Intermediary case law update: Mrs Justice Lieven [2024] EWHC 79 (Fam)

In January 2024, a new High Court Judgment from Mrs Justice Lieven was published, including guidance on intermediary use in family proceedings (West Northamptonshire Council v KA & Ors [2024]). The case concerned a mother who required a deaf intermediary (a highly specialised service performed by precious few professionals currently working in England & Wales, and not offered by Communicourt). The case was subject to considerable delays due to non-availability of a suitable intermediary.

Below you will find a quick guide to what has changed, and extra information about some practical considerations which may arise in response.

Please note: This post is intended to provide informal guidance and the views of Communicourt at the time of publication. If you have questions regarding the instruction of an intermediary in a specific case, the matter should always be discussed directly with the presiding judge. If you require further information regarding our intermediary service, please contact admin@communicourt.co.uk or telephone: 0121 663 0931.

Update: A further judgment relating to the use of intermediaries in family proceedings was handed down by Mr Justice Williams in April 2024. You can learn more about this further judgment here.

Can I still request an intermediary to assist in family court?

Yes, applications for intermediary assistance at all stages of family proceedings can still be made and approved.

The new guidance does not prevent a judge from granting intermediary assistance throughout proceedings, if there are “compelling” reasons to do so (see below).

What did the guidance say?

Ms Justice Lieven noted that guidance regarding intermediary appointments in the family court was not clearly set out in the Family Procedure Rules or any Practice Direction. She advised the guidance used in criminal proceedings should also be applied in family proceedings. As in criminal cases, intermediaries can still be used throughout family proceedings, subject to applications.

In some cases, an intermediary may only be approved to assist family court users at certain stages of proceedings (for example, when evidence is particularly complex, or during the court user’s evidence).

The key points from the R v Thomas (Dean) guidance which the family courts will now adopt are as follows:

R v Thomas (Dean) guidancePoints to consider
Intermediaries should only be appointed if there are “compelling” reasons to do so.Communicourt only recommends intermediary assistance when the assessing intermediary finds there is a compelling reason to do so. The reasons for the recommendation are clearly set out in the intermediary report, with reference to Appendix 1 (which documents observations and findings from the assessment in detail, supporting the recommendations we make).

Communicourt reports highlight observed communication difficulties and the likely impact of these difficulties on a court user’s ability to participate effectively in proceedings. This information can be used by advocates to present a compelling argument when making an application for an intermediary.

We do not recommend in every case. Our intermediaries are salaried employees and have no incentive to recommend or otherwise. Referrals are typically made following a recommendation from a psychologist or first-hand experience of communication difficulties with a client from a solicitor. This means there is a high probability that the referred individual does indeed have a communication difficulty which will impact their participation in proceedings.
It will be “exceptionally rare” for an order for an intermediary to be appointed for a whole trial. Intermediaries are not to be appointed on a “just in case” basis. It is for the Judge to take a view regarding how rare they consider the content of the case and the needs of the court user to be, after considering the intermediary report, other professional reports (if available) and the application for an intermediary.
The Judge must give careful consideration, not merely to the circumstances of the individual but also to the facts and issues in the case. This is an important consideration. Assessing intermediaries do not have access to information about the case when conducting assessments, and therefore it is for the judge to make a holistic decision regarding the support needed in the case (for example, if there is complex medical evidence which the individual will require support to follow).

The intermediary report will clearly set out areas of communication difficulty and the likely impact of these difficulties in legal proceedings. The judge can use this information to decide at what stages of proceedings, a court user will require intermediary assistance.

It is important to consider that family proceedings are often lengthy and unpredictable. For example, expert witnesses can be required at the last minute, or a party’s position may change on the morning of a Final Hearing. Court users with communication needs may have to make important, informed decisions which require them to understand emotive, complex and abstract information, under considerable pressure.

To avoid delays to cases, we recommend that, if there are any concerns about a court user’s communication, a referral is made for an intermediary assessment at the earliest opportunity (assessment wait times are approximately 2-3 weeks and reports are completed within 5 working days. Urgent assessments can typically be accommodated much sooner). This means that, if case content changes and an intermediary is required at short notice, they can be allocated as soon as possible.
In determining whether to appoint an intermediary the Judge must have regard to whether there are other adaptations which will sufficiently meet the need to ensure that the court user can effectively participate in the trial. Communicourt reports set out a full list of recommendations which will support a court user’s participation in legal proceedings. However, if an intermediary is recommended, it is because the assessing intermediary is of the view that, even with these recommendations in place, the court user will not be able to participate effectively without intermediary assistance.

If the judge takes the view that intermediary assistance is not required throughout proceedings, the additional recommendations can still be applied to support your client’s participation to some extent.
The application must be considered carefully and with sensitivity, but the recommendation by an expert for an intermediary [for example a psychologist] is not necessarily a deciding factor. Although not determinative, the views of experts should, of course, contribute to the decision-making process for the judge.
If no intermediary is available, cases should almost never be adjourned. Instead, adaptations should be implemented to support participation in the absence of an intermediary.As above, we recommend that intermediary assessments are requested at the earliest possible stage, to allow intermediaries to be assigned promptly to cases. Communicourt assessment wait times are approximately 2-3 weeks and reports are completed within 5 working days. Urgent assessments can typically be accommodated more quickly, in some cases within a few working days.

Please let us know your hearing dates and we will be able to give you a transparent view of whether or not we are likely to be able to provide an intermediary for the hearings. We have over 100 full time intermediaries working across England and Wales, so this is unlikely to be an issue. Subject to the demands on the service, we are often able to accommodate urgent requests.


If you have any questions regarding intermediary assistance for your client in relation to this judgment, please contact
admin@communicourt.co.uk or telephone us on 0121 663 0931 (Mon-Fri, 9am-4.45pm).

Reflections from the Access to Justice Conference 2023

This month  we hosted Communicourt’s first ever conference. Held in partnership with UK legal reform charity JUSTICE, the Access to Justice Conference 2023 took place in Leeds and online, with attendees including legal practitioners, law students, clinical psychologists, ISVAs (independent sexual violence advisors) and representatives from many other connected professions.

Now that the dust has settled, we’d like to reflect on some of the most important messages and discussions generated by the conference – and give a big thank you to all of our guests and speakers. The whole Communicourt team is extremely grateful to have been able to take part in such a multidisciplinary conversation about making justice more accessible – and we’re very pleased to have been able to share a range of perspectives on this multifaceted issue.

Although the majority of our speakers focussed on criminal proceedings, many of the ideas they shared are also applicable in the family courts and other proceedings. Though it wasn’t possible to explore every factor which may result in barriers to participation (on this occasion), we hope conversations around diagnoses like autism, learning disability and trauma, offered a window into some key areas for improvement – which stand to benefit all court users, including those with other accessibility requirements.

Full recordings and resources from the conference will be shared with all attendees by the end of November.

Chris Packham: Video-recorded foreword

We are incredibly grateful to broadcaster, naturalist and environmental campaigner, Chris Packham, who very generously shared his experiences of attending court as an autistic claimant. Chris’ clip was played at the outset of the event, setting the stage for broader discussions about inclusion in legal proceedings.

Chris eloquently reflected on the importance of predictability and foreknowledge for autistic people attending court. He explained that familiarisation with the hearing process and environment could be very important steps for court users, assisting them to manage difficult emotions (such as anxiety) more effectively, and allowing them to focus on the matter at hand.

Speaking about the court environment itself, Chris showed us the courtroom through his individual autistic lens, commenting that it was “a terrible cluttered jumble… The visual complexity of that environment was challenging for a while. Lots of hanging chandeliers, some with bulbs that were working, some with bulbs that weren’t…”, and remarking that it took him around two hours to feel that he was not distracted by the complex visual environment. He explained, “If I’m managing my autism, I’m not focusing on what I need to be focusing on”.

Chris also raised the enduring issue of audibility in legal proceedings – a matter which affects all court users, regardless of neurodivergence. He commented, “It was very difficult to hear. There were suspended microphones, but they didn’t seem to amplify the voices of the barristers at all. […] because we were sat behind the barristers who were facing the judge […] a number of people were struggling to hear […] whether you’re neurodiverse or not, that’s really frustrating. You’ve got to be able to hear that stuff”.

In summing up, Chris shared what he described as very “simple”, common sense suggestions for making the courts more accessible for autistic people – particularly sharing clear, detailed information about the hearing process and environment in advance. He also suggested the provision of videos showing the specific courtroom the individual would attend, to allow them to familiarise themselves with the setting in advance.

