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Stateships v Lawson [2009] FCA 59 (9 February 2009)
Last Updated: 11 February 2009
FEDERAL COURT OF AUSTRALIA
Stateships v Lawson [2009] FCA 59
ADMINISTRATIVE LAW – appeal from the
Administrative Appeals Tribunal – whether there was evidence before the
Tribunal to support a finding that the
respondent suffered a psychiatric
disorder – no probative evidence – appeal allowed.
Seafarers Rehabilitation and Compensation Act
1992 (Cth), ss 24 and 26(1)
Administrative Appeals Tribunal Act
1975 (Cth) s 44(1)
Federal Court of Australia Act 1976
(Cth) s 28
Australian Broadcasting Tribunal v Bond [1990] HCA 33; (1990) 170 CLR 321
cited
Birdseye v Australian Securities and Investments Commission
[2003] FCAFC 232, 38 AAR 55 cited
Collector of Customs (Tas) v Flinders
Island Community Association [1985] FCA 232; (1985) 8 ALN N102 cited
Minister for
Immigration and Ethnic Affairs v Pochi [1980] FCA 85; (1980) 4 ALD 139
cited
Repatriation Commission v Nation (1995) 57 FCR 2538 AAR 55
cited
Re Pochi and Minister for Immigration and Ethnic Affairs (1979)
2 ALD 33 cited
Rodriguez v Telstra Corp Ltd [2002] FCA 30; (2002) 66 ALD 579
cited
Wecker v Secretary, Department of Education Science and Training
[2008] FCAFC 108, (2008) 249 ALR 762 cited
STATESHIPS v BARRY LAWSON
WAD 175 of
2008
GILMOUR J
09 FEBRUARY 2009
PERTH
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IN THE FEDERAL COURT OF AUSTRALIA
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WESTERN AUSTRALIA DISTRICT REGISTRY
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ON APPEAL FROM THE
ADMINISTRATIVE APPEALS TRIBUNAL CONSTITUTED BY DEPUTY PRESIDENT SD HOTOP, DR D
WEERASOORIYA, MEMBER
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DATE OF ORDER:
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WHERE MADE:
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THE COURT ORDERS THAT:
- The
appeal be allowed.
- The
decision of the Administrative Appeals Tribunal dated 23 July 2008 be set aside.
- The
matter be remitted to the Tribunal, differently constituted, for determination
according to law.
- The
respondent pay the applicant’s costs of the appeal.
Note: Settlement and entry of orders is dealt with in Order 36 of
the Federal Court Rules.
The text of entered orders can be located using
eSearch on the Court’s website.
IN THE FEDERAL COURT OF AUSTRALIA
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WESTERN AUSTRALIA DISTRICT REGISTRY
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WAD 175 of 2008
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ON APPEAL FROM THE ADMINISTRATIVE APPEALS TRIBUNAL CONSTITUTED BY DEPUTY
PRESIDENT SD HOTOP, DR D WEERASOORIYA, MEMBER
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BETWEEN:
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STATESHIPS Applicant
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AND:
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BARRY LAWSON Respondent
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JUDGE:
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GILMOUR J
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DATE:
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09 FEBRUARY 2009
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PLACE:
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PERTH
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REASONS FOR JUDGMENT
- The
applicant appeals from the decision or determination of the Administrative
Appeals Tribunal (“Tribunal”) given on
23 July 2008 at Perth by
which the Tribunal decided or determined that the applicant is liable, pursuant
to ss 24 and 26(1) of the Seafarers Rehabilitation and Compensation Act
1992 (Cth) (“the Act”), to pay compensation, in accordance with
the Act, to the respondent in respect of a psychiatric disorder
which he
contracted in or about June 2006. An appeal lies to this Court on a question of
law, from any decision of the Tribunal:
s 44(1) Administrative Appeals
Tribunal Act 1975 (Cth) (“AAT Act”).
BACKGROUND
- On
27 July 1991 the respondent, now aged 63, whilst working as a cook on a ship,
the MV Roberta Jull, in the course of his employment with the applicant,
slipped whilst carrying meat from the galley and badly twisted his right knee,
causing the medial meniscus to tear. The respondent was medically assessed and
declared unfit for sea duties. The respondent received
worker’s
compensation until 24 September 1991 when he returned to work.
- The
respondent’s right knee continued to deteriorate and on 9 June 1994 he was
certified as unfit for further sea duties.
