“While I note that [the claimant] does have periods of unescorted ground leave, this proposal for increasing access to the community will bring [the claimant] into contact with a far greater range of situations and people, with increased potential for risk. It would, for example, afford him the opportunity to form relationships or attachments (or what he perceived to be relationships or attachments). Without further work to address his index offence and risk, I do not consider that risk acceptable.”
“[A Tribunal] granted a “conditional discharge” from his sections 47/49 against the recommendation of his Responsible Clinician [i.e. Dr H], who remained concerned about his need for further treatment in a secure hospital and the serious unpredictable risk he posed to others … In the light of his change of status and his tribunal granting a “conditional discharge” his current Responsible Clinician has agreed to apply for unescorted leave.”
“Future risk may be in the context of a relationship which is intimate or which he perceives to be intimate. If this relationship changes or is not what he perceives it to be then he may act on this. Other risks may include risk to past victims’ families as he had previously reported feeling persecuted by them … risk to women vulnerable or not most possibly within a relationship. This risk is not exclusively directed to women but may include men he perceives are rivals either in a sexual relationship or other perceived competitive/paranoid situations. The risk is enhanced if he experiences a relapse of his mental disorder, is non complaint with treatment, in a stressful situation or life event. He may pose a risk to random members of public if involved in confrontation or if he has become so distressed that he runs amock.”
“[T]he Secretary of State is necessarily concerned with the protection of the public and the patient and needs to be satisfied that the patient will not present a risk in the community. Unfortunately the evidence is such that whilst [the claimant] has not shown signs of deterioration, neither has he shown the level of progress expected. [The 13 December] letter also highlights the potential vulnerability of [the claimant] as a result of wider exposure within the community from hostility and media interest as a result of poor or absent coping mechanisms. This presents another area in which the Secretary of State would require a degree of assurance. In reaching this conclusion I have considered fully the most current information in the latest application, [the claimant’s] history and progress and your comments. For a future request to be successful there would need to be clear evidence that the highlighted concerns had been addressed and that unescorted leave would not present an unacceptable level of risk.”
“...I would not, at present, be supporting [the claimant’s] release. It is only relatively recently that [the claimant] has been subject to a low secure regime at [the hospital], and he has not, as yet, had unescorted leave in the community, which would allow agencies the opportunity to monitor any risks posed, to allow him to engage in and reflect on situations which may arise in the community, including the development of relationships in a less structured environment, and also allow him to engage in a greater range of interests and activities which may be developed on his release. In these circumstances, it is my view that [the claimant’s] release at this time would represent an unacceptably high level of risk to the public.”