Although related resources do exist (like the video guide for witnesses attending court below, created by the Ministry of Justice), most videos of this type depict a generic courtroom in optimum condition. This does not often reflect the realities of most courtrooms and does not offer insight into the specific setting the autistic court user will attend.

In addition, many such videos are filmed for use by witnesses, rather than by other participants in proceedings. In this example, complex vocabulary like “specific” and “prosecutorial agency” is used, which would not be easily understood by all court users. Non-literal language (“testing the strength of the prosecution”) is also used, which may not be easily understood by some autistic court users.

Although Chris modestly described his suggestions as simple, questioning whether they would be of any help, his common-sense ideas are important – and, in fact, quite challenging to implement in the most effective way. These are certainly suggestions worth further exploration.

His Honour Judge Neil Clark

Opening the speaker sessions, HHJ Neil Clark provided a far-reaching overview of our legal system’s continuing journey towards improved accessibility. He acknowledged that change is about gradual evolution, rather than dramatic shifts, pointing to how far our legal system has come over the past 150 years. He commented: “It wasn’t until 1851 that the defendant in a civil case could give [any] evidence in their own defence. It wasn’t until 1898 and the passing of the Criminal Evidence Act, that the first defendant was able to give evidence under oath at all”.

His Honour also offered a glimpse into his particular interest in accessible justice, explaining that, when his mother developed a degenerative condition, he began to consider whether “bright people like her, with communication needs” would have real access to justice. He commented, “When I went to court and saw someone giving evidence, I’d think, I wonder how my mum would feel about doing that?”.

HHJ Clark also reflected upon the meaning of ‘best evidence’, noting that “achieving best evidence doesn’t just mean from the perspective of the prosecution” and asked, “In criminal court, why is it that we focus so much on cross-examination?”.

Kama Melly KC

The next speaker tackled the topic of person-centred approaches to special measures, with a particular focus on trauma-informed practice and working with young court users. Kama Melly KC provided a great deal of insight into the realities of legal proceedings for court users with vulnerabilities, and for those representing them. In her experience-driven, pragmatic presentation, she shared many of the overlooked barriers to effective participation which go unaddressed in legal proceedings – and many of the small adjustments which can be made to assist (but are all-too-rarely implemented).

In one, striking example (which will not be at all unfamiliar to intermediaries), Kama stated: “I watched [a] child give evidence for hours without breaks, until she agreed with every single question. She was asked frequently if she wanted a break by the judge. She didn’t want a break, she wanted to get out, so she said ‘no’ every time”. She added, “This wasn’t about ensuring the defendant had a fair trial. It was about putting the case and getting to the final objective”.

While the Youth Justice & Criminal Evidence Act (1999) set out a number of broad special measures (such as video-link evidence and intermediary assistance), Kama’s presentation highlights the myriad ‘small barriers’ which prevent court users from participating in legal proceedings fairly, which are very often overlooked and brushed aside due to factors like time constraints.

Attempting to address these ‘small’ (but very significant) barriers, therefore, falls to individual legal practitioners and, in some cases, intermediaries, who have first-hand insight into the communication needs of the court users they work with. However, under considerable professional pressure, not all advocates have the time or resources to ensure such barriers are addressed. Kama shared some examples from her own practice, which illustrate the deep thoughtfulness of approach which is often required to support a vulnerable court user.

She explained that she often chooses to ‘give words’ to her clients, which they can use to advocate for themselves during cross-examination. For example, telling them that, if they feel pressured to give a binary ‘yes’ or ‘no’ answer in the witness box, they should say something like, “I’m sorry, I can’t explain that in one word”, which will prompt the judge to allow them to provide a more nuanced response.

Kama also explained her practice with regards to witness statements: “Everyone who reads their witness statement thinks they have taken it all in and they put it to one side. I annoy police officers. I make them read them out to the witness.”

Although intermediaries frequently work alongside excellent, intuitive and client-focussed barristers, the attuned practice outlined by Kama during her presentation is very uncommon. Very few legal practitioners, no matter how well-intentioned, have the bandwidth to ensure their practice is truly person-centred and responds to the specific needs of the client on this level.

Speaking later, during the panel discussion, Kama stated that trauma-informed questioning will “be the next big training we all engage with [as legal practitioners]”, also noting that updating training would be very beneficial for more senior legal practitioners, whose knowledge, awareness and skillset may not be in-step with current best practice around trauma.

Andi Brierley

Drawing on both his lived experience of care, drug addiction and the youth justice system, and his extensive experience of working in youth justice, Andi Brierley addressed how we, as professionals, engage with young people caught up in the criminal justice system. His presentation highlighted that, although treated as discrete labels, terms like “perpetrator”, “defendant”, “criminal”, “witness” and “victim” are often overlapping. He spoke about the impact of adverse childhood experiences and the common pathways into the criminal justice system, which can lead from disadvantage.

Andi encouraged the audience to be more intentional in their communication with young defendants and offenders, stating, “When we come into contact with those children [who have not had attuned care], Every interaction is an intervention”, adding, “Change the word engagement to connection. Switch from ‘they’re not engaging’ to ‘we’re not connecting’. Relationships are reciprocal, you’ve got responsibility for that, too”.

Dr Katie Maras

Researcher and senior lecturer, Dr Katie Maras’ presentation explored a wide range of topics relating to the experiences of autistic people subject to police questioning and cross-examination. Her talk included information about memory differences in autistic people, the most and least helpful questioning approaches, and relevant studies (like Bagnell et al, 2023, which have found that “truth-telling autistic mock-suspects reported fewer extricating details that would support their innocence than non-autistic mock-suspects”).

Katie then considered the barriers an autistic defendant may face at court, and shared her project regarding the effectiveness of special measures in cases involving autistic people. This project is currently examining important questions, such as: “What effect do Special Measures have on autistic witnesses’ and defendants’ experiences and ability to provide their ‘best evidence’ and are further measures needed?” and “What is the effect of special measures, diagnosis disclosure and juror instructions on how autistic individuals are perceived by jurors and judges?”.

Katie also invited legal professionals with experience of working with autistic people in court or tribunals to participate in her current project, which still requires participants. Participants can undertake an online questionnaire or take part in an approximately one-hour remote interview (those who take part will receive a £10 shopping voucher). Complete the questionnaire here: https://uniofbath.questionpro.eu/t/AB3uyQnZB3vi1j or contact autismincourt@bath.ac.uk for more information.

Edmore Masendeke

Concluding the speaker sessions, University of Leeds PhD student, Edmore, shared his research into “The court experiences of defendants with mental health conditions or learning disabilities in England”. Although drawing from a small sample, Edmore’s research uncovered some valuable insights into the court experiences of his participants.

The quotes included in his presentation vividly shared these experiences, and the barriers these individuals faced to participation. For example, one interviewee explained, I didn’t understand what was happening. It was like I was in a daze; like I didn’t really understand what … what the questions were asking, and like what court is like, you know, I guess, how to get in … I didn’t understand like what the judge is saying or any questions that they are asking me, to be fair. It was just mumbo jumbo. It is just like in a different language which, you know, I really didn’t understand.”

Another participant reported, “I was unsure whether I was acquitted, that is, a formal declaration that I was not guilty of the charges put in front of me. He (the solicitor) said ‘No, I wasn’t acquitted. The case was dropped.’ So … that … that only came … that was only explained to me weeks afterwards…”,

Concluding his presentation, Edmore stated, “There has been very little empirical research on the effectiveness of the support measures that courts are expected to rely on in the absence of intermediary assistance – and defendants with cognitive impairments’ views and opinions of that experience. The findings of this research suggest that those who received the support found it beneficial, while those who did not receive this support found it difficult to follow and understand what was happening during court proceedings”.

A big thank you

The entire Communicourt team would like to thank each attendee and speaker for their time, knowledge, and engagement with the important topic of access to justice. We sincerely hope that the event has generated discussions about how we can all work to further improve the accessibility of the justice system.

As His Honour Judge Clark points out, these improvements may be slow and incremental, which makes continuing these conversations – and keeping accessibility firmly in mind in our daily practice – extremely important. We are particularly inspired by Kama Melly KC’s identification of the myriad ‘smaller’ barriers and accommodations, which can make a big difference to an individual’s participation in legal proceedings (provided they are implemented in an attuned way). There is no one-size-fits-all approach. However, if those working alongside court users can more easily identify barriers and continue to share our practice, we can slowly make positive change on an individual level.


Bagnall, R., Russell, A., Brosnan, M. & Maras, K. (2023). Police suspect interviews with autistic adults: The impact of truth telling vs deception on testimony. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1117415

Further resources

Interested in learning more about communication differences and difficulties which can impact participation in legal proceedings? The Access Brief is a library of free bite-sized guides to everything from ADHD at court, to how an intermediary can work alongside an interpreter to support a court user’s understanding of proceedings.

