“70 In 2011, the United Nationals Special Rapporteur on torture stated that the use of solitary confinement…. should be banned as a form of punishment. Still, solitary confinement is used regularly in carceral settings. In women’s prisons, people with mental health concerns are often put into psychiatric segregation units rather than provided with needed support, leading to fear of telling prison medical staff about mental health needs. In a 2015 survey conducted by Black and Pink, 85% of the 1,100 LGBTQ incarcerated respondents – and particularly transgender women – reported having been involuntarily put into solitary confinement…..”
“72 In case of extradition to the US, Ms. Eis will most probably first stay in a county jail and in case of conviction be transferred to one of the state prisons in California for the female prisoners. 73 Considering the findings and reports of the leading human rights groups operating in the US and internationally, as well as concluding observations of the UN Committee against torture (CAT), UN Human Rights committee (HRC) as well as other sources analysed, Ms. Eis, in case of imprisonment in US risks her rights being violated. 74 Both during her possible imprisonment in the jail as well as in the prison, Ms. Eis risks being detailed in inhuman conditions in the overcrowded, poorly ventilated and overheated facility, being subjected to violence, including of sexual nature, in case of need unable to receive timely medical care. Considering the systemic application of solitary confinement on inmates on different grounds, this risk is present as well. 75 Throughout, none of the international human rights monitoring bodies have access to the Californian prisons. There is no independent monitoring mechanism visiting prisons in California and publishing periodic reports related to the treatment and conditions provided to the inmates. 76 Based on the issues raised above, in case of extradition and detention on remand as well as in case of conviction, Ms. Eis risks being subjected to treatment in violation ofArticle 3 of ECHR ”
“Extradition to the US prison could mean to her that she will be in greater danger and her future will become more uncertain, these may elevate her PTSD and anxiety symptoms”
“78 In terms of the potential consequences of extradition, I note the opinion of Mr Tugushi in relation to potential issues aroundarticle 3 of the ECHR . It is my opinion, on balance of probabilities, that her mental health condition would deteriorate as a result of an extradition as a result of three factors. 79 The first of these is the likely, if not inevitable, termination of her relationship with a current partner, which appears to have been beneficial in terms of her mental health, particularly in terms of finding herself in a stable and loving relationship. 80 The second is the likely conditions of her incarceration in the US prison system, particularly the state prison in California, and the potential loss of a therapeutic regime both in terms of her PTSD and diabetes. 81 The third relates to the possibility of her ex-husband ‘catching up with her’ – and more particularly her perception of this, leading to worsening of her anticipatory anxiety, fear of retaliation by him, either directly or by proxy, thus exacerbating her PTSD symptomatology. 82 At present, her complex PTSD appears to be of mild severity, and it is my opinion that this would likely rise to moderately severe were the extradition to go ahead, and she not receive appropriate therapy in the US prison system”
“116 I am certainly of the view that it may not be possible for any prison to eliminate the risk of abuse entirely. As was said in Morrow, the existence of a general risk is not the issue… 117….I am of the view that the RP has not established a real risk that she would be denied medical treatment ….. 118 The RP has not established on clear and cogent grounds that there is a real risk of being subjected to inhuman or degrading treatment. Consequently, I do not consider that the Aranyosi procedure arises at all. There is no necessity for me to seek any assurances in such circumstances. The RP fails in her challenge under Article 3”
“141…the RP has not demonstrated that there will be a difference in the level of treatment and secondly that level of difference in treatment makes it oppressive to extradite her”. “142 As said in the judgment in Magiera, illnesses like diabetes is common and well understood. It is easily treatable with insulin or regulated through diets. The same can be said of the RP’s other physical ailments. I classify PTSD with symptoms of depression and anxiety in the same vein in that it is an illness that is treatable with medication and therapy even in a prison environment. The RP’s various illnesses are such that extradition would not be unjust or oppressive”
“Consequently the public interest in extradition will outweigh the Article 8 rights of the RP, David Foster and her children unless the consequences of the interference with family life is exceptionally severe. The claims of the RP’s children to a right of emotional support from their mother does not tip the balance in favour of a discharge. I accept that the distress and trauma caused by extradition is severe for both David Foster and the RP but it is not so exceptionally severe as to render extradition disproportionate. I find that it is not disproportionate to extradite the RP”
“36 Mr Summers submitted that there was no evidence to support the District Judge’s finding of a risk of violation in this case. Leggatt LJ in the course of submissions noted that this was likely to be an uphill struggle for the Government. Mr Summers submitted that the expert evidence from Dr Mitchell did not assist because Dr Mitchell has not visited Tihar prison. It was suggested that the concerns referred to by the District Judge were based on unreliable complaints reported in newspapers. 37 We do not accept this characterisation of the expert evidence from Dr Michell or the evidence before the District Judge. Dr Mitchell relied on reports and information including “Torture in India” a report by the Asian Centre for Human Rights in 2011 which detailed incidents of torture at Tihar prison in Delhi; the Supreme Court of India Writ Petition regarding “Inhuman conditions in 1382 prisons” order dated5 February 2016 of Madan Lokur J. which included Tihar prison, recording that overcrowding remained a problem; and press reports. Dr Mitchell also referred to the local Government website in Delhi which detailed that as at31 December 2015 the Tihar prison consisted of 9 jails, 8 of which held male prisoners…”