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[Solemn music plays, noises of nature in
background]
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Narrator: Broadmoor, a word that makes
people shiver.
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Most think that Broadmoor is a prison,
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in fact it's a high secure
psychiatric hospital,
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and home to some of the country's most
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dangerous and violent offenders.
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[Gate unlocking, mechanical noises]
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After five years of negotiation,
and for the
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very first time, the hospital has allowed
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cameras in to meet the men who live behind
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these walls.
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[unintelligible yelling, sound of
something slamming]
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[Running footsteps, keys jangling]
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[more yelling and sounds of a struggle]
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[door slams]
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[footsteps echo in the hallway]
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Inmate: Broadmoores got this, this history
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about people being all these monsters
here basically.
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But you can be violent, and it
don't
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mean you're
a bad person.
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'Cause sometimes
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you don't....you're not intendin' it.
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Over radio: Hello Bravo one, two, and go.
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Over radio: One going to the
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[ unintelligible] all radio. Alpha four.
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Over.
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Man in Tan Suit: The easiest reaction
in the world is to
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see somebody that has committed something
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atrocious, label them as evil, want to
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lock the door and throw away the key.
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Daniel: I've probably actually never said
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the words of what I've I actually done.
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I've never admitted it. Still just a blur
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in my head.
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[knocking on door]
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Inmate: I've got born into this Italian
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family. Very, very violent. In some cases
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it would have been better to have killed
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me than to have allowed me to have this
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abominable life that I've had.
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Narrator: With unprecedented access, and
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filmed over a year, this series reveals
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the secrets of life inside Britain's most
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notorious institution.
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[Bell rings]
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[Solemn music]
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Narrator: Broadmoor is perched above the
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Berkshire village of Crowthorne. Just 40
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miles from the center of London.
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When people think of Broadmoore they think of
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Ronny Kray, Peter Sutcliffe, Robert
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Napper, and Kenneth Erskine. Some of the
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most dangerous killers the country has
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ever known.
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Inmate: The public perceive this place as 'oh,
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that's where the Yorkshire Ripper's locked
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up, that's Rachel Nickell's killers locked
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up'. Broadmoor is an institution of lots of
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people. We're not all rapist pedophiles,
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or murderers. There is people in here for
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self-harming in prison, there's people in
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here for buggery and they've gotten in a prison,
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and there's people in here for very very
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evil things.
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and it brushes with all the same brush
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which they shouldn't do.
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[loud string crescendo]
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Narrator: First built as a victorian
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lunatic asylum for the criminally insane,
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today Broadmoor is an NHS hospital.
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Over its 150 year history, it's been
a secretive
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and mysterious institution.
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Staff are under strict instructions not to
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discuss patients outside
the hospital walls.
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[clicking as items are placed on conveyer
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and beeping of machinery]
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Many won't even admit to working here.
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Staff Member: Close, close family
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members know that, obviously, where we
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work. But if we're in a normal mainstream
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than you would, you would probably say you
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work in the hospital or something. Don't
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really talk about the place.
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Staff Member #2: Listen, if you said
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that you worked here. Ah, boy. You'd just
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spend the whole of a day, or the
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afternoon, with a barrage of questions about the place.
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So, it's just easy to say you work for the
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NHS.
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Narrator: They're told not to share
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personal information with the patients
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either, and to leave their private lives
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along with their possessions,
at the front door.
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Broadmoor's most notorious patients,
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like Peter Sutcliffe and Kenneth Erskine,
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have chosen not to participate.
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But many of the men here have been front
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page news and are vilified by society.
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This is the first time they've been
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allowed to tell their stories.
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Alex: I've everything from taking
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hostages, multiple hostage taking, stabbings,
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ya' know. Uhhhh... multiple assaults, violent
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assaults, fire setting off. I set a whole
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stammers a fire in a hospital. A
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psychiatric hospital, the first one I
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ever went to. Umm.. yeah. Just mainly
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violence and whatnot. My history is mainly
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violence.
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Narrator: Broadmoor's 200 patients are all
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men suffering from mental disorders.
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They're classified as vulnerable adults
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and only those who have Capacity to
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Give Consent have been allowed to talk to
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us.
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Their faces have been blurred to
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protect their identities
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[Door closing]
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Female Voice: What are you like when
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you're not on medication?
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Alex: Ummm...I'm quite a nasty
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person. I'm quite violent, I'm very
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violent in most-most circumstances. Very
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antisocial. I don't like spending time
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with people. I'm paranoid. I'm, uh, very
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paranoid. stammers Every person around,
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I'm thinking 'what's their intention?' I
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come to that, sometimes I come very close
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to attacking people because I'm thinking
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that they're going to do something to me
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and I don't want to get hurt first. Uh,
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um..I remember one time when I'm off
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medication, spent 11 months locked in a
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cell. Segregated, due to the fact that I
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was too dangerous to come out.
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Narrator: 24 year old Alex arrived at
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Broadmoor 7 months ago. He was serving a
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life sentence in a dedicated prison unit
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for highly dangerous prisoners.
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They could no longer manage him.
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Alex: When I was younger, we would
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chase a seagull all round the council
estate, with a box, cos it-
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Narrator: Now in an admissions ward he's
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been diagnosed with mental illness and
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personality disorder and put on
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medication.
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One of his symptoms is auditory hallucinations.
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He hears voices.
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Alex: Oh, I was doing a fruit salad
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the other day for an assessment. That's
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when they do this assessment from
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personal motor, motor skills.
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It's like for learning disability.
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And....Umm...
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I was cutting a mango
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and I have never, I've never used a sharp knife.
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In the seven years I've been away
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I've not used a sharp knife
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and I was shaking. Literally.
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I nearly cut my fingers off cos
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the voices were telling me to attack the
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people in the room, with the knife.
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And, like, they were goading me into it,
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and I thought ' I can't do that.
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I can't do that.
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and so I managed to finish fruit, the
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fruit salad, and I thought 'Wow like, what
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achievement'. Cos mostly stammers a
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year ago, two years ago, my emotions
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would have done it.
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Ya know?
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[unintelligible speaking]
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Man in Sweater: No. We'll clean it
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afterwards. We want to give you
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bedding for now, yeah?
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Narrator: This is Cranfield, the
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intensive care ward. Home to the hospital's
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most acute mentally ill patients.
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[door shutting, keys jangling, people
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speaking unintelligibly]
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Female Voice: Hi, can we come in and
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talk to you, yeah?
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Man in Sweater: Sit on the bed for us
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Narrator: Any contact with them has to be
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carefully planned and executed.
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This is a six person unlock.
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The door to this patients room can only be
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opened with six staff present.
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Man in Glasses: There is always the risk
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of violence towards others, you
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have to accept that with chronic mental
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illness and they will be very disturbed
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throughout the day, but you have to
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learn to work with that.
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[person sobbing]
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My focus in working with this guys is
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actually telling them that they are here
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not because of the illness, they
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are here because of violence.
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And they only progress from here
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if there's a reduction in that violence.
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So that message, you know.
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It might take time, but gradually
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over a period of time, is that
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going through.
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[keys jangling, unintelligible talking
in background]
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Narrator: On this ward, even the most
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routine tasks run a risk of violence and
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involve a protocol.
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This patient has asked for a drink.
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Man in White: Just give us a minute trails off
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[unintelligible]
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Shukran. Shukran
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Shukran means thank you, right?
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You know, you taught me all this.
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laughs
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[unintelligible speaking]
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Inmate: [unintelligible] give me
some more?
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Man in White: [unintelligible response]
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Thank you!
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Female voice: Thank you guys.
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Narrator: Life in Broadmoor can be a game
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of snakes and ladders.
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With patients moving between the hospitals
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15 wards according to their
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mental state.