For further information and queries, please contact events@communicourt.co.uk

DLD Day: A hidden difficulty in legal proceedings

20th October 2023 marks Developmental Language Disorder (DLD) Day. The importance of this event is not to be underestimated. DLD is one of the least known speech, language and communication difficulties, but a condition which affects approximately 7.6% of all children (amounting to around 1 million children in the UK). Its prevalence in adults is unknown, however, DLD is a lifelong condition and a great many adults with DLD are likely to be undiagnosed.

What is DLD?

DLD is a learning difficulty (like dyslexia, ADHD and dyspraxia), which specifically affects an individual’s language skills. A person with DLD will have difficulty “learning, understanding and using language”. They may struggle to follow language (e.g., instructions and verbal information), find it difficult to learn new vocabulary (for example, terminology used in a court case), and have difficulty expressing themselves with clarity.

In terms of expressive language, a person with DLD may use very short and simple sentences, struggling to express more complex or detailed information clearly. They may make more frequent use of generic placeholder words instead of specific terms (e.g., “Thingy” instead of “Threshold”), their expressive language may be ‘jumbled’ and difficult to follow (featuring lots of hesitations, broken sentences, or verbs which don’t match with pronouns).


Quick Resources

You can find a factsheet on DLD from Raise Awareness of DLD (RADLD) here.

Download Communicourt’s free guide to DLD in legal proceedings here (which includes tips for legal professionals working with a client who has DLD).

Listen to our Accessing Justice Podcast episode on DLD with Becky Clark (speech & language therapist)


DLD in adults

Although DLD prevalence statistics generally relate to children, DLD is a lifelong condition, which also affects adults. Previously known by other labels such as Specific Language Impairment (SLI), and expressive-receptive language disorder, today’s terminology for the condition was coined in 2017. Prior to the use of this diagnostic label, few diagnoses of “SLI” (and related terms) were made. As such, very few adults with DLD have ever received a diagnosis or specific support for their language difficulties.

Working as an intermediary, I am yet to encounter an adult who has a diagnosis of DLD, despite encountering many court users who present with specific difficulties with language (unrelated to another diagnosis, such as a learning disability).

This lack of diagnosis, combined with widespread unawareness of DLD, results in many adults living with a hidden learning difficulty. This carries with it many possible negative impacts, including an increased likelihood of interaction with the criminal justice system.

To mark DLD Day in 2022, we shared some statistic regarding the prevalence of DLD in the criminal justice system (CJS). These statistics remain troubling, illustrating the high level of language difficulty within the CJS:

Raise Awareness this DLD Day

This year, the theme of DLD Day is DLD Around the World, spreading awareness of DLD in countries across the globe. You can find lots of resources, including DLD factsheets in different languages on the RADLD website. Here you will also find information about the DLD “Light Up” events (where buildings across the world are illuminated in purple and yellow to raise awareness) and lots of brilliant resources (like pre-made social media posts) you can share to increase awareness and understanding of DLD. To show your support, why not…

Green speech bubble on yellow background, inside the bubble are three dots, indicating a pause.

Understanding Selective Mutism & adapting legal proceedings

Green speech bubble on yellow background, inside the bubble are three dots, indicating a pause.

October is Selective Mutism Awareness Month. This month, we published a new edition of the Accessing Justice Podcast. In the latest episode, intermediary, Demi, interviews speech & language therapist Susannah Thomson about all things Selective Mutism (including the fantastic work of SMIRA, the Selective Mustism Information & Research Association). Demi has also produced a blog, exploring the topic in more detail, considering its possible impacts in legal proceedings and sharing some strategies which can assist court users with selective mutism (SM) – which legal professionals can use. Take a listen and read more below:

What is selective mutism?

Selective mutism is a condition in which individuals are unable to speak in certain situations. The situations in which the person may be unable to speak vary. For some, it may affect them in public settings, or around professionals, for others, it may impact their communication with relatives or specific people in their lives. Selective mutism is thought to be an anxiety disorder. Although it can impact adults, it is believed to be more common in children and often arises during childhood.

In this post, we will be exploring selective mutism, its possible impact on court users, alternative communication approaches and strategies to facilitate communication with someone who has selective mutism during legal proceedings. 

Although many adults have selective mutism (including a number of court users who work with an intermediary), research into the condition overwhelmingly focuses on selective mutism in childhood. The following are facts and statistics arising from this research:

  • Selective mutism is thought to be an anxiety disorder. This can mean a person is unable to speak in certain social situations, such as with classmates at school or to relatives they do not see very often.
  • Selective mutism affects about 1 in 140 young children. It’s more common in girls and children who have recently moved to a new country.
  • Research suggests that there is no single cause for the condition. However, psychologists believe that factors such as, emotional, psychological and social experiences can impact the condition (Johnson & Wintgens, 2001).
  • Those with Selective Mutism will speak in some situations e.g., at home but remain consistently silent in others (court proceedings). They may have a blank expression or appear ‘frozen’ when expected to speak (Goodman & Scott, 1997).
  • It is important to know that people with Selective Mutism often want to speak but, due their anxiety and other factors, they feel physically unable to do so.
  • Although research focuses on selective mutism in childhood can also persist into, or arise in, adulthood. Currently there are no statistics to indicate how many adults experience Selective Mutism. However, it is noted that less than 1% of the overall population experience Selective Mutism.

Common selective mutism presentations:

Selective Mutism presents differently in each individual. However, there are some common symptoms and presentations which may be seen in people with the condition. They may:

  • Find it difficult to look at you when they are anxious – they may turn their heads away and seem to ignore you. You might think that they are not engaging, but this is often not the case. Instead, they are likely to be having difficulty responding.
  • Not smile or look blank or expressionless when anxious – in court, for example, they may be feeling anxious much of the time and it may, therefore, be challenging for them to express themselves non-verbally.
  • Move stiffly or awkwardly when anxious, or if they think that they are being watched.
  • Find it very difficult to answer to questions asked of them, or to say hello, goodbye or thank-you – this may appear rude, but it is not intentional.
  • Be slow to respond in any way to a question (including when using alternative communication strategies – see below).
  • Worry more than other people.
  • Be very sensitive to noise, touch or crowds.
  • Be intelligent, perceptive and inquisitive.
  • Be very sensitive to the thoughts and feelings of others.
  • Find it difficult to express their own feelings.
  • Have good attention skills.

Impact in legal proceedings

For court users with selective mutism, communicating, engaging and participating in legal proceedings can be particularly challenging. Communication is essential to effective participation, from giving instructions to a solicitor, to giving evidence in the courtroom. When court users face a ‘communication gap’ they may be unable to tell their legal team when they disagree with a point of evidence or ask questions about an aspect of their case they do not understand.

There are also many specific stages in different legal proceedings when selective mutism may result in difficulties with participation. For example, in criminal proceedings, individuals are expected to address the court to state their date of birth, name, address and plea. For an individual with Selective Mutism, this may not be possible verbally. Meanwhile, for unrepresented parties (e.g., in a private family case), there are even greater demands upon communication in the courtroom itself, in the absence of an advocate to speak on their behalf.

It’s also important to note that, for some people with selective mutism, meetings with professionals (e.g., their solicitor or the guardian in care proceedings) and being in a formal court setting, discussing emotive topics or great personal significance, are likely to increase anxiety which can exacerbate selective mutism symptoms. This may make it particularly challenging for individuals to communicate verbally and regulate their emotions during legal proceedings.


Alternative communication at court

simple communication cards (Yes, No, Don't know, Break please)

In order to support an individual with selective mutism to communicate at different stages in proceedings, alternative communication strategies are often necessary. For example, an individual selective mutism could:

  • Tell the information to a trusted communication partner they feel able to speak to. The communication partner can then repeat the information verbatim to the court (or in conferences with the individual’s legal team).
  • Write their response on paper to be shared or read aloud by a nominated person.
  • Write their response on a whiteboard to be held up.
  • Type their response on a laptop. This could be screenshared within the court (so responses can be seen in real time on screen), shown in conferences, read aloud by a nominated person, or read through text-to-speech software (see below).
  • Type their response using a CVP, Teams or Zoom chatbox during a remote or hybrid hearing or meeting.
  • Type their response using a smartphone (this may be a preferred option for court users who are not used to typing with laptops, or who have literacy difficulties – as many phones use predictive options). This could be read aloud by a nominated person.
  • Use gesture or visual aids, if they are unable to read, write or speak to a trusted person (e.g., “Yes”, “No”, “Don’t know”, “Please repeat” cards which the individual can point to). Here is a useful source of free, printable communication cards.