On 10 June 1994 the respondent
submitted a claim for worker’s compensation to the applicant and he has
been in receipt of ongoing
compensation payments with effect from that date.
- On
27 February 2006, the respondent's treating orthopaedic surgeon, Dr Graham
Forward stated that the respondent had a limited disability
for heavy physical
work but would be able to carry out a wide range of clerical duties and would be
fit for light duties such as
storeman or sedentary attendant.
- The
respondent’s Progress Medical Certificate of 20 April 2006 stated that a
vocational rehabilitation assessment was required.
Such certificates had been
issued in the past from 1991, but the respondent had not, between then and 2006,
been requested by the
applicant to attend a vocational assessment.
- On
20 April 2006 the applicant requested the respondent to advise whether he was
available to attend a vocational assessment. The
respondent responded on 24
April 2006 to the effect that whilst he found it intriguing that in 15 years
when some twenty medical
certificates suggesting vocational assessment had never
been actioned, nonetheless, provided the applicant agreed to pay all costs,
he
would attend such an assessment. On 28 April 2006, the applicant’s
solicitors informed the respondent that it had arranged
for the respondent to
attend at Herdsman for a vocational assessment.
- There
was then disagreement between the applicant and the respondent as to where his
vocational assessment should be carried out.
The respondent did not accept the
applicant’s choice of service provider, Mount Injury Management Service,
he preferring the
rehabilitation program to be conducted by the Commonwealth
Rehabilitation Service at Fremantle believing that they had a greater
knowledge
of employment opportunities in the Fremantle area.
- Nonetheless,
the respondent did attend on Mount Injury Management Service on 9 May 2006 to
discuss his medical and vocational situation,
where he was interviewed by Ms
Elaine Duncan, an Injury Management Consultant. Ms Duncan then provided an
Initial Rehabilitation
Assessment Report, dated 6 June 2006 to the
respondent’s solicitors in which she summarised the situation and made
certain
recommendations:
Mr Lawson is a 60 year old Seaman/Cook who has been unable to return to any
employment in the cooking/catering industry since 1996.
He has sought
alternative employment positions to no avail. His physical capacity has been
significantly reduced as a result of his
injury. Although he agrees he could
undertake some form of work, he believes the odds are stacked against him as a
result of his
age and his lack of adequate training in other work areas. His
medical practitioners are agreeable to an investigation into suitable
work
alternatives. As a result of the initial rehabilitation assessment, the
following recommendations are made:
- Mr
Lawson to be offered two vocational counselling sessions in order to examine his
transferable work skills and to generate and explore
potentially suitable work
options.
- Upon
consolidation of suitable alternative work options, medical opinion to be
obtained regarding the viability of options generated.
- Once
a vocational direction has been consolidated, and dependent upon medical
approval, Mr Lawson to be offered assistance in undertaking
a period of
training/work experience in order to commence vocational redirection.
- The
respondent’s solicitors then requested the applicant to advise as to his
available dates in the coming weeks, for the scheduling
of two further
vocational assessment meetings with Mount Injury Management. The applicant
replied by facsimile dated 6 July 2006
stating that he was willing to attend
with the understanding that it was for an assessment only and a decision was yet
to be made
as to the approved program provider.
- The
report refers to the respondent having experienced stress and anxiety, which he
believes to have been brought about by the ongoing
adversarial nature of his
workers compensation claim. However the report did not contain any reference to
him suffering from any
psychiatric condition or mental injury, or that he had
claimed to suffer from any such conditions.
- By
letter dated 4 July 2006 the respondent wrote to Elaine Duncan at Mount Injury
Management stating that because of Stateships new
initiative he had been placed
under more than usual stress and his doctor had referred him for psychiatric
assessment, which was
to take place the next day.
- On
12 July 2006 the respondent lodged a claim under the Act, the subject of the
proceedings before the Tribunal and this appeal.
- In
answer to the question in the claim form, as to the nature of his claim, the
respondent ticked the boxes “medical and related
expenses” and
“household and attendant care services”. He described the nature of
his injury or illness as “stress”
and the part of his body as
“mental”. In answer to the question as to when he was first injured
or noticed that he was
ill, the respondent wrote “1995” but on 3
October 2006 wrote to the appellant changing the date from 1995 to April 2006.
