It said the key themes were patient access to mental health services, patient sense of safety, quality of care, organisational learning, leadership and governance.
Referring to risk management, the report said: “Patients report telling staff they were suicidal but the risk was not taken seriously until they made a serious attempt to take their own life.”
‘Violated and traumatised’
In relation to patient safety, the report noted: “Some patients report being frightened of certain staff on the wards who have a poor attitude to the patients in their care.
“Others mentioned that another patient had assaulted them whilst they were on the ward.”
The report said the use of restraint within inpatient facilities was of “great concern” to patients, who had experienced it or witnessed it taking place.
It said: “Patients feel violated and traumatised, particularly if they have personally suffered violent abuse in the past.”
It added that staff seemed unable to control the availability and use of illegal drugs on the wards in the inpatient facilities.
“Both patients and families report seeing drugs delivered, sold and taken within the Carseview Centre site,” the report said.
“Staff confirm this is a serious issue which is not being adequately addressed.
“There is a lack of support from management for frontline staff attempting to address this issue and it is having a detrimental effect on patient care and treatment regimes”.
‘Unexpected and concerning’
In a section on the Crisis Service, the report said that the Crisis team “struggles to respond to sudden surges in demand on the service.”
It said: “There are occasions when the length of time to wait to be seen is long and families supporting someone in crisis are advised to phone the police or NHS24, if they are worried.
“This advice is unexpected and concerning to carers coping with a crisis in a domestic situation.”
The report said the centralisation of the out-of-hours Crisis team to Carseview Centre has had a “detrimental effect on those patients in Angus and Perth & Kinross who are experiencing mental health crisis”.
It said: “There is a perception that whilst the Crisis service has expanded in recent months, the situation has worsened in terms of patients being assessed then not being offered any crisis intervention, or referred back to the GP.”
Inquiry chairman David Strang said: “The themes which have been identified will shape the next stage of the inquiry.
“Our final report will include conclusions and recommendations which will lead to the improvement of mental health services in Tayside.”
NHS Tayside chief executive Grant Archibald said: “We are taking on board all comments in the interim report, alongside the feedback we received from the Health and Social Care Alliance (the Alliance) published in their report in December 2018.
“The key themes which have been identified in both the Alliance report and in today’s interim report are recognised by the board and the mental health leadership team – and we are taking action on these.
“I also recognise and want to thank the many staff who are already working really hard to improve services and look forward to their continued support.
“It is clear that we have further work to do but since I came to Tayside, I have made mental health a top priority and I am confident we can learn lessons, strengthen our engagement with patients, service users, families and the public and make the right kinds of changes, at the right time, to transform our mental health services.”
He added: “We would like to thank everyone who has shared their experiences so far and we look forward to the independent inquiry’s final report and recommendations which will be a major influence on the future shape of mental health services in Tayside.”
Essex-born student Chloe Sheridan, who studies in Dundee, shared her emotional tweet charting her mental health battle
A nursing student has revealed how she went from having suicidal thoughts to training to become a mental health nurse in an inspiring post.
Chloe Sheridan was admitted into a psychiatric ward for the first time three years ago, she said in a tweet which has gone viral.
The Essex-born student said she felt lost, hopeless and consumed by the idea of ending her life at that time, reports the Daily Record.
But the tweet ended with the revelation that she was now returning to a psychiatric ward – this time as a student mental health nurse.
She also shared two photos – the first showed her looking downcast and teary-eyed in a grey hoodie as she prepared to go into hospital as a psychiatric patient.
The second pic showed her beaming and looking professional in her grey nurses scrubs.
She posted: “Three years ago today I was taken into a psychiatric ward for the 1st time.
“I was lost, hopeless, consumed by the idea of ending my life.
“Today I walk into a psychiatric ward as a student mental health nurse for my first day of placement.
“Things change, they don’t stay hard forever.”
And Chloe’s life-affirming tweet quickly racked up support and likes as her story went viral across the platform.
Her tweet has garnered up almost 20,000 retweets and over 130,000 likes since it was posted.
Thousands more replied with messages thanking Chloe for her honesty.
One wrote: “From someone who struggles daily with Mental Health issues and needs the help/support MH workers provide, a massive thank you for your decision to work with others who need that help.
“You will be an asset to all you work with and I wish you all the best.”
Another said: “This is amazing!! Best tweet I’ve seen for ages. So glad you managed to get through it and your first hand experience and understanding will be invaluable. Best of luck in your career – I’m sure you’ll be fantastic!!”One posted: “Literally in the same position as you. 4 years ago I was in hospital for taking an overdose and seeing no way out of my hell of a life. I’m now a student mental health nurse and I’m the happiest I’ve ever been.”
And another added: “I feel this. I was in and out of hospitals with mental health issues and struggled for a long time. This is brilliant! well done!! 4 years ago I was in sectioned in hospital and this year, 5 years later I will qualify as a mental health nurse! I can’t speak for anyone else, but using my experience and illness to do this truly gave me my spark back.”
The Dundee Fighting for Fairness report summarises how key issues affecting people in city are being tackled.
