“I hope that my suspicions regarding this patient are not grounded and that she will not require any psychiatric treatment in the future.”
“1. The mother suffers from mental illness, as described by Doctors Boast and Lucas, which, when in relapse, prevents her meeting the physical and emotional needs of A. At the commencement of protective measures it was likely that A would suffer significant harm as a consequence of his mother’s recurrent ill-health. Since the commencement of the proceedings the mother has, during periods of poor health required in-patient treatment undersection 2 Mental Health Act 1983 and she has been unable to meet A’s needs during some contacts. 2 On21 August 2003 the mother left A for a period of at least 30 minutes alone in her flat. A was heard to be crying and police were called and found him alone. A was placed at risk of significant physical harm and emotional distress/harm as a consequence of being left on his own.”
“In my last report I raised the possibility of [the mother] suffering with a psychotic mental illness. Having interviewed [the maternal grandmother] I think that the presentation to St Charles’ Hospital is consistent with a stress induced psychosis, but not a more severe and enduring mental illness such as schizophrenia [I comment that the presentation to St Charles’ Hospital was the presentation I have described earlier which took place on20 June 2003 ]. The history given by her mother is consistent with [the mother] continuing to find her situation stressful since the child was taken into care but not a more severe form of mental illness. I note the concern in the report, however, regarding [the mother’s] health. It may be that associated with ongoing stress her mental health has deteriorated. I think that it is appropriate for her to be assessed again by the locality mental health team and I will be willing to see her again if thought useful. In summary the information I now have available indicates that [the mother] responds to stress by mental worry and that she can decompensate into psychosis, but that she is from a stable background, that she has been mentally healthy in the past and she has the support of her family in Slovakia. Regarding the possibility of [the mother] being mentally ill in Slovakia my current opinion suggests that while [the mother] has a vulnerability to stress, if she were in a stable social situation her mental condition should improve and the risk of a further psychotic relapse be significantly lowered. I formed the view that [the maternal grandmother] was a sensible woman who did not discount the possibility of her daughter continuing to have mental health problems and if necessary she would seek help from the Slovak health service (which is similarly structured to that in the United Kingdom, with good access to primary care and secondary specialist psychiatric care). [The maternal grandmother] told me that she is currently being assessed with regarding the possibility of her daughter coming back to Slovakia. My assessment is consistent with this option being the preferred one in respect of [the mother’s] mental health and stability. In respect of the idea of residential assessment I think a difficulty could be that [the mother] would find this stressful and under perform and even become more ill.”
“The history is suggestive of a paranoid psychosis, schizophreniform in character, with increasing social withdrawal, paranoia, denial and rationalisation of disturbed behaviour such as when she left her child unattended in the flat or took her child from the care centre. It is because of concern over her underlying mental state, that I supported the action for the appointment of the Official Solicitor to act on her behalf in the childcare proceedings.”
“As explained in the summary, my diagnosis would be of a paranoid psychosis, schizophreniform in character (F20.OICD10), with at times thought disorder, paranoid delusions, and denial with poor insight. At first, her state was assessed as a reactive psychosis to the stress linked around her admission, later it was reconsidered as a more long lasting disorder, accounting for her overall poor insight, and this would explain why professionals and friends at times found it difficult to maintain an in depth communication with her. She requires anti psychotic medication……… the validity of her remaining in the United Kingdom requires evaluation linked also to her best long term interests in terms of family social and medical supportive care……… I think that she has and will continue to have an underlying paranoid psychotic disorder which colours her judgements (eg her marriage, the concern over her past care of her child and recent impulsive removal of her child from the day care centre). She remains with a vulnerability to further acute breakdowns, if she finds herself under excess stress, without sufficient social and professional support around her. In this contrast, consideration will be needed as to the best place of domicile for her in her long term interest, for both her psychiatric care and for effective family/social support, as well as consideration of the interests of her child. Effective family/social support together with continued anti psychotic medication and professional psychiatric monitoring of her progress will reduce the vulnerability of a further acute relapse.”
“…..the application for [the father’s] bail will now be dealt with in the Bow Street Magistrates’ Court. I confirm that the statement that I prepared for the hearing before the judge in chambers will not be put forward in those, or any other future proceedings. I wish to reassure Your Lordship there was no intention to mislead the court. I apologise for the inclusion of any inaccuracies and offer my assurance that, if any further statement is to be submitted, it will be clarified with Your Lordship in advance.”
