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An Investigation into Allegations of Serious Misconduct Following the Death of a Young Detainee in Unit 18 Casuarina Prison

By Western Australia Corruption and Crime Commission

In the early hours of 12 October 2023, a 16-year-old First Nation's boy, Cleveland Keith Dodd - died in custody. He was found hanging from a damaged vent in the ceiling of his cell at Unit 18 in Casuarina Prison. Cleveland's death comes some 32 years after the conclusion of the Royal Commission into Aboriginal Deaths in Custody. The painful truth is that he is by no means the first Indigenous Australian to have died in custody in Western Australia since that time. The profound tragedy is that he is the first child. While the cause and manner of Cleveland's death have not yet been determined by the Coroner, the Commission is satisfied within its jurisdiction that Cleveland fixed a torn piece of t-shirt material to a damaged ceiling vent, the ligature point from which he was later found hanging. At 01:35 on 12 October 2023, Cleveland used his cell call to contact a Youth Custodial Officer to tell him of his intention to hang himself -shortly before doing so. Cleveland's final threat of self-harm was one of at least 17 threats of self-harm or self-harm attempts made by the young people detainees at Unit 18 in the 24 hours leading up to it. Why Cleveland was driven to self-harm is not an inquiry within the jurisdiction of the Commission. The question of how he was able to attempt to take his own life in a tightly controlled space - is. There are several bodies vested with statutory power to investigate the circumstances surrounding the death of a child in custody. That is for good reason. The death of a child in such circumstances deeply affects not only their family but the Western Australian community as a whole. Broader systemic and cultural issues within the Department of Justice (DOJ) may have contributed to this outcome. In his May 2023 Inspection of Banksia Hill Detention Centre and Unit 18, the Inspector of Custodial Services Mr Eamon Ryan found young people, staff, and a physical environment in acute crisis. In the almost 18 months leading up to his inspection, the rates of self-harm and attempted suicide among young people in custody were unprecedently high. Staffing was in terminal decline. These wider considerations may form part of the Coronial inquest into Cleveland's death or the inquiries of the other authorities. The Commission has a narrow but important jurisdiction. Until 2014 the Commission also had jurisdiction in respect of public officers who engage in conduct that constitutes or involves a breach of the trust placed in the public officer by reason of his or her office of employment as a public officer and could constitute a disciplinary offence providing reasonable grounds for termination of employment. In 2014 Parliament removed that jurisdiction from the Commission and vested it in the Public Sector Commission. Therefore, acts of neglect or misfeasance which do not disclose a possible offence of 2 or more years' imprisonment are outside the Commission's jurisdiction. The Commission is empowered to investigate serious misconduct. Serious misconduct is defined in the Corruption, Crime and Misconduct Act 2003 (CCM Act) s 4. To constitute serious misconduct under s 4(a) or (b), a public officer must have acted or failed to act corruptly. Corruption has been held to include conduct that involves moral impropriety in public administration, or some perversion of the proper performance of the duties of office.1 There was no evidence giving rise to a reasonable suspicion that any public officer had engaged in conduct of that kind. As a result, the Commission concentrated on investigating whether any public officer may have engaged in serious misconduct under s 4(c), by committing an offence punishable by 2 or more years' imprisonment while acting or purporting to act in his or her official capacity. The scope of the Commission's investigation was limited to forming opinions asto whether any public officer committed an offence punishable by 2 or more years' imprisonment. The purpose of the investigation was to determine whether any public officers engaged in conduct of that kind in the execution of their duties at Unit 18 at Casuarina Prison from 10 to 12 October 2023. On 12 October 2023, the DOJ notified the Commission of Cleveland's critical incident.2 After assessing the matter, on 20 October 2023 the Commission formed Operation Lowestoft to investigate. The same day, the Commission took the unusual step of making a public announcement in relation to the investigation, given the extensive reporting, public interest and the seriousness of the incident. On 2 November 2023, a member of Cleveland's family made a report directly to the Commission.3 The Commission's inquiry focused on the actions of the five DOJ Youth Custodial Officers (YCOs) and one nurse contracted to the DOJ who worked the night shift during which Cleveland self-harmed. A significant amount of CCTV footage and a large volume of records were obtained. Interviews with witnesses were conducted. The DOJ fully cooperated with the Commission's investigation. All five YCOs and the Nurse were examined under oath or affirmation between 29 January and 2 February 2023. Between 5 and 8 February 2023, the Unit Manager of the day shift at Unit 18 on 11 October 2023, the Superintendent of Unit 18, Mr Douglas Coyne, and the Deputy Commissioner for Women, Ms Christine Ginbey, who was at the time the Deputy Commissioner for Women and Young People, were examined under oath or affirmation. Having carefully weighed the benefits of public exposure and public awareness against the potential for prejudice or privacy infringements, the Commissioner did not determine that it was in the public interest to open those examinations to the public. Nonetheless, the Commission considered that there was a strong public interest in the Commission investigating the persons present at Unit 18 on 11 and 12 October 2023, and those who supervised them. Under their watch - a boy died. The Commission's mandate was to investigate and expose any possible serious misconduct by those who may have played a part in it. The criminal offences that the Commission's investigation centred around were those of the falsification of a record by a public officer contrary to the Criminal Code s 85, an act or omission causing bodily harm or danger under the Criminal Code s 304 (arising by way of a breach of the duty to provide the necessaries of life under the Criminal Code s 262) and failing to protect a child from harm pursuant to the Children and Community Services Act 2004 (CCS Act) s 101. The Commission analysed the information gathered by the investigation. The Commission assessed the evidence of all the witnesses who gave evidence. In the Commission's opinion each of the witnesses was genuinely affected by Cleveland's death. There were undoubtedly breaches of DOJ procedures and policies that occurred on the night of Cleveland's self-harm. There may have been conduct engaged in that constitutes misfeasance or misconduct of another kind described in the CCM Act s 4(d). That is a matter about which the Commission has no jurisdiction to form an opinion. While Cleveland's death is plainly a devastating outcome of the events that occurred between 10 and 12 October 2023, in the Commission's assessment, there is no evidence to suggest that the public officers involved committed an offence punishable by 2 or more years' imprisonment in the execution of their duties at Unit 18 during that time. Consequently, the Commission has formed no opinions of serious misconduct.   

