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.”
The organisation has to find £860,000 to balance its budget this year and aims to do this through a combination of cuts and price increases.
The cuts include reducing the resource budget of libraries – the money available for new books and periodicals – and cutting staff numbers through voluntary redundancy and early retirement.
The organisation, which also runs the McManus, Camperdown and Caird Park golf courses and the Olympia Swimming Pool, said it may not replace all departing staff in order to keep costs down.
Sean McNamara, head of the Chartered Institute of Library and Information Professionals in Scotland, said cuts to library services can have serious long-term consequences.
He said: “We realise that council services are under severe financial pressure and difficult decisions need to be made.
“However, cuts to resources and staffing can impact on vital services that libraries provide for communities.
“Libraries and their skilled staff help improve literacy levels as well as tackling social isolation and supporting mental health and they also play a key role in the current digital strategy for Scotland by providing free access for people unable to get online at home.
“Any local authority considering cutting budgets must ensure they have fully assessed the long-term impact any cuts may have.
”Labour group leader Kevin Keenan said “slashing the culture budget” was the wrong thing to do when Dundee is trying to promote itself as one of Scotland’s leading cultural destinations.
He said: “Obviously, I am deeply disappointed to hear there is a potential load of job losses.
“When we are trying to attract people and tourists here with things like the V&A, slashing the culture budget does not seem like the thing to do.”
A report to Dundee City Council’s policy and resources committee this year revealed that Dundee has the highest percentage of citizens who are library users out of all of the Scottish authorities.
Nine of the 13 libraries showed an increase in visits in 2016-2017.
The Central Library is Scotland’s busiest.
Last year there were concerns cuts could lead to restricted opening times in some city libraries.
A spokesman for Leisure and Culture Dundee said there were currently no plans to reduce opening times.
He said: “There are no changes to opening hours at this time.”
A Tayside musician is helping beat the stigma of mental illness by rapping about his time in a Dundee psychiatric hospital.
Kieran Smart, who studied music production in Perth before being admitted to Carseview, posted a video to social media which detailed his battle against self-harm and hallucinations.
The 23-year-old mentions his feelings of isolation while struggling with his mental health, which led him to spend a total of four months in the unit over the past two years.
He said he hoped the video would encourage more people to seek help sooner, after revealing it took him five years to get treatment.
He said: “It’s an overview of what I was feeling at the time. Now I feel not much different but better – music definitely helps with that. It gives me an outlet – a way to put things down as I’m not really big on speaking to people and this is easier.
“I’ve been writing for ten years and when I came out of Carseview the second time that’s when I recorded my first song.
“I put this video online to help break down the stigma of mental illness. I want to bring awareness to that – I want people to know it’s all right to not be all right.
“It’s a constant reminder for me but I’d rather it helped someone – I hope it would. I’ve been dealing with this since 2012 and I didn’t seek any help until 2017 because I had the idea that being male I had to mask it.”
Mr Smart has also praised staff at the facility at a time when mental health services in Tayside have come under fire, with unit closures in Perthshire and Angus.
He said: “When I first went into Carseview I wanted out as soon as possible because I was in a locked ward but the treatment was really good and the staff were great – they were always willing to talk.”
Teenagers have created a series of booklets and posters to help promote mental health across Dundee.
Pupils at the High School of Dundee worked with staff from the charity Feeling Strong.
Founded by Brook Marshall the charity aims to help young people in Dundee who have suffered a mental health challenge to reach their full potential.
This is achieved by delivering services co-produced by, and delivered by, young people.
Brook visited the school to help youngsters work on an art and design department project on health and well being.
The pupils created documents, booklets and posters examining and giving guidance on issues such as body image, bullying, stress and anxiety.
Art and design teacher Andrea Ross, who led the project, said: “Our goal was to create resources which would help young people to access engaging, yet practical advice about their mental health and well being.
“We were delighted to see our pupils approach this project with inspirational maturity.”
The work recently went on show at the school and a booklet featuring some of the pupils’ artwork is being sold to raise funds for the charity.
Brook said: “I think it’s a tremendous opportunity for young people to engage with the subject in a very empowering way.”
Copies of the booklet supporting the charity can be obtained for a minimum £5 donation from Andrea Ross.
The fact that more adults in Dundee have a mental health condition than the Scottish average might not come as much of a surprise.
Poverty, addiction and unemployment – three things the city struggles with – are all associated with poor mental wellbeing.
But what might be surprising is that according to new data, women are more likely than men to have a mental health condition.
According to Dundee’s new Mental Health and Wellbeing Strategic Plan, which will be discussed by councillors next week, the highest rate for adults reporting a mental health condition in Dundee is among women aged 39-45.
Ash Mullen, 37, a student mental health nurse and founder of mental health group Let’s Talk Tayside, said: “We’re taught in our training that women are more likely to speak about their problems than men.
“I think mental health touches everyone at some point in their life but maybe it’s easier for women generally to talk about it – to their friends or their doctor. I have anxiety and after I started speaking about it I realised it will never go away, but you can develop tools to cope with it.
“Ultimately it depends on the individual but there’s a reason groups like Andy’s Men’s Club are there to get more men to talk about how they’re feeling.”
Another men’s mental health group is Art Angel, based at Enterprise House, which runs art, drama and film sessions.
Manager Rosie Summerton said: “Because of the increase in suicide in young men, and if you look through the mental health strategy, the figures are appalling for Dundee.
“There is a huge amount of people and young people turning up with mental health issues and I think we need to really address that.
“I think young men have found it more difficult to seek help than young women might.
“I think the reason why we are starting young men’s groups is that young men find it difficult to speak out and ask for help when things aren’t going well.
“To be able to offer them something which is almost like an alternative form of communication is really useful.”
Dundee’s mental health strategy outlines a number of measures aimed at increasing good mental wellbeing, including an emphasis on the social aspects of recovery, and delivering more mental health and wellbeing short courses in community settings.
Art Angel member Dylan Hood, 21, said: “It gets you doing things you want to do and seeing people you want to see. It’s a distraction from your own mind, because I can get trapped in my own mind sometimes.
“It’s about people who have had similar experiences to you and if you want to speak about it they will happily speak to you about it, and encourage you to come out your shell.”
Aaron Third, 24, added: “It’s just nice being around people who share the same experiences as you.
“I come to the art group on Fridays, and when I do, I feel like nothing else takes my focus away from drawing.”
Group co-ordinator Becca Greig added: “We don’t ask them what their mental health problem is.
“It gives them the freedom to just work without being judged or worrying about being judged.”
Art Angel will be holding a group exhibition at 5pm on Thursday, at Enterprise House on North Lindsay Street. To attend, email firstname.lastname@example.org or call 01382 228383 December 19.