Carseview Centre mental health unit restraint ‘shocking’

Carseview Centre mental health unit restraint ‘shocking’

Marks on David Fong's face
David Fong says this photo, taken in 2013, was a result of being restrained in Carseview

An NHS mental health unit in Dundee restrained patients by pinning them down for too long and in a dangerous position, according to a leaked report.

The internal inquiry into the Carseview Centre was commissioned in response to a BBC Scotland documentary last year.

It exposed bullying and potentially life-threatening restraint on patients.

Prof Peter Tyrer, who chaired the group that wrote the NICE guidelines on restraint in mental health, said the report was “shocking”.

“I’ve seen reports like this before but not quite as damning as this,” he said.

The report has not been made public but has been seen by the BBC.

It found that untrained staff were carrying out risky restraints on patients and that the number of restraints was high.

It said face-down, and particularly face down in a prone position, are the highest tariff interventions of physical restraint, and the most dangerous techniques to deploy.

Carseview Centre
Carseview Centre was the focus of a BBC documentary last year

The report looked at a sample of 40 cases and found more than half were patients being restrained face down on the floor for longer than 30 minutes.

The longest restraint was one hour and 45 minutes.

“That is completely against all guidelines,” Prof Tyrer said.

“You may have to do things for five minutes or up to 10 minutes but to go beyond 40 minutes there is something badly wrong in the organisation of a unit if that is allowed to continue.”

Professor Peter Tyrer
Prof Peter Tyrer chaired the group which wrote the guidelines on how to handle mental health patients

Carseview is a hospital to care for patients with mental illness from depression and anxiety to schizophrenia and psychosis.

In July last year, BBC Scotland broadcast allegations by patients of bullying by staff, illegal drug-taking and being pinned to the floor unnecessarily.

Experts called it abusive and said the unit should be closed down.

NHS Tayside responded by commissioning an internal report into Carseview to go alongside independent reports into mental health in Tayside.

The internal report says a whistleblower has come forward and accused Carseview of “very serious concerns over leadership, safety and malpractice”.

report
The internal report has not been seen by the public

It came up with 11 recommended actions including urgent action on staff training and critical action on illegal drugs on the ward.

It said the restraint policy should emphasise the safety of patients as well as staff and that the culture of the unit should be “based around the caring and compassionate leadership approach”.

NHS Tayside said the recommendations covering patient care and culture were “now being progressed”.

Prof Peter Stonebridge, acting medical director for NHS Tayside, said a “steering group has been established” to focus on restrictive care practices, including the reduction of face-down restraint.

Joy Duxbury said there seemed to be a toxic environment at the unit
Joy Duxbury said there seemed to be a toxic environment at the unit

Joy Duxbury, professor of mental health at Manchester Metropolitan University, told BBC Scotland: “I think this is a terribly toxic environment.

“The figures on physical restraint are exceptionally worrying.

“These are very vulnerable clients who are being restrained, in my view, unnecessarily and by far too many staff in too many situations.

“For me, given what we know about psychological and physical trauma of the use of restraint in such setting, this is of significant concern.”

Marnie Stirling said the unit was supposed to be about recovery not punishment
Marnie Stirling said the unit was supposed to be about recovery not punishment

Marnie Stirling, who had two stays in Carseview with anxiety and depression, spoke to the BBC documentary last year.

Reacting to the report, she said: “If you think about mental health, it’s supposed to be about recovery. This isn’t recovery, it’s further punishment for people.”

David Fong spent a month in the unit after experiencing psychosis in 2013.

‘Total disgrace’

He claimed staff used restraint violently and repeatedly during his time there.

His mother Lorraine said: “This is a total and utter disgrace that this has gone on for seven years and maybe longer.”

David told BBC Scotland that staff were quick to see frustration and anger arising from detainment as aggression.

“Staff are too keen to initiate restraint and offer little or no de-escalation when no actual aggression has been displayed by the patient,” he said.

Former patient David Fong said he had had his face rubbed along the floor during restraint
Former patient David Fong said he had his face rubbed along the floor during restraint

“I ask how many of these restraints were actually needed and if some are instigated by staff rather than patients?

“I personally was physically assaulted with the application of intense pain through twisting of arms, wrists and fingers or a member of staff’s knee being dug into my back, had my face rubbed into the floor causing loss of skin from my face, and had verbal abuse screamed at me during restraint.

“I also could not have been the only patient that these tactics were being used upon.”

A separate report looking at the patient experiences came up with separate 23 recommendations in December.

It is feeding into an independent inquiry, which was announced in the Scottish Parliament last year, and is still ongoing.

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Kirkcaldy film maker shines spotlight on coping with depression

Kirkcaldy film maker shines spotlight on coping with depression

 

Link to Courier article here 

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‘Damning’: suicide rates in Dundee higher than any other Scottish city

‘Damning’: suicide rates in Dundee higher than any other Scottish city

Suicide rates in Dundee are higher than any other city council area in Scotland, according to a new report.