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[door closing]
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Patients who have responded to treatment
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can progress to one of the hospital's
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Assertive Rehab Wards, where
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they're given greater freedom.
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Daniel is one of 12 patients on this
ward.
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Daniel: I've been here five years.
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Luckily I never went to a high dependency
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ward, I came straight to rehab.
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And, to be honest, it's been...
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I wouldn't use the word wonderful...
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Cos eh... it's not wonderful.
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But, I've been grateful basically
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to come here.
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In my spare time I try and engage
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in artwork mostly.
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This was the, uh... my first real attempt
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at an actual portrait. All done completely
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in graphite, and then I moved on to using
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charcoal along with, uh.. graphite.
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And the charcoal allows you to, to have
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so much more...uhhh...depth in the tonal
quality.
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And then, yeah....I did a self-portrait.
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The whole, the whole picture was a
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statement about when I got locked up,
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when I was 14 and I'm now 24.
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This is me at 24, but uh, that's me.....
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back then...sort of thing....
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Narrator: Mental Disorder is no respecter
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of class or education.
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Daniel was a 14 year old boy at a
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mainstream school, and no one anticipated
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the violence of his attack....
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on his own family.
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[Heavy guitar riff]
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All of the men in Broadmoor present a
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grave and immediate risk to the public.
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And many have committed violent crimes.
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From arson, to torture, rape and murder.
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Unlike a prison sentence, they have no
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release date.
268
00:11:28,927 --> 00:11:30,737
Daniel: I've been a bit of a conundrum
269
00:11:30,737 --> 00:11:32,237
for the psychologists.
270
00:11:32,237 --> 00:11:34,007
And I've have, I've had about nine
different
271
00:11:34,007 --> 00:11:36,987
diagnoses from thirty different doctors.
272
00:11:36,987 --> 00:11:38,967
I've had seminars about me done,
273
00:11:38,967 --> 00:11:40,567
I've had people wanting to write books
about me,
274
00:11:40,567 --> 00:11:42,607
just because of the unusuallity of
275
00:11:42,607 --> 00:11:46,847
my offense, and my age, and what happened...
276
00:11:46,847 --> 00:11:48,467
I mean, my family are my saving grace
277
00:11:48,467 --> 00:11:49,541
to be honest here. They, they,
278
00:11:49,541 --> 00:11:51,591
they're hugely...hugely supportive.
279
00:11:51,591 --> 00:11:54,381
And what's even more amazing is that
my offense
280
00:11:54,381 --> 00:11:56,471
was actually orientated against my family.
281
00:11:56,471 --> 00:11:59,491
So I think...so the fact....
and, and, what a
282
00:11:59,491 --> 00:12:02,201
lot of people see is that, when a family
283
00:12:02,201 --> 00:12:03,551
member has committed an
offense against
284
00:12:03,551 --> 00:12:07,328
a family member they often...
dis-disown them.
285
00:12:07,328 --> 00:12:09,673
So it think it's...it's too much for
the family.
286
00:12:09,673 --> 00:12:12,743
But, they-they, have told me that
they swore
287
00:12:12,743 --> 00:12:14,703
they'd stay by me when they, when I was
288
00:12:14,703 --> 00:12:16,143
christened, and they have. So I think,
289
00:12:16,143 --> 00:12:16,643
ya know...
290
00:12:16,643 --> 00:12:19,684
They've always-they've always agreed I've had Aspergers.
291
00:12:19,684 --> 00:12:21,443
One of the problems I have is I'm
292
00:12:21,443 --> 00:12:23,576
not very good at understanding emotions.
293
00:12:23,576 --> 00:12:26,686
Or...if I have a...if I'm feeling something
294
00:12:26,686 --> 00:12:28,986
I don't always understand what it is that
295
00:12:28,986 --> 00:12:29,618
I'm feeling.
296
00:12:29,618 --> 00:12:32,808
But if I can draw it, I can get out these
297
00:12:32,808 --> 00:12:35,258
angry feelings, or these frustrations of
298
00:12:35,258 --> 00:12:38,008
being locked up, or guilt, or remorse.
299
00:12:38,008 --> 00:12:40,638
All these, all these negative feelings I
300
00:12:40,638 --> 00:12:43,528
can channel through this
imaginative artworks.
301
00:12:44,348 --> 00:12:49,388
[background talking, lunch bags rustle]
302
00:12:49,388 --> 00:12:50,974
Daniel: I've probably never actually said
303
00:12:50,974 --> 00:12:52,404
the words of what I actually done.
304
00:12:52,404 --> 00:12:54,034
I've never admitted it.
305
00:12:56,826 --> 00:12:59,734
Because I still, I still get flashbacks.
306
00:12:59,734 --> 00:13:01,204
It's mainly guilt.
307
00:13:01,204 --> 00:13:03,724
I still-I still struggle to
bring it to mind
308
00:13:03,724 --> 00:13:06,214
It's still just a blur in my head.
309
00:13:06,214 --> 00:13:08,464
I've done such a terrible thing. Thats one
310
00:13:08,464 --> 00:13:11,004
of the things that I've got to got to come
311
00:13:11,004 --> 00:13:13,234
to terms with eventually is that I've
312
00:13:13,234 --> 00:13:17,234
done this, it's happened, and it WILL be
313
00:13:17,234 --> 00:13:19,334
with me forever.
314
00:13:20,473 --> 00:13:22,833
Narrator: We're not allowed to reveal the
315
00:13:22,833 --> 00:13:24,660
details of Daniel's offense.
316
00:13:25,243 --> 00:13:26,553
Man in Suit: Okay
317
00:13:26,553 --> 00:13:27,243
Daniel: Umm, the other thing I was
318
00:13:27,243 --> 00:13:29,093
wondering about was, I sort of get
319
00:13:29,093 --> 00:13:32,783
problems of fine motor control and spatial awareness,
320
00:13:32,783 --> 00:13:35,753
and like bumping into things, and dropping
321
00:13:35,753 --> 00:13:36,886
things a lot.
322
00:13:37,178 --> 00:13:39,558
Man in Suit: As you're saying it's not one of
323
00:13:39,558 --> 00:13:41,638
the most common side effect. In fact, the
324
00:13:41,638 --> 00:13:42,908
opposite....[trails off]
325
00:13:42,908 --> 00:13:44,508
Narrator: Daniel is taking medication and
326
00:13:44,508 --> 00:13:46,554
undergoing psychological therapy.
327
00:13:46,554 --> 00:13:48,866
These, together with everyday interaction
328
00:13:48,866 --> 00:13:51,166
with staff are the cornerstones of
329
00:13:51,166 --> 00:13:52,666
the treatment here.
330
00:13:52,666 --> 00:13:54,796
Man in Suit: Have you noticed any benefit?
331
00:13:54,796 --> 00:13:56,266
Daniel: I don't really know what it is
332
00:13:56,266 --> 00:13:57,206
I'm looking for.
333
00:13:57,206 --> 00:13:58,726
Man in Suit: I have noticed a difference
334
00:13:58,726 --> 00:14:01,486
in you, not within the last week, but
335
00:14:01,486 --> 00:14:03,816
certainly over the last three months. I
336
00:14:03,816 --> 00:14:06,016
think that you are much more able to
337
00:14:06,016 --> 00:14:08,616
spend longer time with people in one to
338
00:14:08,616 --> 00:14:09,796
one situations.
339
00:14:09,909 --> 00:14:14,039
[ducks quack, somber music]
340
00:14:14,259 --> 00:14:16,579
Narrator: Broadmoor can feel like a ghost
341
00:14:16,579 --> 00:14:19,090
town. Patients can only move at certain
342
00:14:19,090 --> 00:14:21,714
times and in certain configurations.
343
00:14:22,110 --> 00:14:24,740
Their cameras record where each patient is
344
00:14:24,740 --> 00:14:26,240
at any given moment.
