0:00:06.242,0:00:08.652
[Solemn music plays, noises of nature in[br]background]
0:00:10.400,0:00:13.853
Narrator: Broadmoor, a word that makes [br]people shiver.
0:00:14.873,0:00:17.673
Most think that Broadmoor is a prison,
0:00:17.673,0:00:20.593
in fact it's a high secure [br]psychiatric hospital,
0:00:20.593,0:00:22.432
and home to some of the country's most
0:00:22.432,0:00:24.762
dangerous and violent offenders.
0:00:24.762,0:00:28.910
[Gate unlocking, mechanical noises]
0:00:28.910,0:00:32.030
After five years of negotiation, [br]and for the
0:00:32.030,0:00:34.462
very first time, the hospital has allowed
0:00:34.462,0:00:37.470
cameras in to meet the men who live behind
0:00:37.470,0:00:38.652
these walls.
0:00:38.652,0:00:44.694
[unintelligible yelling, sound of [br]something slamming]
0:00:44.694,0:00:48.340
[Running footsteps, keys jangling]
0:00:48.340,0:00:51.694
[more yelling and sounds of a struggle]
0:00:51.694,0:00:53.884
[door slams]
0:00:53.884,0:00:56.264
[footsteps echo in the hallway]
0:00:56.264,0:00:58.684
Inmate: Broadmoores got this, this history
0:00:58.684,0:01:01.410
about people being all these monsters [br]here basically.
0:01:01.410,0:01:03.110
But you can be violent, and it [br]don't
0:01:03.110,0:01:04.261
mean you're [br]a bad person.
0:01:04.261,0:01:04.991
'Cause sometimes
0:01:04.991,0:01:06.751
you don't....you're not intendin' it.
0:01:06.751,0:01:09.261
Over radio: Hello Bravo one, two, and go.
0:01:09.261,0:01:11.121
Over radio: One going to the
0:01:11.121,0:01:13.981
[ unintelligible] all radio. Alpha four.
0:01:13.981,0:01:14.821
Over.
0:01:15.848,0:01:18.134
Man in Tan Suit: The easiest reaction[br]in the world is to
0:01:18.134,0:01:20.136
see somebody that has committed something
0:01:20.136,0:01:22.630
atrocious, label them as evil, want to
0:01:22.630,0:01:25.866
lock the door and throw away the key.
0:01:26.660,0:01:28.106
Daniel: I've probably actually never said
0:01:28.106,0:01:29.626
the words of what I've I actually done.
0:01:29.626,0:01:32.406
I've never admitted it. Still just a blur
0:01:32.406,0:01:33.976
in my head.
0:01:34.683,0:01:36.533
[knocking on door]
0:01:37.524,0:01:39.324
Inmate: I've got born into this Italian
0:01:39.324,0:01:42.834
family. Very, very violent. In some cases
0:01:42.834,0:01:44.279
it would have been better to have killed
0:01:44.279,0:01:46.373
me than to have allowed me to have this
0:01:46.373,0:01:49.294
abominable life that I've had.
0:01:53.979,0:01:56.409
Narrator: With unprecedented access, and
0:01:56.409,0:01:58.739
filmed over a year, this series reveals
0:01:58.739,0:02:01.039
the secrets of life inside Britain's most
0:02:01.039,0:02:03.429
notorious institution.
0:02:03.429,0:02:07.779
[Bell rings]
0:02:07.779,0:02:13.999
[Solemn music]
0:02:14.040,0:02:16.080
Narrator: Broadmoor is perched above the
0:02:16.080,0:02:18.260
Berkshire village of Crowthorne. Just 40
0:02:18.260,0:02:20.680
miles from the center of London.
0:02:21.810,0:02:24.510
When people think of Broadmoore they think of
0:02:24.510,0:02:26.670
Ronny Kray, Peter Sutcliffe, Robert
0:02:26.670,0:02:28.740
Napper, and Kenneth Erskine. Some of the
0:02:28.740,0:02:30.640
most dangerous killers the country has
0:02:30.640,0:02:31.951
ever known.
0:02:33.319,0:02:35.529
Inmate: The public perceive this place as 'oh,
0:02:35.529,0:02:37.569
that's where the Yorkshire Ripper's locked
0:02:37.569,0:02:39.879
up, that's Rachel Nickell's killers locked
0:02:39.879,0:02:43.539
up'. Broadmoor is an institution of lots of
0:02:43.539,0:02:46.629
people. We're not all rapist pedophiles,
0:02:46.629,0:02:50.629
or murderers. There is people in here for
0:02:50.629,0:02:54.629
self-harming in prison, there's people in
0:02:54.629,0:02:57.968
here for buggery and they've gotten in a prison,
0:02:57.968,0:02:59.589
and there's people in here for very very
0:02:59.589,0:03:01.809
evil things.
0:03:01.809,0:03:03.679
and it brushes with all the same brush
0:03:03.679,0:03:05.358
which they shouldn't do.
0:03:05.358,0:03:09.358
[loud string crescendo]
0:03:09.542,0:03:11.022
Narrator: First built as a victorian
0:03:11.022,0:03:13.377
lunatic asylum for the criminally insane,
0:03:13.830,0:03:15.960
today Broadmoor is an NHS hospital.
0:03:17.881,0:03:21.171
Over its 150 year history, it's been [br]a secretive
0:03:21.171,0:03:24.881
and mysterious institution.
0:03:25.007,0:03:27.277
Staff are under strict instructions not to
0:03:27.277,0:03:30.207
discuss patients outside[br]the hospital walls.
0:03:32.829,0:03:34.299
[clicking as items are placed on conveyer
0:03:34.299,0:03:35.569
and beeping of machinery]
0:03:35.569,0:03:37.769
Many won't even admit to working here.
0:03:37.769,0:03:39.149
Staff Member: Close, close family
0:03:39.149,0:03:41.209
members know that, obviously, where we
0:03:41.209,0:03:43.781
work. But if we're in a normal mainstream
0:03:43.781,0:03:45.707
than you would, you would probably say you
0:03:45.707,0:03:47.983
work in the hospital or something. Don't
0:03:47.983,0:03:49.663
really talk about the place.
0:03:49.663,0:03:50.743
Staff Member #2: Listen, if you said
0:03:50.743,0:03:52.253
that you worked here. Ah, boy. You'd just
0:03:52.253,0:03:53.573
spend the whole of a day, or the
0:03:53.573,0:03:56.106
afternoon, with a barrage of questions about the place.
0:03:56.106,0:03:58.366
So, it's just easy to say you work for the
0:03:58.366,0:03:59.206
NHS.
0:04:00.753,0:04:02.053
Narrator: They're told not to share
0:04:02.053,0:04:03.515
personal information with the patients
0:04:03.515,0:04:05.770
either, and to leave their private lives
0:04:05.770,0:04:08.766
along with their possessions, [br]at the front door.
0:04:12.407,0:04:14.847
Broadmoor's most notorious patients,
0:04:14.847,0:04:16.820
like Peter Sutcliffe and Kenneth Erskine,
0:04:16.820,0:04:20.820
have chosen not to participate.
0:04:21.560,0:04:23.380
But many of the men here have been front
0:04:23.380,0:04:26.378
page news and are vilified by society.
0:04:26.801,0:04:28.451
This is the first time they've been
0:04:28.451,0:04:30.481
allowed to tell their stories.
0:04:30.698,0:04:31.898
Alex: I've everything from taking
0:04:31.898,0:04:35.189
hostages, multiple hostage taking, stabbings,
0:04:35.189,0:04:38.043
ya' know. Uhhhh... multiple assaults, violent
0:04:38.043,0:04:40.736
assaults, fire setting off. I set a whole
0:04:40.736,0:04:43.496
stammers a fire in a hospital. A
0:04:43.496,0:04:45.356
psychiatric hospital, the first one I
0:04:45.356,0:04:47.626
ever went to. Umm.. yeah. Just mainly
0:04:47.626,0:04:50.566
violence and whatnot. My history is mainly
0:04:50.566,0:04:52.876
violence.
0:04:53.020,0:04:55.710
Narrator: Broadmoor's 200 patients are all
0:04:55.710,0:04:57.830
men suffering from mental disorders.
0:04:58.641,0:05:01.351
They're classified as vulnerable adults
0:05:01.351,0:05:03.411
and only those who have Capacity to
0:05:03.411,0:05:05.761
Give Consent have been allowed to talk to
0:05:05.761,0:05:06.191
us.
0:05:07.138,0:05:10.188
Their faces have been blurred to
0:05:10.188,0:05:11.825
protect their identities
0:05:16.225,0:05:18.454
[Door closing]
0:05:18.454,0:05:19.774
Female Voice: What are you like when
0:05:19.774,0:05:21.274
you're not on medication?