When identifying an alternative communication strategy, there are some important aspects to keep in mind:

  1. The strategy should accommodate the court user’s unique profile of skills, strengths and difficulties. For example, an individual with dyslexia may find hand-writing responses particularly challenging. Alternatively, an older person or individual who does not use technology routinely, may have difficulty using a laptop or smartphone to communicate.
  2. In the individual is giving evidence, the alternative communication strategy should be trialled in advance, to ensure the court user is able to use this method in the courtroom and feels comfortable doing so. Different settings can impact an individual with selective mutism differently and increased anxiety can play a significant role. A familiarisation visit to the witness box or location from which they will give evidence can prove helpful, allowing opportunity for a ‘test run’ (using neutral questions) and acclimatising the court user to the setting (which can reduce anxiety, thereby supporting more effective communication).
  3. If written communication is not possible (for example if the service user is unable to read or write), exploring whether there are individuals with whom they feel able to speak is an important step, as relying on gesture and resources like communication cards is likely to result in limited or unclear responses, which lack detail and clarity. In some cases, a court user may feel able to whisper to this individual, which can then be repeated. In others, they may feel able to speak with the individual in a private space. Their responses can then be written down or typed by the designated person, to be shared with the court user’s legal team or the court (depending on the stage of proceedings).
  4. It’s also important to consider the environment the individual is in, as increased anxiety can adversely impact communication of all types. For example, a person with selective mutism may feel better able to communicate during their evidence if permitted to do so from behind a screen or remotely. During conferences, a person with selective mutism may be unable to speak with their trusted person in front of their legal team, but may feel able to do so if seated in a private room, from which the designated communication partner can relay questions and responses (verbally or in written form).

Text-to-speech tools

If the court user is comfortable typing on a laptop. Text-to-speak software is available, which allows typed messages to be read aloud.

  • Natural Readers – A free text to speech website which can be used by anyone.
  • Speechify – A free website, allowing users to pick the voice and the speed of talking (also available as an app).

Case study

I once attended an assessment to assess a young defendant called Harry [names and indentifying details have been changed]. We met at his solicitor’s office, with his mother present.

When we first met, his mother asked if I knew about his conditions, and I explained I did not. She explained that Harry does not talk and that he has selective mutism. I asked his mum how Harry prefers to communicate, she confirmed that he likes to communicate through pen and paper, and I adapted the assessment process to suit his preferences.

Harry had diagnoses of anxiety, autism and selective mutism. On first meeting, he appeared anxious, he did not make any eye contact and he would use a fidget object that I provided throughout the meeting to assist with his concentration and emotional management.

We were able to complete the assessment using pen and paper. I would ask Harry a question and he would write his answer down. If I had to ask further prompt questions to elicit more information, this process was repeated. I began thinking about ways to make the process easier for him in court proceedings.

I worked with Harry at the first hearing following the assessment. I spoke to Harry and asked whether he would feel comfortable enough to write his answers down and for me to read these to court. Harry communicated that he was comfortable with this approach.  I was very conscious to involve Harry in the process. As he was unable to speak, it was extremely important that he still had a voice in the proceedings. I met with the legal advisor prior to the hearing and explained Harry’s condition and that he did not feel he would be able to speak in the court environment. I explained the strategies discussed with Harry and explored whether the court would accept the proposed approach. The legal advisor explained they were happy with this way forward and happy to make adaptions to allow Harry to participate.

As part of my role as an intermediary, I shared my recommendations with the court during a Ground Rules Hearing before the hearing commenced, to help Harry best participate throughout the trial.

The recommendations which were agreed in court included:

  • All counsel to refer to Harry by his first name, to aid his engagement throughout proceedings and reduce any feelings of anxiety.
  • Harry to be permitted to use a fidget aid, both in the dock and if giving evidence, to assist his concentration.
  • Harry to write his answers to questions down on paper to be read aloud to the court by the intermediary.
  • Any verdict to be read one line at a time, for me to go through this key information in real-time with Harry, to allow him to better understand the final decision.
  • Harry’s mum to sit in the dock, to aid with his anxiety (for emotional support purposes only).

The magistrates approved all of these measures.

Working with Harry more than once allowed me to build rapport with him, as the trial progressed he appeared increasingly comfortable and began to make some eye contact with me. Our communication improved as our rapport built. At times, he felt able to shake his head to indicate “yes” or “no”, which had previously not been possible. The adaptions to his trial allowed him to participate in the proceedings.


Tips and strategies when assisting someone who has selective mutism

  • Get informed. Selective Mutism is a very rare condition and there is a lot of information out there to assist professionals to better support individuals with Selective Mutism. Some useful sources include:
  • Take your time. It is important that an individual with Selective Mutism does not feel pushed or rushed to make decisions. They may need extra time in court proceedings, so you are able to ensure they have a good understanding of proceedings and of any key decisions that need to be made.
  • One size does not fit all. Ensure any adaptations you suggest or implement are person-centred. Take time to when and how the individual is best able to communicate. Talking to those close to them may support your understanding. Use this information to identify adaptations tailoer to the individual (for example, do not suggest texting if the person will not be able to use this strategy), to help ensure they can participate in the best possible way.
  • Encourage non-verbal communication such as, pointing, nodding shaking of their head. Do not try to get them to speak.
  • Look out for phrases such as ‘I don’t know’. This may mean they haven’t understood the question, don’t know how to answer, or simply want to move on. Spend additional time checking understanding, to ensure important information has been processed and retained accurately.

Cited Sources

Maggie Johnson & Alison Wintgens (2001) The Selective Mutism Resource Manual. Speechmark Publishing Ltd.

Robert Goodman & Stephen Scott (1997). Child Psychiatry, Blackwell Science.

A black and white picture of Georgia on a blue background

My Intermediary Journey: Georgia and speaking English as a second language

A black and white picture of Georgia on a blue background

Hello, everyone! I’m Georgia, and I’ve been working as an intermediary at Communicourt for the past year and a half. I was born and grew up in Greece and moved to the UK over five years ago for my post-graduate studies. English is my second language, and I must admit that I didn’t always feel confident in my English proficiency.

I began learning English during my primary school years, but it was more of a basic level, similar to how students in the UK start learning French or German in primary school. About a year before moving to the UK, I took fast-pace English lessons to reach a more fluent level. At that time, I could communicate quite well in English, although I wasn’t nearly as skilled or confident as I am today. My journey has been an incredible learning experience, and I would like to share some of the insights I’ve gained along the way.

Embracing accents

One of the initial difficulties I faced upon arriving in the UK was dealing with various accents. Learning English from a Greek teacher didn’t fully prepare me for the many different British accents. I distinctly remember struggling to understand people during my early days here. I remember being at cafes when they asked, ‘Stay in or take away?’ and I had to ask them to repeat it. It took me a few months to get used to the British accent.

Little did I know that five years later, I would be working as an intermediary, communicating daily with court professionals and people with communication difficulties, in many different parts of the country, with a host of diverse accents and dialects. This experience has massively improved my ability to adapt and understand different accents. Through my experience, I’ve learned that building rapport and spending time attuning to each others is essential when meeting someone with an unfamiliar accent. Also, patience and active listening play a crucial role in bridging communication gaps.

Hearing various accents has not only improved my understanding but also made me appreciate the linguistic diversity that exists in the UK. It’s a testament to the beauty of language and the importance of inclusivity.

I understand that my own accent is unique, and individuals who are not used to hearing it may initially find it challenging. However, I’ve not yet experienced problems with court users understanding my way of speaking. The key here is the same: patience and building rapport can assist people to comprehend diverse accents. In my role as an intermediary, I always speak at a slow pace and break down information using everyday, commonplace words . This approach helps those who are not familiar with my accent and also ensures effective communication with every court user.

Idioms and non-literal language

As someone who speaks English as a second language, I rarely use figurative language or idioms. This isn’t because I don’t understand their meanings, but rather because idioms can vary significantly from one country to another. This aspect of my language background has proved to be very helpful when working with court users, many of whom struggle with non-literal language. For me, simplifying language or avoiding idiomatic expressions comes naturally, making communication smoother and more accessible for those I assist.

My ability to convey information in straightforward terms has been an asset in the courtroom. It ensures that the court users I support are better able to comprehend the proceedings and can actively participate in their legal matters. It’s a reminder that clarity and simplicity can transcend language complexities and can make it easier for others to understand and connect with the message being conveyed. In other words, less is more when it comes to effective communication.

