This is something I've wondered also. The fact that there are apparently 27 reports suggests to me that he has an annual assessment. Out of those 27 assessments we have only been treated to a couple of paragraphs which appear to declare him not a psychopath. However, if the rest of the reports are equally supportive why not make then available in full, so that the comments can be seen in context?
Context, context, context...I agree it is so important that's why I struggle with the following assuming they were actually said:
"Oh Uncle Bobby, I would have no trouble in killing anybody I could easily kill my parents" (RB)
"I hate my fucking parents" (James Richard)
"I'm not going to share my money with my sister" (Doris Foakes)