"He is unemployed and has consistently failed to engage in structured occupational or educational activities. He has a diagnosis of severe and enduring mental illness, that being Schizoaffective Disorder. His illness has been exacerbated by illicit substance misuse, principally crack cocaine."
"Mr Folkes appeared elated, irritable and labile mood. His manner was over-familiar and his behaviour was disinhibited. He was preoccupied with religious events, believing there is a holy war and that he can influence this by praying. He threatened to kill all 'white people' following a racist attack in Liverpool that he had read about in the newspapers. He threatened to kill the four men that he believed raped his girlfriend, claiming to know who they were and how to find them. He threatened to kill anyone in prison who tried to impose boundaries on him and to kill his current cellmate whom he accused of smoking heroin."
"1.1 Mr Folkes has a severe and enduring mental illness that is best classified as a Schizoaffective Disorder. This is a disorder in which both affective (mood) and schizophrenic symptoms are prominent within the same episode of illness. 1.2 This is true of Mr Folkes, as during episodes of acute illness, there is evidence both psychotic symptoms and a marked mood change. 1.3 The psychotic symptoms are typically that of delusional beliefs of a paranoid nature, beliefs that his thoughts are being interfered with and broadcast to others, and the description of auditory and visual hallucinations. 1.4 The mood changes may be of mania (elation, over-activity, impulsivity, disinhibition and grandiose ideas) or of depression (feeling sad, tearful, hopeless and at times suicidal). Both mood states are associated with insomnia and reduced appetite."
"It has proved difficult to properly supervise Mr Folkes from a psychiatric or social perspective when he is in the community as he recurrently disengages from services and treatment. It would seem that his mental state can rapidly deteriorate when he defaults from treatment. This is compounded by his illicit substance misuse, for which he shows little consistent motivation to discontinue. During episodes of acute illness when his mental state has been severely disordered, Mr Folkes has presented a serious risk to others. He is known to have carried knives in the past. The co-occurrence of substance misuse further increases his dangerousness to others."
"At the time of the index offence, Mr Folkes was taking antipsychotic medication under supervision and his mental illness was in remission. Although he had used crack cocaine the night before the incident, it would appear that his mental state was not adversely affected by the use of this drug at the time of the offence."
"... a sentence of life imprisonment is now the most severe sentence that the Court can impose, and it is not in our judgment one which should ever be imposed unless the circumstances are such as to call for a severe sentence based on the offence which the offender has committed."