Overcoming the fear of mistakes

Being fluent in English doesn’t mean that I don’t make mistakes when speaking or writing. Conversations in formal settings can be nerve-wracking for anyone, and adding the complexity of speaking in English as a second language only heightens the stress. However, my experience at Communicourt, along with the extensive training program, has significantly reduced my worries by helping me to feel more prepared when going to court and assisting court users.

As intermediaries, we are held to high standards in terms of our English language proficiency, but I’ve learned that it’s okay to make grammar mistakes from time to time. What truly matters is our understanding of the subject matter, our understanding of each court user, and our ability to effectively convey information. I’ve learnt that it’s also okay to ask for help when you need it. Openly acknowledging when we find something challenging and actively seeking assistance can set a powerful example for those we assist. By demonstrating our own willingness to seek support, we can inspire court users to overcome their hesitations and reach out for help when they need it most.

Additionally, I was nervous about making grammar mistakes when writing reports which are essential for my role. However, I’ve come to realise that writing a grammatically flawless report is an unattainable goal (even in Greek I would have struggled to do that!). What’s more important is the content of the report and ensuring that important information is accurately documented. With that said, I’m enduringly grateful to my colleagues for their proofreading (all Communicourt reports are quality checked by our colleagues).

What I’ve learned

My journey as an intermediary at Communicourt has been a transformative experience. Embracing the challenges posed by language, accents, idioms, and the fear of making mistakes has allowed me to grow both personally and professionally. I’ve learned that effective communication goes beyond perfection in language; it’s about understanding, empathy, and connecting with others.

In a few words, if you ever find yourself in a similar situation, remember that your unique language characteristics can be an asset. Your linguistic journey is not an obstacle, in your career, nor in life. Embrace the challenges and use them to progress toward personal and professional growth. Language is a bridge (yes, I just used a non-literal expression in English!), and the journey across it is a beautiful one, no matter where you start.


Access to Justice Conference banner

Doughnut with a bite taken out of it. Text on top reads: Vulnerable accused conference: a digested read

Bite-sized ‘take homes’ from the Vulnerable Accused Conference

Doughnut with a bite taken out of it. Text on top reads: Vulnerable accused conference: a digested read

This month, members of the Communicourt team attended the Vulnerable Accused Conference at the University of Birmingham, attended by academics from a range of backgrounds (including law, criminology and speech and language therapy). Over the two-day event, speakers presented their research on a range of topics relevant to the intermediary role and vulnerabie defendants. ‘Intermediaries’ were a real topic of interest at the conference, with calls from academics for intermediary support at many more stages of proceedings, including at the police interview stage and in parole hearings.

We’ve digested some of our favourite ‘take homes’ below. If you’d like to explore any of the research below in more detail, extended abstracts will be published on a rolling basis on the Defending Vulnerability blog (which is great source for research in this area).  You can also check out the work of many of the speakers via their Twitter feeds (linked in each talk title below).

Below you’ll find digested read versions of:


Keynote speech from Dr Penny Cooper

To open the conference, Dr Penny Cooper delivered a keynote speech exploring defendant vulnerability in the Criminal Justice System and sharing the progress made, lessons learned and future endeavours.

Dr Cooper commented that vulnerability goes far beyond a formal diagnosis, and beyond speech, language and communication needs (SLCN). She noted, “There are vulnerable moments as well as vulnerable people”, which can impact any court user who is attending an unfamiliar, intimidating court setting where processes are not clear, customs are alien, emotions are heightened and language is complex.

This view informed her call for universal reform of the criminal justice process, which included the implementation of Universal Ground Rules which should apply in all cases, not only those in which the defendant or witnesses are identified as vulnerable. These Universal Ground Rules, Cooper posited, should include a shift to succinct, plain and simple language (avoiding Legalese), which would benefit all lay parties, irrespective of their communication skills.

She also highlighted many of the barriers to effective participation faced by defendants in general (and specifically those with SLCN), for example the layout of the typical English courtroom, “I’ve seen many a defendant struggle to hear in [the dock in] an English courtroom. They disengage. Why is this setup tolerated in this day and age?”, and the use of inquisitorial cross-examination in which witnesses are “told rather than asked about their evidence”. Cooper noted, “Anyone who thinks this is the best way to get to the truth is very much mistaken”. She additionally touched upon the very high likelihood that defendants (and especially those with SLCN) will agree they understand when they do not, and will not indicate when they have not understood.

Ground Rules, screening & professional attitudes

Discussing Ground Rules Hearings (GRH), Cooper cited a judge who remarked, “A GRH, well-timed, with the judge and advocates present, makes the case go smoothly”. Cooper went on to add, “There are two kinds [of GRH], one where the judge just skips through the recommendations and the other when there’s a genuine discussion about the witness and the recommendations”. She added, “Even where there’s no intermediary, Ground Rules for the questioning ought to be set. Legal practitioners do have the training and toolkits to fall back on, but it’s no substitute for the advice of a trained intermediary”.

Cooper highlighted the importance of improved screening for SLCN and vulnerability in the Criminal Justice System, at the earliest possible stage (ideally the custody stage). Currently, no such screening tool is used consistently across English and Welsh custody suites. Cooper explained that the courts are, therefore, often reliant on the defendant self-declaring a difficulty or diagnosis, or upon vulnerability being noticed by the judge or legal professionals involved in the case.

Cooper stated that “the attitude of judges and advocates is the single most important factor in changing practice” and underscored that it is vital that legal practitioners “understand that vulnerability and how it affects participation is outside their scope – this is the role of the intermediary”. 

Touching on the recent HMCTS Managed and Approved Service Provider framework for intermediaries, Cooper commented that it is “too early” to comment on its effectiveness. She explained that “growing demand for services inevitably poses challenges”, noting that one often hears “about lawyers seeking services of intermediary but unable to find one suitable for their client”. Despite current difficulties fulfilling demand, she was of the view that “there’s even more work intermediaries could be doing. If only England was like Ireland and had intermediaries for vulnerable suspects” adding that, “For all the challenges of the role, the use of intermediaries is here to stay”. 

Future endeavours

Looking to the future, Cooper felt that universal reform of the system is required, alongside lived experience-informed overhaul of the courtroom. She summarised: “What we have not yet seen is a universal shift in language in the courtroom. Universal changes must be implemented [as well as] a screening mechanism for suspects and defendants. That’s long overdue.”


Is Cross-examination of a Vulnerable Defendant with Intellectual Disability a Fair Communicative Exchange? – Joanne Morrison

A lecturer in Intellectual Disability, Morrison also works as a Registered Intermediary in Northern Ireland. Her presentation analysed the communication ‘exchange’ between a prosecution barrister and a vulnerable defendant with intellectual disability, concluding that this communication could not, in fact, be called an exchange, due to the one-way, leading, adversarial questioning process, heavily steered by counsel and governed by the many unspoken power dynamics at play in the courtroom.

Morrison highlighted that the “rules of advocacy” are to “lead and tell – don’t ask questions”, in order to control the witness. She drew attention to a range of power disparities, from small physical examples (such as advocates standing to cross-examine a seated witness), to larger, more global differences, such as the often contrasting educational and cultural backgrounds of advocate and witness.

Most importantly, she highlighted that, while a defendant with an intellectual disability is likely to be wholly unfamiliar with complex courtroom communication and customs (and likely to have communication difficulties in everyday life), advocates have trained and practiced for many years to become expert court communicators. These courtroom expertise mean that, while counsel may put a ‘question’ (or, indeed, a statement) to a defendant, this question is in fact a message to the decisions-makers in the case (judge or jury). The true purpose of this ‘non-question’ is likely to be unclear to the defendant (e.g., drawing the jury’s attention to a discrepancy in their testimony).

The talk went on to unpack a range of commonly used cross-examination question styles which lead witnesses, and can prove particularly problematic when used with defendants who have an intellectual disability, due to the increased likelihood of suggestibility and poorer communication skills. Morrison noted, however, that “It’s not [just] a matter of question style – that’s just one factor”. This final point is a very helpful and deceptively simple observation, which can get lost once we, as intermediaries (and other professionals), begin to experience the courtroom environment as ‘everyday’.


“Missing the Signs”: A Legal-Ethical Analysis of ‘Good’ Lawyering for the Neurodivergent Accused – Tom Smith

Tom Smith (Associate Professor in Law, University of West England) explored the concept of ‘good lawyering’ for the neurodivergent accused, finding that lawyers are “obligated to ensure being neurodivergent is not a disadvantage” in the Criminal Justice System. His research sets out principles for good lawyering for neurodivergent clients, including:

  • The ability to recognise neurodivergence.
  • Understanding the communication differences and difficulties a wide spectrum of neurodivergent people may have.
  • The ability to responsively adapt their practice in order to communicate effectively with their neurodivergent client.
  • Understanding the available adaptations and services which may support the effective participation of a neurodivergent defendant.
  • Understanding that the police and courts may not implement the necessary adaptations an adjustments.
  • Proactively acting to implement adjustments, when other bodies do not do so, to ensure neurodivergent clients are not disadvantaged in the CJS.