345
00:14:26,240 --> 00:14:30,670
[Radio Chatter]
346
00:14:30,869 --> 00:14:33,489
The control room ensures that incompatible
347
00:14:33,489 --> 00:14:35,765
patients, do not collide.
348
00:14:36,011 --> 00:14:40,611
[Radio Chatter]
349
00:14:41,197 --> 00:14:43,842
Patients who are well enough, leave their
350
00:14:43,842 --> 00:14:46,962
wards to go to work, study, and even once
351
00:14:46,962 --> 00:14:49,613
a week go shopping. It's strangely like a
352
00:14:49,613 --> 00:14:51,393
village.
353
00:14:51,393 --> 00:15:01,353
Inmate: You got any wine gums? Wine gums?
No wine gums or nothing?
354
00:15:01,859 --> 00:15:02,859
Is this a shop or not?
355
00:15:03,365 --> 00:15:08,396
Shopkeeper Whats going on? You sure it's okay?
356
00:15:08,396 --> 00:15:09,886
[indistinct response]
357
00:15:09,886 --> 00:15:10,327
Shopkeeper: Good.
358
00:15:13,488 --> 00:15:15,872
Narrator: The freedom to shop is a
359
00:15:15,872 --> 00:15:18,352
mixed blessing. One of the side effects
360
00:15:18,352 --> 00:15:21,482
of medication is increased appetite
361
00:15:21,482 --> 00:15:25,282
and many patients are severely overweight.
362
00:15:25,456 --> 00:15:29,736
[indistinct talking]
363
00:15:29,906 --> 00:15:32,716
However normal it feels, the reminder of
364
00:15:32,716 --> 00:15:34,695
the threat of violence is ever-present.
365
00:15:35,478 --> 00:15:37,924
Searches looking for potential weapons
366
00:15:37,924 --> 00:15:40,803
are carried out before any patient movement.
367
00:15:41,399 --> 00:15:43,409
Hospital Staff: This is stuff that we've
368
00:15:43,409 --> 00:15:46,617
retrieved from patients. I think this is
369
00:15:46,617 --> 00:15:49,727
just, what used to be a CD and its been
370
00:15:49,727 --> 00:15:52,297
broken up into shards. It can be used as a
371
00:15:52,297 --> 00:15:54,167
blade, even for self harming.
372
00:15:54,167 --> 00:15:56,605
In fact, we don't use the CDs
here anymore.
373
00:15:56,678 --> 00:15:59,128
We've got spoons and forks that have been
374
00:15:59,128 --> 00:16:01,597
sharpened off on the edge. So a normal
375
00:16:01,597 --> 00:16:04,327
teaspoon-plastic spoon-which is quite innocent
376
00:16:04,327 --> 00:16:06,807
to you and I, has been fashioned off and
377
00:16:06,807 --> 00:16:09,108
can be used as a potential weapon to stab.
378
00:16:09,108 --> 00:16:11,458
It's an example of how vigilant we have to
379
00:16:11,458 --> 00:16:13,052
be with everyday items.
380
00:16:14,078 --> 00:16:15,078
[radio chatter]
381
00:16:16,105 --> 00:16:18,531
Alex: I've done a lot of self harming, as
382
00:16:18,531 --> 00:16:21,681
you can see. I've cut my own throat a couple
383
00:16:21,681 --> 00:16:24,511
of times. I've cut my throat like four
384
00:16:24,511 --> 00:16:27,421
times I think. Umm funny enough, I think
385
00:16:27,421 --> 00:16:29,256
It was like five weeks before I come here,
386
00:16:29,256 --> 00:16:32,426
I hung myself and they had to do CPR
387
00:16:32,426 --> 00:16:33,416
on me in the cell.
388
00:16:33,416 --> 00:16:34,576
Like, you know?
389
00:16:36,932 --> 00:16:39,332
I was sexually abused when I was a child
390
00:16:39,332 --> 00:16:41,712
and that had an affect on my behavior,
391
00:16:41,712 --> 00:16:43,332
on my mental state.
392
00:16:43,332 --> 00:16:44,902
I couldn't sleep at night, and the rest
393
00:16:44,902 --> 00:16:46,352
of it...I was, you know...
394
00:16:46,352 --> 00:16:48,132
Basically everything that you go through
395
00:16:48,132 --> 00:16:49,952
when you've had a traumatic situation
396
00:16:49,952 --> 00:16:51,195
like I did.
397
00:16:52,245 --> 00:16:54,232
I think as well as being here,
398
00:16:54,232 --> 00:16:55,822
I said to my mum 'this feels like the
399
00:16:55,822 --> 00:16:58,111
best I've ever been in ten years.'
400
00:17:01,485 --> 00:17:03,745
Man in Tan Suit: Patients that come here,
401
00:17:03,745 --> 00:17:05,851
they will have perpetrated, often,
402
00:17:05,851 --> 00:17:08,691
horrendous crimes. But, they are also
403
00:17:08,691 --> 00:17:12,791
victims. It is very easy to see somebody
404
00:17:12,791 --> 00:17:14,981
as either the perpetrator or the victim.
405
00:17:14,981 --> 00:17:17,399
It is much more difficult to understand
406
00:17:17,399 --> 00:17:19,889
that somebody might be both.
407
00:17:19,949 --> 00:17:22,049
[squirrel chatters]
408
00:17:22,049 --> 00:17:29,029
[loud drumming and incoherent yelling]
409
00:17:29,396 --> 00:17:31,776
Narrator: Patients from different wards
410
00:17:31,776 --> 00:17:33,347
meet in certain events.
411
00:17:33,538 --> 00:17:35,198
(Neita): Hi, first of all, thank
412
00:17:35,198 --> 00:17:36,641
you for giving up your time. I know you
413
00:17:36,641 --> 00:17:38,761
could be doing other things, I know
414
00:17:38,761 --> 00:17:40,461
you have different [trails off]
415
00:17:40,461 --> 00:17:42,551
Narrator: Todays a diversity workshop and
416
00:17:42,551 --> 00:17:45,421
Poet and Lawyer Dave Neita is encouraging
417
00:17:45,421 --> 00:17:47,418
them to celebrate their
different cultures.
418
00:17:47,481 --> 00:17:49,791
Neita: Today I invite you to speak
419
00:17:49,791 --> 00:17:52,691
about your own culture, but before
420
00:17:52,691 --> 00:17:54,661
that we're going to have lunch.
421
00:17:55,755 --> 00:17:58,685
But most of them are celebrating lunch.
422
00:17:59,190 --> 00:18:03,190
[drums continue]
423
00:18:03,190 --> 00:18:05,650
With no alcohol or tobacco allowed, food
424
00:18:05,650 --> 00:18:08,210
is the only thing they have
free reign over.
425
00:18:08,365 --> 00:18:13,785
[drums in background]
426
00:18:14,725 --> 00:18:16,215
Alex: My mum's Italian and my dad's from
427
00:18:16,215 --> 00:18:17,215
a little island in Africa
428
00:18:17,215 --> 00:18:20,922
and I'd like to say that
being multicultural
429
00:18:20,922 --> 00:18:24,622
It helps. It's good. It's nice
to be different.
430
00:18:24,622 --> 00:18:26,492
Because different is what we need. We
431
00:18:26,492 --> 00:18:29,142
don't want everyone the same.
And that's it.
432
00:18:31,001 --> 00:18:34,540
Declan: How'd I end up in here? Umm
433
00:18:34,540 --> 00:18:36,740
they said they had a spare bed so I
434
00:18:36,740 --> 00:18:38,950
thought 'I've been in children's homes,
435
00:18:38,950 --> 00:18:40,939
I've been in secure units,
I've been in prison.
436
00:18:40,939 --> 00:18:43,293
The only place I haven't been is
Broadmoor.