Northbridge, WA: The Commission, 2024. 70p.

Evaluation of the Youth Justice Reform Programme: Final Report

By Jack Cattell, Sarah Webb, Ammeline Wang, Kasra Aghajani, Sophia Hasapopoulos, and Lorraine Khan

This evaluation has found that the Youth Justice Reform Programme (YJRP) foundations have been laid, and better outcomes were reported, particularly for the workforce. The Youth Custody Service (YCS) can build on these to sustain and improve the changes so it can implement the individualised approach fully. 2.1 Background Charlie Taylor’s (2016) review of the youth justice system found several shortcomings in the youth custody system, including poor safety, missed education opportunities, insufficient staff skills, and disjointed resettlement pathways. The government’s response was to launch a series of initiatives jointly known as the YJRP. The YJRP covered custody and community management of children who offend. This evaluation focused on custody changes. The YJRP aimed to (i) deliver an individualised approach through an integrated framework of care (ii) create a larger, more resilient, and more stable workforce with specialist skills and (iii) provide strong leadership and governance to support a rehabilitation culture. This report responds to the first two aims. The programme was composed of four work strands: (i) Education and Sports (ii) Behaviour Management (iii) Workforce and (iv) Leadership and Culture. Under each of those four work strands, sets of work packages were implemented to achieve the programme’s aims: education and sports provision in the secure estate; behaviour management packages to make child custody safer; workforce packages for improved recruitment and training; and leadership and culture packages to increase the capacity of the YCS.

2.2 Evaluation approach The evaluation of the YJRP ran from spring 2020 to spring 2022. It aimed to i) provide evidence of the implementation and delivery of the YJRP and ii) assess the programme’s impact on key outcomes of interest (such as assaults on the estate and increase in the workforce) robustly. The evaluation consisted of three strands: a scoping study, a process evaluation, and an impact evaluation. The Young Offender Institutions (YOIs) within the evaluation’s scope were Feltham A, Cookham Wood, Parc, Werrington, and Wetherby.1 The secure schools remain part of the overall YJRP, though the first secure school (Oasis Restore) will be evaluated separately. The scoping study identified the baseline position of each YOI, such as current population size, composition, staffing level, and when the YJRP work packages were or were to be implemented. The process evaluation implemented a theory of change2 approach to understand how operational and contextual factors contributed to child and workforce outcomes. Data were collected from staff and children in the YOIs through semi-structured interviews and an online survey. The impact evaluation estimated the YJRP’s impact on the number of staff and their time in post and the number of assaults in the YOIs using an interrupted time series analysis where longitudinal data from before the intervention was used to construct a counterfactual. Given the limited availability of a strong counterfactual, the conclusions are suggestive rather than definitive. A children’s survey was designed to measure their attitudes to relevant elements of the YJRP. 2.3 Evaluation key findings Building a professional, specialist workforce The aim of the YJRP’s Workforce work strand was to (i) create a bigger, more resilient, and more stable workforce (ii) employ more staff with specialist skills and (iii) create a culture change for staff who want to work with children with a focus on rehabilitation. Creating a bigger, more resilient, and more stable workforce Staffing levels increased at every YOI that participated in the study. Further, the proportion of staff who remained in their post for at least 12 months increased after implementing the reforms. However, changes are still required to recruitment strategies and the workforce and management culture to allow for a more resilient and more stable workforce. 