- In
his claim for compensation the respondent described the events that led to his
injury in the following terms:
The continual legal litigation in respect to my compensation claim since 1994
and the fact that my employer refused to provide me
with the opportunity to take
part in any rehabilitation programme over the past twelve (12) years,
effectively denying me the ability
to rejoin the work force but are now
demanding that I take part in a futile rehabilitation assessment. This whole
process has put
me under a lot of stress causing me to drink alcohol heavily and
has threatened my ability to cope with every day life. Over the
years I have
received counselling from a psychologist but this latest initiative of
Stateships has caused me to seek and receive
psychiatric help from Dr Wu of WEIT
Perth because I became frightened of the consequences of my state of mind. (sic)
- Ms
B Kordanovski, a psychologist with Mount Injury Management Service in a
Vocational Assessment Report dated 24 July 2006 concerning
the respondent,
following two vocational assessment sessions attended by him on 18 and 20 August
2006 said:
Mr Lawson engaged in the vocational assessment sessions. He was an active
participant in the process and completed the administered
questionnaires
promptly. Mr Lawson expressed that he felt highly anxious regarding
participating in vocational rehabilitation following
such a long period since
his injury.
- Dr
Knight, a general practitioner, had been treating the respondent for general
medical problems since 2001. On 5 September 2007
she wrote in reply to a letter
from Cocks Macnish, the applicant’s solicitors, concerning the respondent.
Its contents are
set out in full at [33] of the reasons of the AAT. It included
the following:
2. There are no other factors impacting on Mr Lawson’s present
psychological condition beside his worker’s compensation
process.
3. Mr Lawson receives counselling with a clinical psychologist and is on an
antidepressant medication (lexapro). The medication was
commenced shortly after
he was urgently referred to a psychiatrist in June 2006.
4. Mr Lawson is aware that he can receive urgent outpatient or inpatient
psychiatric care at any time if his depression and hopelessness
deepens. He is
also aware that more counselling of a CBT nature is accessible should he need it
and that medications can be increased.
He is aware of all his risk factors for
an increase in his symptoms. He is currently not requiring that extra care.
. . .
6. ... He is made totally incapable of working by the nature of his depressive
illness. If he were no longer required to work it
would reduce his immediate
stressors and background risk of suicide, it would not however resolve his
mental health issues.
7. Mr Lawson has seen a private psychiatrist once at my urging after I became
fearful and aware of his suicide potential. He had
been seeing a clinical
psychologist Emilie Cattalini for some 12 years of his own volition and
unbeknownst to myself, to cope with
his distress regarding the legal battles
concerning his injury claims. She wrote to me in mid June 2006, with
Barry’s knowledge
after his mental health nosedived. This was at the time
he was told he was going to be rehabilitated to be made work ready. ...
He saw
Dr Raymond Wu in July 2006 once and continued counselling. Dr Wu offered him
management options to call on if he needed them
and assessed him at the time as
not actively suicidal. He has follow-up available as needed. He opted to
continue with his trusted
counsellor and accepted a need for antidepressants.
We commenced him on an antidepressant and monitored him closely to observe a
gradual settling of his suicide potential. He remains very vulnerable.
. . .
9. This gentleman has a long history of psychological assistance to help him
cope with his protracted worker’s compensation
case. He has never sought
to claim this or publically acknowledge this until pushed to the brink of
claiming his own life to deal
with his anger and despair at a system that spent
10 years offering him no rehabilitation and then forcing him to it this year,
whilst
indicating his age made him unemployable (as he is now within three years
of retirement age). This seems from Mr Lawson’s
point of view to show a
malicious disregard for his well-being. (Emphasis added)
- By
facsimile dated 25 September 2006 the applicant wrote to the respondent
requesting to know what the applicant intended as it was
more than sixty days
since the report 24th July 2006 from Mount Injury Management in respect to his
undertaking training/work experience
in order for him to commence vocational
redirection.
- By
facsimile dated 12 October 2006 the respondent advised the applicant that its
insurers had “approved the use of Mount Injury
Management as a programme
provider”.
- By
facsimile dated 12 October 2006 to the respondent, the applicant noted that:
- he had not been
consulted in relation to the selection of an approved program provider, as
required by the Act;
- Mount Injury
Management Services was not included in the list of Western Australian Approved
Rehabilitation Providers published by
Comcare.