0:05:21.274,0:05:22.534
Alex: Ummm...I'm quite a nasty
0:05:22.534,0:05:24.854
person. I'm quite violent, I'm very
0:05:24.854,0:05:28.234
violent in most-most circumstances. Very
0:05:28.234,0:05:30.404
antisocial. I don't like spending time
0:05:30.404,0:05:33.174
with people. I'm paranoid. I'm, uh, very
0:05:33.174,0:05:35.354
paranoid. stammers Every person around,
0:05:35.354,0:05:37.534
I'm thinking 'what's their intention?' I
0:05:37.534,0:05:38.774
come to that, sometimes I come very close
0:05:38.774,0:05:41.024
to attacking people because I'm thinking
0:05:41.024,0:05:42.755
that they're going to do something to me
0:05:42.755,0:05:45.500
and I don't want to get hurt first. Uh,
0:05:45.500,0:05:47.385
um..I remember one time when I'm off
0:05:47.385,0:05:50.261
medication, spent 11 months locked in a
0:05:50.261,0:05:52.221
cell. Segregated, due to the fact that I
0:05:52.221,0:05:54.441
was too dangerous to come out.
0:05:55.581,0:05:57.361
Narrator: 24 year old Alex arrived at
0:05:57.361,0:06:00.451
Broadmoor 7 months ago. He was serving a
0:06:00.451,0:06:02.781
life sentence in a dedicated prison unit
0:06:02.781,0:06:05.481
for highly dangerous prisoners.
0:06:05.481,0:06:07.991
They could no longer manage him.
0:06:08.139,0:06:09.419
Alex: When I was younger, we would
0:06:09.419,0:06:12.656
chase a seagull all round the council[br]estate, with a box, cos it-
0:06:13.630,0:06:15.870
Narrator: Now in an admissions ward he's
0:06:15.870,0:06:17.450
been diagnosed with mental illness and
0:06:17.450,0:06:19.370
personality disorder and put on
0:06:19.370,0:06:20.870
medication.
0:06:20.870,0:06:24.217
One of his symptoms is auditory hallucinations.
0:06:24.217,0:06:25.870
He hears voices.
0:06:25.870,0:06:27.690
Alex: Oh, I was doing a fruit salad
0:06:27.690,0:06:29.044
the other day for an assessment. That's
0:06:29.044,0:06:31.029
when they do this assessment from
0:06:31.029,0:06:34.160
personal motor, motor skills.
0:06:34.160,0:06:36.030
It's like for learning disability.
0:06:36.030,0:06:37.180
And....Umm...
0:06:37.180,0:06:38.260
I was cutting a mango
0:06:38.260,0:06:39.910
and I have never, I've never used a sharp knife.
0:06:39.910,0:06:41.430
In the seven years I've been away
0:06:41.430,0:06:42.600
I've not used a sharp knife
0:06:42.600,0:06:44.190
and I was shaking. Literally.
0:06:44.190,0:06:46.710
I nearly cut my fingers off cos
0:06:46.710,0:06:48.670
the voices were telling me to attack the
0:06:48.670,0:06:50.430
people in the room, with the knife.
0:06:50.430,0:06:52.310
And, like, they were goading me into it,
0:06:52.310,0:06:53.155
and I thought ' I can't do that.
0:06:53.155,0:06:53.810
I can't do that.
0:06:53.810,0:06:55.820
and so I managed to finish fruit, the
0:06:55.820,0:06:57.820
fruit salad, and I thought 'Wow like, what
0:06:57.820,0:07:00.360
achievement'. Cos mostly stammers a
0:07:00.360,0:07:01.960
year ago, two years ago, my emotions
0:07:01.960,0:07:02.820
would have done it.
0:07:02.820,0:07:04.810
Ya know?
0:07:05.158,0:07:10.358
[unintelligible speaking]
0:07:10.358,0:07:11.798
Man in Sweater: No. We'll clean it
0:07:11.798,0:07:14.028
afterwards. We want to give you
0:07:14.028,0:07:15.458
bedding for now, yeah?
0:07:17.064,0:07:18.984
Narrator: This is Cranfield, the
0:07:18.984,0:07:22.154
intensive care ward. Home to the hospital's
0:07:22.154,0:07:25.424
most acute mentally ill patients.
0:07:25.475,0:07:28.068
[door shutting, keys jangling, people
0:07:28.068,0:07:33.015
speaking unintelligibly]
0:07:33.501,0:07:35.261
Female Voice: Hi, can we come in and
0:07:35.261,0:07:36.841
talk to you, yeah?
0:07:36.841,0:07:39.111
Man in Sweater: Sit on the bed for us
0:07:39.111,0:07:40.881
Narrator: Any contact with them has to be
0:07:40.881,0:07:43.521
carefully planned and executed.
0:07:43.521,0:07:45.981
This is a six person unlock.
0:07:45.981,0:07:48.131
The door to this patients room can only be
0:07:48.131,0:07:52.131
opened with six staff present.
0:07:53.439,0:07:55.001
Man in Glasses: There is always the risk
0:07:55.001,0:07:57.304
of violence towards others, you
0:07:57.304,0:07:59.304
have to accept that with chronic mental
0:07:59.304,0:08:01.474
illness and they will be very disturbed
0:08:01.474,0:08:03.224
throughout the day, but you have to
0:08:03.224,0:08:04.824
learn to work with that.
0:08:04.824,0:08:09.514
[person sobbing]
0:08:09.514,0:08:11.684
My focus in working with this guys is
0:08:11.684,0:08:13.744
actually telling them that they are here
0:08:13.744,0:08:15.232
not because of the illness, they
0:08:15.232,0:08:16.552
are here because of violence.
0:08:16.552,0:08:18.782
And they only progress from here
0:08:18.782,0:08:21.022
if there's a reduction in that violence.
0:08:21.022,0:08:22.862
So that message, you know.
0:08:22.862,0:08:25.402
It might take time, but gradually
0:08:25.402,0:08:27.222
over a period of time, is that
0:08:27.222,0:08:28.297
going through.
0:08:28.297,0:08:33.047
[keys jangling, unintelligible talking [br]in background]
0:08:33.047,0:08:34.737
Narrator: On this ward, even the most
0:08:34.737,0:08:36.856
routine tasks run a risk of violence and
0:08:36.856,0:08:39.266
involve a protocol.
0:08:40.245,0:08:42.141
This patient has asked for a drink.
0:08:43.159,0:08:45.609
Man in White: Just give us a minute trails off
0:08:45.872,0:08:47.572
[unintelligible]
0:08:47.572,0:08:49.072
Shukran. Shukran
0:08:49.072,0:08:51.870
Shukran means thank you, right?
0:08:51.870,0:08:54.030
You know, you taught me all this.
0:08:57.127,0:08:59.647
laughs
0:08:59.701,0:09:10.141
[unintelligible speaking]
0:09:11.765,0:09:13.925
Inmate: [unintelligible] give me [br]some more?
0:09:14.467,0:09:15.937
Man in White: [unintelligible response]
0:09:18.227,0:09:19.187
Thank you!
0:09:20.612,0:09:21.402
Female voice: Thank you guys.
0:09:24.970,0:09:26.980
Narrator: Life in Broadmoor can be a game
0:09:26.980,0:09:28.094
of snakes and ladders.
0:09:28.646,0:09:30.636
With patients moving between the hospitals
0:09:30.636,0:09:31.956
15 wards according to their
0:09:31.956,0:09:33.096
mental state.
0:09:34.779,0:09:36.880
[door closing]
0:09:38.203,0:09:39.923
Patients who have responded to treatment
0:09:39.923,0:09:41.798
can progress to one of the hospital's
0:09:41.798,0:09:43.348
Assertive Rehab Wards, where
0:09:43.348,0:09:44.998
they're given greater freedom.
0:09:47.384,0:09:49.274
Daniel is one of 12 patients on this[br]ward.
0:09:50.930,0:09:52.886
Daniel: I've been here five years.
0:09:52.886,0:09:54.556
Luckily I never went to a high dependency
0:09:54.556,0:09:56.236
ward, I came straight to rehab.
0:09:56.813,0:09:59.783
And, to be honest, it's been...
0:09:59.783,0:10:01.473
I wouldn't use the word wonderful...
0:10:01.473,0:10:03.493
Cos eh... it's not wonderful.
0:10:03.493,0:10:05.053
But, I've been grateful basically
0:10:05.053,0:10:06.246
to come here.
0:10:07.739,0:10:09.759
In my spare time I try and engage
0:10:09.759,0:10:10.834
in artwork mostly.
0:10:10.834,0:10:12.824
This was the, uh... my first real attempt
0:10:12.824,0:10:15.444
at an actual portrait. All done completely
0:10:15.444,0:10:19.724
in graphite, and then I moved on to using
0:10:19.724,0:10:22.234
charcoal along with, uh.. graphite.
0:10:22.270,0:10:24.600
And the charcoal allows you to, to have
0:10:24.600,0:10:27.330
so much more...uhhh...depth in the tonal[br]quality.
0:10:28.498,0:10:31.221
And then, yeah....I did a self-portrait.
0:10:31.221,0:10:33.321
The whole, the whole picture was a
0:10:33.321,0:10:35.051
statement about when I got locked up,
0:10:35.051,0:10:37.241
when I was 14 and I'm now 24.
0:10:37.241,0:10:41.241
This is me at 24, but uh, that's me.....
0:10:41.241,0:10:45.241
back then...sort of thing....
0:10:45.834,0:10:48.484
Narrator: Mental Disorder is no respecter
0:10:48.484,0:10:50.643
of class or education.