“Father and mother do file and serve by 2 p.m. on21 May 2004 a statement of their cases in respect of any Human Rights or fairness issues they wish to raise in these proceedings. The parents’ statements shall indicate their position as to whether A can and/or should go to Slovakia.”
“If the father is seeking to invite the court to determine judicial review proceedings at the same time as or before the determination of these family proceedings he is to make this application for permission with all appropriate supporting documents as set down byCPR Part 54 by18 May 2004 . The father has permission to inform the Administrative Court listing that that application for permission should be allocated to Mr Justice Charles immediately upon receipt.”
“Of more importance however is the effect that [the father’s] continued detention and the uncertainty of its duration has had, and will continue to have, on these proceedings. As the court will be aware the court has no way of knowing when the Secretary of State is likely to make a decision with regard to his extradition. All legal procedures prior to that decision have been gone through and all that is awaited is a decision from the Secretary of State himself. Thus far, that has not been forthcoming. In addition, it is within the power of the Secretary of State, should he so wish, to end [the father’s] detention at any point either by releasing him on bail or by refusing the application to extradition and/or by discontinuing the certificate of internment issued under the authority of SIAC. (The certificate currently authorises [the father’s] detention on the basis that he is suspected of terrorist activities (on what evidence one does not know) but clearly it is a matter for SIAC and the Secretary of State to rescind/discontinue that certificate if they so wish). The problem for [the father] and for those representing him is that these are all unknowns and without the direct involvement within these proceedings of the Secretary of State and SIAC they will remain unknowns. It is therefore impossible to predict when and if [the father] might be released. It is contended on his behalf that his current detention has the appearance of extreme unfairness, if only on the basis that mature democracies really should not be detaining individuals without charge within the jurisdiction or a fair trial. Given the political vagaries of the situation, it is contended that [the father] might find himself released at any point without explanation. Other similarly detained persons have, to [the father’s] knowledge, either, at the very least, had the benefit of receiving a Home Secretary’s decision on extradition and then go through the subsequent procedure of being released, either without charge or on bail. He remains one of, if not the longest serving, detainee under the current provisions. He is, furthermore, detained on the possibility of being charged with offences, sentences for which, were he to be extradited, charged, tried and found guilty, would be highly unlikely to give custodial sentences equal to or longer than the amount of time he has already spent in prison. In all the circumstances, the second respondent father’s position is that he does not see how the court can arrive at a fair determination of the outcome which would be in A’s best interest without full and proper investigation as to the likely duration of his current detention. He therefore considers that either of the outcomes described above would be so prejudicial to his ability to put forward a plan to either care for A or, in the absence of being able to care for A, to maintain a proper relationship with his son but they would be inherently unfair and would breach both his and A’s convention rights.”
“I support Ms EH’s application to have A placed in her permanent care. If the court is not minded to place A in her care, then I would ask that they consider me as a permanent carer. I am also willing to put myself forward as a joint carer with Ms EH sharing the care of A. I would argue that A should be brought up as Muslim boy in this country. To send him to Slovakia with his maternal grandmother would in effect mean A being permanently separated from his father, uncle and paternal family. This paragraph mirrors the father’s position as by then clarified that he was putting Ms EH forward as a permanent carer.”
“[The uncle] is an asylum seeker. His application for asylum was refused and he lodged an appeal. His appeal was dismissed by an Immigration Adjudicator and he has made an application for permission to appeal to the Immigration Appeal Tribunal. A decision has not yet, to our knowledge, been made on that application.”
“I attended an Immigration hearing a few months ago and explained my situation to the Adjudicator in relation to A. I was told by the Adjudicator that this was a relevant fact in my application. I believed that if A was placed in my care then I could strongly argue that I should be granted indefinite leave on Human Rights grounds and Article 8 the right to family life. I do believe this would greatly strengthen my Application for asylum.”
“I understand that your client had initially said that he wanted to be assessed as a carer for A. However two meetings have been set up between your client and the social worker, neither of which your client has attended. The social worker has also heard from a family friend [Ms EH] that your client does not now wish to be considered as a carer. I would be grateful if you would clarify your client’s position.”
“I know that I am not a blood relative of A but he means a lot to me. I know that I can offer him a suitable home with love, care and attention that he needs. He has been through so much distress in his life, if he stayed with me I could offer him the stability that he needs. He would also grow up knowing both of his parents, family and friends, all of whom have been a part of his life. It would upset me greatly if A was to leave this country. He would not only be missed but he would also lose all contact of all the people who love him greatly (i.e. his mother, father, uncle and me). I do understand this is a very delicate situation and not an easy case. I therefore call upon your good nature when deciding upon the matter.”