“Were Miss B to remain placed in secure accommodation, then this could present an opportunity to attempt some therapeutic work with her. The security of being detained can, in itself, be therapeutic and used as a therapeutic tool. Therapeutic work could comprise her having weekly or twice-weekly keyworker sessions and the input from a psychologist experienced in working with young vulnerable women with emerging personality disorders. While there are now established treatment programmes for this patient group, these require the patient to request and to be committed to such treatment, which is clearly not the case with Miss B. With regards to the prognosis of conduct disorder, a poor outcome is predicted by early onset, a wide-range and high total number of symptoms, greater severity and frequency of individual symptoms, pervasiveness across situations and associated hyperactivity. Conversely, having only one area of problem behaviour such as aggressiveness alone has a good prognosis provided there are no problems in other areas, including peer relationships and educational achievements. The presence or absence of a constellation of problems is what differentiates the two outcomes, but with regards to the prognosis of conduct disorder in this case, sadly I conclude that Miss B’s presentation is associated with a less favourable outcome. In my opinion, Miss B needs to be kept safe, as she is not able to keep herself safe. Others are also at risk of her behaviour. I would therefore recommend that she remains within secure accommodation, because of the risk of significant harm which she would face were she not to be in secure accommodation. While I do not think that Miss B would intentionally seriously harm or kill herself, this might occur accidentally. She is particularly vulnerable now having heard the outcome of the Family Court’s decision that G be placed for adoption. She is also at increased risk of developing a mental illness, although she does not currently suffer from any such illness. With regard to the question of her being admitted to an adult psychiatric unit, Miss B is very clear that she would not do so voluntarily. With regards to detaining her under the Mental Health Act, I cannot recognise any grounds to do so. While she might benefit from such an admission, she is unlikely to be voluntarily admitted and an admission under the Mental Health Act is unlikely, unless she were to develop signs and symptoms suggestive of a mental illness.”
“Due to my difficult childhood I have learned to live independently despite my young age. I am confident in ensuring everyday independent tasks that independent living requires such as cooking, cleaning and ensuring that relevant administrative tasks are completed in a correct and timely manner. In secure accommodation this element of independence is absent. Meals are cooked for me, administrative tasks are completed by members of staff. This impedes my natural progression into adulthood which is contrary to my best interests. On9th July 2013 the court made a placement order in respect of my daughter G I. I have experienced feelings of worthlessness and despair since that date and prior to the making of the order, as I believe that I did not have a proper chance of having G returned to my care. I think about my daughter constantly, and it is very difficult to come to terms with my loss. My feelings manifest themselves in different ways. I have difficulties in managing my anger. I am very much aware of my anger issues, and I would like to undertake an anger management course. In moments of anger, which are frequent, I make numerous threats towards myself and towards others. I do not carry out these threats. I do not wish to end my life, despite sometimes feeling that there is nothing worth living for. I need to be close to my family to help me rebuild my life following the loss of my daughter. In secure accommodation I am estranged from my family due to the distance and restrictions on telephone contact. I cannot access the family support that I need to help me overcome this particularly traumatic period of my life. Although I admit there have been moments when I have been overcome by anger and I have resorted to physical violence, these occasions are not frequent. I refer to the CAMHS chronology which sets out that there had been only two occasions on which I used physical violence since G’s birth and before I was accommodated at the Secure Accommodation Unit. I deeply regret these incidents of violence. I am not a violent person, but I find it difficult to control my anger. I would very much welcome assistance in controlling my rage. I am also a person who has difficulties in expressing my feelings. The intensity of my feelings is such that it is not easy to find words to communicate them. As a result, my intentions are often misinterpreted. This is a vicious circle in which misinterpretation leads to further frustration. I am also a person who does not give trust easily. This is interpreted as unwillingness to engage with professionals. I find it difficult to give my trust because I have experienced betrayal and rejection in my childhood together with a number of traumatic events. I am willing to engage with professionals. I would however like to seek help in my own time. In order for therapeutic work to be effective I need to be able to build trust in the professional assisting me and confide very painful experiences. I would not be able to do so in the context of obligation. I would therefore not be willing to engage with the therapeutic work as proposed by the Local Authority in secure accommodation. I would however be willing to engage in therapeutic work with family support. As the social worker pointed out in her statement, there is no reason why therapeutic work cannot be undertaken in the community. The social worker also points out that there is therapy available for young persons with emerging personality disorders in A. With regard to my lifestyle prior to being accommodated, I admit that I have taken drugs on a couple of occasions. I have used drugs as a way of coping with my depression. I wish to point out, however, that this drug use is not on a regular basis. I have been admitted to hospital with seizures. There have been occasions when I have had seizures without having taken any drugs. Although I did associate with people who were probably unsuitable during the time that I lived at the YMCA, I wish to make it clear that I did not engage in sexual activity with men who attended my room. I certainly have never had sex with somebody in exchange for drugs. I find that allegation offensive. I am not seeking to form a relationship with anyone at the present time. I am therefore not at risk of sexual exploitation. I would like to enrol on a course in college. I would very much like to train as a hairdresser. I am disappointed that I have not been able to start such a course and worried that I may have lost the opportunity to do so, as courses begin in September. I have attended school regularly in the Secure Accommodation Unit and enjoyed returning to education. I understand that the Secure Accommodation Unit may be able to arrange for me to commence a hairdressing course, but this has not yet been facilitated.”