0:10:51.180,0:10:53.270
Daniel was a 14 year old boy at a
0:10:53.270,0:10:55.624
mainstream school, and no one anticipated
0:10:55.624,0:10:58.194
the violence of his attack....
0:10:58.194,0:11:00.114
on his own family.
0:11:06.397,0:11:10.397
[Heavy guitar riff]
0:11:11.817,0:11:13.919
All of the men in Broadmoor present a
0:11:13.919,0:11:15.958
grave and immediate risk to the public.
0:11:15.958,0:11:18.538
And many have committed violent crimes.
0:11:18.758,0:11:21.798
From arson, to torture, rape and murder.
0:11:23.246,0:11:25.516
Unlike a prison sentence, they have no
0:11:25.516,0:11:27.101
release date.
0:11:28.927,0:11:30.737
Daniel: I've been a bit of a conundrum
0:11:30.737,0:11:32.237
for the psychologists.
0:11:32.237,0:11:34.007
And I've have, I've had about nine [br]different
0:11:34.007,0:11:36.987
diagnoses from thirty different doctors.
0:11:36.987,0:11:38.967
I've had seminars about me done,
0:11:38.967,0:11:40.567
I've had people wanting to write books [br]about me,
0:11:40.567,0:11:42.607
just because of the unusuallity of
0:11:42.607,0:11:46.847
my offense, and my age, and what happened...
0:11:46.847,0:11:48.467
I mean, my family are my saving grace
0:11:48.467,0:11:49.541
to be honest here. They, they,
0:11:49.541,0:11:51.591
they're hugely...hugely supportive.
0:11:51.591,0:11:54.381
And what's even more amazing is that [br]my offense
0:11:54.381,0:11:56.471
was actually orientated against my family.
0:11:56.471,0:11:59.491
So I think...so the fact....[br]and, and, what a
0:11:59.491,0:12:02.201
lot of people see is that, when a family
0:12:02.201,0:12:03.551
member has committed an [br]offense against
0:12:03.551,0:12:07.328
a family member they often...[br]dis-disown them.
0:12:07.328,0:12:09.673
So it think it's...it's too much for [br]the family.
0:12:09.673,0:12:12.743
But, they-they, have told me that [br]they swore
0:12:12.743,0:12:14.703
they'd stay by me when they, when I was
0:12:14.703,0:12:16.143
christened, and they have. So I think,
0:12:16.143,0:12:16.643
ya know...
0:12:16.643,0:12:19.684
They've always-they've always agreed I've had Aspergers.
0:12:19.684,0:12:21.443
One of the problems I have is I'm
0:12:21.443,0:12:23.576
not very good at understanding emotions.
0:12:23.576,0:12:26.686
Or...if I have a...if I'm feeling something
0:12:26.686,0:12:28.986
I don't always understand what it is that
0:12:28.986,0:12:29.618
I'm feeling.
0:12:29.618,0:12:32.808
But if I can draw it, I can get out these
0:12:32.808,0:12:35.258
angry feelings, or these frustrations of
0:12:35.258,0:12:38.008
being locked up, or guilt, or remorse.
0:12:38.008,0:12:40.638
All these, all these negative feelings I
0:12:40.638,0:12:43.528
can channel through this [br]imaginative artworks.
0:12:44.348,0:12:49.388
[background talking, lunch bags rustle]
0:12:49.388,0:12:50.974
Daniel: I've probably never actually said
0:12:50.974,0:12:52.404
the words of what I actually done.
0:12:52.404,0:12:54.034
I've never admitted it.
0:12:56.826,0:12:59.734
Because I still, I still get flashbacks.
0:12:59.734,0:13:01.204
It's mainly guilt.
0:13:01.204,0:13:03.724
I still-I still struggle to [br]bring it to mind
0:13:03.724,0:13:06.214
It's still just a blur in my head.
0:13:06.214,0:13:08.464
I've done such a terrible thing. Thats one
0:13:08.464,0:13:11.004
of the things that I've got to got to come
0:13:11.004,0:13:13.234
to terms with eventually is that I've
0:13:13.234,0:13:17.234
done this, it's happened, and it WILL be
0:13:17.234,0:13:19.334
with me forever.
0:13:20.473,0:13:22.833
Narrator: We're not allowed to reveal the
0:13:22.833,0:13:24.660
details of Daniel's offense.
0:13:25.243,0:13:26.553
Man in Suit: Okay
0:13:26.553,0:13:27.243
Daniel: Umm, the other thing I was
0:13:27.243,0:13:29.093
wondering about was, I sort of get
0:13:29.093,0:13:32.783
problems of fine motor control and spatial awareness,
0:13:32.783,0:13:35.753
and like bumping into things, and dropping
0:13:35.753,0:13:36.886
things a lot.
0:13:37.178,0:13:39.558
Man in Suit: As you're saying it's not one of
0:13:39.558,0:13:41.638
the most common side effect. In fact, the
0:13:41.638,0:13:42.908
opposite....[trails off]
0:13:42.908,0:13:44.508
Narrator: Daniel is taking medication and
0:13:44.508,0:13:46.554
undergoing psychological therapy.
0:13:46.554,0:13:48.866
These, together with everyday interaction
0:13:48.866,0:13:51.166
with staff are the cornerstones of
0:13:51.166,0:13:52.666
the treatment here.
0:13:52.666,0:13:54.796
Man in Suit: Have you noticed any benefit?
0:13:54.796,0:13:56.266
Daniel: I don't really know what it is
0:13:56.266,0:13:57.206
I'm looking for.
0:13:57.206,0:13:58.726
Man in Suit: I have noticed a difference
0:13:58.726,0:14:01.486
in you, not within the last week, but
0:14:01.486,0:14:03.816
certainly over the last three months. I
0:14:03.816,0:14:06.016
think that you are much more able to
0:14:06.016,0:14:08.616
spend longer time with people in one to
0:14:08.616,0:14:09.796
one situations.
0:14:09.909,0:14:14.039
[ducks quack, somber music]
0:14:14.259,0:14:16.579
Narrator: Broadmoor can feel like a ghost
0:14:16.579,0:14:19.090
town. Patients can only move at certain
0:14:19.090,0:14:21.714
times and in certain configurations.
0:14:22.110,0:14:24.740
Their cameras record where each patient is
0:14:24.740,0:14:26.240
at any given moment.
0:14:26.240,0:14:30.670
[Radio Chatter]
0:14:30.869,0:14:33.489
The control room ensures that incompatible
0:14:33.489,0:14:35.765
patients, do not collide.
0:14:36.011,0:14:40.611
[Radio Chatter]
0:14:41.197,0:14:43.842
Patients who are well enough, leave their
0:14:43.842,0:14:46.962
wards to go to work, study, and even once
0:14:46.962,0:14:49.613
a week go shopping. It's strangely like a
0:14:49.613,0:14:51.393
village.
0:14:51.393,0:15:01.353
Inmate: You got any wine gums? Wine gums?[br]No wine gums or nothing?
0:15:01.859,0:15:02.859
Is this a shop or not?
0:15:03.365,0:15:08.396
Shopkeeper Whats going on? You sure it's okay?
0:15:08.396,0:15:09.886
[indistinct response]
0:15:09.886,0:15:10.327
Shopkeeper: Good.
0:15:13.488,0:15:15.872
Narrator: The freedom to shop is a
0:15:15.872,0:15:18.352
mixed blessing. One of the side effects
0:15:18.352,0:15:21.482
of medication is increased appetite
0:15:21.482,0:15:25.282
and many patients are severely overweight.
0:15:25.456,0:15:29.736
[indistinct talking]
0:15:29.906,0:15:32.716
However normal it feels, the reminder of
0:15:32.716,0:15:34.695
the threat of violence is ever-present.
0:15:35.478,0:15:37.924
Searches looking for potential weapons
0:15:37.924,0:15:40.803
are carried out before any patient movement.
0:15:41.399,0:15:43.409
Hospital Staff: This is stuff that we've
0:15:43.409,0:15:46.617
retrieved from patients. I think this is
0:15:46.617,0:15:49.727
just, what used to be a CD and its been
0:15:49.727,0:15:52.297
broken up into shards. It can be used as a
0:15:52.297,0:15:54.167
blade, even for self harming.
0:15:54.167,0:15:56.605
In fact, we don't use the CDs [br]here anymore.
0:15:56.678,0:15:59.128
We've got spoons and forks that have been
0:15:59.128,0:16:01.597
sharpened off on the edge. So a normal
0:16:01.597,0:16:04.327
teaspoon-plastic spoon-which is quite innocent
0:16:04.327,0:16:06.807
to you and I, has been fashioned off and
0:16:06.807,0:16:09.108
can be used as a potential weapon to stab.
0:16:09.108,0:16:11.458
It's an example of how vigilant we have to
0:16:11.458,0:16:13.052
be with everyday items.
0:16:14.078,0:16:15.078
[radio chatter]
0:16:16.105,0:16:18.531
Alex: I've done a lot of self harming, as
0:16:18.531,0:16:21.681
you can see. I've cut my own throat a couple
0:16:21.681,0:16:24.511
of times. I've cut my throat like four
0:16:24.511,0:16:27.421
times I think. Umm funny enough, I think
0:16:27.421,0:16:29.256
It was like five weeks before I come here,
0:16:29.256,0:16:32.426
I hung myself and they had to do CPR
0:16:32.426,0:16:33.416
on me in the cell.