Employing staff with specialist skills More staff were trained and completed training on the delivery of CuSP3 and the Framework for Integrated Care (SECURE STAIRS)4 under the Unitas training and foundation degree. The findings also suggested a need for more specific training on the core elements of the YJRP and professional development, as well as time for staff, such as study days, to complete relevant training. Culture change towards a rehabilitative environment The YJRP was found to have changed the culture of YOIs and STCs to a more rehabilitative environment. Staff members reported taking a more rehabilitative approach to working with children, which contributed to a better relationship between staff and children. The shift to a rehabilitative approach was also reflected in the responses gathered from children, who reported feeling safe, being treated fairly by staff members, and having their needs better understood by staff. Delivering an individualised approach Central to the YJRP was an intention to offer support that is closely aligned with the needs of individual children.5 The individualised approach has education and wellbeing at its heart and is delivered principally through the Behaviour Management and the Education and Sports work strands. Behaviour Management Results were inconclusive about the impact of the YJRP on child-on-child and child-on staff assault rates within the YOIs, due to COVID masking any impact of the programme. Progress to make sites safer, however, was attained through other means, such as staff support for children, making them feel safer and as though they were being treated fairly. This approach helped children learn from their mistakes and de-escalate challenging situations. Staff and children also reported that the development of consistent relationships facilitated good discipline. The Framework for Integrated Care (SECURE STAIRS) and CuSP generally supported positive outcomes for some children, such as improved and supportive relationships with staff, feelings of safety, and confidence when leaving the establishment. However, children’s feedback in the survey suggested case workers and CuSP did not benefit all children, particularly those with ethnic minority backgrounds. Education and Sports The provision of education was hindered by the COVID pandemic, with a lack of face-to face education. Nevertheless, most children regularly attended the face-to-face classes available and reported a good choice of courses. Many children also reported being involved in various sports and physical activities. Further improvements could be made in (i) skill-building for careers (ii) educational level of courses and (iii) staff training to deliver all courses sufficiently.       

London: UK Ministry of Justice, 2024. 76p.

Life after life: Recidivism among individuals formerly sentenced to mandatory juvenile life without parole

By Colleen Sbeglia, Cortney Simmons, Grace Icenogle, Marsha Levick, Monica Peniche, Jordan Beardslee, Elizabeth Cauffman

In Miller v. Alabama (2012), the Supreme Court abolished mandatory juvenile life without parole (JLWOP) sentences and subsequently decided that the ruling applied retroactively (Montgomery v. Louisiana, 2016), effectively rendering thousands of inmates eligible for resentencing and potential release from prison. In its decisions, the Court cited developmental science, noting that youth, by virtue of their transient immaturity, are less culpable and more amenable to rehabilitation relative to their adult counterparts. Specifically, the Court notes adolescents' propensity for impulsive action, sensitivity to social influence, and difficulty understanding long-term consequences. Even so, these rulings raised concerns regarding the consequences of releasing prisoners who had committed heinous crimes as juveniles. Several years after the Court's decision, preliminary data are now available to shed light on rates of recidivism among those released. The current paper comprises three goals. First, we discuss the science of adolescent development and how it intersects with legal practice, contextualizing the Court's decision. Second, we present recidivism data from a sample of individuals formerly sentenced to JLWOP in Pennsylvania who were resentenced and released under Miller and Montgomery (N = 287). Results indicate that 15 individuals received new criminal charges up to 7 years postrelease (5.2%), the majority of which were nonviolent offenses. This low rate of recidivism is consistent with the developmental science documenting compromised decision-making during the adolescent years, followed by desistance from criminal behavior in adulthood. Lastly, we discuss the importance of interdisciplinary collaborations between researchers and legal practitioners, as well as critical future avenues of research in this area.

Journal of Research on Adolescence, 00, 1–11. 2024.  

Still Cruel and Unusual: Extreme Sentences for Youth and Emerging Adults

By Ashley Nellis and Devyn Brown

A wave of reforms since 2010 has changed the trajectory of punishment for young people by substantially limiting the use of juvenile life without parole (JLWOP) sentences. At the sentence’s height of prominence in 2012, more than 2,900 people were serving JLWOP, which provided no avenue for review or release. Since reforms began, most sentence recipients have at least been afforded meaningful opportunity for a parole or sentence review. More than 1,000 have come home. This progress is remarkable, yet thousands more who have been sentenced to similarly extreme punishments as youth have not been awarded the same opportunity. Our analysis shows that in 2020, prisons held over 8,600 people sentenced for crimes committed when they were under 18 who were serving either life with the possibility of parole (LWP) or “virtual” life sentences of 50 years or longer. This brief argues for extending the sentencing relief available in JLWOP cases to those serving other forms of life imprisonment for crimes committed in their youth. In addition, The Sentencing Project has estimated that nearly two in five people sentenced to life without parole (LWOP) were 25 or younger at the time of their crime. These emerging adults, too, deserve a meaningful opportunity for a second look because their developmental similarities with younger people reduce their culpability in criminal conduct. The evidence provided in this brief supports bold reforms for youth and emerging adults sentenced to extreme punishments.

Washington, DC: The Sentencing Project, 2024. 10p.