437
00:18:43,293 --> 00:18:45,203
So I thought I'd come along.
438
00:18:45,203 --> 00:18:47,813
[laughs]
439
00:18:47,813 --> 00:18:48,753
[drumming]
440
00:18:48,753 --> 00:18:50,993
Narrator: Now 26, Declan was put
441
00:18:50,993 --> 00:18:52,773
into care at the age of nine.
442
00:18:52,773 --> 00:18:54,983
Declan: I remember the day that my
443
00:18:54,983 --> 00:18:57,193
mum took me to this office. I sat there
444
99:59:59,999 --> 99:59:59,999
on a chair, and the next minute she just
445
99:59:59,999 --> 99:59:59,999
left. She went 'your not coming with me'.
446
99:59:59,999 --> 99:59:59,999
A social worker come out and she went
447
99:59:59,999 --> 99:59:59,999
'alright, you got to come with me'.
448
99:59:59,999 --> 99:59:59,999
I went to children's homes, foster homes.
449
99:59:59,999 --> 99:59:59,999
I kept running away, cause' I got abused
450
99:59:59,999 --> 99:59:59,999
when I was in the children home. By the
451
99:59:59,999 --> 99:59:59,999
staff. Sexually and physical. And umm I
452
99:59:59,999 --> 99:59:59,999
think it was like, no one would actually
453
99:59:59,999 --> 99:59:59,999
listen to me.
454
99:59:59,999 --> 99:59:59,999
I ran away to London, and I was living on
455
99:59:59,999 --> 99:59:59,999
the streets. I mean I was living out of
456
99:59:59,999 --> 99:59:59,999
bins, yeah....not nice but, when you're
457
99:59:59,999 --> 99:59:59,999
on the streets you have to do that
sometimes.
458
99:59:59,999 --> 99:59:59,999
you know what I mean?
459
99:59:59,999 --> 99:59:59,999
Inmate in Red: Yeah guys, this is called
460
99:59:59,999 --> 99:59:59,999
Think, yeah?
461
99:59:59,999 --> 99:59:59,999
It goes like this: When you see a tramp
462
99:59:59,999 --> 99:59:59,999
out on the street. Don't look down your
463
99:59:59,999 --> 99:59:59,999
nose so far that you see your own feet.
464
99:59:59,999 --> 99:59:59,999
When you see people homeless don't reach
465
99:59:59,999 --> 99:59:59,999
for a broom. Consider if you have the
466
99:59:59,999 --> 99:59:59,999
means to give them a room.
467
99:59:59,999 --> 99:59:59,999
Declan: Am I a victim? I mean my current
468
99:59:59,999 --> 99:59:59,999
defendant...umm...basically stabbed 'em
469
99:59:59,999 --> 99:59:59,999
up. The judge classed it under as torture.
470
99:59:59,999 --> 99:59:59,999
Inmate in Blue: I'm Black, I'm
471
99:59:59,999 --> 99:59:59,999
British, and I'm proud of it [fades into
472
99:59:59,999 --> 99:59:59,999
clapping and drums].
473
99:59:59,999 --> 99:59:59,999
(Interviewer): You say you've got a child?
474
99:59:59,999 --> 99:59:59,999
Declan: Mm-hm. Got a little boy,
475
99:59:59,999 --> 99:59:59,999
he's seven.
476
99:59:59,999 --> 99:59:59,999
And he lives with his mum.
477
99:59:59,999 --> 99:59:59,999
Don't really see him, but I would-
478
99:59:59,999 --> 99:59:59,999
I wouldn't expect children to come in a
479
99:59:59,999 --> 99:59:59,999
place like this.
480
99:59:59,999 --> 99:59:59,999
(Interviewer): And are you still on good
481
99:59:59,999 --> 99:59:59,999
terms with his mum?
482
99:59:59,999 --> 99:59:59,999
Declan: Ummm... [laughs]
483
99:59:59,999 --> 99:59:59,999
not really. No.
484
99:59:59,999 --> 99:59:59,999
I started having a bit of a relationship
485
99:59:59,999 --> 99:59:59,999
with [name beeped out]. Sooo, yeah..that
486
99:59:59,999 --> 99:59:59,999
was the first time I found out that I was
487
99:59:59,999 --> 99:59:59,999
sort of that way.
488
99:59:59,999 --> 99:59:59,999
I've always-for some reason-I've always
489
99:59:59,999 --> 99:59:59,999
wanted to be a woman.
490
99:59:59,999 --> 99:59:59,999
I think that's the way I am, you know
491
99:59:59,999 --> 99:59:59,999
but in this place you can't do that,
492
99:59:59,999 --> 99:59:59,999
they won't allow it.
493
99:59:59,999 --> 99:59:59,999
Declan in front of room: I just wanted
494
99:59:59,999 --> 99:59:59,999
to say I'm gay, and I'm proud of it.
495
99:59:59,999 --> 99:59:59,999
Thank you.
496
99:59:59,999 --> 99:59:59,999
Declan: I want to be a Drag Queen that's
497
99:59:59,999 --> 99:59:59,999
what I've done for a while.
498
99:59:59,999 --> 99:59:59,999
(Interviewer): What's she called?
499
99:59:59,999 --> 99:59:59,999
Declan: Crystal.
500
99:59:59,999 --> 99:59:59,999
Female Voice: And what's she look like?
501
99:59:59,999 --> 99:59:59,999
Declan: Blonde, and just fabulous.
502
99:59:59,999 --> 99:59:59,999
[laughs]
503
99:59:59,999 --> 99:59:59,999
[Intense music]
504
99:59:59,999 --> 99:59:59,999
Narrator: We've come to Chepstow, a
505
99:59:59,999 --> 99:59:59,999
medium-dependancy ward, where Lenny
506
99:59:59,999 --> 99:59:59,999
wants to show us his artwork.
507
99:59:59,999 --> 99:59:59,999
(Interviewer): You do it in your room?
508
99:59:59,999 --> 99:59:59,999
Lenny: Yeah. I do work with spare pens,
509
99:59:59,999 --> 99:59:59,999
and it's mostly based on pens and
510
99:59:59,999 --> 99:59:59,999
basically your using cups and shapes
511
99:59:59,999 --> 99:59:59,999
and bottle tops to draw around.
512
99:59:59,999 --> 99:59:59,999
(Interviewer): How long have you
been here?
513
99:59:59,999 --> 99:59:59,999
Lenny: 7 years this time.
514
99:59:59,999 --> 99:59:59,999
(Interviewer): Is it not your first time?
515
99:59:59,999 --> 99:59:59,999
Lenny: No it's the second time.
516
99:59:59,999 --> 99:59:59,999
What do you think of that one?
517
99:59:59,999 --> 99:59:59,999
That's the corridors in a ward that's shut
down now
518
99:59:59,999 --> 99:59:59,999
(Interviewer): So why are you considered
519
99:59:59,999 --> 99:59:59,999
a risk?
520
99:59:59,999 --> 99:59:59,999
Lenny: Because...I think its because of
521
99:59:59,999 --> 99:59:59,999
my particular offense was against a
522
99:59:59,999 --> 99:59:59,999
consulting psychiatrist. They
523
99:59:59,999 --> 99:59:59,999
called in a section 12
approved psychiatrist.
524
99:59:59,999 --> 99:59:59,999
And they're very powerful, not like- not
525
99:59:59,999 --> 99:59:59,999
like when you go to an ordinary doctor.
526
99:59:59,999 --> 99:59:59,999
They-they work for the home office.
527
99:59:59,999 --> 99:59:59,999
Narrator: He's not happy with life in
528
99:59:59,999 --> 99:59:59,999
Broadmoor, and tells us he's bringing a
529
99:59:59,999 --> 99:59:59,999
High Court case against the hospital.