- By
facsimile dated 27 October 2006 the respondent's solicitors informed the
applicant that it had, as requested by him, made arrangements
to transfer his
vocational rehabilitation from Mount Injury Management to a Seafarers Approved
Rehabilitation Provider, namely CRS
Australia Fremantle.
- In
a subsequent facsimile dated 30 October 2006 the respondent's solicitors
informed the applicant that Mount Injury Management was
in the process of
becoming an Approved Rehabilitation Provider for seafarers but that nonetheless,
in an effort to accommodate his
request, the matter had been transferred to CRS
Australia.
- In
December 2007 the applicant, by facsimile letter, advised the respondent that it
would not progress efforts aimed at assisting
him to return to work. This, in
large part, it would appear was as a result of a letter to CRS from Dr Knight
which included the
statement that “Mr Lawson has been suffering both
anxiety and depression, has undergone a psychiatric review and had been placed
on Lexapro to assist with the management of his symptoms”. Since then the
respondent has not been subject to any further vocational
rehabilitation
programmes with a view to his entering the workforce.
- Dr
Knight provided a further report addressed “to whom it may concern”
dated 3 December 2007 which is set out at [34]
of the reasons of the AAT. It
includes relevantly:
I next saw him in June 2006 at the request of his longstanding Psychologist,
Emilie Cattalini. He was no longer attending the gym.
He was no longer doing
voluntary community work. He was deeply distressed, depressed, angry and unable
to handle any company.
He was very afraid of his own potential to self-harm and
harm others. He was urgently reviewed by psychiatrist Dr Wu, and commenced
on an antidepressant, for major depression with high suicide risk.
He currently still has a diagnosis of major depression, partly treated. He is
no longer suicidal. He has been exercising at home
with a physiotherapist
friend mentoring him. He is still incapable of interacting in a normal capacity
in the community.
It seems the deterioration in Mr Lawson’s mental state and development of
depression lies with the handling of his compensation
case and rehabilitation
process since April 2006. (Emphasis added)
The Notice of Appeal
- The
amended notice of appeal contains the following questions of
law:
(a) whether there was any evidence before the Tribunal on which the Tribunal
could find that the respondent contracted a psychiatric
disorder in or about
June 2006 and that he continued to suffer from a psychiatric disorder;
(b) whether properly construed ss 24 and 26(1) of the Act in imposing
liability on an employer to pay compensation to an employee
in respect of an
“injury” as defined in s 3 of the Act permits regard be had to
whether the injury has “arisen
out of” the employee’s
employment;
(c) whether the definition of “disease” in s 3 of the Act
encompasses a mental ailment in the absence of a close
connection between the
mental ailment and the employment in which the employee is engaged or whether
any causal connection is sufficient;
(d) whether an employee’s subjective perception of an employer’s
conduct which precipitates a mental ailment can satisfy
the definition of
“disease” in s 3 of the Act, thereby enabling the payment of
compensation pursuant to ss 24
and 26(1) of the Act without it first being
evaluated and determined that there is a close connection between the employment
and
the subjective perception, and in the case of a mental ailment said to be
consequent upon an initial injury, without first evaluating
and determining
whether there was a close connection between the initial injury and the mental
ailment such that the mental ailment
was not too remote.
The First Question
- The
first question of law is supported by a ground of appeal in
terms:
(a) the Tribunal held that the respondent suffers from a mental ailment being a
psychiatric disorder which he contracted in or about
June 2006 when there was no
evidence that the respondent contracted a psychiatric disorder in or about June
2006 or that he continued
to suffer from a psychiatric disorder.
The decision of the AAT
- The
relevant findings of the AAT contained in its reasons are as follows:
Does the applicant suffer from a mental ailment?
- The
medical evidence before the Tribunal supports the proposition that the applicant
has been suffering from a mental ailment since
June 2006, or, alternatively,
that he has been suffering from a mental ailment since 1996 which was aggravated
in June 2006. There
is no medical evidence before the Tribunal which is
inconsistent with either of those alternative propositions. Accordingly, the
Tribunal finds, on the basis of the medical evidence before it, that the
applicant suffers from a mental ailment and has been so
suffering since at least
June 2006.
