The Locked Ward: A humane and revealing account of life on the frontlines of mental health care.

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The Locked Ward: A humane and revealing account of life on the frontlines of mental health care.

The Locked Ward: A humane and revealing account of life on the frontlines of mental health care.

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Niall Tyrrell, 28, fondly described by his mum as the 'life and soul of the party' had been sectioned under the Mental Health Act and was living at Park House, a mental health hospital in Crumpsall run by the Greater Manchester Mental Health NHS Foundation Trust. It is currently rated as 'overall inadequate' by the CQC. The inquest was told that a decision was made on April 28 to move Niall from the acute ward to a Psychiatric Intensive Care Unit (PICU) at Park House, called the Juniper Ward, due to his high risk of suicide, self-harm and of him absconding. At the time, he had been on one to one constant observations from staff. I am fascinated by mental health, and especially the history of its treatment in the U.K., from the asylum system to today. This book presented itself as a sombre and thoughtful exploration into the topic by someone with first-hand experience working in the intensive psychiatric care unit of one hospital. The author made a point on several occasions to “ground” the reader, and encourage them not to be blinded by ill-informed traditional stereotypes of psychiatric patients. He reminds us, to his credit, that psychiatric illnesses and those who suffer from them are not a laughing matter, and should be treated with respect and compassion......

We do not know if J.J. Beegan ‘sculpturer’ was trained as an artist before he was committed to Netherne. But we do know that Rolanda Polonsky had gone to art school and that some of her pieces had been exhibited in small shows. Her work was not naive, untutored self-expression (‘They just paint what they have in their minds’), the kind sought by doctors such as Reitman, and – for different reasons – by the Art Brut movement. Polonsky was born into an upper-middle-class family in Northern Italy in 1923. Her parents were both opera singers and her maternal grandfather was the English writer and philosopher Thomas Bailey Saunders (an authority on Schopenhauer). In 1947 she graduated from the University of Florence with a degree in political science. She travelled to Paris in connection with a commission, and studied for a short time, probably informally, at the Académie de la Grande Chaumière. Concerning patient satisfaction, values ranged between M = 19.23 ( SD = 1.24) and M = 22.16 ( SD 4.66), and no significant difference could be found between the hospitals [ZUF-8: F(2, 73) = 2.14, p = 0.125]. The mean in the overall sample was M = 21.66 ( SD = 4.27), which corresponds to 68% of the maximum value of 32. Patient satisfaction seemed to be relatively independent from the ward atmosphere; the measures of ZUF-8 correlated significantly only with the EssenCES subscale of “Therapeutic Hold” ( r = 0.39, p = 0.001).

Niall was taken to North Manchester General Hospital from Park House in the early hours of May 2 and was pronounced dead a short time later. Park House is run by Greater Manchester Mental Health NHS Foundation Trust (Image: MEN MEDIA) Delays after crash call put out as serious incident investigation finds errors I am fascinated by a passage in Goffman’s book where he describes a play put on by the ‘higher grade’ patients at St Elizabeth’s for the benefit of local fundraisers and philanthropists. It was a version of my mother’s shift from nurse to ‘good’ voluntary patient in Out of True, but this performance involved ‘good’ psychiatric patients playing ‘bad’ versions of themselves:

At the time of the assessment, neither the severity of illness nor psychosocial functioning of the patients differed significantly between the hospitals [CGI: F(2, 66) = 1.44, p = 0.245, PSP: F(2, 53) = 2.45, p = 0.096], and no significant correlations with any of the EssenCES subscales or the ZUF-8 could be observed. Two such more subjective indicators are ward atmosphere and patient satisfaction. Both concepts are sometimes discussed and applied together, but the character and the direction of the relationship between ward atmosphere and patient satisfaction remain unclear ( 19, 20).

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But that isn't the only book that the Librarians in their infinite wisdom (!) have screwed up, by no means, there are publishers they don't like and whose books they marked as Not A Book, like Books LLC who aren't a proper publisher because all they do is reprints (what do they think constitutes the vast majority of Penguins' catalogue?) and because they collate Wikipedia and other articles in book form (thus saving some of us a lot of time and effort and therefore money by doing the research for us).

In the months and years following, my parents argued more than they ever had before. The house wasn’t filled with much laughter. Dad threw himself into his darts and activities down the pub, drinking heavily and often becoming a little belligerent. He wasn’t the same dad that I remembered, and after a while everyone in the house felt the same way. It was as if he’d replaced the man he used to be with the man he’d decided to be and that person was different. He was diagnosed with hypermania – whatever that meant, I wasn’t sure. Nobody really gave us any explanations. He was told to take lithium tablets, which would help keep him on an even keel, but he decided he didn’t need them. Secondly the humor isn't always what was promised. Many of the jokes are actually Dadish punchlines unrelated to the Ward or its patients/consumers/PEOPLE. Zydalis Bauer: Right! Well, and I want to also talk, because this book covers a lot of medical treatments that have happened over the years. It tells more than just the stories, but we can actually see the change in medical treatments happening over the decades. He smiled sadly, "When you leave this room there will no longer be the semblance of your cosy world awaiting you. As you close the door on me you will see reality as it really is. I have tired of the illusion"Also, I realise O'Donnell loves a good joke, but most likely of this humor just simply wasn't funny, and the majority of this humor was made at the expense of the patients themselves, which to me, isn't the least bit professional. I know how much of a demanding and sometimes relentless occupation it is, always having to look over your shoulder, but please, have some respect.

Harewood (centre right) with siblings Roger (left), Sandra and Paul, 1969-70. Photograph: courtesy of David Harewood

The Sydney Morning Herald

Childline (0800 1111 ) runs a helpline for children and young people in the UK. Calls are free and the number won’t show up on your phone bill. The other is of one of his characteristic flattened faces in profile, sitting on top of a triangular body, like a cone, drawn in such a way as to suggest three dimensions. Both the bottle and the triangular figure feature the same ‘stand’ drawn underneath them – it’s this that helps give them their three-dimensional appearance, and marks them out as works of art, as though they are drawings for stand-alone sculptures. Underneath the man-cone he has marked the words:



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