Cross-Examination Compared: The experiences of vulnerable defendant and non-defendant witnesses – Jonathan Doak, Debbie Cooper, Candida Saunders & David Wright

This talk identified a hierarchy of ‘deservingness’ when it came to the outlook of legal professionals regarding support and adaptations for witnesses during cross-examination.

MOST DESERVING
– Child Witnesses
– Vulnerable Adult Witnesses
– Vulnerable Adult Defendants
LEAST DESERVING

The study found that this hierarchy results in “clear distinctions in approach”, such as limited intermediary support for vulnerable adult defendants and limited use of Ground Rules Hearings for these individuals.

This research surveyed many legal practitioners in the criminal justice system, who contributed interesting insights on the topic, including:

  • “Defendants do not get the same treatment as complainants, regardless of their need”
  • “As a [legal] practitioner, the culture […] is really very different and very far behind the way that we treat witnesses”.

The research also explored the evolving role of the intermediary when working with a vulnerable defendant, which is moving away from an “interpreter” model to a “facilitator” model, as a secure understanding of the proceedings in their entirety is essential to ensuring a defendant’s effective participation in trial. One legal professional commented, “How [is the defendant] going to answer questions about a case where he hasn’t understood what the prosecution evidence is?”

The study posited that some of the disparities between the treatment of vulnerable non-defendant and defendant witnesses boiled down to financial concerns. It also considered approaches taken in other jurisdictions. For example, “Northern Ireland has a much better model of practice. The identification of vulnerable suspects is much better. Because it’s a small jurisdiction, the intermediaries know each other, they know judges, there’s more bottom up activity”. 

The authors commented that, in Northern Ireland, an intermediary service was more recently implemented and, when it was, “There was a real sense of, ‘fairness demands that intermediaries should be available for defendants and witnesses’”. 


An Intermediary, a Defendant with Autism and Cross-Examination: A Novel Australian Case Study – Rukiya Stein

Stein is an intermediary working in Australian courts. After assisting a defendant with autism during his evidence, she requested court transcripts and analysed the interaction, exploring when she intervened, when she did not intervene, complex question types put to the defendant and simple question types asked of him. The judge did not grant permission for Stein to review the questions in advance of the defendant’s evidence.

One of the most common complex question types put to the defendant was interrogative statements. The cross-examination also featured low-frequency vocabulary and tag questions. Stein found that her level of intervention was relatively low, but remarked, “There’s a balance you have to strike as intermediaries, you can’t intervene for every question, you can get into trouble for that”, adding that the defendant was often able to indicate when he had not correctly understood the question.


The Use of Intermediaries (Communication Specialists) at Parole Board Oral Hearings in England and WalesBrendan O’Mahony, Becky Milne, Kevin Smith

O’Mahony is a parole board member, psychologist and intermediary for both witnesses and defendants in the criminal justice system. In this presentation, he explored the need for intermediary assistance in parole hearings and parole board attitudes to both communication needs and future possible intermediary usage.

The presentation reported that 18,248 cases were referred to the parole board in one recent year, of which 7,281 went to oral hearings, resulting in hundreds of parole hearings every month. O’Mahony reflected on the high prevalence of speech, language and communication needs (SLCN) within prisons, noting that, as a result, many prisoners attending parole hearings were likely to have SLCN which may impact their ability to participate effectively.

39 parole board members were surveyed as part of this research. The vast majority had attended a hearing where they felt the prisoner required communication support. However, none had attended a hearing involving an intermediary. O’Mahony explained that precise figures regarding intermediary assistance at parole hearings was difficult to find (as this was not routinely recorded), but the study was able to find evidence of intermediary usage in just 5-6 cases in total (over a number of years).


Effective Participation means Early Participation: The Case for Intermediary Assistance at the Investigative stage – John Taggart

Taggart’s ongoing project makes the case for intermediary assistance at the investigative stage (e.g., during police interviews). Hailing from Northern Ireland, where the more recently implemented intermediary scheme has included assistance in custody from the outset, Taggart suggested that, in England and Wales, “We’ve neglected police custody when we talk about participatory rights”.

The presentation highlighted the prevalence of communication difficulties in the criminal justice system, and sought to unpack the slippery issue of what ‘effective participation’ really means. While sources like SC v UK (2005) 40 EHRR 10 find that this requires a “broad understanding of the nature of the process” and “the general thrust” of what is said in court, other sources, like Owusu-Bempah (2018), conclude that it requires courts to reach the higher bar of “informed defence participation”.

Taggart also touched upon a difficult question which may arise in custody settings: When is someone vulnerable enough to need an Appropriate Adult? And then, when are they so vulnerable that they need an intermediary?


Identifying the need for and obtaining appropriate adults (case study, interviews and statistical review) – Jennifer Holmes & Harriet Pierpoint

Dr Jennifer Holmes and Professor Harriet Pierpoint spoke about their respective research and the resulting insights into the identification of vulnerability in police stations, and how appropriate adults are obtained for police interviews.

At the outset of their presentation, Pierpoint explained that the responsibility for identifying vulnerability before a police interview is dependent on the situation. In the case of a police suspect interview where the person is under arrest, it is the custody sergeant’s responsibility, whereas in a voluntary interview, it is the responsibility of the interviewing officer. In the case of suspects under the age of 18, an appropriate adult is mandatory during interviews.

As part of Holmes’ recent research, she reviewed the police suspect interviews and custody records for 27 vulnerable suspects, across 3 police forces. This was then followed by semi-structured interviews with police officers, appropriate adults and legal advisors, exploring the decision-making processes than had taken place when interacting with these vulnerable suspects.

Holmes found that, although suspects under 18 all received an AA, a third of the vulnerable suspects in her sample did not. This was despite the custody records of most of that third making reference to factors likely to render a person vulnerable, such as mental health conditions.

To offer a wider perspective, Pierpoint’s ongoing work involved reviewing statistics obtained via freedom of information requests from more than 40 UK police forces, regarding the provision of AAs and the use of pre-interview assessments to identify vulnerability. Pierpoint found that not all under 18s were receiving appropriate adults. The use of these pre-assessments in voluntary interviews varied greatly between forces, from 0% to 24% across different regions. The tools used to assess for vulnerability were also not standardised across the country, with different forces using different assessments.

Holmes’ interviews highlighted great variation in the way that AAs (appropriate adults) were obtained by the police. In one interview, a detective said, “We just stick to ones that we know, really, and we just call them up on a mobile and say ‘Oh, are you free?”, whilst another reported that a preferred AA’s directed phone number was displayed in the police station. Holmes’ highlighted the concerns this raised about the close working relationship between the detectives and the AA, and the impact on the AAs role as an independent safeguard.


If you’d like to learn more about any of the research above in more detail, extended abstracts will be published on a rolling basis on the Defending Vulnerability blog (which is great source for research going on in this area). You can also check out the work of many of the speakers via their Twitter feeds (linked in each talk title). 

Rebecca (intermediary) outside Newday Christian Youth Festival her arms are outstretched in front of a big tent and she is smiling.

Rebecca Volunteers at Newday Christian Youth Festival

Rebecca (intermediary) outside Newday Christian Youth Festival her arms are outstretched in front of a big tent and she is smiling.

A big well done to intermediary, Rebecca, for her (almost certainly exhausting!) work as a Youth Leader at Newday Christian Youth Festival. Each year, Communicourt staff can take up to two paid volunteering days to support causes they are passionate about. Here’s what she got up to…

“This summer, I had the immense privilege of serving my youth group at “Newday”, one of the largest Christian Youth Festivals in England! The (very wet and windy!) week saw over 8,000 teens come together at the Norfolk Show Ground for a week of camping, worship, and biblical teaching. As a 12-14s youth leader, I had the joy of joining our young people each day at their various meetings, hanging out in the afternoons drinking the best milkshakes, and exploring the word and their faith with them. The week brings up many issues and difficulties, but as leaders we are there to support them pastorally, safeguard our teens, and offer unconditional support. Being a leader can be tough, but seeing the growth of our amazing young people makes every difficult moment worth it!

Despite the awful weather, I had an amazing time working with our incredible young people and am so thankful for the chance to be with them, answering all kinds of questions from the everyday to the big life questions. Whilst my fellow leaders may have heard me say “I hate camping” 10,000 times a day, I am already counting down the days for next year!”