- As
regards the nature and character of the mental ailment suffered by the
applicant, the Tribunal finds, on the basis of the evidence
of Dr Knight, that
in or about June 2006 the applicant’s existing mental condition
substantially deteriorated to the extent
that he then contracted a psychiatric
disorder. It is not necessary for the Tribunal to make a finding as to the
precise diagnosis
of that psychiatric disorder but the Tribunal is satisfied, on
the basis of Dr Knight’s evidence (which included a reference
to a
provisional diagnosis of adjustment disorder with anxious/depressed mood made by
Dr Wu, Psychiatrist, on 5 July 2006 and his
suggesting anti-depressant
medication for the applicant), that the applicant’s ongoing psychiatric
disorder, which he contracted
in or about June 2006, involves depression.
- In
short the Tribunal was satisfied that the respondent suffered a
“substantial deterioration in his mental health in or about
June 2006
which ... involved the contraction of a psychiatric disorder involving
depression”: at [46]
- The
applicant submits that not only is there no evidence to support this but that
the relevant evidence contradicts such a conclusion.
Evidence as to injury
- Dr
Knight, the respondent’s general practitioner since 2001, referred the
respondent to a psychiatrist, Dr Wu. Dr Wu saw the
respondent on 26 June 2006
and prepared a report dated 5 July 2006. Dr Knight said that one of the main
focuses of sending the respondent
to Dr Wu was to assess the respondent’s
likely suicide potential. She did not state what, if any, were the other
reasons.
Dr Wu’s report was not provided by Dr Knight to the Tribunal
although she had it with her whilst giving evidence. The Tribunal
did not
require that it be produced because it did not want her to feel
“uncomfortable” about doing so. The appellant’s
solicitors
requested a copy of Dr Wu’s report from the respondent however the
respondent was unable to obtain a copy from Dr
Knight and for that reason did
not provide a copy to the applicant.
- The
examination of Dr Knight included the following:
That would be the first one presumably. Let's say it would be shortly after ---
?---Yes, there was only the one visit that I'm aware
of at that stage and as a
result of that visit Mr Lawson started on some anti-depressant
medication.
All right, so you have a report of Dr Wu, have you, dated the
5tb of July 2006?---I do. Is it a very
lengthy report?---A four page report.
Right, so it is a very, well fairly lengthy report. Are you able to tell us what
Dr Wu concluded, regarding say a diagnosis of Mr
Lawson's mental
condition?---Yes, his main problem was that he stated he's not able to make a
definitive diagnosis at that stage
because there had only been the one visit so
he definitely felt that Mr Lawson had been suffering from an - well he stated
just from
the one-off visit an adjustment disorder with anxious depressed mood
was the diagnosis that was made but he also documented in the
letter that a
one-off visit was not enough really for him to make a conclusive
diagnosis.
All right, and did he express any view about the causation of that
condition?---Let's have a read for you. I've obviously sent him
along because I
was concerned about his risk of suicide so I - one of the main focuses of the
visit with Dr Wu was to assess how
likely he felt that suicide potential
was.
Yes, well it may well be that Dr Wu wasn't asked to express any opinion
regarding the cause of this, I'm not sure?---Well he might
have, it was more
that my concernwas do I have a gentleman that is going to - that is actually
suicidal and needing some care or
not and Mr Lawson had been a referral back to
me from his clinical psychologist who he'd been seeing, the clinical
psychologist was
concerned, I was definitely concerned with the information that
Mr Lawson discussed with me and that's why he had an appointment
within a week
to see the psychiatrist, Dr Wu.
Right, but no follow up--- ?---Dr Wu's concern was that he felt Mr Lawson was
insightful and he did not feel at the time that he
was seen that he was actually
suicidal but certainly felt that he was at risk.
But there were no follow up visits?---They were offered but Mr Lawson declined
at that time.
And are you aware of Dr Wu prescribing any medication for Mr Lawson?---That was
he suggested to him commencing Lexapro and Mr Lawson
and I followed up on that
and we discussed the medication and commenced him on it and he remains on it to
this day.
Right, all right. Is there anything else in Dr Wu's report that you think is
worthy of mention or not? For example, anything there
that you have particularly
followed upon yourself in your treatment of Mr Lawson apart from I suppose the
prescribing of Lexapro?---It
was I guess a number of things more trying to
provide an environment of calm for Mr Lawson because we had a very angry and
potentially
suicidal man, very distressed and it was trying – my follow up
afterwards was trying to create an environment in which he could
be in this
state.
