Dear Joy Chamberlain, CEO of Partnerships in Care Ltd,
Treatment in a mental health facility is meant to alleviate or to prevent a worsening of the patient’s condition or it’s symptoms. Our daughter is actually deteriorating again because of your company’s insistence on prolonging an unjustified detention.
Do you understand this? Can you see that your company is actually making our daughter’s condition worse?
After the latest revision of the Mental Health Act the idea of ‘appropriate treatment’ became diluted. Instead of specific and actual tangible ongoing treatment for mental illness, at tribunals and in reports, psychiatrists are now able to rely on the often quoted ‘therapeutic milieu’ of the ward as enough treatment to justify detention.
It’s generally accepted that detention cannot be challenged because of a lack of appropriate treatment because of this: the nursing and the climate of the ward is assumed adequate enough to ‘treat’ the patient.
I just spoke to my daughter tonight. She is very down. But this is not because of any symptom of mental illness. It’s been acknowledged by her clinician and her psychologist that she has not suffered from symptoms of mental ill-health for many months now.
But she is still incarcerated in your private prison, the Dene, Brighton.
She is distressed and despondent that she is still held in your uncaring prison. She has deteriorated over the last few days. She is frustrated at the lack of compassion. She had a panic attack today. She is upset that even after it has been acknowledged that she no longer meets the criteria for detention your company will not release her. And so her incarceration drags on open-ended.
Your staff took her to a room by herself this afternoon and left her there upset. No staff offered support. No staff have shown caring and no staff have helped her to recover from her sadness or have spoken to her.
Where is the caring?
Where is the compassion?
Where is this therapeutic milieu?
The Care Quality Commission is conducting an inspection at the Dene at the moment and our daughter had a chance to speak with them. They questioned why she is still under section and why she has not been transferred to an open ward or discharged.
We cannot answer that either. We do not understand why she is still incarcerated in such a secure and uncaring environment.
The only single reason for this continued deprivation of liberty now is that our daughter cannot afford private accommodation. She is essentially being held ransom until she can afford to pay for her release.
Is it belligerence? Arrogance? Is it mismanagement? After all, discharge planning should be a consideration from the very start of the Care Plan Approach – not as a rushed job at the last minute. This only creates frustration.
Is it because a psychiatrist wants to impose such obsessive control over a vulnerable person and watch them break down before they give in and release them?
Or does your company’s employee, her psychiatrist, intend to wait until she has actually broken down so far from being unnecessarily incarcerated in what is essentially a prison that she driven to attempting suicide again and then she will meet the criteria for further detention?
Over three months have passed since it was agreed that she does not need to be in your prison anymore. It was three weeks ago that her clinician capitulated and promised release.
Now she is becoming even more despondent as your company and the local Trust try like headless chickens to agree on an aftercare solution. In the meantime your company continues to siphon off £700 per day for treating my daughter like a criminal.
The best aftercare that would actually benefit our daughter would be for the so-called ‘professionals’ to just release her from your prison and obsessive controlling system and let her be independent. Instead of the NHS paying your company to abuse people @ £700 per inmate per day, they could pay for a flat for my daughter to be independent. They could even include sessions with a psychologist each week.
In your asylum our daughter has been driven to suicide by your staff before when they did not allow her to call her family on Christmas Day. Later on she was abused by your staff using the government shunned face-down restraint contrary to your own policies and against government guidelines.
Again she is becoming more and more desperate by being held captive in your uncaring prison that she and we feel that she may reach that point again.
But this is not due to mental illness. It is due to being kept detained without reason in such an uncaring and insidious environment.
How is this treatment?
How is this care?