Interested in working as an intermediary? Learn more about staff benefits (including Volunteering Days) and the intermediary role here.

Foetal Alcohol Spectrum Disorder, Communication & the Courts

Purple text on plain backround reading: September is FASD Awareness Month

September is FASD Awareness Month, dedicated to raising awareness around Foetal Alcohol Spectrum Disorder and the range of symptoms that people with Foetal Alcohol Spectrum Disorder can experience. The event also celebrates the achievements of people with FASD across the UK.

The National Organisation for FASD are also working with FASD UK Alliance to promote the hashtag #FASDGiveMe5: “The hashtag is designed to represent taking 5 for FASD, whether that’s taking 5 minutes to explain FASD to someone new, taking the time to learn 5 new things about FASD, or giving someone with FASD a high-five to celebrate their achievements!”

To mark the event, we’ve compiled some information about FASD, its impact on communication, its possible impacts for court users and some strategies which legal professionals can implement to support the participation of a court user with FASD…

What is Foetal Alcohol Spectrum Disorder?

Foetal Alcohol Spectrum Disorder (FASD) is an umbrella term for a range of physical, cognitive and behavioural disorders caused when someone has been exposed to alcohol before birth. As babies cannot process alcohol well, it can stay in their body for a long time and can cause damage to their brain, body, and affect their development.

FASD is a brain-based disorder and can cause a range of intellectual and behavioural differences, which may appear at any time during childhood and can be life-long. This diagnosis affects approximately 1.8% – 3.6% of the population.

How can FASD affect people?

The symptoms and their severity can depend on how often and how much alcohol was consumed during pregnancy, and the stage of development the foetus was at. It can also depend on other factors, such as the pregnant persons’ stress levels, nutrition, environmental influences and genetics. Both the pregnant person and foetus’ abilities to break down alcohol can also impact symptoms. Everyone with Foetal Alcohol Spectrum Disorder is affected differently.

A review of existing literature (Centre for Addiction and Mental Health, 2016) found that there are more than 400 conditions that can co-occur with Foetal Alcohol Spectrum Disorder. This multifaceted spectrum of disorders was described as “affecting nearly every system in the body”. Some of these conditions are caused by alcohol exposure, such as developmental and cognitive problems, however, some do not have a direct cause and effect link.

Foetal Alcohol Spectrum Disorder can cause problems with:

  • Movement, balance, vision and hearing
  • Learning – For example, problems with thinking, concentration and memory
  • Managing emotions and developing social skills
  • Hyperactivity and impulse control
  • Communication – For example, difficulties with speech
  • Processing information
  • Following instructions

Foetal Alcohol Spectrum Disorder may also cause physical symptoms. These may look less distinctive in adults then children. Physical effects that can last into adulthood include:

  • Issues with joints, muscles, bones and organs (such as the kidneys and heart)
  • Short stature
  • Small head size
  • Differences in facial features (only present in 10% of Foetal Alcohol Spectrum Disorder cases).
  • Reduced brain size

People with Foetal Alcohol Spectrum Disorder can also have multiple co-occurring diagnoses. Studies into Foetal Alcohol Spectrum Disorder populations have found higher rates of:

  • Mental health issues
  • Psychological disorders
  • Autism
  • Attention Deficit Hyperactivity Disorder (ADHD).

Many people with Foetal Alcohol Spectrum Disorder go undiagnosed. It may not be detected at birth and can become more apparent later in life. It can lead individuals to have difficulties at school, mental health issues, legal issues and difficulties around independence and employment. Early diagnosis can be very important to support people with FASD to build appropriate support and strategies. It is important to note that, although some people with FASD face considerable difficulties and barriers to participation in important areas of life, many others have many strengths and lead successful lives with professional careers.

FASD and emotional management

Some of the early signs of prenatal alcohol exposure in children are intense negative moods, irritability, and sleep dysregulation.

Foetal Alcohol Spectrum Disorder can also impair a child’s executive functioning, which can impact behaviour regulation. Someone with poor behaviour regulation may have difficulties managing strong emotions and impulses. When they experience strong emotions, this can escalate quickly, and they may also be slow in calming down. Without appropriate support, children with these difficulties may be at risk of developing mental health difficulties, for example, anxiety disorders. It can also lead to them experiencing social difficulties.

Children with Foetal Alcohol Spectrum disorders may have a developmental delay in their understanding of emotions. A reduced emotional understanding can cause poor awareness of how their emotions and behaviours affect others. They can also struggle to understand the consequences of their actions. They can have difficulties with impulse control, emotional regulation and social skills.

Adults who were diagnosed with Foetal Alcohol Spectrum Disorder later in their life may be more likely to have difficulties with their emotional regulation. Teenagers and adults are at a higher risk of getting in trouble with the police and becoming involved with the justice system. This is due to difficulties managing their emotions, anticipating consequences, as well as understanding the motives of others.

Supporting people with FASD in legal proceedings

Professionals working within the courts may come into contact with people with Foetal Alcohol Spectrum Disorder, so it is important to look at what we can do to support people who may be experiencing difficulties with participation which arise from this diagnosis. In court, the condition may affect the court user’s ability to understand and effectively participate in all elements of their court proceedings. This could result in difficulties with:

  • Maintaining concentration in the courtroom
  • Understanding some of the ‘legal jargon’ used within court
  • Providing clear and detailed instructions to counsel

Difficulties like this can make the court process more challenging, and some individuals may need additional support to participate effectively. Although every person with Foetal Alcohol Spectrum Disorder presents differently, there are some general strategies and adaptations which may assist:

  • Speak slowly and clearly: This will ensure that they have time to process the information and that it is presented in the clearest way for them to understand.
  • Provide regular breaks: Due to possible difficulties with concentration, it will be important to offer or implement regular breaks to allow adequate rest time from the proceedings to support attention.
  • Use visual aids: To help with processing lots of verbal information or more complex concepts – to learn more about using visual aids, check out our free ‘How To’ guide on The Access Brief.
  • Break information down: If information is presented in short ‘chunks’, it will be more manageable to process and retain.
  • Check understanding: This can be done by asking specific comprehension-checking questions. For example, rather than asking, “Do you understand?” ask, “What did the social worker say about X?”. To learn more about checking understanding, take a look at our free ‘How To’ guide on The Access Brief.
  • Ask follow up questions: Short, simple ‘wh’ style questions could help prompt the court user to add in further detail, if they are experiencing any expressive difficulties.

 

Further Reading

More information around Foetal Alcohol Spectrum Disorder can be found at:

https://nationalfasd.org.uk/

https://nationalfasd.org.uk/get-involved/international-fasd-day/

Sources

https://www.crisisprevention.com/Blog/help-someone-with-fetal-alcohol-spectrum-disorder

https://www.nhsaaa.net/media/8391/fasd_whateducatorsneedtoknow.pdf

https://www.nhsggc.org.uk/kids/health-a-z/fetal-alcohol-spectrum-disorder-fasd/overview/

Children with fetal alcohol spectrum disorders lag in emotional understanding : News Center (rochester.edu)

Over 400 conditions co-occur with Fetal Alcohol Spectrum Disorders, study finds: Most severe cases have high levels of hearing loss, impaired vision — ScienceDaily

FASD Characteristics | FASD Greater Manchester

Foetal alcohol spectrum disorder – NHS (www.nhs.uk)

3.-How-to-support-children-living-with-FASD_Final-1.pdf (d2p3kdr0nr4o3z.cloudfront.net)

untitled (researchgate.net)

https://omny.fm/shows/fasd-a-guide-for-speech-and-language-therapists

https://www.cdc.gov/ncbddd/fasd/secondary-conditions.html#:~:text=Common%20Mental%20Health%20Conditions,deficit%2Fhyperactivity%20disorder%20(ADHD)

https://www.camh.ca/-/media/files/pdfs—reports-and-books—research/comorbidity-of-fetal-alcohol-spectrum-disorder-a-systematic-review-and-meta-analysis.pdf

https://onlinelibrary.wiley.com/doi/10.1111/acer.14705

https://hub.salford.ac.uk/fasd/prevalence/

Foetal alcohol spectrum disorder – NHS (www.nhs.uk)

https://www.proofalliance.org/wp-content/uploads/2021/11/What-are-the-differences-between-FASD-and-autism.pdf

Freunscht, I. and Feldmann, R., 2010. Young adults with fetal alcohol syndrome (FAS): Social, emotional and occupational development. Klinische Pädiatrie, pp.33-37

Youth Mental HEalth Day logo

Youth Mental Health at Court for Youth Mental Health Day 2023

Youth Mental HEalth Day logo

by Anna Carter (intermediary)

Youth Mental Health Day aims to encourage understanding and discussion of mental health in young people. According to  , 4 in 10 young people experience mental health difficulties. At Communicourt, we frequently assist young people who are experiencing mental health difficulties whilst facing court proceedings. In this blog, we will look at how intermediaries can help young people throughout this process.