0:16:33.416,0:16:34.576
Like, you know?
0:16:36.932,0:16:39.332
I was sexually abused when I was a child
0:16:39.332,0:16:41.712
and that had an affect on my behavior,
0:16:41.712,0:16:43.332
on my mental state.
0:16:43.332,0:16:44.902
I couldn't sleep at night, and the rest
0:16:44.902,0:16:46.352
of it...I was, you know...
0:16:46.352,0:16:48.132
Basically everything that you go through
0:16:48.132,0:16:49.952
when you've had a traumatic situation
0:16:49.952,0:16:51.195
like I did.
0:16:52.245,0:16:54.232
I think as well as being here,
0:16:54.232,0:16:55.822
I said to my mum 'this feels like the
0:16:55.822,0:16:58.111
best I've ever been in ten years.'
0:17:01.485,0:17:03.745
Man in Tan Suit: Patients that come here,
0:17:03.745,0:17:05.851
they will have perpetrated, often,
0:17:05.851,0:17:08.691
horrendous crimes. But, they are also
0:17:08.691,0:17:12.791
victims. It is very easy to see somebody
0:17:12.791,0:17:14.981
as either the perpetrator or the victim.
0:17:14.981,0:17:17.399
It is much more difficult to understand
0:17:17.399,0:17:19.889
that somebody might be both.
0:17:19.949,0:17:22.049
[squirrel chatters]
0:17:22.049,0:17:29.029
[loud drumming and incoherent yelling]
0:17:29.396,0:17:31.776
Narrator: Patients from different wards
0:17:31.776,0:17:33.347
meet in certain events.
0:17:33.538,0:17:35.198
(Neita): Hi, first of all, thank
0:17:35.198,0:17:36.641
you for giving up your time. I know you
0:17:36.641,0:17:38.761
could be doing other things, I know
0:17:38.761,0:17:40.461
you have different [trails off]
0:17:40.461,0:17:42.551
Narrator: Todays a diversity workshop and
0:17:42.551,0:17:45.421
Poet and Lawyer Dave Neita is encouraging
0:17:45.421,0:17:47.418
them to celebrate their [br]different cultures.
0:17:47.481,0:17:49.791
Neita: Today I invite you to speak
0:17:49.791,0:17:52.691
about your own culture, but before
0:17:52.691,0:17:54.661
that we're going to have lunch.
0:17:55.755,0:17:58.685
But most of them are celebrating lunch.
0:17:59.190,0:18:03.190
[drums continue]
0:18:03.190,0:18:05.650
With no alcohol or tobacco allowed, food
0:18:05.650,0:18:08.210
is the only thing they have [br]free reign over.
0:18:08.365,0:18:13.785
[drums in background]
0:18:14.725,0:18:16.215
Alex: My mum's Italian and my dad's from
0:18:16.215,0:18:17.215
a little island in Africa
0:18:17.215,0:18:20.922
and I'd like to say that [br]being multicultural
0:18:20.922,0:18:24.622
It helps. It's good. It's nice [br]to be different.
0:18:24.622,0:18:26.492
Because different is what we need. We
0:18:26.492,0:18:29.142
don't want everyone the same. [br]And that's it.
0:18:31.001,0:18:34.540
Declan: How'd I end up in here? Umm
0:18:34.540,0:18:36.740
they said they had a spare bed so I
0:18:36.740,0:18:38.950
thought 'I've been in children's homes,
0:18:38.950,0:18:40.939
I've been in secure units, [br]I've been in prison.
0:18:40.939,0:18:43.293
The only place I haven't been is [br]Broadmoor.
0:18:43.293,0:18:45.203
So I thought I'd come along.
0:18:45.203,0:18:47.813
[laughs]
0:18:47.813,0:18:48.753
[drumming]
0:18:48.753,0:18:50.993
Narrator: Now 26, Declan was put
0:18:50.993,0:18:52.773
into care at the age of nine.
0:18:52.773,0:18:54.983
Declan: I remember the day that my
0:18:54.983,0:18:57.193
mum took me to this office. I sat there
9:59:59.000,9:59:59.000
on a chair, and the next minute she just
9:59:59.000,9:59:59.000
left. She went 'your not coming with me'.
9:59:59.000,9:59:59.000
A social worker come out and she went
9:59:59.000,9:59:59.000
'alright, you got to come with me'.
9:59:59.000,9:59:59.000
I went to children's homes, foster homes.
9:59:59.000,9:59:59.000
I kept running away, cause' I got abused
9:59:59.000,9:59:59.000
when I was in the children home. By the
9:59:59.000,9:59:59.000
staff. Sexually and physical. And umm I
9:59:59.000,9:59:59.000
think it was like, no one would actually
9:59:59.000,9:59:59.000
listen to me.
9:59:59.000,9:59:59.000
I ran away to London, and I was living on
9:59:59.000,9:59:59.000
the streets. I mean I was living out of
9:59:59.000,9:59:59.000
bins, yeah....not nice but, when you're
9:59:59.000,9:59:59.000
on the streets you have to do that [br]sometimes.
9:59:59.000,9:59:59.000
you know what I mean?
9:59:59.000,9:59:59.000
Inmate in Red: Yeah guys, this is called
9:59:59.000,9:59:59.000
Think, yeah?
9:59:59.000,9:59:59.000
It goes like this: When you see a tramp
9:59:59.000,9:59:59.000
out on the street. Don't look down your
9:59:59.000,9:59:59.000
nose so far that you see your own feet.
9:59:59.000,9:59:59.000
When you see people homeless don't reach
9:59:59.000,9:59:59.000
for a broom. Consider if you have the
9:59:59.000,9:59:59.000
means to give them a room.
9:59:59.000,9:59:59.000
Declan: Am I a victim? I mean my current
9:59:59.000,9:59:59.000
defendant...umm...basically stabbed 'em
9:59:59.000,9:59:59.000
up. The judge classed it under as torture.
9:59:59.000,9:59:59.000
Inmate in Blue: I'm Black, I'm
9:59:59.000,9:59:59.000
British, and I'm proud of it [fades into
9:59:59.000,9:59:59.000
clapping and drums].
9:59:59.000,9:59:59.000
(Interviewer): You say you've got a child?
9:59:59.000,9:59:59.000
Declan: Mm-hm. Got a little boy,
9:59:59.000,9:59:59.000
he's seven.
9:59:59.000,9:59:59.000
And he lives with his mum.
9:59:59.000,9:59:59.000
Don't really see him, but I would-
9:59:59.000,9:59:59.000
I wouldn't expect children to come in a
9:59:59.000,9:59:59.000
place like this.
9:59:59.000,9:59:59.000
(Interviewer): And are you still on good
9:59:59.000,9:59:59.000
terms with his mum?
9:59:59.000,9:59:59.000
Declan: Ummm... [laughs]
9:59:59.000,9:59:59.000
not really. No.
9:59:59.000,9:59:59.000
I started having a bit of a relationship
9:59:59.000,9:59:59.000
with [name beeped out]. Sooo, yeah..that
9:59:59.000,9:59:59.000
was the first time I found out that I was
9:59:59.000,9:59:59.000
sort of that way.
9:59:59.000,9:59:59.000
I've always-for some reason-I've always
9:59:59.000,9:59:59.000
wanted to be a woman.
9:59:59.000,9:59:59.000
I think that's the way I am, you know
9:59:59.000,9:59:59.000
but in this place you can't do that,
9:59:59.000,9:59:59.000
they won't allow it.
9:59:59.000,9:59:59.000
Declan in front of room: I just wanted
9:59:59.000,9:59:59.000
to say I'm gay, and I'm proud of it.
9:59:59.000,9:59:59.000
Thank you.
9:59:59.000,9:59:59.000
Declan: I want to be a Drag Queen that's
9:59:59.000,9:59:59.000
what I've done for a while.
9:59:59.000,9:59:59.000
(Interviewer): What's she called?
9:59:59.000,9:59:59.000
Declan: Crystal.
9:59:59.000,9:59:59.000
Female Voice: And what's she look like?
9:59:59.000,9:59:59.000
Declan: Blonde, and just fabulous.
9:59:59.000,9:59:59.000
[laughs]
9:59:59.000,9:59:59.000
[Intense music]
9:59:59.000,9:59:59.000
Narrator: We've come to Chepstow, a
9:59:59.000,9:59:59.000
medium-dependancy ward, where Lenny
9:59:59.000,9:59:59.000
wants to show us his artwork.
9:59:59.000,9:59:59.000
(Interviewer): You do it in your room?
9:59:59.000,9:59:59.000
Lenny: Yeah. I do work with spare pens,
9:59:59.000,9:59:59.000
and it's mostly based on pens and
9:59:59.000,9:59:59.000
basically your using cups and shapes
9:59:59.000,9:59:59.000
and bottle tops to draw around.
9:59:59.000,9:59:59.000
(Interviewer): How long have you [br]been here?
9:59:59.000,9:59:59.000
Lenny: 7 years this time.