- The
effect of this hearsay opinion evidence attributed by Dr Knight to Dr Wu was:
- The respondent
may have been suffering from an adjustment disorder with anxious depressed mood
but that, because he had only seen
the respondent once, such a diagnosis could
not be conclusive.
- The applicant
was “insightful”.
- The applicant
was not actually suicidal but there was some unspecified “risk”.
- Dr
Wu, according to Dr Knight “suggested” that the respondent commence
on medication known as Lexapro. He did not however
prescribe it. It was Dr
Knight who did so. There was no evidence as to the basis for this prescription
or the period in respect
of which it was prescribed. In any event, it is by no
means clear in the evidence that it is prescribed only for depression. It
seems
likely that this is not the case as Dr Wu was unable to conclusively diagnose
that the respondent was suffering from depression.
I cannot think that in those
circumstances he would suggest a drug if it were apt only for the treatment of
depression.
- The
respondent, as Dr Knight stated in evidence, declined further follow-up with Dr
Wu.
- In
contrast to the statements attributed to Dr Wu, Dr Knight’s report
prepared on 3 December 2007 had stated that “He
was urgently reviewed by
psychiatrist Dr Wu, and commenced on an anti-depressant for major depression
with high suicide risk”.
- This
advice, whether intended or not, wrongly conveyed the impression that the
respondent had been diagnosed by a specialist psychiatrist,
Dr Wu, as suffering
from major depression attended by a high suicide risk.
- Likewise,
in her letter to Cocks Mcnish dated 5 September 2007 to which I have referred,
Dr Knight stated at para 3:
Mr Lawson receives counselling with a clinical psychologist and is on
antidepressant medication (lexapro). The medication was commenced
shortly after
he was urgently referred to a psychiatrist in June 2006.”
- As
with Dr Knight’s other advice, the correlation between the medication and
the review of the respondent by Dr Wu may well
have given the impression that he
had diagnosed the respondent as suffering from depression. Dr Wu, in fact, had
done no such thing.
- Dr
Knight was cross-examined as to her evidence concerning depression. The
following are relevant extracts from the transcript:
Well when we say someone is suffering from depression we, as lay people, we tend
to bandy that around quite willy-nilly I suppose
in many respects, someone is
always depressed or they've had a bad day but it has a distinct medical meaning,
doesn't it rather than
what we lay people would often call depression?---Yes, it
does, yes.
And as a GP or as I understand it you didn't conduct any testing to formulate if
I can call it the technical meaning of depression?---Have
I done a formal -
other than what I can work from the DSM sort of classification of
depression?
That's so, yes. As I understand it, you really took - you looked at - or gave a
general view of Mr Lawson but it wasn't the same
sort of test that say a
psychiatrist or a psychologist would do. You didn't perform those sorts of
tests?--- No, I didn't do anything
in depth like that, that's something that
takes a process of considerable time which is not available to me in general
practice.
I have to do things in short bites.
- Dr
D Weerasooriya, a member of the Tribunal questioned Dr Knight in
terms:
In WA: thank you for that. Doctor, as a vocationally registered GP aren’t
you – isn’t it a part of your training
that you’re trained to
diagnose, not so much diagnose, at least to realise that somebody that comes to
you in your practice
could be depressed to use a technique of interrogating them
such that you get to the root of that if you suspect it, isn’t
that a part
of your training and aren’t you doing that consciously in many other cases
apart from cases like this?---Yes.
If a new patient were to come to you isn’t it a part of your history
taking, a part of your training to pick out those nuances,
body language, the
way they say things to come to a conclusion and are you quite adept at that
after so many years with experience?---
I ... patients with psychological
issues. I am a person who spends some time with people so yes, that’s
something that I don’t
sit and tick the boxes and dot the Is but have
developed knowledge over the years and hence my concern and hence my rapid
referral.
- The
effect of her evidence was that she had not performed tests for depression as
she did not have time as a general practitioner
to do so, but that she was
trained to realise that a patient could be depressed occasioning a referral of
the patient to a specialist
psychiatrist. That was, in the case of the
respondent, precisely what Dr Knight did.
- Emilie
Cattalini, a registered psychologist gave evidence. She practised at the Mary
MacKillop Centre. The respondent had done
voluntary work there for her over a
period of about two years around 2000-2003. She had in the past provided
counselling to the
respondent.