530
99:59:59,999 --> 99:59:59,999
Lenny: It costs how much? What was the
531
99:59:59,999 --> 99:59:59,999
last figure they said it cost to keep us
532
99:59:59,999 --> 99:59:59,999
here every year? 320,000 pounds a year or
533
99:59:59,999 --> 99:59:59,999
something? Surely its-its wrong to charge
534
99:59:59,999 --> 99:59:59,999
a fortune for people like us. When we're
535
99:59:59,999 --> 99:59:59,999
nowhere near about the centers of the
536
99:59:59,999 --> 99:59:59,999
community.
537
99:59:59,999 --> 99:59:59,999
Narrator: I costs 300,000 pounds a year
538
99:59:59,999 --> 99:59:59,999
to keep a patient in Broadmoor. Almost
539
99:59:59,999 --> 99:59:59,999
five times the cost of keeping
someone in prison.
540
99:59:59,999 --> 99:59:59,999
Before Lenny came to Broadmoor, he was
541
99:59:59,999 --> 99:59:59,999
in outpatient at a psychiatric hospital
542
99:59:59,999 --> 99:59:59,999
where he threatened his psychiatrist with
543
99:59:59,999 --> 99:59:59,999
a machete.
544
99:59:59,999 --> 99:59:59,999
(Interviewer): Do you think you shouldn't
545
99:59:59,999 --> 99:59:59,999
be here, or?
546
99:59:59,999 --> 99:59:59,999
Lenny: Do you think I sound like a
547
99:59:59,999 --> 99:59:59,999
mad blathering idiot?
548
99:59:59,999 --> 99:59:59,999
Cause' I think-No I don't think I should
549
99:59:59,999 --> 99:59:59,999
be here. I think I should be sharing this-
550
99:59:59,999 --> 99:59:59,999
my life- with people. I want to be
551
99:59:59,999 --> 99:59:59,999
sharing my life with people. I want to
552
99:59:59,999 --> 99:59:59,999
be able to decide
553
99:59:59,999 --> 99:59:59,999
what I do, when I do it
554
99:59:59,999 --> 99:59:59,999
and be reasonably responsible for my
555
99:59:59,999 --> 99:59:59,999
own behavior, like anyone else out there.
556
99:59:59,999 --> 99:59:59,999
And I don't think I'll be any more of a
557
99:59:59,999 --> 99:59:59,999
danger then whatever's already out there.
558
99:59:59,999 --> 99:59:59,999
And I will be honest with you, I am rude
559
99:59:59,999 --> 99:59:59,999
here, I could be really furious and angry
560
99:59:59,999 --> 99:59:59,999
and people come with 'You're the patient,
561
99:59:59,999 --> 99:59:59,999
yeah?' That is a term we use to separate
562
99:59:59,999 --> 99:59:59,999
you from the rest of society, we're the
563
99:59:59,999 --> 99:59:59,999
last thing on earth -this is the truth
564
99:59:59,999 --> 99:59:59,999
here- to be given what you call equal
565
99:59:59,999 --> 99:59:59,999
rights. What do you think? You agree
566
99:59:59,999 --> 99:59:59,999
or not? I'm not anti-people I'm all for
567
99:59:59,999 --> 99:59:59,999
people.
568
99:59:59,999 --> 99:59:59,999
Narrator: Downstairs on the admissions
569
99:59:59,999 --> 99:59:59,999
ward, Alex is keen to progress.
570
99:59:59,999 --> 99:59:59,999
Alex: I was seven months up in here
571
99:59:59,999 --> 99:59:59,999
yesterday, seven months yesterday. It's
572
99:59:59,999 --> 99:59:59,999
taking forever. Are you aware of any
573
99:59:59,999 --> 99:59:59,999
beds coming up soon?
574
99:59:59,999 --> 99:59:59,999
Narrator: His medication has stabilized
575
99:59:59,999 --> 99:59:59,999
him. He wants to move from Admissions to
576
99:59:59,999 --> 99:59:59,999
an Assertive Rehab ward, where he'll
577
99:59:59,999 --> 99:59:59,999
have greater freedom.
578
99:59:59,999 --> 99:59:59,999
Man in suit: That I don't know.
579
99:59:59,999 --> 99:59:59,999
Alex: Well you should know, [laughing]
580
99:59:59,999 --> 99:59:59,999
you're a consultant in there!
581
99:59:59,999 --> 99:59:59,999
Man in suit: Yes- I can't- I don't know
582
99:59:59,999 --> 99:59:59,999
the timescales, cause it's not quite
583
99:59:59,999 --> 99:59:59,999
within my control...
584
99:59:59,999 --> 99:59:59,999
Narrator: Back upstairs on Chepstow,
585
99:59:59,999 --> 99:59:59,999
Benson, the PAT dog, has arrived for
586
99:59:59,999 --> 99:59:59,999
his weekly visit.
587
99:59:59,999 --> 99:59:59,999
Lenny's behavior over the past few days
588
99:59:59,999 --> 99:59:59,999
is becoming a cause for concern.
589
99:59:59,999 --> 99:59:59,999
He's been increasingly manic and
590
99:59:59,999 --> 99:59:59,999
hyperactive, and his doctor feels he
591
99:59:59,999 --> 99:59:59,999
needs medication.
592
99:59:59,999 --> 99:59:59,999
[door clatter] Dog Handler: Bye!
593
99:59:59,999 --> 99:59:59,999
Narrator: Lenny refuses to take it,
594
99:59:59,999 --> 99:59:59,999
so it'll have to be forcibly administered,
595
99:59:59,999 --> 99:59:59,999
by injection.
596
99:59:59,999 --> 99:59:59,999
Lenny: Hang on hang on, you filming?
597
99:59:59,999 --> 99:59:59,999
[crosstalk]
598
99:59:59,999 --> 99:59:59,999
Lenny: This is wrong, I'm not fighting you
599
99:59:59,999 --> 99:59:59,999
[crosstalk]
600
99:59:59,999 --> 99:59:59,999
[chatter]
601
99:59:59,999 --> 99:59:59,999
Doctor: Guys, we really need to get this
602
99:59:59,999 --> 99:59:59,999
started, if you just mind, just, just-
603
99:59:59,999 --> 99:59:59,999
please.. OK? All right
604
99:59:59,999 --> 99:59:59,999
Narrator: At this point, staff tell us
605
99:59:59,999 --> 99:59:59,999
to leave the ward.
606
99:59:59,999 --> 99:59:59,999
[moody music]
607
99:59:59,999 --> 99:59:59,999
We're told we can see Lenny the following
608
99:59:59,999 --> 99:59:59,999
day. [door shuts]
609
99:59:59,999 --> 99:59:59,999
[birds, brooding music]
610
99:59:59,999 --> 99:59:59,999
Lenny: Neil? Neil, could we have a key
611
99:59:59,999 --> 99:59:59,999
please? There should [unintelligible]
612
99:59:59,999 --> 99:59:59,999
Narrator: The day before, we were told to
613
99:59:59,999 --> 99:59:59,999
leave the ward when staff were about
614
99:59:59,999 --> 99:59:59,999
to forcibly inject Lenny with
615
99:59:59,999 --> 99:59:59,999
antipsychotic medication.
616
99:59:59,999 --> 99:59:59,999
He's keen to explain what happened after
617
99:59:59,999 --> 99:59:59,999
we left.
618
99:59:59,999 --> 99:59:59,999
Lenny: Come this way-
619
99:59:59,999 --> 99:59:59,999
So I moved into here-
620
99:59:59,999 --> 99:59:59,999
Narrator: He leads us into the seclusion
621
99:59:59,999 --> 99:59:59,999
area.
622
99:59:59,999 --> 99:59:59,999
Lenny: Come in, come in.