“Miss B is engaging in education and the Secure Accommodation Unit report that she is doing very well and attends from 9am in the morning until 2.45pm daily -she is studying a broad-based curriculum. Miss B was awarded ‘Student of the Week’ for the week commencing9th September 2013 . Miss B often spends time in the art room in the evening. What is working well and positives: The Secure Accommodation Unit reports that Miss B continues to try to get along with her peers, and that she has been very helpful with a young person on the unit that has learning difficulties, assisting him in education. Further, Miss B was awarded Student of the Week. Miss B also behaved protectively towards a young person who was being bullied (SW Chronology 06/09/13). Miss B has at times she has been settled and has had positive days and evenings.(SW Chronology – 19.08.13; 20.08.13; 21.08.13; 24.08.13; 25.08.13; 26.08.13). 14. Miss B has been managing her behaviour on the unit, but gets frustrated at times with the Secure Accommodation Unit rules and feels that she should not be placed at the Secure Accommodation Unit with offenders.”
“I attended the independent reviewing panel meeting on 12 September at the Secure Accommodation Unit. Prior to the meeting I had the opportunity of meeting with C and found her to be very angry and not able to employ any self-regulatory behaviours, swearing and shouting, offensive threats, (‘I will bite their f...ing throats out’) being made towards anyone responsible for keeping her locked-up. She was adamant that she felt she was being punished and that she was considered to be mad, when there is medical evidence (Dr Yates) indicating that she is not mentally ill. I empathise with her about the pain that she is evidently suffering on the loss of her daughter G in the summer of 2013 (Placement Order made) – at which point she expressed a wish to be reunited with G and to be assessed again. She was advised that this was not possible. C has reiterated that while locked up she will not engage with any therapy. During the meeting she was reasonably ‘together’, although directing much anger towards the social worker. However, at the end of the meeting, on hearing the decision C appeared to lose all control when she threw a chair across the room. I felt that the chronology did not contain the more positive aspects of life in the unit, as suggested by the teacher present. I suggested that the reporting needed to be presented in a more balanced way -this was agreed. C has engaged well with the education programme and was praised for helping a younger, less able resident than herself. It was felt that this should be explored more fully in terms of how she may be able to perform this useful role in a more formal way- this is to be considered, although not without its difficulty in terms of her unpredictable moods. The chronology presented by the unit demonstrates the extent of her difficulty in socialising and managing relationships, both with fellow residents and with staff. The panel agreed to implement my suggestion of a contact schedule to ensure that C had the opportunity of retaining links with her family and friends in readiness for her ultimate release into her local community. I am informed that on 16th September the SW took her MGM JH and her friend, Y to see C at the Unit. This was a successful contact, with her friend giving sensible advice about needing to cooperate and her grandmother expressing satisfaction that she thought the Unit was good, dispelling fears of it being akin to a prison. This contact is to take place monthly and in between there is to be telephone contact. As this has been successful, I would ask that the LA consider facilitating more frequent direct contacts for this young person. The panel decided after much deliberation that C met the criteria for further detainment, citing the ongoing concerning behaviours and the fact that Dr Yates has recommended that this is necessary to keep C safe and to allow her the opportunity of accessing the much needed therapy. Dr Yates’ diagnosis of severe conduct disorder and emerging personality disorder has been accepted by the local authority in terms of identifying a suitable therapist, Dr Gina Cratchley, who will be able to commence work with C at the beginning of October and continue the therapy once back in the community. A referral has been made to A Partnership in order that C might be considered suitable to access support by the Emerging Personality Disorder Team, who are in the process of considering her case (having spoken to the Lead EPDT today.”