- Her
witness statement, which was reproduced at [38] of the Tribunal’s reasons
stated the following:
“I am a registered Psychologist and have been in practice since
1991.
In 1996 Mr Barry Lawson requested counselling because, being engaged in a legal
battle concerning injury claims, he was under extreme
stress.
He had frequent thoughts of suicide and of inflicting harm on
others.
He also experienced sleeplessness, increased use of alcohol and growing
dependency on medication. He was reclusive, short-tempered,
and his personal
care and family relationships had deteriorated.
Over the ensuing years, while the legal battle continued, Mr Lawson has
continued to seek help and has engaged in learning several
stress management and
stress reduction techniques.
From time to time, when his progress towards a resolution of his dispute seems
to be deliberately blocked, his mental state becomes
fragile. Recognising the
signs he seeks help immediately.
Also, requests for help have been deliberately delayed or
refused.
One such example is the delaying of authorization for home help after surgery
till due time had elapsed. Help was rightfully available
for six weeks after
surgery but authorization for the help was delayed beyond six weeks by which
time his right to the help had expired.
This occurred even though the request
for help had been granted in court.
If is difficult to perceive such delays as anything but deliberate actions on
the part of the respondent. They are, consequently,
stress producing for Mr
Lawson.
The most recent severe deterioration in mental health suffered by Mr Lawson was
around June 2006 due to the stress incurred after
a request by the respondent
that he undergo vocational assessment and this by an unapproved
provider.
It was not the request in itself that caused stress.
Firstly, it was the fact that Mr Lawson’s Doctor has asked that such
assessment take place many times over the years and was
constantly
refused.
Secondly, subsequent to the request for vocational assessment, Mr Lawson was
again subjected to inconsistencies by the respondent,
being asked to go to an
approved provider being a case in point.
Thirdly, it became obvious that there was no real intention of finding him
employment because of the delay – 60 days after
receiving the report no
progress had been made.
At this time Mr Lawson again experienced severe reclusive behaviour and thoughts
of suicide and harm to others returned.
Not being engaged in meaningful employment has been a major factor in Mr
Lawson’s deterioration.
After his most recent deterioration, Mr Lawson began a personal programme of
physical exercises and continued his previous mental
therapies.
At this time he was also placed on medication for depression by Dr Wu,
Psychiatrist.
Mr Lawson has undoubtedly sustained extreme mental pressure, exacerbated by
delays and inconsistencies.
Because Mr Lawson has become most proficient in, and very faithful to, his
stress management techniques my role in his mental health
care is now as Mentor
rather than Counsellor.”
- In
cross-examination she said:
Now, can I ask you, did you undertake any formal testing of Mr Lawson in the
sense of a DSM test or anything similar?---No.
Could I ask you whether you would agree or disagree with the proposition that
the stress that Mr Lawson has been under since 1991,
caused by the litigation
process, is the source of his present mental state, to use neutral terms?---Not
completely in the sense
that there was a lot dealt with previous to around
– you know, when all this other business started. You know, sort of
around
probably about two years ago, you know, like he was proceeding very well,
and then there was a deterioration about two years ago.
- In
its Reasons at [40]-[41] the Tribunal stated:
- Sister
Cattalini, when asked for her opinion regarding the effect on the
applicant’s mental health of the respondent’s
now terminating the
vocational rehabilitation process in his case, said that it “would
certainly relieve his stress”.
- Sister
Cattalini said that the applicant’s present mental state is better than it
was in 1996 when he first sought counselling.
She said that, prior to 2006, his
mental state fluctuated but that in 2006 it deteriorated almost to the 1996
level. She added:
“... but it wasn’t as
prolonged, and I would imagine that that was because Mr Lawson had built up his
practices of being
able to then self-monitor himself and do the work, and also
kept in contact, with the counselling and monitoring. So he was better
able to
handle it because he had the techniques and the tools to handle it. But it was
– he did – well, he went back
into thoughts of suicide, he went back
into reclusiveness, he went back into personal health deterioration, personal
appearance deterioration,
so all those indicators were there again.”
- The
effect of Ms Cattalini’s evidence was that:
- The respondent
suffered a severe non-specific deterioration in his mental health around June
2006 due to the stress incurred after
a request by the applicant to undergo
vocational assessment.
- This
deterioration wasn’t as prolonged as it had been in 1996.
