Allegations of Abuse in Institutions


Psychiatric Hospitals: Home


2006 Index

 




NZ Lawyer
Issue 32, January 27 2006

Reliable research and due thought?
by Grant Cameron

Grant Cameron questions Lynley Hood’s analysis of the Lake Alice settlement.

Lynley Hood has done herself a disservice with her recent article entitled “Reliable evidence and due process” (NZLawyer issue 28, 28 October 2005). Her article demonstrated a serious misunderstanding of what the determination process in the Lake Alice case was all about and why, more generally, “state and church” institutions might choose to embark on alternative dispute resolution processes. However, much worse is her implication that Sir Rodney Gallen, one of the country’s most respected jurists, erred in the conclusions he expressed in his 2001 report to the Solicitor-General.

Ms Hood attacks Sir Rodney’s conclusion that, “in the main the allegations which have been made are true and reveal an appalling situation ... the children concerned lived in a state of extreme fear and hopelessness” on the basis that his review “was not, and was never intended to be, an investigation.” That is quite true, and Ms Hood correctly records that he was “merely asked to determine how the $6.5m compensation allocated should be distributed”. However, that does not mean that there was no possibility of his conclusions being accurate.

We must speculate that given the considerable materials before him and the views he formed in meeting many claimants, he decided that writing such a report was the appropriate thing to do. No doubt, Sir Rodney understood that following the Crown Law Office’s own investigation of the issues and its advice to the government of the day, the Crown’s subsequent decision to settle the claims (in the face of advancing High Court proceedings) reflected the fact that the factual basis had already been exhaustively examined by the parties. (Why else would the government choose to pay out $6.5m to this group of complainants?) Be that as it may, he formed his views on what he saw and learned, adn Ms Hood does him a disservice by not fully reporting his comments.

Also, Sir Rodney was aware of the checks and balances maintained by Grant Cameron Associates to ensure that no false or unfounded claims would be put forward. As it was critical that all claims would bear any scrutiny, two primary mechanisms were used to protect against erroneous claims:

1. following contact, prospective claimants were dealt with in isolation from all others. With no means to communicate, one to the other, the possibility of fabrication was significantly reduced; and

2. a filter mechanism was devised whereby a list of questions were directed at matters quite incidental, and even irrelevant to, the substance of the claims.

We consider the filtering process to have been a particular success as, of 147 people interviewed, only 95 claims were progressed. However, the vast majority of those discarded simply didn’t qualify. Only one or two prospective clients ‘tried it on’ and their inability to describe the most basic elements of the Lake Alice personnel, layout and routine, quickly identified them.

Sir Rodney recorded in his report that the vast majority had no method by which they could communicate with others, but, more importantly, he found considerable direct corroboration from the files obtained from the Crown.

Further, the court system places great reliance on the ability of the presiding judge to be able to test and assess the veracity and credibility of parties before him. As a former High Court judge, Sir Rodney was well positioned to make his own judgements on such matters. Indeed, he developed his own checks and balances to double-check authenticity in the course of his many meetings with claimants.

Of course, regardless of whatever view Ms Hood might take of Sir Rodney’s opinions, the opinions expressed in his report are fundamentally irrelevant to the key element in Ms Hood’s thesis. Ms Hood suggests that Sir Rodney’s conclusion created “the presumption that a careful investigation had confirmed the existence of widespread abuse at Lake Alice.” The reader might wonder in whose mind “the presumption” might have arisen, but Ms Hood attributes this to the government of the day when she says that “on this basis the Government eventually paid out $10.7M to 183 former residents”.

This is fiction. There is no causal link whatsoever between Sir Rodney’s report and the Crown paying out funds. Agreement was reached on a determation process in May 2001, Sir Rodney commenced his work in July, the sum of $6.5m was paid to our trust account on 24 September 2001, and Sir Rodney’s report was written shortly thereafter. He only came into the picture after the settlement sum had been agreed and after we requested the appointment of a suitable judge to determine how to allocate the quantum already agreed between the parties. Plainly, payment to Part 1 claimants could vener have arisen from Sir Rodney’s report.

Further, there can be no connection between Sir Rodney’s report and the Part 2 process. The Solicitor-General, Terrence Arnold QC, wrote to me on 10 October 2001 and confirmed that the Crown has “always recognised the possibility of other claimants coming forward” and that “it was never [the Crown’s] intention to settle only with the group of claimants represented by your firm”. This being the case, it is plain the Crown always intended a second resolution/settlement process and, accordingly, Sir Rodney’s conclusions in his report had no causal relationship with the fact of the Part 2 process, nor upon the Crown’s later payment of another tranche of funds to those claimants. it was going to happen anyway.

