"I found [the appellant] to be open in interview regarding the assessment questions; she was attentive, reflective and thought about her answers, making efforts to be as truthful as possible which was very helpful."
"8.3. In my considered opinion [the appellant] would have had a high degree of connection between her neurodivergent conditions, co-morbid mental health and personality problems and the offending behaviour as these were undiagnosed at the time (except for dyslexia) and would have been causing her problems in managing her symptoms day to day with the demands of 2 young children and little consistent family or other support in managing the children’s needs in particular as well as being pregnant for the third time in fairly quick succession. ... 8.4. ... I believe that she would have found adapting to unexpected situations, departing from her routines and time frames and responding to situations of stress, difficult. Her high level of ADHD symptoms, both Inattention/Distractibility and Hyperactivity ?Impulsivity, creates a ‘push and pull’ of emotional dysregulation with her AuDHD that she has to manage in adulthood. Both of these problems in isolation would affect her ability to make cogent and reasonable decisions and affect the level of culpability she holds for those decisions; taken together, this is all the more apparent in her behavioural and relationships history of impulsive decision-making, not always having boundaries or keeping to rules and of being misunderstood by others. Managing these undiagnosed neurodivergent issues … without treatment or support as well as the fallout from the historical bullying of very low self-esteem and feeling that she doesn’t fit in or is well liked would have caused her stress. Regarding executive function; research evidence has shown that the neurodivergent brain has a frontal lobe developmental delay compared to neurotypical individuals of some 5 years as an average. This means that [the appellant] lacks the ability to make reasoned decisions that are not impulsive; she is much more likely to act on emotion and irrationality rather than consider the consequences of her actions in the short, medium and longer-term. [The appellant] would have had poor problem-solving skills, poor decision-making and poor judgement at the time of offending due to this reduced executive syndrome immaturity and disinhibited frontal lobe function which would have been added to by cocaine use."
"Although you suffered bullying at school and felt you did not belong and were the victim of an abusive relationship with a partner earlier in your life, the evidence at trial suggested to me that you come from a loving family. You had a highly supportive mother and father. In their eyes you could do nothing wrong. But sadly, you also manipulated them on occasions. You were also close to your grandmother who became seriously ill during the trial. The evidence was that your family, particularly your father, was a real source of both emotional and financial support to you and your young family. I say this because there is little in your personal background which helps me understand why you committed the act which led to L's death or inflicted the earlier shaking injuries suffered by L. I say that having read with care the psychology report. Unlike many defendants who come before the courts, you had a loving family environment."
"However, I am not persuaded that anything in the report can explain your violence to L. Why you shook L will only be known to you."
"In coming to this conclusion in relation to your culpability, I have paid particular regard to what the psychologist's report says about your emotional and mental health at the time and the potential relevance of your neurodiversity. Reference is made to a number of previously undiagnosed conditions. Mr Aubrey, King's Counsel, placed particular reliance on these matters in arguing that I should not find that you were aware that there was a high risk of death or grievous bodily harm to L. He says your acts were reckless and emphasised what was said in the report about your ability to make decisions in the neurodivergent context. I do not accept that, having considered the report in some detail. It does not change my conclusions on culpability. I have also had the opportunity to see you give evidence and I approach what you said to the psychologist and her conclusions with some caution, given that you still deny killing L. The report is based in part on an account of events which the jury have rejected. As I will describe in a few moments, the report remains relevant, however, in relation to mitigation."
"I turn then to the factors which reduce seriousness and mitigation. Mr Aubrey, King's Counsel, has made powerful submissions on your behalf. I have taken into account the points he made. I note that you were otherwise a loving mother and although your personal lifestyle was somewhat chaotic, the healthcare professionals who visited you from time to time in your various homes had no concerns about the safety or wellbeing of L and her older brother. You have no previous convictions. This was not a premeditated offence, and you were relatively young and emotionally developing. You were also, I accept, immature at the time of the offending and were facing the isolation from family during the pandemic. Mr Aubrey, King's Counsel, also relied on the delay of five years in these proceedings, but I accept from Miss Osborne’s, King’s Counsel, submission that the delays were in large part caused by the Family Court proceedings and the need for specialist medical evidence in relation to the cause of L's death. I accept [that] the delay will have had an impact on your mental health. I have also taken into account in your favour the personal challenges and mental health aspects referred to in the psychology report as mitigation. A custodial sentence of any length is going to be particularly tough for you."
"I consider that the impact of a custodial sentence will weigh more heavily on [the appellant] than someone without her neurodivergent conditions and co-morbid mental health and personality issues."