623
99:59:59,999 --> 99:59:59,999
All right, well [unintelligible] First
624
99:59:59,999 --> 99:59:59,999
of all, I was at that point, I was
625
99:59:59,999 --> 99:59:59,999
laying like this, alright, and I was
626
99:59:59,999 --> 99:59:59,999
talking saying 'Please don't turn me
627
99:59:59,999 --> 99:59:59,999
over, cos I'm not trying to fight you'
628
99:59:59,999 --> 99:59:59,999
And they said, and the next thing happened
629
99:59:59,999 --> 99:59:59,999
they all came in and [unintelligible]
630
99:59:59,999 --> 99:59:59,999
I can make a deal with them, I'm on the
631
99:59:59,999 --> 99:59:59,999
bed, so I'm like this, one point, all the
632
99:59:59,999 --> 99:59:59,999
staff were holding me, I was like that
633
99:59:59,999 --> 99:59:59,999
and said 'Would you please let me go,
634
99:59:59,999 --> 99:59:59,999
and I'll get up' so I went like that
635
99:59:59,999 --> 99:59:59,999
and stood like that and took down my
636
99:59:59,999 --> 99:59:59,999
pants and trousers and he stopped
637
99:59:59,999 --> 99:59:59,999
me there, let's see, I came out again,
638
99:59:59,999 --> 99:59:59,999
that's what happened, but I didn't-
639
99:59:59,999 --> 99:59:59,999
What do you think? What's your opinion
640
99:59:59,999 --> 99:59:59,999
about that?
641
99:59:59,999 --> 99:59:59,999
(Interviewer): But did you, so did you hit
642
99:59:59,999 --> 99:59:59,999
one of them then?
643
99:59:59,999 --> 99:59:59,999
Lenny: Yeah but that's cos I was being
644
99:59:59,999 --> 99:59:59,999
chased [unintelligible].
645
99:59:59,999 --> 99:59:59,999
Doctor: One of the biggest
areas of conflict, um
646
99:59:59,999 --> 99:59:59,999
between certainly doctor and patient
647
99:59:59,999 --> 99:59:59,999
is the issue of medication.
648
99:59:59,999 --> 99:59:59,999
Lenny: This one's sealed, alright?
649
99:59:59,999 --> 99:59:59,999
It's stifling sometimes.
650
99:59:59,999 --> 99:59:59,999
(Doctor): One of the difficulties
651
99:59:59,999 --> 99:59:59,999
with psychotic disorders is your
652
99:59:59,999 --> 99:59:59,999
interpretation of reality is different
653
99:59:59,999 --> 99:59:59,999
from other people's.
654
99:59:59,999 --> 99:59:59,999
And if you genuinely believe there's
655
99:59:59,999 --> 99:59:59,999
nothing wrong with you and you don't
656
99:59:59,999 --> 99:59:59,999
need any medication, why on earth would
657
99:59:59,999 --> 99:59:59,999
you want to take some of the medications
658
99:59:59,999 --> 99:59:59,999
that would be up for discussion?
659
99:59:59,999 --> 99:59:59,999
Lenny: Could we open this door please?
660
99:59:59,999 --> 99:59:59,999
(Doctor): He's particularly angry for two
reasons, so
661
99:59:59,999 --> 99:59:59,999
one is he doesn't believe he'll benefit
662
99:59:59,999 --> 99:59:59,999
from the medication at all, second reason
663
99:59:59,999 --> 99:59:59,999
is that he believes he's involved in a
664
99:59:59,999 --> 99:59:59,999
major, high court case against the
665
99:59:59,999 --> 99:59:59,999
hospital to expose a range of malpractice
666
99:59:59,999 --> 99:59:59,999
particularly in relation to him, but in
667
99:59:59,999 --> 99:59:59,999
general about how these services are just
668
99:59:59,999 --> 99:59:59,999
really keeping people in jobs and don't
669
99:59:59,999 --> 99:59:59,999
provide any useful service.
670
99:59:59,999 --> 99:59:59,999
Lenny: The hospital's defense is just-
671
99:59:59,999 --> 99:59:59,999
'Here's some of the most notorious
672
99:59:59,999 --> 99:59:59,999
people in the country,' I'll show you
what-
673
99:59:59,999 --> 99:59:59,999
(Doctor): He believes we've given him the
674
99:59:59,999 --> 99:59:59,999
medication purely to dull his mind
675
99:59:59,999 --> 99:59:59,999
and weaken his chances of being successful
676
99:59:59,999 --> 99:59:59,999
in that case.
677
99:59:59,999 --> 99:59:59,999
In fact he's not currently involved
in any,
678
99:59:59,999 --> 99:59:59,999
uh, legal action or court case.
679
99:59:59,999 --> 99:59:59,999
(Lenny): No you're not going in there
680
99:59:59,999 --> 99:59:59,999
it's private, sorry come on you guys
681
99:59:59,999 --> 99:59:59,999
it's private. It's my mess, my own mess.
682
99:59:59,999 --> 99:59:59,999
Hey look, can you show 'em all now?
683
99:59:59,999 --> 99:59:59,999
Look at that, that's my mum and me.
684
99:59:59,999 --> 99:59:59,999
See she pretty in the black and white from
685
99:59:59,999 --> 99:59:59,999
the 60s, see her?
686
99:59:59,999 --> 99:59:59,999
(Doctor): He's a man who's spent a long
687
99:59:59,999 --> 99:59:59,999
time in institutional care, um in previous
688
99:59:59,999 --> 99:59:59,999
settings was frequently assaulted, he was
689
99:59:59,999 --> 99:59:59,999
violent himself on several occasions
690
99:59:59,999 --> 99:59:59,999
but he often assaulted.
691
99:59:59,999 --> 99:59:59,999
Lenny: You want a drink or anything, cup
692
99:59:59,999 --> 99:59:59,999
of tea or something?
[offscreen] I'm fine
693
99:59:59,999 --> 99:59:59,999
You sure? Any sweets, soft drink?
[offscreen] Nothing
694
99:59:59,999 --> 99:59:59,999
Lenny: Alright thanks very, thank you
very much [unintelligible]
695
99:59:59,999 --> 99:59:59,999
[contemplative music]
696
99:59:59,999 --> 99:59:59,999
[keys clattering, chatter]
697
99:59:59,999 --> 99:59:59,999
[offscreen] Just check to make sure, all
698
99:59:59,999 --> 99:59:59,999
the shadows are covered..
699
99:59:59,999 --> 99:59:59,999
So they're checked, first thing in the
700
99:59:59,999 --> 99:59:59,999
morning, again before the patients go back
701
99:59:59,999 --> 99:59:59,999
[door handle rattles]
702
99:59:59,999 --> 99:59:59,999
Narrator: Patients who are well enough
703
99:59:59,999 --> 99:59:59,999
to go to work can make goods, which go
704
99:59:59,999 --> 99:59:59,999
on sale to the public. They are paid
705
99:59:59,999 --> 99:59:59,999
80 pence an hour.
706
99:59:59,999 --> 99:59:59,999
Alex has been doing well and is now
707
99:59:59,999 --> 99:59:59,999
allowed off the Admissions ward to
708
99:59:59,999 --> 99:59:59,999
come to work.
709
99:59:59,999 --> 99:59:59,999
Alex: Everyone's saying 'Oh you gonna move
710
99:59:59,999 --> 99:59:59,999
you're gonna move' they said I would have
711
99:59:59,999 --> 99:59:59,999
moved by Thursday last week, nothing
712
99:59:59,999 --> 99:59:59,999
so far now, I've been onto my psychiatrist
713
99:59:59,999 --> 99:59:59,999
saying, 'Look, why am I still on at
Admission ward,
714
99:59:59,999 --> 99:59:59,999
after 8 months, when there's a bed for me
715
99:59:59,999 --> 99:59:59,999
on Rehab? Know?'
