QUEEN'S BENCH DIVISION
THE ADMINISTRATIVE COURT
Strand London WC2 |
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B e f o r e :
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THE QUEEN ON THE APPLICATION OF | ||
(1) FAWAD AHMADI | ||
(2) ZIA AHMADI | (CLAIMANTS) | |
-v- | ||
THE SECRETARY OF STATE FOR THE HOME DEPARTMENT | (DEFENDANT) |
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Smith Bernal Wordwave Limited
190 Fleet Street London EC4A 2AG
Tel No: 020 7404 1400 Fax No: 020 7831 8838
(Official Shorthand Writers to the Court)
MR P PATEL (instructed by Treasury Solicitors) appeared on behalf of the DEFENDANT
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Crown Copyright ©
"... suffers from a severe form of schizophrenia with distressing auditory hallucinations and delusions as well as bizarre behaviour. When most floridly ill he has been threatening and violent to others and damaged property. At times he is also depressed and has felt suicidal. Even when his mental illness has improved he shows negative symptoms of schizophrenia which affects his ability to care for his every day needs and to co-operate with treatment. As a result he tends to stop medication and disengage from services."
Dr Heavey explains the benefits of the first claimant remaining in the United Kingdom as the second claimant's carer:
"If the relationship between the brothers worked well, [the first claimant] could undertake a supportive role, both practically and emotionally, as the only family member in this country. As well as encouraging him [the second claimant] to take his medication and engage with services he would be in a position to detect early signs of relapse so that early intervention could prevent deterioration and the need for hospitalisation, especially were he to pose a risk to himself or others. It is also likely that, with the help of his brother, he would be better able to look after his nutrition, self-care, laundry and hopefully resume interests and social contact. This could all help improve Ahmadi Zia's mental health and counter his tendency to become depressed and suicidal.
However, such a role would require the co-operation of Ahmadi Zia. It could also prove burdensome to his brother, a young man with his own needs and lack of other family support in this country."
Dr Heavey then dealt with the effects of separation of the two brothers, saying:
"I think that prolonged uncertainty and eventual return of his brother would prove very distressing for Ahmadi Zia, at least in the short term. It is likely to lead to deterioration in his mental state with a risk of relapse of psychotic symptoms and depression. He may also have further anxiety attacks. In these circumstances he may disengage from services and refuse to take medication. This scenario is likely to lead to deterioration according to his previous pattern when he may become a risk to others or himself and need admission to hospital under the Mental Health Act 1983."
Under "Costs of deterioration" she said:
"The costs are in terms of the effects of further breakdown. Research shows the more frequent a person has a psychotic breakdown, the more difficult it is to treat and more likely that the person may not return to their previous level of functioning. Moreover, with the renewed risks, serious harm may be caused to other persons or the patient. The other costs are the financial burden on the NHS by virtue of further admissions, especially if these are prolonged or have to occur in an intensive care unit."
In "Conclusion" she said:
"For these reasons we would be supportive of his brother's request for leave to remain in the UK in order to support and case for Ahmadi Zia. His brother would also require support from us because it would be important that he was not overburdened by the care responsibilities for Ahmadi Zia."