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Dáil Éireann debate -
Wednesday, 31 May 1978

Vol. 307 No. 2

Private Members' Business . - Adjournment Debate: Escape from Central Mental Hospital .

: I do not wish to start this debate on a note of acrimony, but I believe the laws of debate relating to Question Time and Private Notice Questions should be revised. This question should be dealt with more appropriately at Question Time. I know the Chair cannot do anything about this but I want to take this opportunity to say that this is not a question for the Adjournment but one where the Minister should be given an opportunity to put the facts before the people and the House. However, that is not covered in Standing Orders and we have to deal with it on the adjournment.

I find myself in a difficult position because I do not know the facts of the case, and this is the difficulty. The Minister in charge of security in the Central Mental Hospital, Dundrum, should make the facts known without a Deputy having to come here and raise the matter on the adjournment. There has been a great deal of public disquiet as to why two high security risk prisoners should be in Dundrum without adequate security precautions being taken to make sure they could not escape.

Most adults realise that one of the most dominant thought in a prisoner's mind is to escape. That is natural. Every person sentenced, whether it is for six months or 30 years, wants to plan his escape. It is on the cards that people can bluff their way by saying they are sick and be referred to the Central Mental Hospital from where I am told a blind man could escape. I realise that there is a health aspect involved here, and I fully accept that in a mental hospital such as Dundrum there must be facilities which will help to rehabilitate patients. It is going a bit far to accept that as an argument as to why two prisoners, particularly one who is known to be highly skilled in the use of explosives, should be allowed to walk the grounds, wander away from the main party and jump over the wall, conveniently having it pre-arranged for a rope ladder to be there. It is asking too much to accept the new found thinking of the medical profession to ignore the fact that people who are now serving long terms of imprisonment can plan to be put into hospital which is the easiest route of escape.

If this happens again would any prisoner in our high security prisons who generally needs psychiatric treatment, or who has a nervous breakdown or who becomes so depressed locked up in jail that he need specialist attention, be questioned? If he is taken to Dundrum will the facilities which were lacking in this case be lacking then too? This poses a further question. If these two people are apprehended, and I hope they will be recaptured soon, will they be sent back to Dundrum or will they return to the prisons from which they came, one to the Curragh and the other to Portlaoise? I fully accept that both prisoners were sent there on medical evidence, but will the Minister for Health or the Minister for Justice ignore the medical report which was strong enough to send them there in the first place, and put them back into proper custody?

Is Dundrum a suitable place to keep high risk prisoners who may need these medical services in future? I am told by people who live close to the prison that it must be the simplest place from which to escape in Ireland and maybe even in Europe. I am told it is quite easy to plan an escape. All a person has to do is to take possession of a house or find a vacant house, use it and get in contact with the people inside.

We know the history of prisoners using explosives inside prisons. We have had a very sad history of this. I do Not want to go into detail on this occasion because primarily my reason for raising this question on the Adjournment was to get information from the Minister about the lack of security. I am not going to speak at great length, but in view of what happened is the Minister satisfied that the original transfer to Dundrum was made on valid medical grounds or can this House and the general public assume that the transfer was simply the first phase in an elaborate escape plan? Is it part of an on-going process? I would welcome information on the circumstances in which the transfer was made and I would like an assurance about the future, particularly in view of the record of one of the prisoners.

I would also like an assurance from the Minister and from his colleague, the Minister for Justice, that if there is an escape from prison, either from Dundrum Central Medical Hospital or from any State prison, immediately the general public will be told how and when it happened and will be given the full facts. It is wrong in the extreme that the information should leak out.

I understand—and I stand willing to be corrected on this—that but for a mistake by someone, I do not want to give the officers name, who gave the information on the telephone believing that he was speaking to somebody else, we might not have known about this yet. This is wrong, and the Minister should tell the House exactly what happened and if security is needed in future. We do not want to be a laughing stock for the rest of Europe. If any of us found ourselves on the wrong side of the law and in prison, the first thing we would do would be to plan our escape. That is normal and has been the practice since the beginning of time and will continue to be the practice.

Our job, as custodians of law and order, is to see that people sentenced to prison for crimes against society serve their time. The responsibility is on us to make sure that there are no easy escape routes, which is what happened on this occasion.

: The facts of the incident which Deputy Harte raised on the adjournment are quite simple. Two inmates of the Central Mental Hospital escaped aided and abetted by two outside persons who brought along a ladder, and put it inside the wall, enabling the two inmates to clamber up and over the wall and escape in a van. The issues raised by Deputy Harte are of more importance and significance than the details of the escape. Prisoners are transferred from prison to the Central Mental Hospital only when they have been certified medically as being mentally ill and in need of treatment. I assert for the benefit of the House and Deputy Harte that that was the case in this instance. The psychiatrists in charge of the hospital confirmed that the two patients who escaped yesterday were mentally ill and that their admission to the hospital was necessary. I would ask Deputy Harte to accept that there was no question about the medical validity of their illness.

The security arrangements at the hospital are appropriate to a secure hospital setting and not to a high security prison which must take more elaborate precautions and where personnel other than hospital personnel may be employed. The staff of the Central Mental Hospital consists of doctors, nurses and attendants. To provide the type of security available in Portlaoise, for instance, it would be necessary to supplement the staff by additional arrangements involving prison guards, armed patrols, searching of visitors and the erection of grids between patients and visitors. That would create a prison atmosphere rather than a hospital atmosphere and would be at variance with the type of setting psychiatrists consider necessary for the effective treatment of mentally ill patients. There is a dilemma there.

: The dilemma is as to who is mad.

: The dilemma is between the security which a prison offers and the conditions which should prevail in a hospital. These are mentally ill people and therefore rightly or wrongly it is considered that they should be in a hospital setting and that they should be given psychiatric treatment in an attempt to cure them and restore them to normal life. No member of the staff of the Central Mental Hospital can be blamed for this escape. I accept that it is necessary to reconsider the arrangements which should be made for the treatment of high security prisoners. My Department are discussing the possible alternatives with the Department of Justice, which has the primary responsibility for the security of prisoners. It is important to emphasise that the number of high security patients admitted to Dundrum hospital from Portlaoise in recent years has been very small, seven or eight in the last four years. In considering special arrangements the size of the problem must be borne in mind.

Deputy Harte raised the question of psychiatric services for prisoners generally. The position is that a service is given by consultant psychiatrists in the health service for prisoners who have minor mental illnesses. In the case of a prisoner in a prison who has a mental illness which is not regarded as being of a serious nature, the prisoner is treated under the health services by a consultant psychiatrist visiting the prison. Only very disturbed persons are transferred to Dundum for treatment.

The only other fact I can give is that one of these prisoners, as was suggested by Deputy Harte, was transferred from Portlaoise and the other was transferred from the Curragh. The matter will certainly have to be looked into and considered but we will always face this central question. Do we go overboard on the side of security with all that that means or do we try to preserve a hospital atmosphere for the treatment and cure of these prisoners? The Deputy can accept the medical evidence in this case.

: The Minister is not asking me to accept it. He is asking people outside the House to accept it. I wonder will they?

: I have an innocent feeling that if I can persuade Deputy Harte to accept it I can persuade all reasonable people to accept it. The psychiatrist in charge of the hospital confirmed that in his medical opinion both those patients were in need of psychiatric treatment of a sort afforded by the Central Mental Hospital.

: If they are captured again will they be put back in Dundrum or back in prison?

: That will be a matter for the authorities to decide. If they are still considered to be in need of psychiatric treatment they will go back to the hospital.

The Dáil adjourned at 8.30 p.m. until 10.30 a.m. on Thursday, 1 June 1978.

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