It was launched at the Steeple Church following months of research by the Fairness Commission, whose members met with people and families struggling to get by.
Among the recommendations are creating a single access point for all financial advice services in the city, preparing positive, anti-poverty messages and helping frontline staff including GP surgeries to raise awareness of the impact of poverty on mental health.
John Alexander, leader of Dundee City Council and chairman of the Dundee Partnership, said: “People and money, mental health and stigma are three of the main themes we are looking at because they have featured in all of the stories we have heard.
“We know that far too much poverty that exists in the city and this is one way to target some of the root causes of that – by involving people with real-life experience.”
Another recommendation aimed at tackling issues with mental health in the city is to create a 24/7 drop-in service offering clinical, non-clinical, therapeutic and peer support.
The commission had found that people reach crisis point outside normal working hours and cannot self-refer for support when they need it most. It was also found that services did not always treat people in poverty with respect.
The partnership recommended that guidance materials are developed to allow service providers to recruit and train staff with the right values.
On December 12, the recommendations will be presented to Aileen Campbell, Cabinet Secretary for Communities and Local Government.
The father of a young Dundee man who took his own life has welcomed the launch of a petition calling for a mental health crisis centre in the city.
Talented musician Lee Welsh died on August 8 last year. Now, almost a year after his death, a petition has been started in a bid to secure a 24/7 self-refer mental health crisis centre.
Since Lee’s death, his dad Phil has been campaigning for better mental health provision in Dundee under the banner Not in Vain for Lee.
Among his ideas is a crisis centre similar to one in Edinburgh. The centre in Edinburgh is funded by NHS Lothian, Edinburgh City Council and mental health charity Penumbra.
Phil said: “Something needs to change so people having a mental health crisis can have immediate access to support.”
The petition states: “As NHS Tayside reviews local mental health services, it must look to provide a new facility, offering emergency support 24 hours a day, seven days a week where people can self-refer.
“The crisis centre would provide access to counsellors and support in a home-like environment allowing people time and space to seek appropriate help.”
MSP Jenny Marra supports the campaign and said: “It would be designed to support the current system, which is too often unable to offer care quickly enough.”
Robert Packham, chief officer for Perth and Kinross Health and Social Care Partnership, said: “NHS Tayside provides support for people in Dundee in a mental health crisis 24-hours-a-day.
“The crisis intervention and home treatment service in Dundee assesses all psychiatric emergencies within office hours.
“Any person who attends Accident & Emergency in a mental health crisis would be seen by the liaison psychiatry service. There is also an emergency team based at Carseview Centre which operates out of hours.
“The nursing team is supported by on-call psychiatrists and sees people in crisis directly and referred from A&E.
“NHS Tayside has established an independent inquiry chaired by David Strang to review mental health services in Tayside.
“In the meantime, we are working with clinical, nursing and other staff to identify and act upon any areas which may benefit from improvement.”
Arfon Jones, the North Wales Police and Crime Commissioner. has made a plea over mental health care
Stop treating police officers as mental health workers and build 24-hour “sanctuaries” for people in need of treatment.
That was the call made by North Wales Police and Crime Commissioner Arfon Jones at a meeting of Conwy Council on Thursday night.
Police officers were having to act like health care staff on too many occasions because of a lack of 24 hour emergency mental health facilities in the region, Mr Jones said.
“What I want to see is for sanctuaries to be provided because at the moment the only place people suffering with mental health problems can be taken is to hospitals.
“We need crisis centres so they are not having to be brought into police stations,” he added.
He added: “North Wales has three mental health units in Bangor, Bodelwyddan and Wrexham. Community services do not operate outside of office hours; there are no triage facilities or sanctuaries available.”
Numbers produced by the force showed that 13% of police call-outs were related to mental health.
With North Wales Police dealing with 123,381 incidents during 2016/17 this would mean there were 16,040 mental health related incidents in the region in a year.
“Dealing with increased mental health demand has been identified by officers in North Wales Police as the greatest external demand placed upon them and the large numbers of incidents allied to limited available health related options to help deal with them effectively is the single biggest source of frustration for them,” he said.
Mr Jones told a meeting of the council’s economy and place scrutiny committee of two examples where police resources were used to care for people suffering from mental health illnesses.
In one a social worker visited a teenager who was withdrawing from drugs and threatening to self harm.
Police officers detained him and took him to Wrexham’s mental health unit to be told they needed to go to Bodelwyddan only to be turned around and sent back to Wrexham, making a 77 mile journey with a child in a police car.
In another officers had to make a 128 mile journey as they travelled from Bodelwyddan to Bangor to Caernarfon and then to Wrexham in search of a suitable unit for a man who had tried to self-harm.
He added: “There is only so long that North Wales Police can continue to pick up the pieces for other partners.”
Lesley Singleton, director of partnerships for mental health and learning disabilities at the health board said: “We have made improving the support available to people in an acute mental health crisis our first year priority as we begin implementing our integrated mental health strategy Together for Mental Health in North Wales.
“To support this we are working with our partners to develop local alternatives to hospital admission and these include crisis cafes, sanctuaries, and step down services.”