“I am, of course, concerned about whether C is lawfully placed, but I am also mindful of the risks she poses to herself and others if she were to be released prematurely. I think it has not been helpful to C for the matter to be returned to court so often, giving her perhaps an indication that she might be released on each occasion. This does not assist in any settling in period. I believe that C needs time to feel emotionally contained and I cannot see how this can be achieved without her being physically contained. This will allow the best opportunity to address the number of issues which are affecting her so negatively. The pain she feels around the loss of her child is almost tangible, and she seems to need time to unpack those emotions and to reassemble them. I think that a period of 3 months in the unit would be reasonable and give C the best chance of change and during which time she will hopefully start to access the therapeutic support she so badly needs. I am reassured that the Secure Accommodation Panel will meet on a monthly basis to review the placement.”
“Alternative non secure placements are being sought for Miss B as a contingency plan. Miss B’s case has been taken to A County Council’s Placement Panel on27th August 2013 ,3rd September 2013 ,10th September 2013 and17th September 2013 – there has been a search for a placement send out to care providers throughout the UK and, as of 20th September, no alternative placements have been offered -the parties and court will of course be updated if such a placement is identified. However, currently the Local Authority does not have any alternative accommodation option for Miss B. To date no family members have put themselves forward to offer care and accommodation for Miss B. Currently to ensure that Miss B is safe, the Local Authority’s view is that the only appropriate provision is for her to remain in secure accommodation. It is the local authority’s view that at this stage, Miss B should remain at the Secure Accommodation Unit for a further 8 week period. This would provide a period without further visits to court. The work with Dr Gina Cratchley as outlined in the social worker’s third statement can begin, and it can be established whether Miss B will engage with this. Dr Cratchley can begin work during the first week of October 2013, and therefore, if an 8-week order were made, Miss B would be at the end of that period, have undertaken approximately 6 weeks of work with Dr Cratchley and an assessment will be made as to the progress made by Miss B and the merits of that work continuing. In making this recommendation, the Local Authority also recognises that adopters may well be identified for Miss B’s daughter G within this period. There is considerable concern as to the likely negative impact that this will have upon Miss B -the court is referred to the information from Dr Lemmens at CAMHS in that regard and a possible escalation of her behaviour during this period which will need to be managed in as sensitive and safe way as possible.”
“1. Everyone has the right to liberty and security of person. No one shall be deprived of his liberty save in the following cases and in accordance with a procedure prescribed by law...”
“d. the detention of a minor by lawful order for the purpose of educational supervision or his lawful detention for the purpose of bringing him before the competent legal authority. e. the lawful detention of persons for the prevention of the spreading of infectious diseases, of persons of unsound mind, alcoholics or drug addicts or vagrants.”
“2. Everyone who is arrested shall be informed promptly, in a language which he or she understands, of the reasons for his arrest and of any charge against him. 4. Everyone who is deprived of his liberty by arrest or detention shall be entitled to take proceedings by which the lawfulness of his detention shall be decided speedily by a court and his release ordered if the detention is not lawful.”
“1. Everyone has the right to respect for his private and family life, his home and his correspondence. 2. There shall be no interference by a public authority with the exercise of this right except such as is in accordance with the law and is necessary in a democratic society…for the prevention of disorder or crime, for the protection of health or morals, or for the protection of the rights and freedoms of others.”
“…a child who is being looked after by a local authority may not be placed, and, if placed, may not be kept, in accommodation provided for the purpose of restricting liberty…unless it appears— (a) that— (i) he has a history of absconding and is likely to abscond from any other description of accommodation; and (ii) if he absconds, he is likely to suffer significant harm; or (b) that if he is kept in any other description of accommodation he is likely to injure himself or other persons.”
“The first is whether the objective which is sought to be achieved, the pressing social need, is sufficiently important to justify limiting the fundamental right. The second is whether the means chosen to limit that right are rational, fair and not arbitrary. The third is whether the means used impair the right as minimally as is reasonably possible. As these propositions indicate, it is not enough to assert the decision that was taken was a reasonable one. A close and penetrating examination of the factual justification for the restriction is needed if the fundamental rights enshrined in the Convention are to remain practical and effective for everyone who wishes to exercise them.” 3. A secure accommodation order, either undersection 25 of the Children Act 1989 , or made pursuant to the High Court’s inherent jurisdiction, is a plain invasion of the rights conferred byArticle 8(1) of the European Convention on. That invasion can only be justified if the invasion is legal, necessary and proportionate. 4. One exception within Article 8(5) which permits the deprivation of a minor’s liberty is found in Article 5(1)(d), the provision that I have already read. 5. Educational supervision is to be widely interpreted. It is necessary to turn to the judgment in Re K for that, although I record that Mr Davies sensibly conceded that the Secure Accommodation Unit is providing educational supervision for C on the facts of this case. Judge LJ (as he then was) said at paragraph 107 that “Educational supervision goes far beyond school”