Court can be intimidating and overwhelming for any court user, due to unfamiliar court formalities, the complexities of legal proceedings, the potential consequences, and the often alien nature of the legal process to lay people.

The theme of this year’s Youth Mental Health Day is #BeBrave. There has been some and one should be careful about how they use the word ‘bravery’ in this context. We believe that asking for help is often not a matter of bravery. Many young people with mental health needs are brave every day, and some may not have important ‘tools’ required to ask for help, such as a safe environment in which to do so, the knowledge required to identify the help they need, and the communication skills to request it. They may not know who to ask, or how to ask. It should not be the sole responsibility of the young person to advocate for their own mental health needs. Young people require support from others (e.g., parents, school staff, healthcare professionals).


Youth mental health at court

Regardless of the theme, Young Mental Health Day encourages understanding and discussions around mental health in young people. To explore the experiences of young people with mental health difficulties, as well as strategies and adaptations which can assist them, I spoke to a number of court intermediaries about their work with young defendants.

*For anonymity, names and details have been changed.

Front of the Royal Courts of Justice in London

Case studies

Ellie

Ellie [an intermediary] worked with a young defendant who had mental health difficulties. He had a diagnosis of OCD [obsessive compulsive disorder] and the court agreed to many adjustments, raised by Ellie during a Ground Rules Hearing and in the initial intermediary report, which would help him participate in the court environment.

Strategies that helped him:

  • He was permitted to keep his jacket on to help support his emotional regulation.
  • His evidence was heard via a video link so he did not have to look at the complainant during evidence.
  • The intermediary was permitted to intervene during evidence if a question was too complex.
  • Frequent breaks were permitted, which included ‘rest time’ to support his emotional regulation, as well as ‘explanation time’ for his legal team and intermediary to explain key evidence.
  • Some of his support network attended court with him to offer emotional support.
  • The intermediary sat next to the defendant and provided real-time whispered explanations to ensure he was understanding the proceedings.

Theresa

Theresa [intermediary] worked with a young person at court. He didn’t have any diagnosed mental health conditions, but he was diagnosed with ADHD [attention deficit hyperactivity disorder]. He became extremely emotionally dysregulated during the court proceedings.

Some strategies that helped him included:

  • Lots of breaks. Periods of discussion in both the court and during legal conferences were kept short, so he did not become overloaded.
  • A Ground Rules Hearing was conducted, so all the court professionals were aware of his communication difficulties and strategies to assist.
  • He was permitted to leave the courtroom when he became emotionally dysregulated.
  • A support worker was permitted to sit next to him in court, along with the intermediary.

Alice

Alice [Intermediary] worked with a 16-year-old defendant. The defendant was indicted with some really serious charges, hence why he found himself in Crown Court, rather than in the more age-appropriate, Youth Court. The defendant had ADHD [attention deficit hyperactivity disorder], ASD [Autistic Spectrum Disorder] and high levels of anxiety. He presented as very fidgety and easily distracted. During conferences, he would become strongly focussed on matters he felt particularly anxious about. He told the intermediary that his mental health had suffered greatly due to the criminal justice process.

Alice recommended adaptations to the proceedings to help manage his high levels of anxiety and other difficulties affecting understanding and engagement, to ensure that the defendant was able to actively participate in his trial.

Some strategies which helped him were

  • The intermediary visited the defendant ahead of his trial. This allowed time for the intermediary to properly introduce herself and build rapport, ensuring they could work effectively together during his trial.
  • The intermediary fully explained her role and spoke to the defendant about different strategies which she may use at court to help him.
  • There were lots of breaks during the trial, which included time for rest and explanation.
  • The intermediary provided the defendant with a simplified order or proceedings. This ensured he knew what was coming and supported his overall understanding of the proceedings.
  • The intermediary gave the defendant a fidget object which helped him to both manage his anxiety and stay more attentive.
  • The intermediary provided the defendant with simple notes. This was to aid his understanding and retention of information in the court proceedings. Within these notes, the intermediary matched the defendant’s use of colloquial language to make the notes as easy as possible for him to understand.

 Caitlin

Caitlin [intermediary] assisted during a one-day full trial in Youth Court. The service user was 16 years old and was being trialled for drug dealing. The trial was heard by magistrates. Several strategies enabled him to participate to the best of his ability. These included:

  • The defendant was able to sit in the main body of the court, rather than in the dock.
  • There were regular breaks.
  • All court professionals were made aware of the intermediary report and recommendations within it.
  • The intermediary intervened during evidence to ensure the defendant understood the questions that were being put to him.

As you’ve read above, the criminal justice system is a challenging place for young people, and it is important they get the support they need. Below is a list of strategies which may help a young court user with mental health difficulties to participate in legal proceedings:

  • Create a less intimidating atmosphere. For example, counsel could remove wigs and gowns, first names could be used, and alternative seating arrangements could be implemented (e.g., seating all participants on the same level, or seating the defendant outside of the dock (if at Crown Court).
  • A conference room could be reserved, so the court user has a guaranteed private place to rest when not in the courtroom.
  • Strategies which reduce anxiety or assist the young person to better manage their mental health condition could be implemented. These are likely to be specific to the individual, and can be explored by the intermediary at the initial assessment stage. Strategies might include access to an emotional support animal, permission to wear a specific item during proceedings (e.g., We have assisted young autistic defendants who are better able to manage sensory sensitivities which would otherwise be emotionally dysregulating, by wearing ear defenders or a woolly hat).
  • Use simplified language and explain complex concepts and legal terminology. For example, when the young person is giving evidence, they could simply promise to tell the truth rather than giving a formal oath/affirmation. This can help someone better understand what they are promising to do which helps to reduce anxiety.
  • A screen or video link could be used when the young defendant is giving evidence.
  • Regular breaks will give the defendant time to rest and process the evidence. They also give the defendant time to ask any questions to their legal team or point out any of the evidence they want to challenge.

By implementing these measures, courts can help young people with mental health difficulties navigate the legal system in a more effective way. It’s important to bear in mind that this list is not exhaustive and every young person attending court is different. A person-centred approach, starting by exploring their communication profile and coping strategies is therefore really important.


Further reading

The Communicourt team recently attended the Vulnerable Accused conference at the University of Birmingham, where the participation of young defendants was a clear theme. Please find some interesting comments and research mentioned at this event below, for further reading:

Florence in front of a whiteboard which features a list of orders in care proceedings - she is explaining how to simplify these concepts.

Florence shares intermediary role with Social Work students

Intermediary & Team Leader, Florence, recently used one of her Volunteering Days to introduce the intermediary role to social work apprentice students at Liverpool John Moores University.

Florence in front of a whiteboard which features a list of orders in care proceedings - she is explaining how to simplify these concepts.

Florence shared a range of strategies to support service users with communication needs during legal proceedings, and gained a lot of insight from a social workers’ perspective, too. Including a fresh perspective on explaining concepts surrounding Parental Responsibility and Threshold to respondents in care proceedings.

A classroom from behind. Florence is leaning over the students and explaining things. On the whiteboard at the front is an example of an 'I need a break' card often used by intermediaires at court.

In the afternoon, the class attended a talk given by a judge at court. Florence found it very surreal to be in front of a judge with no laptop, no person to explain things to, with the opportunity just to listen. She even asked a question without saying ‘Your Honour’ first!

Here are some of the things the judge shared with the social work students, which really got Florence thinking:

  • He described court as a ‘space’ not a ‘place’. Especially after COVID-19, court is a state of mind.
  • He noted that court is all about the 3 Fs: Fairness, Finality, and Formality.
  • He said that when a case comes to court they will be sifted, and different judges will get given them depending on complexity and seriousness. He then said more private family cases go to magistrates- which was interesting considering how surprised I’d been to be in a public family case in front of magistrates only weeks earlier!
  • He told the students to consider the positives and negatives and give credit where it’s due e.g., he’d take a social worker’s recommendations more seriously if they could also talk about the good points, like contact.
  • In the morning I’d told the students that the threshold was the list of ‘worries’. In the afternoon the judge said it was ‘allegations’. I’d never really thought before about how we might protect our service users from the word ‘allegations’.
  • The judge talked about the times in court when he gets to officially adopt someone into a new family. Sadly, we only ever get to see the hearings where parents find out these orders would be made, I don’t often think about those lovely days where the children get to start a new life.