14:14SEAMUS MCDONNELL
'She needs to be monitored full time, probably for the rest of her life'
The court has resolved the technical problem that was stopping it from hearing evidence from Dr Helen Whitworth, a consultant psychiatrist who is speaking about patients with paranoid schizophrenia.
She tells the court that Eltiona Skana may have a ‘lack of insight’ into her own condition which could account for her ‘clear history’ of losing contact with mental health services and not taking medication.
When asked if she thinks the schizophrenia was the cause of Skana’s actions on March 22 she says it is likely.
Dr Whitworth said:
“My view is that this illness was the driver for this act and in my opinion it follows that only effective control of her mental illness will be the way to achieve full control and management of risk.”
If these symptoms are not managed the defendant represents a ‘clear danger to the public’, the doctor says.
She adds:
“She needs to be monitored full time, probably for the rest of her life.”
Dr Whitworth goes on to say that she thinks a hospital would be the most appropriate place for Skana to be treated and that in prison officers might not spot the ‘subtle signs of relapse’ that come with her mental condition.
14:29SEAMUS MCDONNELL
'Safest way to manage case would be under care of a mental health team'
Under questioning from prosecutor, Mr Brady, Dr Whitworth is being asked about the possibility of a hybrid order including both a hospital and prison sentence.
She tells the court that the average length of stay for patients at Rampton Hospital - where Eltiona Skana is currently being treated - is around seven years.
But she says that people with severe conditions like the defendant are likely to be under treatment for much longer
She adds:
“In my opinion the safest way to manage Miss Skana’s case would be for her to be under the care of a mental health team.”
14:39
Defence says public interest is 'aligned' with Skana being detained in hospital
Mr Csoka is summarising the defence case to the court and Mr Justice Wall.
He says that the defence believes that Eltiona Skana would be in hospital under care for longer than she would be in prison.
He says: “On the specific facts of this case, the public interest aligned with a Section 37/51 order [hospital order].
“Under such a regime, the amount of time she is detained is likely to be at least as long if not longer than a hybrid order or even a life sentence.”
14:42
Sentencing will take place at 3.15pm
The judge has now risen to consider the information he has heard today.
He will return to pass sentence at 3.15pm.
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