applicant submits, inter alia, that the Tribunal did not have the power
either to direct his immediate release to a specific hostel in such a
way as to oblige that hostel to accept him or to compel the authorities
to provide supervised accommodation within a specific period of time.
This lack of power meant that the Tribunal's supervision of the
lawfulness of his continuing detention was inadequate.
76. In light of the conclusion in relation to Article 5 para. 1
(Art. 5-1) of the Convention noted above, the Commission does not
consider that this complaint of the applicant gives rise to any
separate issue.
CONCLUSION
77. The Commission concludes, by 15 votes to 1, that the applicant's
complaint under Article 5 para. 4 (Art. 5-4) of the Convention does not
give rise to any separate issue.
E. Recapitulation
78. The Commission concludes, by 15 votes to 1, that in the present
case there has been a violation of Article 5 para. 1 (Art. 5-1) of the
Convention (para. 74).
79. The Commission concludes, by 15 votes to 1, that the applicant's
complaint under Article 5 para. 4 (Art. 5-4) of the Convention does not
give rise to any separate issue (para. 77).
Secretary to the Commission President of the Commission
(H.C. KRÜGER) (S. TRECHSEL)
(Or. English)
SEPARATE, PARTLY DISSENTING OPINION OF MR. S. TRECHSEL
I am in agreement with my colleagues that there has been, in the
present case, a violation of Article 5 para. 1. However, in my view the
applicant's detention was not yet unlawful after 15 June 1989.
Considering the nature of the applicant's earlier convictions and the
considerable evidence before the Tribunal in May 1989 as to the
necessity for his rehabilitation before his discharge into society, I
find that the Tribunal in June 1989 was entitled to proceed with
caution and with due regard to the interests of the community. It was
justified in deciding that a phased discharge was called for even
though this entailed some period of deferment of the applicant's
release.
However, such a release cannot be indefinitely deferred. The
exceptions to the applicant's right to liberty set out in Article 5
para. 1 of the Convention call for a narrow interpretation (cf. Eur.
Court H.R. Winterwerp judgment of 24 October 1979, Series A no. 33, p.
16, para. 37). The margin of appreciation afforded to the national
authorities, allowing a deferral of the discharge of a person who has
been found to have recovered from mental illness, must be
correspondingly limited in order to ensure the discharge of such a
person at the earliest opportunity.
Subsequent to June 1989 considerable efforts were made by the
authorities to locate an appropriate hostel which would accept the
applicant and numerous difficulties had been encountered by them in
this respect as evidenced by the social work reports dated 6 October
1989 and 4 April 1990. I also note that prior to the Tribunal review
in May 1990 it had been established that Ashcroft Hostel would be
prepared in principle to accept the applicant and it is understandable
that the Tribunal in May 1990 would have wished to pursue this option.
Nevertheless, Ashcroft Hostel had already expressed some
reservations and, in addition, had imposed what amounted to a further
condition on the applicant's already conditional discharge namely, the
successful completion of an eight week trial period in another but less
secure hospital. Therefore a decision by the Tribunal to pursue that
option, and again to defer the applicant's discharge, could have
necessarily involved a further delay before the applicant would be
conditionally discharged to Ashcroft Hostel if at all. Moreover, at
that stage almost a year had already passed since the applicant had
been diagnosed as having recovered from mental illness and the Tribunal
in May 1990 accepted that this diagnosis had not changed.
It is true that the applicant's attitude, which was squarely
opposed to anything other than his absolute discharge appears to have
affected, at least to some extent, his acceptance by hostels. However,
it is equally true that some of the fears expressed by hostels (the
nature of the applicant's past convictions) related to matters which
were then beyond the applicant's control. In addition, the Commission
considers that such comportment on the part of the applicant cannot
constitute a ground for his continued detention.
Accordingly, I conclude that the Tribunal's decision in May 1990
to defer again the applicant's discharge pending the realisation of the
relevant condition of hostel residence failed to comply with the
requirements of Article 5 para. 1(e) of the Convention. Therefore, in
my view it was only the applicant's detention after May 1990 which
constituted a violation of Article 5 para. 1 of the Convention.
On the other hand, I cannot agree with the majority on the issue
raised under Article 5 para. 4 of the Convention. The conclusion, that
no separate issue arises as regards the procedural guarantees in
paragraph 4 and the substantive rights under paragraph 1 of Article 5,
renders the link between these two paragraphs too close.
In fact, the right to take proceedings before a court with a view
to having the lawfulness of one's detention ascertained arises
independently from the question of whether that detention is lawful or
not. In my view, the scope of Article 5 para. 4 is perceived too
narrowly if it is reduced to a protection against an individual's
unlawful detention. The possibility of having the legality of one's
deprivation of liberty supervised by a court also serves to give the
detainee a feeling of security in that he or she has the protection of
an independent and impartial body before which he or she is entitled
to fair proceedings as regards detention.
In the present case, not only was the applicant unlawfully
detained but he was also denied the protection of these procedural
guarantees in Article 5 para. 4 of the Convention. Accordingly, it is
my opinion that this does indeed raise a separate issue. This approach
is also in line with the case-law of the Court (Eur. Court H.R.,
Bouamar judgment of 29 February 1988, Series A no. 129, p.22,
para. 55).
(Or. français)
OPINION DISSIDENTE DE M. F. MARTINEZ
Malheureusement, je suis en désaccord avec mes collègues de la
Commission. A leur avis, le requérant a été victime d'une violation de
l'article 5 par. 1 de la Convention, avis que je ne partage pas.
Je peux accepter le rapport de la Commission jusqu'au par. 67
inclus. Ce sont les paragraphes 68 et suivants qui me font diverger.
La Commission a conclu, aux paragraphes 71 et 72 que le fait que
le requérant a continué à être maintenu à l'Hôpital après le
15 juin 1989 constituait une violation de l'article 5 par. 1 de la
Convention. C'est-à-dire, pour ne pas violer la Convention, il aurait
dû être mis en liberté ce jour-là.
Mais à ladite date, le tribunal décida que, bien que le requérant
ne souffrît pas d'une maladie mentale, il n'était cependant pas en état
de vivre en pleine liberté, car il aurait représenté un danger pour la
société et lui-même.
Dans ces conditions, je vois une certaine contradiction entre les
conclusions de la majorité de la Commission et le raisonnement qu'elle
développe aux paragraphes 56 à 65 de son rapport.
Pour moi, il est clair que si le requérant n'est pas atteint
d'une maladie mentale au sens pathologique du terme, mais n'est pas
encore adapté à la vie sociale et qu'il représente un risque pour la
société et lui-même, il ne doit pas être laissé en liberté.
Quels sont donc les motifs sur lesquels s'appuie la Commission
pour conclure que le requérant aurait dû être mis en liberté dès le
15 juin 1989?
D'après la Commission, le tribunal aurait dû fixer un délai pour
trouver une solution d'hébergement pour le requérant. Mais, s'il
n'était pas possible d'en trouver une? Aurait-il dû être laissé tout
à fait libre avec le risque que cela comportait à l'époque?
On ne saurait exiger de l'Etat une chose pareille. Dans les
circonstances de l'espèce, l'Etat était obligé de sauvegarder l'intérêt
public et celui-ci s'avérait en l'espèce contraire à ce que le
requérant soit mis en liberté au détriment de la sécurité pour lui-même
et pour les autres.
D'autre part, il faut souligner que si un hébergement adéquat n'a
pu être trouvé, c'est à cause de l'attitude et de la conduite du
requérant, ce qui tend à démontrer que celui-ci n'était pas encore apte
à retrouver sa pleine liberté.
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