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Abstract Book - International Academy of Law and Mental Health

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the person <strong>and</strong> if appropriate, his or her nominated friend, relative, guardian or care provider.The actual day-to-day management <strong>of</strong> the person’s affairs is undertaken by staff who work forthe NSW Trustee.Refugees: Death in Custody – An Australian Problem?Yega Muthu, University <strong>of</strong> Technology at Sydney (yega.muthu@uts.edu.au)In Australia, refugees are subjected to m<strong>and</strong>atory immigration detention for two years or morewhilst they await their applications to be processed. They have no assets or income as they areprohibited from working. There is a clear association between prolonged <strong>and</strong> indefiniteincarceration <strong>and</strong> psychological injury for asylum refugees. The compound effect <strong>of</strong>indeterminate m<strong>and</strong>atory detention <strong>and</strong> the inability to work unequivocally leads to detaineesdeveloping anxiety, major depression <strong>and</strong> psychosomatic illness. Pre-existing conditions such aspost traumatic stress disorder are exacerbated by detention <strong>and</strong> result in acute mental illnesses,self-harm <strong>and</strong> suicide attempts. There have been reported deaths in detention centers. TheAustralian Government paid $23 million in compensation for unlawful detention <strong>and</strong> for carelesstreatment <strong>of</strong> refugees under civil law. What is the Australian Government doing about thisproblem? This presentation will explore possible solutions <strong>and</strong> reduce deaths in custody <strong>and</strong> selfharm.How Effective are Compulsory Treatment Orders for the Treatment <strong>of</strong>People with Persisting Psychotic Disorders Receiving PsychiatricTreatment in the Community?Andrew Campbell, <strong>Mental</strong> <strong>Health</strong> Review Tribunal, Boronia Park, Australia(jcam4067@bigpond.net.au)How effective are Compulsory Treatment Orders (CTOs) for the treatment <strong>of</strong> people withpersisting psychotic disorders receiving psychiatric treatment in the community? The experiencecomes from twelve years reviewing CTOs in New South Wales. The author will outline theelements <strong>of</strong> Australian legislation, review seminal studies, summarize personal research overtwelve years into who gets such orders <strong>and</strong> their effectiveness, <strong>and</strong> discuss recommendations forfuture legislation <strong>and</strong> research. CTO’s are an important element <strong>of</strong> effective community care butrequire adequate resourcing <strong>of</strong> Community based services to be effective.19. Child Abuse IMaternal Incest: Challenges for Child Protection48

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