- Her role (as at
the date of the hearing before the AAT) in the respondent’s mental health
care was, by reason of the respondent’s
proficiency in stress management
techniques only as a “Mentor” rather than a
“Counsellor”.
- In
the circumstances where there is positive evidence that Dr Wu did not diagnose
depression in the case of the respondent the hearsay
evidence of Ms Cattalini
that Dr Wu prescribed medication for depression carries no weight.
- In
my opinion, the finding by the Tribunal that the respondent contracted a
psychiatric disorder involving depression in or about
June 2006 and which
continued to the date of the hearing in May 2008 was not founded on probative
evidence. Indeed it was contrary
to the evidence which was probative. The
evidence of Dr Knight concerning the question whether the respondent suffered
depression
or any injury involving depression was, with due respect to her,
overstated and her reports misstated the involvement and diagnosis
of Dr Wu.
Her evidence in this respect was at odds with what Dr Wu had stated even on her
account. It was not probative of the
existence of a psychiatric disorder
involving depression either as at or about June 2006 or since then.
- Dr
Wu, a specialist psychiatrist was not prepared to conclude that the respondent
was depressed. He positively concluded that the
respondent was not actually
suicidal. It is regrettable that the Tribunal did not insist on Dr Wu’s
report being produced
by Dr Knight. Any confidentiality could only have been
for the benefit of the respondent who, in any event, was plainly relying
upon
its contents.
- Ms
Cattalini, a psychologist, was prepared to say no more than that the
respondent’s mental health suffered a severe deterioration
in 2006 but
only for some unspecified period when it seems it resolved.
- Finally
the respondent did not, in his application under the Act, say that he was
depressed. At its highest he said that the events
concerning the vocational
reassessment in about June 2006 had caused him a lot of stress and threatened
his ability to cope with
daily life. He did not tell Ms Kordanovski, the
psychologist, that he was depressed but said that he felt highly anxious about
participating
in vocational rehabilitation as at 2006.
- The
question whether there is any evidence of a particular fact is a question of
law: Australian Broadcasting Tribunal v Bond [1990] HCA 33; (1990) 170 CLR 321 at 355;
Birdseye v Australian Securities and Investments Commission [2003] FCAFC
232, 38 AAR 55 at [29]; Wecker v Secretary, Department of Education Science
and Training [2008] FCAFC 108, (2008) 249 ALR 762 at [99].
- The
fact that the Tribunal is not bound by the rules of evidence does not free the
Tribunal to make a decision upon evidence which
lacks rational probative force:
Re Pochi and Minister for Immigration and Ethnic Affairs (1979) 2 ALD 33
at 41 per Brennan J; Minister for Immigration and Ethnic Affairs v Pochi
[1980] FCA 85; (1980) 4 ALD 139 at 155-6; Collector of Customs (Tas) v Flinders Island
Community Association [1985] FCA 232; (1985) 8 ALN N102; Rodriguez v Telstra Corp Ltd
[2002] FCA 30; (2002) 66 ALD 579 at [25]; Wecker at [96].
- In
my opinion there was no probative evidence that the respondent contracted a
psychiatric disorder involving depression.
- There
is however evidence that is probative, emanating from Ms Cattalini, that the
respondent, for an unspecified period in or about
1996 and again in 2006
suffered severe deterioration in his mental health as a result of stress.
Whether or not those episodes constituted
relevantly an “injury”
under the Act, I cannot say. This ought be considered by the Tribunal.
- Pursuant
to ss 44(4) and (5) of the AAT Act and s 28 of the Federal Court of
Australia Act 1976 (Cth) the Court has power to remit the case for
re-hearing by the Tribunal, which may be confined or at large: Repatriation
Commission v Nation (1995) 57 FCR 25. I consider that the matter as a whole
ought be remitted to the Tribunal differently constituted for determination
according to law.
It is unnecessary, given this conclusion, to consider the
other questions of law raised in the application.
- The
application will accordingly be allowed. I will hear the parties on the
question of costs.
I certify that the preceding fifty-six (56)
numbered paragraphs are a true copy of the Reasons for Judgment herein of the
Honourable
Justice Gilmour.
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Associate:
Dated: 09 February 2009
Counsel for the
Applicant:
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Solicitor for the Applicant:
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Cocks Macnish
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Counsel for the Respondent:
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The Respondent appeared in person
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URL: http://www.austlii.edu.au/au/cases/cth/FCA/2009/59.html