716
99:59:59,999 --> 99:59:59,999
(Interviewer): You a bit frustrated?
Alex: Yeah
717
99:59:59,999 --> 99:59:59,999
it is frustrating, but
718
99:59:59,999 --> 99:59:59,999
I'm just at the moment, focusing, cos next
719
99:59:59,999 --> 99:59:59,999
week I've got a visit, mum and dad are
720
99:59:59,999 --> 99:59:59,999
coming up for 2 days, so, y'know, I'll
721
99:59:59,999 --> 99:59:59,999
spend some time with my family.
722
99:59:59,999 --> 99:59:59,999
[tapping]
723
99:59:59,999 --> 99:59:59,999
[outdoor ambiance, guitar music]
724
99:59:59,999 --> 99:59:59,999
Narrator: They have a saying here:
725
99:59:59,999 --> 99:59:59,999
There's time, and then there's Broadmoor
Time.
726
99:59:59,999 --> 99:59:59,999
Tan shirt: Which episode did you see last,
727
99:59:59,999 --> 99:59:59,999
of Eastenders? Bout a week ago?
728
99:59:59,999 --> 99:59:59,999
Black shirt: Last night?
Tan shirt: Last night?
729
99:59:59,999 --> 99:59:59,999
Black shirt: Last night yeah
730
99:59:59,999 --> 99:59:59,999
Tan shirt: Did they show the man who was
731
99:59:59,999 --> 99:59:59,999
pretending to be Nick Cotton's own son?
732
99:59:59,999 --> 99:59:59,999
Black shirt: No I didn't see it
733
99:59:59,999 --> 99:59:59,999
[moody music]
734
99:59:59,999 --> 99:59:59,999
Narrator: While medication can often
735
99:59:59,999 --> 99:59:59,999
control behavior, extensive therapy is
736
99:59:59,999 --> 99:59:59,999
needed to change it, and that takes time.
737
99:59:59,999 --> 99:59:59,999
Estelle: I'm in the diary, ok?
[offscreen] OK
738
99:59:59,999 --> 99:59:59,999
Narrator: Estelle Moore is the hospital's
739
99:59:59,999 --> 99:59:59,999
lead psychologist, she's been here for 20
years.
740
99:59:59,999 --> 99:59:59,999
Estelle: [keys jangling] You alright?
741
99:59:59,999 --> 99:59:59,999
Declan: They say just carry on with the
742
99:59:59,999 --> 99:59:59,999
violent offenders group, what finishes in
December
743
99:59:59,999 --> 99:59:59,999
Narrator: Patients undergo specific
744
99:59:59,999 --> 99:59:59,999
therapies depending on their offense,
745
99:59:59,999 --> 99:59:59,999
whether it's violence, sex offending, or
746
99:59:59,999 --> 99:59:59,999
fire setting.
747
99:59:59,999 --> 99:59:59,999
Declan: -understand our relationships and
748
99:59:59,999 --> 99:59:59,999
uhh, borderlines. No not borderlines,
boundaries.
749
99:59:59,999 --> 99:59:59,999
Estelle: What sort of actions are safe
750
99:59:59,999 --> 99:59:59,999
and contained in relationships? The sorts
751
99:59:59,999 --> 99:59:59,999
of things that you would do that feel
752
99:59:59,999 --> 99:59:59,999
like normal and safe relationships?
753
99:59:59,999 --> 99:59:59,999
Declan: Laughter
754
99:59:59,999 --> 99:59:59,999
Estelle: Laughter? OK so laughing,
755
99:59:59,999 --> 99:59:59,999
Declan: Talking sensible. Feeling
comfortable with each other.
756
99:59:59,999 --> 99:59:59,999
[keys, footsteps]
757
99:59:59,999 --> 99:59:59,999
Narrator: Declan was found guilty of a
life-threatening assault on a man.
758
99:59:59,999 --> 99:59:59,999
Declan: Do I feel sorry for him? No.
Will I do it again? No.
759
99:59:59,999 --> 99:59:59,999
No. I'm missing the sun, I'm missing
the surfing. Know what I mean?
760
99:59:59,999 --> 99:59:59,999
[keys, door squeaks]
761
99:59:59,999 --> 99:59:59,999
[door shuts]
762
99:59:59,999 --> 99:59:59,999
[moody music]
763
99:59:59,999 --> 99:59:59,999
[ping pong ball clatters]
764
99:59:59,999 --> 99:59:59,999
Narrator: Lenny has been on antipsychotic
765
99:59:59,999 --> 99:59:59,999
medication for a few weeks.
766
99:59:59,999 --> 99:59:59,999
It has had time to build up in his system.
767
99:59:59,999 --> 99:59:59,999
Staff: Now he's had the depot
injection, the chemicals from that
768
99:59:59,999 --> 99:59:59,999
are slowing down his reactions to the
point where he has those few
769
99:59:59,999 --> 99:59:59,999
more seconds to think-
770
99:59:59,999 --> 99:59:59,999
'How am I gonna reply to this?'
771
99:59:59,999 --> 99:59:59,999
and he will reply in a much more- manner
to what you or I would reply to something.
772
99:59:59,999 --> 99:59:59,999
I can definitely empathize with him, he
773
99:59:59,999 --> 99:59:59,999
hasn't come from a different
background to me
774
99:59:59,999 --> 99:59:59,999
but he has come from different parents
to me.
775
99:59:59,999 --> 99:59:59,999
(Interviewer): It seems to be
the case with so many.
776
99:59:59,999 --> 99:59:59,999
Staff:Yeah, I know, I agree with that,
you can
777
99:59:59,999 --> 99:59:59,999
probably see if you go back into, um,
778
99:59:59,999 --> 99:59:59,999
the lives of most of our patients, you
could probably identify them at
779
99:59:59,999 --> 99:59:59,999
5, 6 years old, and say 'I'll be seeing
you later on' and things like that.
780
99:59:59,999 --> 99:59:59,999
Lenny: He's alright here, he's my buddy,
781
99:59:59,999 --> 99:59:59,999
one day he's gonna tell the
truth as well. [laughs]
782
99:59:59,999 --> 99:59:59,999
[walkie talkie chatter]
783
99:59:59,999 --> 99:59:59,999
(Tan Suit): Everyone is born with
784
99:59:59,999 --> 99:59:59,999
certain temperaments, with certain
predispositions to certain
785
99:59:59,999 --> 99:59:59,999
behavior, and if you've been given a
triple-whammy of, of genes, environment,
786
99:59:59,999 --> 99:59:59,999
upbringing, childhood adversity, substance
misuse, all of those different
787
99:59:59,999 --> 99:59:59,999
aspects build up to make the person.
788
99:59:59,999 --> 99:59:59,999
And it's a long term project of gradually
putting somebody back together and
789
99:59:59,999 --> 99:59:59,999
making sure that they stay in that
recovered state.
790
99:59:59,999 --> 99:59:59,999
[ominous music]
791
99:59:59,999 --> 99:59:59,999
Narrator: Things have finally changed for
Alex-
792
99:59:59,999 --> 99:59:59,999
after 8 months, he's been moved to
Assertive Rehab.
793
99:59:59,999 --> 99:59:59,999
Alex: It's better over here, it's a little
better.
794
99:59:59,999 --> 99:59:59,999
Got a lot more freedom, key to a door,
795
99:59:59,999 --> 99:59:59,999
come out when you want to make hot drinks,
yeah, it's alright.
796
99:59:59,999 --> 99:59:59,999
Narrator: But it's not all good news. As
so often in the past,
797
99:59:59,999 --> 99:59:59,999
he's in danger of self-harming.
798
99:59:59,999 --> 99:59:59,999
He's had to be put on Eyesight Observation
which means nurses have to
799
99:59:59,999 --> 99:59:59,999
take turns to watch him, 24 hours a day.
