The person referred to by the Deputy was committed to Castlerea Prison on 9 October 1998. He is serving a four year sentence for rape and is not due for release with remission under 8 October 2001.
The request for private treatment was refused for the following reasons. First, the State has a legal responsibility for medical and therapeutic services provided to prisoners. As a matter of policy, this is interpreted as ensuring that prisoners are provided with standards and services equivalent to those available to citizens in the general community covered by the medical card scheme. Second, I could not accept any proposal which would circumvent this principle of State responsibility and accountability as it applied to prisoners.
If medical practitioners, social workers or counsellors not employed or retained by the Prison Service were to have access to prisoners on a frequent basis, the Prison Service would not have any real control over the treatment prescribed or given to offenders seen by those people. The net result would be to divest the prison medical service, and ultimately the Minister, of actual responsibility for the health and therapeutic care of prisoners in its broader sense while, legal responsibility in the strict sense would remain with them. This would be contrary to existing policy.
From a prison operational aspect, an absolute requirement is the consistency of treatment of prisoners. This applies equally to health and therapeutic care. If certain prisoners were allowed access to private therapy at their own expense all others would want the same concession or facility and, given that most would not have the means to pay for private treatment, this would pose a problem in the context of equality of treatment of prisoners generally.
The treatment prescribed might involve the release of the sex offender into the community. That too might put the State in a position where it could not meet its responsibilities to protect the community during the period of the sentence.
The person referred to by the Deputy will, along with all other convicted sex offenders, be invited to apply to participate in the sex offender treatment programme in Arbour Hill Prison. The next programme will begin in September and prior to this applications will be invited from all prisoners. The person referred to by the Deputy was seen by the probation and welfare officer on committal and on three other occasions since. He has not expressed an interest in this programme to date.