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.”
First Minister Nicola Sturgeon has said an interim report into mental health services in Tayside will be published “imminently”.
Responding to questions from Scottish Labour leader Richard Leonard about the inquiry, Ms Sturgeon said she would expect relatives who campaigned for the inquiry to be given advance copies of the interim report, which is expected to be published this month.
The inquiry was launched following a public campaign by families who blamed poor care at the Carseview Psychiatric Centre at Ninewells Hospital for a series of suicides.
The interim report will be published next week although it will be several months before the full inquiry report is completed.
Mr Leonard told the First Minister that some of the relatives whose campaigning led to the inquiry feel they have not been kept up-to-date with its progress and believe it is not “transparent”.
He said that when the inquiry was set up then health secretary Shona Robison said it should be seen as “a force for good” and asked if Ms Sturgeon believed this aspiration is being met.
Mr Sturgeon said it would be wrong for the Scottish Government to “pre-empt” the inquiry but said its findings would be scrutinised and any recommendations acted upon.
She added: “Of course we want to learn lessons and our sympathies are with the families who have experienced those losses.
“We established an independent inquiry in Tayside. That hasn’t yet reported. I hope it will report soon and it will be fully scrutinised by the government.”
Mr Leonard said Mandy McLaren, the mother of Dundee suicide victim Dale Thomson, has lost confidence in the inquiry.
He said: “She asked me to ask you directly if families will see an advance copy of the interim report before it is published.
“Will you listen to the voices of those families? Will you do what you can do to restore their confidence in this inquiry?”
Ms Sturgeon replied: “This inquiry is being led by David Strang. It is an independent inquiry.
“If the government was interfering in the conduct of that inquiry, I am sure Richard Leonard would be raising that in the chamber.
“I understand David Strang has met with family members. It would be full my expectation that an advance copy of the report would go to those directly affected.
“I will pass that specific point to David Strang but I would stress it is an independent inquiry.”
Earlier, Conservative MSP Bill Bowman pressed health secretary Jeane Freeman over plans for a 24-hour crisis centre in Dundee.
Councillor Ken Lynn, the the vice-chairman of Dundee Heath and Social Care Partnership, has pledged his “total commitment” to creating a centre in Dundee, but Ms Freeman the issue had not been raised with her or the minister for mental health, Claire Haughey.
Mr Bowman said later: “It was clear from the cabinet secretary’s answer that the SNP are disconnected from the challenges faced on the ground.
“There seems to be no plans for the new centre in Dundee, or for the government to help NHS Tayside create one.”
The parents of a young Dundee dad who took his own life have hit out at thieves who stole sentimental trinkets from their son’s grave.
Lee Welsh, 27, was found dead at his Peddie Street home in the city’s West End in August 2017 after suffering from depression.
His dad Phil and mum Lesley discovered the heartbreaking theft when they visited Lee’s grave at Birkhill Cemetery on Sunday.
Phil said: “Lesley had four little glass trinkets in the shape of diamonds hanging on the little fence that goes round the gravestone.
“They aren’t worth anything financially but they are significant to us as a family as the words ‘Shine on you crazy diamond’ from a Pink Floyd song are engraved on the gravestone.
“We know they aren’t worth any money but it has been really upsetting for us.
“When we realised they had been taken we were really hurt.”
Phil added: “Whoever took them probably doesn’t think too much about what they have done but I want them to realise that taking things from a grave can be desperately upsetting for those left behind and grieving.
“People should think more carefully about their actions and be aware of the hurt they can cause.”
Since Lee died, Phil and Lesley have been campaigning for a 24/7 crisis centre in Dundee to give immediate access to people having suicidal thoughts.
They have also organised various fundraising events for groups and centres that currently offer support.
The next event is a soup and pudding lunch to be held at Dundee West Church on May 25.
Money raised from the lunch will this year go to the Art Angel charity.
Lesley said: “Art Angel is a unique and inspired arts project run by and for people with experience of mental health difficulties in Dundee.
“It helps people work towards recovery and mental wellbeing.”
A similar event last year raised almost £1,000 for Dundee Association for Mental Health (DAMH).
The second Lee Welsh memorial football match is also planned for July 20.
It will be held at North End Park and this year the money raised will be donated to Art Angel on behalf of the Not in Vain for Lee charity.