9:59:59.000,9:59:59.000
(Interviewer): Is it not your first time?
9:59:59.000,9:59:59.000
Lenny: No it's the second time.
9:59:59.000,9:59:59.000
What do you think of that one?
9:59:59.000,9:59:59.000
That's the corridors in a ward that's shut[br]down now
9:59:59.000,9:59:59.000
(Interviewer): So why are you considered
9:59:59.000,9:59:59.000
a risk?
9:59:59.000,9:59:59.000
Lenny: Because...I think its because of
9:59:59.000,9:59:59.000
my particular offense was against a
9:59:59.000,9:59:59.000
consulting psychiatrist. They
9:59:59.000,9:59:59.000
called in a section 12 [br]approved psychiatrist.
9:59:59.000,9:59:59.000
And they're very powerful, not like- not
9:59:59.000,9:59:59.000
like when you go to an ordinary doctor.
9:59:59.000,9:59:59.000
They-they work for the home office.
9:59:59.000,9:59:59.000
Narrator: He's not happy with life in
9:59:59.000,9:59:59.000
Broadmoor, and tells us he's bringing a
9:59:59.000,9:59:59.000
High Court case against the hospital.
9:59:59.000,9:59:59.000
Lenny: It costs how much? What was the
9:59:59.000,9:59:59.000
last figure they said it cost to keep us
9:59:59.000,9:59:59.000
here every year? 320,000 pounds a year or
9:59:59.000,9:59:59.000
something? Surely its-its wrong to charge
9:59:59.000,9:59:59.000
a fortune for people like us. When we're
9:59:59.000,9:59:59.000
nowhere near about the centers of the
9:59:59.000,9:59:59.000
community.
9:59:59.000,9:59:59.000
Narrator: I costs 300,000 pounds a year
9:59:59.000,9:59:59.000
to keep a patient in Broadmoor. Almost
9:59:59.000,9:59:59.000
five times the cost of keeping[br]someone in prison.
9:59:59.000,9:59:59.000
Before Lenny came to Broadmoor, he was
9:59:59.000,9:59:59.000
in outpatient at a psychiatric hospital
9:59:59.000,9:59:59.000
where he threatened his psychiatrist with
9:59:59.000,9:59:59.000
a machete.
9:59:59.000,9:59:59.000
(Interviewer): Do you think you shouldn't
9:59:59.000,9:59:59.000
be here, or?
9:59:59.000,9:59:59.000
Lenny: Do you think I sound like a
9:59:59.000,9:59:59.000
mad blathering idiot?
9:59:59.000,9:59:59.000
Cause' I think-No I don't think I should
9:59:59.000,9:59:59.000
be here. I think I should be sharing this-
9:59:59.000,9:59:59.000
my life- with people. I want to be
9:59:59.000,9:59:59.000
sharing my life with people. I want to
9:59:59.000,9:59:59.000
be able to decide
9:59:59.000,9:59:59.000
what I do, when I do it
9:59:59.000,9:59:59.000
and be reasonably responsible for my
9:59:59.000,9:59:59.000
own behavior, like anyone else out there.
9:59:59.000,9:59:59.000
And I don't think I'll be any more of a
9:59:59.000,9:59:59.000
danger then whatever's already out there.
9:59:59.000,9:59:59.000
And I will be honest with you, I am rude
9:59:59.000,9:59:59.000
here, I could be really furious and angry
9:59:59.000,9:59:59.000
and people come with 'You're the patient,
9:59:59.000,9:59:59.000
yeah?' That is a term we use to separate
9:59:59.000,9:59:59.000
you from the rest of society, we're the
9:59:59.000,9:59:59.000
last thing on earth -this is the truth
9:59:59.000,9:59:59.000
here- to be given what you call equal
9:59:59.000,9:59:59.000
rights. What do you think? You agree
9:59:59.000,9:59:59.000
or not? I'm not anti-people I'm all for
9:59:59.000,9:59:59.000
people.
9:59:59.000,9:59:59.000
Narrator: Downstairs on the admissions
9:59:59.000,9:59:59.000
ward, Alex is keen to progress.
9:59:59.000,9:59:59.000
Alex: I was seven months up in here
9:59:59.000,9:59:59.000
yesterday, seven months yesterday. It's
9:59:59.000,9:59:59.000
taking forever. Are you aware of any
9:59:59.000,9:59:59.000
beds coming up soon?
9:59:59.000,9:59:59.000
Narrator: His medication has stabilized
9:59:59.000,9:59:59.000
him. He wants to move from Admissions to
9:59:59.000,9:59:59.000
an Assertive Rehab ward, where he'll
9:59:59.000,9:59:59.000
have greater freedom.
9:59:59.000,9:59:59.000
Man in suit: That I don't know.
9:59:59.000,9:59:59.000
Alex: Well you should know, [laughing]
9:59:59.000,9:59:59.000
you're a consultant in there!
9:59:59.000,9:59:59.000
Man in suit: Yes- I can't- I don't know
9:59:59.000,9:59:59.000
the timescales, cause it's not quite
9:59:59.000,9:59:59.000
within my control...
9:59:59.000,9:59:59.000
Narrator: Back upstairs on Chepstow,
9:59:59.000,9:59:59.000
Benson, the PAT dog, has arrived for
9:59:59.000,9:59:59.000
his weekly visit.
9:59:59.000,9:59:59.000
Lenny's behavior over the past few days
9:59:59.000,9:59:59.000
is becoming a cause for concern.
9:59:59.000,9:59:59.000
He's been increasingly manic and
9:59:59.000,9:59:59.000
hyperactive, and his doctor feels he
9:59:59.000,9:59:59.000
needs medication.
9:59:59.000,9:59:59.000
[door clatter] Dog Handler: Bye!
9:59:59.000,9:59:59.000
Narrator: Lenny refuses to take it,
9:59:59.000,9:59:59.000
so it'll have to be forcibly administered,
9:59:59.000,9:59:59.000
by injection.
9:59:59.000,9:59:59.000
Lenny: Hang on hang on, you filming?
9:59:59.000,9:59:59.000
[crosstalk]
9:59:59.000,9:59:59.000
Lenny: This is wrong, I'm not fighting you
9:59:59.000,9:59:59.000
[crosstalk]
9:59:59.000,9:59:59.000
[chatter]
9:59:59.000,9:59:59.000
Doctor: Guys, we really need to get this
9:59:59.000,9:59:59.000
started, if you just mind, just, just-
9:59:59.000,9:59:59.000
please.. OK? All right
9:59:59.000,9:59:59.000
Narrator: At this point, staff tell us
9:59:59.000,9:59:59.000
to leave the ward.
9:59:59.000,9:59:59.000
[moody music]
9:59:59.000,9:59:59.000
We're told we can see Lenny the following
9:59:59.000,9:59:59.000
day. [door shuts]
9:59:59.000,9:59:59.000
[birds, brooding music]
9:59:59.000,9:59:59.000
Lenny: Neil? Neil, could we have a key
9:59:59.000,9:59:59.000
please? There should [unintelligible]
9:59:59.000,9:59:59.000
Narrator: The day before, we were told to
9:59:59.000,9:59:59.000
leave the ward when staff were about
9:59:59.000,9:59:59.000
to forcibly inject Lenny with
9:59:59.000,9:59:59.000
antipsychotic medication.
9:59:59.000,9:59:59.000
He's keen to explain what happened after
9:59:59.000,9:59:59.000
we left.
9:59:59.000,9:59:59.000
Lenny: Come this way-
9:59:59.000,9:59:59.000
So I moved into here-
9:59:59.000,9:59:59.000
Narrator: He leads us into the seclusion
9:59:59.000,9:59:59.000
area.
9:59:59.000,9:59:59.000
Lenny: Come in, come in.
9:59:59.000,9:59:59.000
All right, well [unintelligible] First
9:59:59.000,9:59:59.000
of all, I was at that point, I was
9:59:59.000,9:59:59.000
laying like this, alright, and I was
9:59:59.000,9:59:59.000
talking saying 'Please don't turn me
9:59:59.000,9:59:59.000
over, cos I'm not trying to fight you'
9:59:59.000,9:59:59.000
And they said, and the next thing happened
9:59:59.000,9:59:59.000
they all came in and [unintelligible]
9:59:59.000,9:59:59.000
I can make a deal with them, I'm on the
9:59:59.000,9:59:59.000
bed, so I'm like this, one point, all the
9:59:59.000,9:59:59.000
staff were holding me, I was like that
9:59:59.000,9:59:59.000
and said 'Would you please let me go,
9:59:59.000,9:59:59.000
and I'll get up' so I went like that
9:59:59.000,9:59:59.000
and stood like that and took down my
9:59:59.000,9:59:59.000
pants and trousers and he stopped
9:59:59.000,9:59:59.000
me there, let's see, I came out again,
9:59:59.000,9:59:59.000
that's what happened, but I didn't-
9:59:59.000,9:59:59.000
What do you think? What's your opinion
9:59:59.000,9:59:59.000
about that?
9:59:59.000,9:59:59.000
(Interviewer): But did you, so did you hit
9:59:59.000,9:59:59.000
one of them then?
