So he told the mental health team in custody he was suicidal and was let go. Today he tells me he tried to hang himself. Crisis Team called >> First response team who are a telephone response service only - this is mental health neglect wrapped up as a service. How many will die?
So in custody and court last week at what cost? Released and now back in custody last night and for the weekend to go back to court on Monday. The revolving door of minor criminality because the drug laws don’t work / intransigent. If it doesn’t work change it> HARM REDUCTION
So back in custody- will have another mental health assessment before being interviewed with a solicitor and responsible adult present - and at what cost to society and him? Hundreds of thousands spent and none of it any anything that will change the situation!! What a waste !
This time he has severed some of the forearm extensor tendons but will not stay in ED and has capacity to leave - keeps saying he wants to die but will not engage with the mental health team - because they “ won’t do anything “ even if he does. Sadly he is probably correct
So more self harm and deep lacerations. The physical issues will be dealt with in ED tonight but, no doubt, the mental health causes will once again not be. How many die before they are ever addressed? Parity between physical and mental health treatments is just rhetoric
The trauma metered out on the families of addicts, by the people they try to support, makes them just as much victims of an inadequate system as the addicts themselves - when will we see the light and move to a harm reduction approach for the benefit of all ?
So recurrent escalation and threats of suicide because ‘ no one is listening ‘ when help is in place but he won’t access it - how do you help someone with FASD who seems programmed to self destruct and demands the world changes to suit him
Can anyone tell me if the ability to make a capacitous decision while addicted to drugs or alcohol has been tested in law? It feels as if we use the Capacity Act to neglect providing care for people who are not really free to “ choose “
The longer I work in psychiatry
The more I realise that psychological, social & structural factors such as poverty, unemployment, abuse, neglect & discrimination
Are major contributors to people developing a mental health crisis
@RobbieRinder@VickiSampson18@Shelter It should be a human right but clearly not in this country - why do we think this is acceptable and have normalised it - it is inhumane
So an opportunity missed - short telephone call from the Crisis team last weekend when, after the suicide attempt, he was ready to engage. A week on back to avoidant and drug seeking behaviour - until the next crisis!! The cycle repeats itself. How many missed opportunities?
A Zero suicide campaign is a great cause but probably unachievable. A Zero homeless campaign is achievable but not seen as so laudable, so not promoted so well. Achieving zero homelessness will reduce the suicide rate. We have to give people hope if we want to reduce suicides
So the Crisis Team talk to him on the phone today, do not visit to assess him or the environment and advise he seeks help from his support workers. Is jumping out of a window onto concrete not a sign of moderate intent? The CCTV recording is there to see. He needs admission.
A great solution to a problem that should not exist - people are only homeless in the UK because society has deemed it acceptable - it just IS NOT in such a wealthy country