As well as football, there will be other attractions including a bouncy castle, face and henna painting and a demonstration by Dundee Mods Scooter Club.
Last year’s match, organised by Lee’s childhood friend Steve Martin, raised more than £1,000 for DAMH.
A Dundee Health and Social Care Partnership chief has pledged his ‘total commitment’ to establishing a new 24-hour mental health crisis centre in the city.
Councillor Ken Lynn, vice chairman of the joint board, said he envisaged the hub would be separate from existing facilities such as Ninewells Hospital or Carseview, to be “more central, more in the community and staffed by mental health professionals”.
It comes after a commission set up to tackle poverty and deprivation in Dundee recommended the creation of a 24-hour drop-in service offering clinical, non-clinical, therapeutic and peer support.
The commission found people reaching crisis point outside normal working hours were unable to self-refer for support when they need it most and some campaigners have criticised policy makers for a perceived lack of action on the issue.
Councillor Lynn rejected any suggestion proposals have been “kicked into the long grass” and said he intended to speak to the new chairwoman of the integrated joint board, Trudy McLeay, about moving the project forward.
“There are a number of hoops we would need to go through before this comes to fruition,” he said.
“But I am very supportive of the idea – in fact, I don’t know anyone who is not.
“I have spoken with representatives of the mental health sub group of Dundee City Council and we agreed to set up an event to make a presentation to councillors. I expect that will happen over the next few weeks.
“I’m totally committed and willing to do whatever it takes to get the money for it, even if it means moving resources from other areas.”
A number of those pledging support also left personal messages outlining how such a facility would have helped them or a loved one in their time of need.
Ms Marra said: “There is an urgent need in Dundee for a mental health crisis centre where people can refer themselves and get support any time of day or night.
“There is widespread support for this type of service in the city and it was recently recommended by the city-wide poverty commission.
“When I called for a crisis centre for Dundee in parliament last year, the First Minister said she agreed that there should be a crisis centre in Dundee but I’m not aware of any progress on this so far.
“There is a crisis centre that serves people in Edinburgh. There is no good reason why there should not be the same level of service in Dundee.”
A Scottish Government spokesperson said: “We’re committed to ensuring that we have the right support available in our NHS and care services for those who need it.
“An independent inquiry into mental health services in Tayside is currently ongoing and we will ensure its findings are shared across Scotland and help shape service delivery in Dundee.”
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.”
Tay Road Bridge chiefs have pledged to tackle the rising number of emergency incidents reported on the crossing after admitting they are “nowhere near where we need to be” on the issue.
Data analysis taken from the bridge’s official twitter account shows an annual rise in reports of police call outs, from 21 in 2016, 23 in 2017, to a peak of 28 this year.
Many of the closures are due to people attempting to harm themselves on the span.
Officials pledged at the start of 2018 to probe whether anything could be done to reduce the number of incidents on the route after campaigners pointed to similar efforts being made in cities around the world.
Stewart Hunter, chairman of the road bridge board, revealed his team have looked at ways of making physical alterations to the crossing but found no structural change could be made without compromising its integrity.
He said: “From my point of view, one person on the bridge is one too many so any trend showing the numbers increasing would be worrying. However, even if it was decreasing, I would still be concerned for those individuals.
“There are a number of reasons why the numbers have increased and mental health is part of it. I think it would be irresponsible to focus on one aspect and ignore others.
“The Scottish Government, Dundee City Council and our partners are working hard to tackle this issue and make sure the people who need help get it. But obviously, there is still a long way to go and we are nowhere near where we need to be.
“As far as what is the best way to tackle the increase, we need to make sure that individuals have all the support they need long before it gets to the stage where they are on the bridge. That is where we will actually make the difference.”
Mr Hunter paid tribute to the “unsung heroes” working on the bridge who respond immediately when emergency incidents are reported.
Figures obtained from the twitter account show motorists were subjected to 132 days of disruption on the bridge this year for police and other incidents, such as roadworks, breakdowns and closures due to high winds.
It appears March’s Beast from the East weather disruption had a significant impact on traffic with the month seeing 18 days impacted by delays, more than any other in 2018.
Mr Hunter said: “We have a planned programme of maintenance and the increase this year is just about where we are in the maintenance cycle. The bridge is inspected regularly and any issues found are fixed very quickly.”