9:59:59.000,9:59:59.000
Lenny: Yeah but that's cos I was being
9:59:59.000,9:59:59.000
chased [unintelligible].
9:59:59.000,9:59:59.000
Doctor: One of the biggest [br]areas of conflict, um
9:59:59.000,9:59:59.000
between certainly doctor and patient
9:59:59.000,9:59:59.000
is the issue of medication.
9:59:59.000,9:59:59.000
Lenny: This one's sealed, alright?
9:59:59.000,9:59:59.000
It's stifling sometimes.
9:59:59.000,9:59:59.000
(Doctor): One of the difficulties
9:59:59.000,9:59:59.000
with psychotic disorders is your
9:59:59.000,9:59:59.000
interpretation of reality is different
9:59:59.000,9:59:59.000
from other people's.
9:59:59.000,9:59:59.000
And if you genuinely believe there's
9:59:59.000,9:59:59.000
nothing wrong with you and you don't
9:59:59.000,9:59:59.000
need any medication, why on earth would
9:59:59.000,9:59:59.000
you want to take some of the medications
9:59:59.000,9:59:59.000
that would be up for discussion?
9:59:59.000,9:59:59.000
Lenny: Could we open this door please?
9:59:59.000,9:59:59.000
(Doctor): He's particularly angry for two[br]reasons, so
9:59:59.000,9:59:59.000
one is he doesn't believe he'll benefit
9:59:59.000,9:59:59.000
from the medication at all, second reason
9:59:59.000,9:59:59.000
is that he believes he's involved in a
9:59:59.000,9:59:59.000
major, high court case against the
9:59:59.000,9:59:59.000
hospital to expose a range of malpractice
9:59:59.000,9:59:59.000
particularly in relation to him, but in
9:59:59.000,9:59:59.000
general about how these services are just
9:59:59.000,9:59:59.000
really keeping people in jobs and don't
9:59:59.000,9:59:59.000
provide any useful service.
9:59:59.000,9:59:59.000
Lenny: The hospital's defense is just-
9:59:59.000,9:59:59.000
'Here's some of the most notorious
9:59:59.000,9:59:59.000
people in the country,' I'll show you[br]what-
9:59:59.000,9:59:59.000
(Doctor): He believes we've given him the
9:59:59.000,9:59:59.000
medication purely to dull his mind
9:59:59.000,9:59:59.000
and weaken his chances of being successful
9:59:59.000,9:59:59.000
in that case.
9:59:59.000,9:59:59.000
In fact he's not currently involved [br]in any,
9:59:59.000,9:59:59.000
uh, legal action or court case.
9:59:59.000,9:59:59.000
(Lenny): No you're not going in there
9:59:59.000,9:59:59.000
it's private, sorry come on you guys
9:59:59.000,9:59:59.000
it's private. It's my mess, my own mess.
9:59:59.000,9:59:59.000
Hey look, can you show 'em all now?
9:59:59.000,9:59:59.000
Look at that, that's my mum and me.
9:59:59.000,9:59:59.000
See she pretty in the black and white from
9:59:59.000,9:59:59.000
the 60s, see her?
9:59:59.000,9:59:59.000
(Doctor): He's a man who's spent a long
9:59:59.000,9:59:59.000
time in institutional care, um in previous
9:59:59.000,9:59:59.000
settings was frequently assaulted, he was
9:59:59.000,9:59:59.000
violent himself on several occasions
9:59:59.000,9:59:59.000
but he often assaulted.
9:59:59.000,9:59:59.000
Lenny: You want a drink or anything, cup
9:59:59.000,9:59:59.000
of tea or something?[br][offscreen] I'm fine
9:59:59.000,9:59:59.000
You sure? Any sweets, soft drink?[br][offscreen] Nothing
9:59:59.000,9:59:59.000
Lenny: Alright thanks very, thank you [br]very much [unintelligible]
9:59:59.000,9:59:59.000
[contemplative music]
9:59:59.000,9:59:59.000
[keys clattering, chatter]
9:59:59.000,9:59:59.000
[offscreen] Just check to make sure, all
9:59:59.000,9:59:59.000
the shadows are covered..
9:59:59.000,9:59:59.000
So they're checked, first thing in the
9:59:59.000,9:59:59.000
morning, again before the patients go back
9:59:59.000,9:59:59.000
[door handle rattles]
9:59:59.000,9:59:59.000
Narrator: Patients who are well enough
9:59:59.000,9:59:59.000
to go to work can make goods, which go
9:59:59.000,9:59:59.000
on sale to the public. They are paid
9:59:59.000,9:59:59.000
80 pence an hour.
9:59:59.000,9:59:59.000
Alex has been doing well and is now
9:59:59.000,9:59:59.000
allowed off the Admissions ward to
9:59:59.000,9:59:59.000
come to work.
9:59:59.000,9:59:59.000
Alex: Everyone's saying 'Oh you gonna move
9:59:59.000,9:59:59.000
you're gonna move' they said I would have
9:59:59.000,9:59:59.000
moved by Thursday last week, nothing
9:59:59.000,9:59:59.000
so far now, I've been onto my psychiatrist
9:59:59.000,9:59:59.000
saying, 'Look, why am I still on at[br]Admission ward,
9:59:59.000,9:59:59.000
after 8 months, when there's a bed for me
9:59:59.000,9:59:59.000
on Rehab? Know?'
9:59:59.000,9:59:59.000
(Interviewer): You a bit frustrated?[br]Alex: Yeah
9:59:59.000,9:59:59.000
it is frustrating, but
9:59:59.000,9:59:59.000
I'm just at the moment, focusing, cos next
9:59:59.000,9:59:59.000
week I've got a visit, mum and dad are
9:59:59.000,9:59:59.000
coming up for 2 days, so, y'know, I'll
9:59:59.000,9:59:59.000
spend some time with my family.
9:59:59.000,9:59:59.000
[tapping]
9:59:59.000,9:59:59.000
[outdoor ambiance, guitar music]
9:59:59.000,9:59:59.000
Narrator: They have a saying here:
9:59:59.000,9:59:59.000
There's time, and then there's Broadmoor[br]Time.
9:59:59.000,9:59:59.000
Tan shirt: Which episode did you see last,
9:59:59.000,9:59:59.000
of Eastenders? Bout a week ago?
9:59:59.000,9:59:59.000
Black shirt: Last night?[br]Tan shirt: Last night?
9:59:59.000,9:59:59.000
Black shirt: Last night yeah
9:59:59.000,9:59:59.000
Tan shirt: Did they show the man who was
9:59:59.000,9:59:59.000
pretending to be Nick Cotton's own son?
9:59:59.000,9:59:59.000
Black shirt: No I didn't see it
9:59:59.000,9:59:59.000
[moody music]
9:59:59.000,9:59:59.000
Narrator: While medication can often
9:59:59.000,9:59:59.000
control behavior, extensive therapy is
9:59:59.000,9:59:59.000
needed to change it, and that takes time.
9:59:59.000,9:59:59.000
Estelle: I'm in the diary, ok?[br][offscreen] OK
9:59:59.000,9:59:59.000
Narrator: Estelle Moore is the hospital's
9:59:59.000,9:59:59.000
lead psychologist, she's been here for 20[br]years.
9:59:59.000,9:59:59.000
Estelle: [keys jangling] You alright?
9:59:59.000,9:59:59.000
Declan: They say just carry on with the
9:59:59.000,9:59:59.000
violent offenders group, what finishes in[br]December
9:59:59.000,9:59:59.000
Narrator: Patients undergo specific
9:59:59.000,9:59:59.000
therapies depending on their offense,
9:59:59.000,9:59:59.000
whether it's violence, sex offending, or
9:59:59.000,9:59:59.000
fire setting.
9:59:59.000,9:59:59.000
Declan: -understand our relationships and
9:59:59.000,9:59:59.000
uhh, borderlines. No not borderlines, [br]boundaries.
9:59:59.000,9:59:59.000
Estelle: What sort of actions are safe
9:59:59.000,9:59:59.000
and contained in relationships? The sorts
9:59:59.000,9:59:59.000
of things that you would do that feel
9:59:59.000,9:59:59.000
like normal and safe relationships?
9:59:59.000,9:59:59.000
Declan: Laughter
9:59:59.000,9:59:59.000
Estelle: Laughter? OK so laughing,
9:59:59.000,9:59:59.000
Declan: Talking sensible. Feeling[br]comfortable with each other.
9:59:59.000,9:59:59.000
[keys, footsteps]
9:59:59.000,9:59:59.000
Narrator: Declan was found guilty of a[br]life-threatening assault on a man.
9:59:59.000,9:59:59.000
Declan: Do I feel sorry for him? No.[br]Will I do it again? No.
9:59:59.000,9:59:59.000
No. I'm missing the sun, I'm missing[br]the surfing. Know what I mean?
9:59:59.000,9:59:59.000
[keys, door squeaks]
9:59:59.000,9:59:59.000
[door shuts]
9:59:59.000,9:59:59.000
[moody music]
9:59:59.000,9:59:59.000
[ping pong ball clatters]
9:59:59.000,9:59:59.000
Narrator: Lenny has been on antipsychotic
9:59:59.000,9:59:59.000
medication for a few weeks.
