Mental Health

Riding The Wave

NHS Criminal Liaison and Diversion Team Conference at Lancashire Police Headquarters brought lively discussion and presentations…

Early interventions in Criminal Justice are not new, I found out last week. NHS England have been involved in this as far back as the late eighties and East Lancashire have a new initiative focussing on the needs of men and women in the CJS.

Police custody is not a pleasant environment for the hardiest of people, therefore it was pleasing to see this thorny topic high on the agenda at the conference. The order of the day focussed on mental health in police custody and the great moves made in this area. Largely due to police training and a much more compassionate approach to the needs of those with mental health needs in the care of Police.

I have written previously on my experience in police custody. It is safe to say, I was not a person with a mental health problem. I was anguished and scared, but at no point was I in need of a doctor and was under no medication. I was cared for in an impassionate environment. Treated with care and placed away from the more rambunctious of “guests” for the night. At a time in my life where I was broken, police custody was on the whole, the most compassionate of my experiences in the CJS.

However, this is not the case for those with mental health problems. At the conference was a woman, called Tracey who works with police and closely with Manchester University on the needs of women in Police Custody. Tracey relayed a brutal, candid account of her experiences following arrests throughout her younger years. She spoke of being held down by male officers having her clothes removed. This was for her own protection. Tracey faltered at this painful memory and in no way was she complaining, but as a woman, I could feel her sense of indignity at this memory. She bravely went on to say how she felt and following years of mental health difficulties, prison and finally a diagnosis with the right treatment set in place for her. It was then her offending behaviours ceased. She now supports and leads on actions to support women in prison and custody. A prolific self-harmer, Tracey also works with women in prison on camouflage cosmetics so women can cover the signs that are familiar to most people who work with people in prison, the scars of self harm. I never fail to be moved when I hear a story of someone who has come from a challenging time in their life to helping other people who are suffering the same difficulties.

Next came Kevin. A film regarding his experiences in police custody silenced the packed room. In the interval, Kevin spoke from the heart about his misdiagnosis for many years of his mental health state. He was finally diagnosed with schizophrenia and he sustains a life supporting others in the CJS with mental health conditions following years of prison and police cells. Kevin has not written a book and made millions from his background and acute condition (a la Fry and Campbell – wags finger) No, Kevin has worked tirelessly with Police, NHS and people to offer first-hand support and guidance to those suffering.

Mental Health is rarely out of the public eye and rightly so. Even in the 21st century, mental health provokes strong debate. And no more than in the CJS. This week we have seen one of the most appallingly handled PR exercises ever on the matter of Peter Sutcliffe being miraculously cured of paranoid schizoprenia. According to BBC et al, Sutcliffe is “no longer mentally ill”  The Mirror ran their usual shabby article on his cushy life in Broadmoor with his TV, Playstation, Chocolate and endless privileges provided by that ol chestnut, the tax payer. As usual, I am in the thick of these conversations on Twitter and I came across Suesspiciousminds, a blog I have followed for two years. Sue, (I don’t know her real name) succinctly put across to a fledgling discussion, Sutcliffe should be in prison and he has not been cured of paranoid schizophrenia, he has been deemed fit for prison.  I have seen various threads on the topic from hanging the bastard to throwing away the key to misunderstandings on the miraculous cure rolled out by the media. It was astonishing to say the least, how many people were astounded at him being cured. To add, I watched an interview with a son of one of his victims who was dignified in his delivery of how the news had affected him. He was five when Sutcliffe barbarically took his mother from him.

Moving back to the conference, it was interesting to hear from the Police on their approach to those placed in their care for numerous reasons. It is not always a criminal act that brings somebody to a custody suite. In some cases, it can be for the safety of a person and that of the public. The bed crisis is no secret in hospitals and when my mother was in hospital, I often saw Police vans arrive with a huddled, distressed person, enter the locked ward only to come back out with the same person due to a bed shortage. What gives? Police custody is no place for a poorly person, but when left with no alternative? Its sometimes the only option.

I am impressed with the slow yet visible moves within the Police Service towards mental health of people in custody. The conference last week brought a fresh approach that is to be worked upon and the Police are willing to do this. With the support of the Liaison and Diversion Teams, there is renewed hope we, as a society are waking from a long slumber in the mental health needs of people in communities who happen on the police radar.

A great conference and initiative hopefully leading to better outcomes for vulnerable people who for whatever reason have slipped through the radar of mental health services. It should not have to come to a police cell to make it happen, but if it does, the Police’s input might just be the wake up call needed.

 

 

 

Bill

It is with hindsight due to my experiences as a female con, I recognised there was no system. My work over the last five months has shown me more first hand, how following the Corston report, little has changed for women in prison. Moreover, on release, links are so broken for both women & men it is little wonder reoffending rates are so high.

This week I received a phone call from one of our INCAS members. He was released from prison in November and had nowhere to live. INCAS placed this 30-year old in a property with a male of a similar age. Estranged from his family, he had spent many short-term prison sentences since his late teens. Bill, (name has been changed) had difficulty in trusting people. INCAS were supporting him in housing with a network of drug misuse support services available to him. As weeks passed, it became clear, Bill had no intention of engaging with these services. Slowly, services withdrew. INCAS support never left him. We remained on the sidelines and under the Housing Act, we simply could not throw him out. We let him be and gradually, contact was re-established with Bill. It was clear Bill wanted to find his own feet and contact with his father was developing. His father contacted me and I explained Bill had our support, but that we were concerned about his mental health. Bill was not happy with this contact between us and his father. Bill launched at me that I was trying to ruin his life. Once I had explained that his father loved him, had spent years of trying to help him and that it was Bill who had to do the work, Bill slowly began to emerge as a man who knew he had enough of the life he had led. Small contact sessions with his father had begun to happen. INCAS remained in the background and Bill simply dropped in occassionally.

Looking back at Bill’s story has led to many comments. “A casualty of a system failure” As the INCAS project manager pointed out this week, there is no system in place to fail Bill. Bill repeatedly ended up in the slammer because of his behaviours and while he presented as vulnerable to us, Bill knew what he wanted. Time. Time & stable accommodation to find his feet without pressure from agencies to sign up for group therapies and endless appointments.

On Thursday, Bill called me. He told me he had packed up the house, as his father was picking him up and he was moving closer to family. He told me that he had realised how much support he had had from INCAS and there had never been anything like our support before. He requested he stay in touch should it all “get fucked up again” Of course you can, Bill. Anytime. But drop us a call to let us know how you are anyway.

Bill’s story is one of thousands. A life addicted to class A substances. Is Bill a result for INCAS? Who knows, but INCAS gave him a foothold in the trench to bond with his family, move on and at least give life a damn good shot on the right side of the law. We did this with one little front door key and ensured his home was safe.

The system that imprisoned Bill was not that of the Big House. Being there was of his own making. Bill’s imprisonment came from doing what he had always done. He, like I did put himself there. What Bill has shown is that stable accommodation can make a difference. As our society dictates our lives orbit around a stable address, Bill was given this and he was able to make choices from the trenches.

As SHE & INCAS ethos is homes and sustaining homes, we are now getting members involved in the process. Painting a home for others who are coming through the gates. Peer-led projects do work. We take some getting used to as SHE & INCAS are non-statutory. We are there to help dig footholds in the trenches to move on from. We cannot prevent addicts from using, we cannot make pain go away. But we can and do show how important a home is and how to become better neighbours, contributing members of society and accepted back into the community.

Bill has had the benefit of what INCAS offer and while we are the new kids on the block, Bill is back in touch with his family. What happens from here is up to Bill.