Ms Hood implies that because there had been “two inquiries” in 1977 and “only two Lake Alice complainants” came forward, presumably there were no other complaints to be had. She is correct that a Commission of Inquiry was conducted in 1977, however, despite MP Jonathan Hunt’s vigorous attempts at the time, the inquiry was limited to “the authority upon which treatment was administered to the boy ... “ and “any associated matters thought by [the Commissioner] to be relevant”. In the view of the Niuean boy for whom we act, the inquiry was not “comprehensive” as Ms Hood maintains. At the time he was 13 years of age, and both he and his family had a poor grasp of English. Although spoken to by the Commissioner, they did not take part and were not represented. The Inquiry made no attempt to look at the wider events at Lake Alice and instead remained focused on the allegations surrounding the one child.

The ultimate finding is dubious. The central conclusion was that the Niuean boy had been given ECT, and that this was acceptable on the basis that the boy was suffering from “acute psychotic depression”. The Niuean boy, now an adult, alleges that the Department of Social Welfare had sent him to Lake Alice because of his bad behaviour and nothing more. The allegation of “depression” came from the establishment that gave him the ECT and, in the absence of appropriate representation and contrary ‘medical’ evidence, was uncontested.

The second inquiry was that of the Ombudsman, and it is of interest that his serious concerns were ignored by the government of the day and no wider inquiry resulted.

Ms Hood did confirm that ECT was given “sometimes in unmodified form [ie without muscle relaxants or anaesthetic] without their consent and without the knowledge or consent of parents or guardians”. However, the obvious gravity of those statements seems to elude Ms Hood for she then argues that neither boy “claimed he was given ECT as punishment”. The issue isn’t whether ECT was given as a punishment, but whether it was given at all.

It is here where Ms Hood either ignores, or is oblivious to, the fundamental tragedy that underpins the Lake Alice affair. Whether or not we accept a valid ‘medical reason’ for the application of ECT in the case of the Niuean boy, the undisputed facts are that the vast majority of the claimants in both the Part 1 and Part 2 processes were not resident of Lake Alice by reason of mental illness. They were not committed under the Mental Health Act and were not there because of any ‘medical’ reason. They were perfectly healthy children.

The only reason these children were resident in a facility that was being operated as a mental asylum (mainly for the criminally insane) was that the vast majority were wards of the state. Therefore, the critical question was why ECT would be used on children who had nothing medically wrong with them? Plainly, even on the state of knowledge at the time, there was no medical or other justification for giving a perfectly healthy child ECT.

Sir Rodney noted in his report that while in some cases modified ECT was administered on children at Lake Alice, the administration of unmodified ECT was not only common, but routine. Consequently, as the vast majority of children, the subject of this affair, were simply in government care by reason of unfortunate circumstances and not by reason of psychiatric condition (there may have been the rarest exception), the question remains “why were these children given ECT at all?”, let alone “why did this happen systematically, weekly and even daily in some cases?”

It is true that allegations Sir Rodney commented upon were generated at another time and place, and Ms Hood poses the notion that the “class-action lawyers raised the stakes in the 1990s by making lurid allegations to the media”. But the case arose after another law firm referred a client to us in relations to alleged events at Lake Alice in the early 1970s. An interview revealed that this individual was regularly attending the pain clinic at Burwood Hospital in Christchurch because of extreme and consistent pain. It seemed unlikely that we could do anything to assist; however, about a week later I was contacted by a Wellington law firm which had a client who also had a horrendous tale to tell about their experiences at Lake Alice.

With enough corroboration to hand to establish a reasonable cause to suspect significant wrongdoing, we elected to determine the true ambit of the apparent class of people who may have been resident at Lake Alice. With client permission we approached the 20/20 current affairs programme, and in due course they aired a 40-minute television programme. Immediately, we received phone calls from all around the country from parties claiming to be former residents at Lake Alice. Through isolation and careful interview, for the first time, the true magnitude of what had occurred at Lake Alice became clear.

It became obvious that even excluding the pre-ACC claims, if all former residents cam forward and received awards at the upper end of the then known spectrum of exemplary awards, the calim was potentially very substantial. Therefore, it was proposed that a ‘fiscal envelope’ be applied to the suggested resolution process so that an agreed figure (much lower than the Crown’s potential exposure) be put on the table and then a Judge could hear the evidence, determine who might have a valid claim and then, how that fund could be apportioned. The beauty of that scheme was that all persons who could prove they had valid claims would receive something, and that we wouldn’t have a minority with a windfall and the vast majority receive nothing.

After much discussion, the government elected to defend the claims in the courts. Proceedings were filed and with the consequent publicity, more people came forward.

When Labour came to power in 1999, it determined that the claims should be settled. By that time medical, educational, police, and other files and documents had been located and reviewed by both sides in consequence of a long discovery process. Many of the former staff members had been interviewed (often by both sides), and substantial quantities of corroborative material had been brought to light. Taking all things together, the Crown determined to settle to matter.

Overall, Ms Hood appears to have fallen into the superficial trap of assuming that because the claimants’ allegations were bizarre and outrageous, they simply didn’t happen.