9:59:59.000,9:59:59.000
It has had time to build up in his system.
9:59:59.000,9:59:59.000
Staff: Now he's had the depot [br]injection, the chemicals from that
9:59:59.000,9:59:59.000
are slowing down his reactions to the[br]point where he has those few
9:59:59.000,9:59:59.000
more seconds to think-
9:59:59.000,9:59:59.000
'How am I gonna reply to this?'
9:59:59.000,9:59:59.000
and he will reply in a much more- manner[br]to what you or I would reply to something.
9:59:59.000,9:59:59.000
I can definitely empathize with him, he
9:59:59.000,9:59:59.000
hasn't come from a different [br]background to me
9:59:59.000,9:59:59.000
but he has come from different parents[br]to me.
9:59:59.000,9:59:59.000
(Interviewer): It seems to be[br]the case with so many.
9:59:59.000,9:59:59.000
Staff:Yeah, I know, I agree with that, [br]you can
9:59:59.000,9:59:59.000
probably see if you go back into, um,
9:59:59.000,9:59:59.000
the lives of most of our patients, you[br]could probably identify them at
9:59:59.000,9:59:59.000
5, 6 years old, and say 'I'll be seeing[br]you later on' and things like that.
9:59:59.000,9:59:59.000
Lenny: He's alright here, he's my buddy,
9:59:59.000,9:59:59.000
one day he's gonna tell the [br]truth as well. [laughs]
9:59:59.000,9:59:59.000
[walkie talkie chatter]
9:59:59.000,9:59:59.000
(Tan Suit): Everyone is born with
9:59:59.000,9:59:59.000
certain temperaments, with certain[br]predispositions to certain
9:59:59.000,9:59:59.000
behavior, and if you've been given a [br]triple-whammy of, of genes, environment,
9:59:59.000,9:59:59.000
upbringing, childhood adversity, substance[br]misuse, all of those different
9:59:59.000,9:59:59.000
aspects build up to make the person.
9:59:59.000,9:59:59.000
And it's a long term project of gradually[br]putting somebody back together and
9:59:59.000,9:59:59.000
making sure that they stay in that[br]recovered state.
9:59:59.000,9:59:59.000
[ominous music]
9:59:59.000,9:59:59.000
Narrator: Things have finally changed for[br]Alex-
9:59:59.000,9:59:59.000
after 8 months, he's been moved to [br]Assertive Rehab.
9:59:59.000,9:59:59.000
Alex: It's better over here, it's a little[br]better.
9:59:59.000,9:59:59.000
Got a lot more freedom, key to a door,
9:59:59.000,9:59:59.000
come out when you want to make hot drinks,[br]yeah, it's alright.
9:59:59.000,9:59:59.000
Narrator: But it's not all good news. As[br]so often in the past,
9:59:59.000,9:59:59.000
he's in danger of self-harming.
9:59:59.000,9:59:59.000
He's had to be put on Eyesight Observation[br]which means nurses have to
9:59:59.000,9:59:59.000
take turns to watch him, 24 hours a day.
9:59:59.000,9:59:59.000
Alex: Cos my mental state haven't been[br]the best, it's not nice, you know,
9:59:59.000,9:59:59.000
hearing voices and what-have-you, but[br]you know, just got to control it,
9:59:59.000,9:59:59.000
that's all you can do, not let it get[br]to you.
9:59:59.000,9:59:59.000
(Alex): Dr Romero said I'm gonna[br]be here a few years, yet
9:59:59.000,9:59:59.000
(Nurse): A few years?[br]Alex: A few years.
9:59:59.000,9:59:59.000
(Nurse): How do you feel about that?[br]Alex: I don't mind...
9:59:59.000,9:59:59.000
Nurse: You don't mind?[br]Alex: I'm here for a reason.
9:59:59.000,9:59:59.000
Nurse: All right.[br]Alex: Get better, innit? So
9:59:59.000,9:59:59.000
if that means I got to stay a[br]couple years, so be it. But-
9:59:59.000,9:59:59.000
I'm getting there, now.[br](Nurse): You're getting there.
9:59:59.000,9:59:59.000
Alex: [unintelligible][br]Nurse: Mhmm
9:59:59.000,9:59:59.000
Alex: Least, at least there was no[br]violence.
9:59:59.000,9:59:59.000
(Nurse): Which is good! You should be [br]proud of. At least it shows that you're
9:59:59.000,9:59:59.000
making, you know, more progress.
9:59:59.000,9:59:59.000
[meditative music]
9:59:59.000,9:59:59.000
Narrator: Alex's mental state continued[br]to deteriorate, after a couple of weeks
9:59:59.000,9:59:59.000
on the ward did self-harm, and had to
9:59:59.000,9:59:59.000
be moved back a High Dependency ward.
9:59:59.000,9:59:59.000
[nighttime ambiance]
9:59:59.000,9:59:59.000
[keys rattling, chatter]
9:59:59.000,9:59:59.000
Narrator: On Chepstow Ward, Dr Larkin[br]wants to discuss a recent incident
9:59:59.000,9:59:59.000
involving Lenny and another doctor.
9:59:59.000,9:59:59.000
Lenny: I would say that I was really[br]pleased that they are now starting to
9:59:59.000,9:59:59.000
track and find pedophiles in our society,[br]how pleased I was, and that they
9:59:59.000,9:59:59.000
weren't just ordinary poor folk that[br]were getting nicked, it was also
9:59:59.000,9:59:59.000
people of importance were getting [br]found out.
9:59:59.000,9:59:59.000
Larkin: Right[br]Lenny: And I'm really pleased about that,
9:59:59.000,9:59:59.000
and she felt threatened that I was saying[br]it also included
9:59:59.000,9:59:59.000
a couple of doctors, that were nicked[br]for pedophilia.
9:59:59.000,9:59:59.000
Larkin: You're not angry with her about[br]something in her report?
9:59:59.000,9:59:59.000
Lenny: No, it wasn't anything with her, [br]it wasn't directed towards her
9:59:59.000,9:59:59.000
it was directed towards the general idea[br]of pedophilia, cos you know I am
9:59:59.000,9:59:59.000
a victim of pedophilia, for 9 years, [br]under the Home Office, when I was
9:59:59.000,9:59:59.000
a child myself, and they've done[br]nothing, but- um, bury that fact.
9:59:59.000,9:59:59.000
Cos I'm an offender. I am an offender,[br]and I admit that, I'm guilty of the crime
9:59:59.000,9:59:59.000
that brought me to Broadmoor, [br]I threatened to kill a Section 12
9:59:59.000,9:59:59.000
consultant psychiatrist, like you are,[br]with a machete.
9:59:59.000,9:59:59.000
But, I'm not guilty of raping myself.[br]Larkin: Well-
9:59:59.000,9:59:59.000
I think the issue is that you felt[br]nobody here was [crosstalk]
9:59:59.000,9:59:59.000
Lenny: I was being tied up, right? Raped,[br]against my will, alcohol shoved down
9:59:59.000,9:59:59.000
my throat, right, pacified, with- with all[br]kinds of medicines that belong to
9:59:59.000,9:59:59.000
that person, you know, not me, so[br]that I would be pliable
9:59:59.000,9:59:59.000
and agree to having sex, which I didn't[br]want to do, with a
9:59:59.000,9:59:59.000
5 or 6 year-old boy, but 9 years[br]I was in the system itself, being-
9:59:59.000,9:59:59.000
seeing psychologists at the same time[br]I'm being raped, and nobody did
9:59:59.000,9:59:59.000
a single thing to help me. You are[br]offering me therapy, and I'm not
9:59:59.000,9:59:59.000
angry at you- I'm not angry at anybody-[br]I'm angry at the people did what they did
9:59:59.000,9:59:59.000
to me. And no one recognized that I[br]was a victim.
9:59:59.000,9:59:59.000
Larkin: So, are we agreeing that you're[br]gonna meet with David
9:59:59.000,9:59:59.000
about options for therapy for you as a[br]victim?
9:59:59.000,9:59:59.000
Lenny: Yeah thank you very much Dr Larkin.[br]Larkin: You're welcome, okay.
9:59:59.000,9:59:59.000
Lenny: Thank you. I got to keep- I'm [br]keeping trouble free- if I keep out of
9:59:59.000,9:59:59.000
trouble for- for 12 weeks, they'll let me [br]work in the cafe?
9:59:59.000,9:59:59.000
Larkin: Yes, you think you can do that?
9:59:59.000,9:59:59.000
Lenny: Be hard, but I'll give it a try.
9:59:59.000,9:59:59.000
Narrator: The most challenging patients[br]are housed here on Cranfield Ward.
9:59:59.000,9:59:59.000
Any movement outside their rooms has to[br]be carefully planned.
9:59:59.000,9:59:59.000
Violence is always near the surface.
9:59:59.000,9:59:59.000
Patients are allowed, one by one, in the[br]yard, for limited periods.
9:59:59.000,9:59:59.000
A patient doesn't want to return to[br]his room. [radio chatter]
9:59:59.000,9:59:59.000
(Patient): [cursing, hooting, laughing]
9:59:59.000,9:59:59.000
Staff: OK
9:59:59.000,9:59:59.000
(Patient): [laughter continues]
9:59:59.000,9:59:59.000
Staff: He's gearing for a fight.
