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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Criminal Division) Decisions >> Folkes, R v [2006] EWCA Crim 287 (19 January 2006) URL: http://www.bailii.org/ew/cases/EWCA/Crim/2006/287.html Cite as: [2006] EWCA Crim 287 |
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CRIMINAL DIVISION
Strand London, WC2 Thursday, 19 January 2006 |
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B e f o r e :
MR JUSTICE NELSON
MR JUSTICE JACK
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R E G I N A | ||
-v- | ||
ANDRE FOLKES |
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Smith Bernal Wordwave Limited
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"He is unemployed and has consistently failed to engage in structured occupational or educational activities. He has a diagnosis of severe and enduring mental illness, that being Schizoaffective Disorder. His illness has been exacerbated by illicit substance misuse, principally crack cocaine."
The report went on to refer to the prevalence of mental illness in the applicant's family. He himself had first been admitted to hospital in 1996. The report went through his previous psychiatric history in some detail, describing the applicant's varying mental states and the effect of his medication and of his failure on occasions to take it, also of his addiction to drugs. The report recounted how on 29th June 2001 a Mental Health Act assessment had been completed at Wimbledon Police Station. The applicant had burst into the flat of a neighbour who was not known to him and had claimed that she was pregnant with his child and had given him a disease. He had brandished a knife and threatened to kill her and her daughter. He was suffering from paranoid delusions. It took, the report stated, several weeks for his mood to settle when he was remanded in custody and treated with chloropromazine.
"Mr Folkes appeared elated, irritable and labile mood. His manner was over-familiar and his behaviour was disinhibited. He was preoccupied with religious events, believing there is a holy war and that he can influence this by praying. He threatened to kill all 'white people' following a racist attack in Liverpool that he had read about in the newspapers. He threatened to kill the four men that he believed raped his girlfriend, claiming to know who they were and how to find them. He threatened to kill anyone in prison who tried to impose boundaries on him and to kill his current cellmate whom he accused of smoking heroin."
Under the heading of "psychiatric opinion", Dr Pierce stated:
"1.1 Mr Folkes has a severe and enduring mental illness that is best classified as a Schizoaffective Disorder. This is a disorder in which both affective (mood) and schizophrenic symptoms are prominent within the same episode of illness.
1.2 This is true of Mr Folkes, as during episodes of acute illness, there is evidence both psychotic symptoms and a marked mood change.
1.3 The psychotic symptoms are typically that of delusional beliefs of a paranoid nature, beliefs that his thoughts are being interfered with and broadcast to others, and the description of auditory and visual hallucinations.
1.4 The mood changes may be of mania (elation, over-activity, impulsivity, disinhibition and grandiose ideas) or of depression (feeling sad, tearful, hopeless and at times suicidal). Both mood states are associated with insomnia and reduced appetite."
Dr Pierce said that under his current medication his mood was stable with no evidence of psychosis. She stated that the relationship between substance misuse and mental illness was complex and there was a high co-morbidity in the applicant's case. His illness was exacerbated by his use of drugs, namely cannabis and crack cocaine, as to which he had only some insight. He saw that it led him to offend and not that it exacerbated his psychotic features. She said:
"It has proved difficult to properly supervise Mr Folkes from a psychiatric or social perspective when he is in the community as he recurrently disengages from services and treatment.
It would seem that his mental state can rapidly deteriorate when he defaults from treatment.
This is compounded by his illicit substance misuse, for which he shows little consistent motivation to discontinue.
During episodes of acute illness when his mental state has been severely disordered, Mr Folkes has presented a serious risk to others. He is known to have carried knives in the past.
The co-occurrence of substance misuse further increases his dangerousness to others."
She also stated:
"At the time of the index offence, Mr Folkes was taking antipsychotic medication under supervision and his mental illness was in remission.
Although he had used crack cocaine the night before the incident, it would appear that his mental state was not adversely affected by the use of this drug at the time of the offence."
We would comment that it cannot be known whether in fact the applicant was taking his medication in the period in which the offence was committed.
"... a sentence of life imprisonment is now the most severe sentence that the Court can impose, and it is not in our judgment one which should ever be imposed unless the circumstances are such as to call for a severe sentence based on the offence which the offender has committed."