The Scottish Suicide Information Database also shows that men accounted for three-quarters of suicides across Tayside in the last seven years.

According to the report, there were 164 deaths caused by suicide in Dundee with an average of 16.7 per 100,000 population between 2011 and 2017.

Angus along with Perth and Kinross Councils recorded 98 and 126 suicides respectively.

For Tayside as a whole, 388 suicides were recorded with an average per 100,000 population of 14.1.

Men were more likely to take their own lives, with the rates across Scotland highest among those aged 35-54 and in deprived areas.

Nearly three-quarters of those who died had contact with healthcare services in the year before their death.

An inquiry is currently under way into NHS Tayside’s mental health services after a number of concerns surrounding the Carseview Centre.

Phil Welsh, whose 28-year-old son Lee took his own life last year, said the latest statistics were “damning”.

He said: “It’s clear that there’s a situation here that isn’t working.

“I think the fact there is an inquiry shows there’s something amiss.

“Mental health is a discussion point now but it’s all well talking, we need support for people afterwards and that is why we badly need a crisis centre.”

A spokeswoman from NHS Health Scotland said: “National suicide prevention programmes need to incorporate a comprehensive public health approach which seeks to reduce stigma, improve mental wellbeing in the whole population and address the underlying causes of poor mental health.”

 

Link to Evening Telegraph article here

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Mental health review ordered after deaths at Polmont

Mental health review ordered after deaths at Polmont

Polmont
The review follows two recent deaths at HMYOI Polmont

The Scottish government has ordered a review of mental health services for young people in custody.

It follows recent deaths at Polmont Young Offenders Institution.

Sixteen-year-old William Lindsay died while on remand there in October and 21-year-old Katie Allan took her life in June while detained for a drink-driving offence.

Justice Secretary Humza Yousaf said the review would involve a mental health expert and HM Inspectorate of Prisons.

The review is expected to report back early next year.

It will look at mental health provision for young people entering custody, including background information ahead of their admission, reception arrangements, and ongoing support and supervision while in custody.

Mr Yousaf announced the review in a letter to the Scottish Parliament’s justice and health committees.

Katie Allan
Katie Allan’s parents say she took her own life at Polmont YOI after staff failed to heed their warnings

Health Secretary Jeane Freeman has also confirmed that NHS Forth Valley has already engaged with the Scottish Prison Service to assess and increase provision for people living at Polmont.

In his letter, Mr Yousaf said that although fatal accident inquiries would be undertaken into the deaths of William Lindsay (also known as William Brown) and Katie Allan “I have reflected on some of the more immediate questions raised particularly around the provision of mental health support and services for young people in custody”.

Direct engagement

He said the review would look at relevant operational policies, practice and training and where practical, would also look at comparisons between the support and arrangements in place in secure care accommodation and HMP&YOI Polmont.

He added: “As with current formal inspection and independent monitoring arrangements for prisons, the review will include direct engagement with young people in custody about their experiences.

Humza Yousaf
Justice Secretary Humza Yousaf said the review was expected to report back early next year.

“The review will not consider the specific circumstances of recent cases which are the subject of current or future mandatory fatal accident inquiries.

“We are also aware of issues being raised about the information that is available about a young person’s history before decisions are taken that can lead to them being sent to custody or secure care. Separate consideration is being given to how best to look at these issues.”

Ms Allan, a 21-year-old geography student at Glasgow University, was convicted in March of a drink-driving offence which saw her injure a pedestrian and she was sentenced to 16 months in jail.

Stuart and Linda Allan said their daughter was bullied in Polmont YOI near Falkirk and lost more than 80% of her hair due to the state of her mental health. She died there in July.

They had called for a review of the Scottish prison system.

Stuart and Linda Allan with Aamer Anwar
Linda and Stuart Allan, with lawyer Aamer Anwar, called for a review of the Scottish prison system

Mr Lindsay, who was also known as William Brown, was one of four deaths in the space of two days at Scottish jails last month.

An entry on the Scottish Prison Service (SPS) website states he was remanded at Glasgow Sheriff Court on Thursday 4 October.

He died on Sunday 7 October.

Lawyer Aamer Anwar, representing the families of Ms Allan and Mr Brown, said they cautiously welcomed the announcement of a review.

“The deaths of Katie and William were never inevitable, the system and the Scottish Prison Service (SPS) failed them,” he said.

“The families of Katie Allan and William Lindsay expect and demand a lot more to happen in the days and weeks ahead.

“Today is a good start, but the families hold Polmont responsible for suicides which took place, ultimately they failed in their duty of care.

“If this review is independent then the families wait to see the proof of that as they must be fearless in the questions they ask.”