9:59:59.000,9:59:59.000
Narrator: His primary nurse, Moe, has[br]already given him an extra 30 minutes.
9:59:59.000,9:59:59.000
[chatter]
9:59:59.000,9:59:59.000
Moe: It's a planned intervention. To [br]relocate him to his room?
9:59:59.000,9:59:59.000
Because um, his presentation dictates[br]that he could put up a fight.
9:59:59.000,9:59:59.000
(Interviewer): Do you feel he's a bit[br]unstable at the moment?
9:59:59.000,9:59:59.000
Moe: Yeah, very. Yeah.
9:59:59.000,9:59:59.000
He's um... quite threatening and verbally[br]abusive at the moment. Yeah...
9:59:59.000,9:59:59.000
Narrator: Moe puts on a camera, to record
9:59:59.000,9:59:59.000
the planned intervention, in the event [br]of any violence.
9:59:59.000,9:59:59.000
[chatter, dark music, patient laughing]
9:59:59.000,9:59:59.000
(Patient): I want to stay out here, I'm [br]not coming in, more time, fuck off!
9:59:59.000,9:59:59.000
Fuck off!
9:59:59.000,9:59:59.000
Narrator: On the intensive care ward, [br]staff are preparing to move a
9:59:59.000,9:59:59.000
reluctant patient back to his room,[br]from the yard.
9:59:59.000,9:59:59.000
(Patient): Fucking release me! Fucking[br]release me man!
9:59:59.000,9:59:59.000
Staff: I'm going home, and we are leaving[br]six people, so we need to go.
9:59:59.000,9:59:59.000
(Patient): One, two, three, four, five,[br]six. It's a lot of people.
9:59:59.000,9:59:59.000
Staff: Yeah we'll take it down, and six[br]of us will take you down.
9:59:59.000,9:59:59.000
(Patient): [crazed laughter]
9:59:59.000,9:59:59.000
Staff: Can we go, because we need to go[br]home?
9:59:59.000,9:59:59.000
(Patient): Go home [unintelligible][br]I'm not troubling you!
9:59:59.000,9:59:59.000
Staff 2: You need to be ready now, cos we[br]are ready.
9:59:59.000,9:59:59.000
Staff: Yeah turn around for us.[br]Staff 2: Turn around, turn around for us.
9:59:59.000,9:59:59.000
Staff: Right.[br]Staff 2: Let's feed that hand to me,
9:59:59.000,9:59:59.000
don't worry, do exactly what he says
9:59:59.000,9:59:59.000
[chatter, beeping]
9:59:59.000,9:59:59.000
Staff: Relax! Relax relax![br]Staff 2: Relax, bring it inside.
9:59:59.000,9:59:59.000
Narrator: The hospital has forbidden us[br]from showing this restraint procedure,
9:59:59.000,9:59:59.000
even with the patient disguised, on the[br]grounds that he doesn't have
9:59:59.000,9:59:59.000
the capacity to consent.
9:59:59.000,9:59:59.000
His voice has been replaced by an actors.
9:59:59.000,9:59:59.000
(Patient): Fuck off! Get off me![br][crosstalk]
9:59:59.000,9:59:59.000
Narrator: Well-known for kicking staff, [br]the patient is asked to remove his shoes.
9:59:59.000,9:59:59.000
As predicted, he lashes out.
9:59:59.000,9:59:59.000
[shouting]
9:59:59.000,9:59:59.000
The 8 staff members get the patient onto[br]the floor for everyone's safety.
9:59:59.000,9:59:59.000
[echoing voices, shouts]
9:59:59.000,9:59:59.000
They're outside his room. It's back on the[br]floor in a final maneuver
9:59:59.000,9:59:59.000
to get him safely through the door.
9:59:59.000,9:59:59.000
[staff issuing commands]
9:59:59.000,9:59:59.000
Narrator: Once in the room, the patient [br]is placed on the bed,
9:59:59.000,9:59:59.000
feet furthest from the door. Then one[br]nurse will keep hold of his legs,
9:59:59.000,9:59:59.000
another his arms, and a third, [br]his head.
9:59:59.000,9:59:59.000
(Patient): Sod off!
9:59:59.000,9:59:59.000
Narrator: They let go and exit, one[br]by one.
9:59:59.000,9:59:59.000
Staff: Release the legs.
9:59:59.000,9:59:59.000
Narrator: The last to let go is holding [br]his head, and nearest to the door.
9:59:59.000,9:59:59.000
[shouting]
9:59:59.000,9:59:59.000
[slam]
9:59:59.000,9:59:59.000
[chatter]
9:59:59.000,9:59:59.000
Narrator: Whenever force has to be used, [br]staff take time out to reappraise.
9:59:59.000,9:59:59.000
Moe: -had been verbally abusive and [br]threatening-
9:59:59.000,9:59:59.000
(Staff): Are you okay?[br]Moe: -clenching his fist, swearing.
9:59:59.000,9:59:59.000
The minute [unintelligible], you know[br]he's gonna fight.
9:59:59.000,9:59:59.000
Staff: You can't predict these things, we[br]did our best to try and manage it,
9:59:59.000,9:59:59.000
but the most important thing is that [br]everybody's safe and the
9:59:59.000,9:59:59.000
procedures were followed very well, and[br]the patient himself is not harmed
9:59:59.000,9:59:59.000
or injured. So, that's it then, guys.[br]Back to our jobs.
9:59:59.000,9:59:59.000
[chatter, Moe sighs deeply]
9:59:59.000,9:59:59.000
Narrator: On average, there are 5 physical[br]assaults a week on staff.
9:59:59.000,9:59:59.000
Staff: I'm ok, just a scratch.
9:59:59.000,9:59:59.000
Narrator: Including punching, kicking ,[br]throwing hot liquids, urine and feces.
9:59:59.000,9:59:59.000
Some are serious enough to warrant the[br]hospital pursuing criminal charges.
9:59:59.000,9:59:59.000
(Interviewer): Does that happen to you[br]a lot?
9:59:59.000,9:59:59.000
Staff: Well, it's part of, you know-[br](Staff 2:) Anyone at any time.
9:59:59.000,9:59:59.000
Staff: Anyone at any time, mm. Obviously[br]you can see the their-
9:59:59.000,9:59:59.000
their state. Their mental state is very [br]unstable. [laughs]
9:59:59.000,9:59:59.000
Staff 3: Really, it was well managed. Cos[br]there are times you can get serious
9:59:59.000,9:59:59.000
injury.
9:59:59.000,9:59:59.000
(Interviewer): So Moe, is every day like[br]this for you?
9:59:59.000,9:59:59.000
Moe: Sorry?[br](Interviewer): Is every day like this for
9:59:59.000,9:59:59.000
you?[br]Moe: Uhmmm
9:59:59.000,9:59:59.000
Every other day.
9:59:59.000,9:59:59.000
There are days when, um, the ward will[br]be very settled, patients are quiet,
9:59:59.000,9:59:59.000
all will be in a happy mood, but[br]not all the time cos their
9:59:59.000,9:59:59.000
mental state tends to subside a lot.
9:59:59.000,9:59:59.000
(Interviewer): So you were right about him[br]though, weren't you?
9:59:59.000,9:59:59.000
Moe: Yeah of course, actually I am his[br]primary nurse, so I know him.
9:59:59.000,9:59:59.000
You know, you can tell, we can see[br]it's coming-
9:59:59.000,9:59:59.000
It's about knowing your patients, we know[br]all of them.
9:59:59.000,9:59:59.000
(Interviewer): So was he complaining about[br]how many of you there were there?
9:59:59.000,9:59:59.000
He was counting, how many staff there[br]were.
9:59:59.000,9:59:59.000
Moe: He knew that we are ready for action,[br]you know?
9:59:59.000,9:59:59.000
Inasmuch as they are mentally ill, but[br]they are not stupid.
9:59:59.000,9:59:59.000
Yeah, some of them, they know exactly[br]what they are doing. It's kind of
9:59:59.000,9:59:59.000
like, pre-planned, 'I'm gonna get them'[br]and they look at the teams and say
9:59:59.000,9:59:59.000
'Oh I think this is a weak team,' and then[br]they will go for it.
9:59:59.000,9:59:59.000
[muffled screaming, keys rattling, [br]chatter]
9:59:59.000,9:59:59.000
Narrator: Patients like these on Cranfield[br]can progress. They will eventually
9:59:59.000,9:59:59.000
move on to other wards, and, with time,[br]even out of the hospital.
9:59:59.000,9:59:59.000
Staff: You watching football or something?[br]The finals? You watching it.
9:59:59.000,9:59:59.000
We'll bring you out to the [br][unintelligible] so you can
9:59:59.000,9:59:59.000
watch it live, yeah? Good man.
9:59:59.000,9:59:59.000
[somber keyboard music][br]♪Every day there is none for you ♪
9:59:59.000,9:59:59.000
♪and every day we can start anew ♪[br]♪we've only got one chance in the world ♪
9:59:59.000,9:59:59.000
♪together ♪
9:59:59.000,9:59:59.000
♪make a dream come true ♪[br]♪hold on, and treasure your love ♪