 

Link to BBC article here 

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Fury as NHS Tayside bosses plan to axe 1,300 jobs

Ninewells Hospital 

Bosses at the health board aim to get rid of 1,300 posts to plug the hole in its finances, official papers revealed.

They say they can do that over several years through “natural staff turnover”, but it is feared cuts to backroom staffing will have an impact on patients.

The decision to shrink the workforce comes as the board benefits from having at least £62 million of debt written off by the Scottish Government.

The plans are revealed in an assurance report to the board from September.

It said there was an “acceptance that staff levels need to reduce by 10%”.

Gillian Murray, who has been campaigning for better mental health services after failings in the care of her late uncle, said the decision shows that “balancing the books obviously means more to them than saving lives”.

“People in Dundee are dying because NHS Tayside is a shambles and to cut the workforce is another slap in the face for all of us,” she added.

Murdo Fraser, the Conservative MSP in Perthshire, said: “Local people will be wondering what impact these massive reductions in staff will have on their already pressured services.”

Annie Ingram, NHS Tayside director of workforce, said no one will lose their job but said spending on the workforce is higher than health boards of a similar size.

She added: “We are carrying out a review of staff numbers, grades and skills, which is being carried out in partnership with our staff and our trades unions, to ensure we have a safe, affordable and sustainable workforce.”

 

 

Link to BBC article here 

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‘Questions asked’ over death of teenager at Polmont

‘Questions asked’ over death of teenager at Polmont

Humza Yousaf and YOI Polmont

Justice Secretary Humza Yousaf said William Lindsay’s story was a “tragedy”
 

The justice secretary has said “there are rightly questions being asked” following the death of a teenager at a young offenders’ institution.

William Lindsay, 16, died while on remand at Polmont Young Offenders’ Institution (YOI) in October.

The Scotsman reported that he killed himself days after being remanded, despite having been flagged up as a suicide risk.

A mandatory Fatal Accident Inquiry (FAI) will be carried out.

The newspaper report comes about a fortnight after the parents of a young woman who killed herself in Polmont YOI called for a review of Scotland’s prison system

Katie Allan’s family sought a meeting with Justice Secretary Humza Yousaf as they launched a campaign calling for change.

Responding to The Scotsman report on Twitter, Scottish Labour’s health spokeswoman Monica Lennon MSP said: “Another preventable suicide. Another young life ended in prison.

“Katie Allan and William Lindsay are not the first young people to die at the hands of a broken system but they must be the last.

“What the hell is going on at Polmont?”

Katie AllanKatie Allan’s parents say she took her own life at Polmont YOI after staff failed to heed their warnings

Mr Yousaf said he will set out the steps being taken “to ensure we are providing the best possible care” for young people in custody.

He tweeted: “The story of William Lindsay is a tragedy – there are rightly questions being asked.

“I will explore what can be done in the immediate term and what is more appropriate for the Fatal Accident Inquiry.”

He also tweeted: “I am meeting the family of Katie Allan shortly – the other young person referenced in the article.

“After listening to their concerns I will give details on what we intend to do to ensure we are providing the best possible care for our young people within the prison estate.”

Ms Allan, a 21-year-old geography student, was convicted in March of a drink-driving offence which saw her injure a pedestrian and she was sentenced to 16 months in jail.

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Stuart and Linda Allan said their daughter was bullied in Polmont YOI near Falkirk and lost more than 80% of her hair due to the state of her mental health. She died there in July.

Mr Lindsay, who was also known as William Brown, was one of four deaths in the space of two days at Scottish jails last month.

An entry on the Scottish Prison Service (SPS) website states he was remanded at Glasgow Sheriff Court on Thursday 4 October.

He died on Sunday 7 October.

Mr and Mrs Allan’s lawyer, Aamer Anwar, said the two deaths “were not inevitable”.

He has called for “all those politicians who claim to care about justice or young people” to “consider their shameful silence on this issue”.

Stuart and Linda Allan with Aamer AnwarLinda and Stuart Allan, with lawyer Aamer Anwar, have called for a review of the Scottish prison system

Responding to the latest case, a Scottish government spokesman said: “Our thoughts are with the family and friends of this young man.

“Investigations have begun ahead of the Fatal Accident Inquiry and it would therefore be inappropriate to comment on the specifics of this individual case.

“We recognise, however, that many young people entering the criminal justice system have complex needs and we work with agencies to ensure appropriate support is available when needed.”

A Crown Office spokesman said: “The investigation into the death of William Brown (or Lindsay) is ongoing and is under the direction of Scottish Fatalities Investigation Unit (SFIU).

“There will be a mandatory Fatal Accident Inquiry in due course once investigations are complete.

“The family will be kept updated in relation to any significant developments.”

An SPS spokesman said: “Every death in custody is subject to a DIPLAR (Death in Prison Learning and Audit Review), which we will conduct along with partner agencies, and that process would feed into the FAI.”

 

 

Link to BBC article here 

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