800
99:59:59,999 --> 99:59:59,999
Alex: Cos my mental state haven't been
the best, it's not nice, you know,
801
99:59:59,999 --> 99:59:59,999
hearing voices and what-have-you, but
you know, just got to control it,
802
99:59:59,999 --> 99:59:59,999
that's all you can do, not let it get
to you.
803
99:59:59,999 --> 99:59:59,999
(Alex): Dr Romero said I'm gonna
be here a few years, yet
804
99:59:59,999 --> 99:59:59,999
(Nurse): A few years?
Alex: A few years.
805
99:59:59,999 --> 99:59:59,999
(Nurse): How do you feel about that?
Alex: I don't mind...
806
99:59:59,999 --> 99:59:59,999
Nurse: You don't mind?
Alex: I'm here for a reason.
807
99:59:59,999 --> 99:59:59,999
Nurse: All right.
Alex: Get better, innit? So
808
99:59:59,999 --> 99:59:59,999
if that means I got to stay a
couple years, so be it. But-
809
99:59:59,999 --> 99:59:59,999
I'm getting there, now.
(Nurse): You're getting there.
810
99:59:59,999 --> 99:59:59,999
Alex: [unintelligible]
Nurse: Mhmm
811
99:59:59,999 --> 99:59:59,999
Alex: Least, at least there was no
violence.
812
99:59:59,999 --> 99:59:59,999
(Nurse): Which is good! You should be
proud of. At least it shows that you're
813
99:59:59,999 --> 99:59:59,999
making, you know, more progress.
814
99:59:59,999 --> 99:59:59,999
[meditative music]
815
99:59:59,999 --> 99:59:59,999
Narrator: Alex's mental state continued
to deteriorate, after a couple of weeks
816
99:59:59,999 --> 99:59:59,999
on the ward did self-harm, and had to
817
99:59:59,999 --> 99:59:59,999
be moved back a High Dependency ward.
818
99:59:59,999 --> 99:59:59,999
[nighttime ambiance]
819
99:59:59,999 --> 99:59:59,999
[keys rattling, chatter]
820
99:59:59,999 --> 99:59:59,999
Narrator: On Chepstow Ward, Dr Larkin
wants to discuss a recent incident
821
99:59:59,999 --> 99:59:59,999
involving Lenny and another doctor.
822
99:59:59,999 --> 99:59:59,999
Lenny: I would say that I was really
pleased that they are now starting to
823
99:59:59,999 --> 99:59:59,999
track and find pedophiles in our society,
how pleased I was, and that they
824
99:59:59,999 --> 99:59:59,999
weren't just ordinary poor folk that
were getting nicked, it was also
825
99:59:59,999 --> 99:59:59,999
people of importance were getting
found out.
826
99:59:59,999 --> 99:59:59,999
Larkin: Right
Lenny: And I'm really pleased about that,
827
99:59:59,999 --> 99:59:59,999
and she felt threatened that I was saying
it also included
828
99:59:59,999 --> 99:59:59,999
a couple of doctors, that were nicked
for pedophilia.
829
99:59:59,999 --> 99:59:59,999
Larkin: You're not angry with her about
something in her report?
830
99:59:59,999 --> 99:59:59,999
Lenny: No, it wasn't anything with her,
it wasn't directed towards her
831
99:59:59,999 --> 99:59:59,999
it was directed towards the general idea
of pedophilia, cos you know I am
832
99:59:59,999 --> 99:59:59,999
a victim of pedophilia, for 9 years,
under the Home Office, when I was
833
99:59:59,999 --> 99:59:59,999
a child myself, and they've done
nothing, but- um, bury that fact.
834
99:59:59,999 --> 99:59:59,999
Cos I'm an offender. I am an offender,
and I admit that, I'm guilty of the crime
835
99:59:59,999 --> 99:59:59,999
that brought me to Broadmoor,
I threatened to kill a Section 12
836
99:59:59,999 --> 99:59:59,999
consultant psychiatrist, like you are,
with a machete.
837
99:59:59,999 --> 99:59:59,999
But, I'm not guilty of raping myself.
Larkin: Well-
838
99:59:59,999 --> 99:59:59,999
I think the issue is that you felt
nobody here was [crosstalk]
839
99:59:59,999 --> 99:59:59,999
Lenny: I was being tied up, right? Raped,
against my will, alcohol shoved down
840
99:59:59,999 --> 99:59:59,999
my throat, right, pacified, with- with all
kinds of medicines that belong to
841
99:59:59,999 --> 99:59:59,999
that person, you know, not me, so
that I would be pliable
842
99:59:59,999 --> 99:59:59,999
and agree to having sex, which I didn't
want to do, with a
843
99:59:59,999 --> 99:59:59,999
5 or 6 year-old boy, but 9 years
I was in the system itself, being-
844
99:59:59,999 --> 99:59:59,999
seeing psychologists at the same time
I'm being raped, and nobody did
845
99:59:59,999 --> 99:59:59,999
a single thing to help me. You are
offering me therapy, and I'm not
846
99:59:59,999 --> 99:59:59,999
angry at you- I'm not angry at anybody-
I'm angry at the people did what they did
847
99:59:59,999 --> 99:59:59,999
to me. And no one recognized that I
was a victim.
848
99:59:59,999 --> 99:59:59,999
Larkin: So, are we agreeing that you're
gonna meet with David
849
99:59:59,999 --> 99:59:59,999
about options for therapy for you as a
victim?
850
99:59:59,999 --> 99:59:59,999
Lenny: Yeah thank you very much Dr Larkin.
Larkin: You're welcome, okay.
851
99:59:59,999 --> 99:59:59,999
Lenny: Thank you. I got to keep- I'm
keeping trouble free- if I keep out of
852
99:59:59,999 --> 99:59:59,999
trouble for- for 12 weeks, they'll let me
work in the cafe?
853
99:59:59,999 --> 99:59:59,999
Larkin: Yes, you think you can do that?
854
99:59:59,999 --> 99:59:59,999
Lenny: Be hard, but I'll give it a try.
855
99:59:59,999 --> 99:59:59,999
Narrator: The most challenging patients
are housed here on Cranfield Ward.
856
99:59:59,999 --> 99:59:59,999
Any movement outside their rooms has to
be carefully planned.
857
99:59:59,999 --> 99:59:59,999
Violence is always near the surface.
858
99:59:59,999 --> 99:59:59,999
Patients are allowed, one by one, in the
yard, for limited periods.
859
99:59:59,999 --> 99:59:59,999
A patient doesn't want to return to
his room. [radio chatter]
860
99:59:59,999 --> 99:59:59,999
(Patient): [cursing, hooting, laughing]
861
99:59:59,999 --> 99:59:59,999
Staff: OK
862
99:59:59,999 --> 99:59:59,999
(Patient): [laughter continues]
863
99:59:59,999 --> 99:59:59,999
Staff: He's gearing for a fight.
864
99:59:59,999 --> 99:59:59,999
Narrator: His primary nurse, Moe, has
already given him an extra 30 minutes.
865
99:59:59,999 --> 99:59:59,999
[chatter]
866
99:59:59,999 --> 99:59:59,999
Moe: It's a planned intervention. To
relocate him to his room?
867
99:59:59,999 --> 99:59:59,999
Because um, his presentation dictates
that he could put up a fight.
868
99:59:59,999 --> 99:59:59,999
(Interviewer): Do you feel he's a bit
unstable at the moment?
869
99:59:59,999 --> 99:59:59,999
Moe: Yeah, very. Yeah.
870
99:59:59,999 --> 99:59:59,999
He's um... quite threatening and verbally
abusive at the moment. Yeah...
871
99:59:59,999 --> 99:59:59,999
Narrator: Moe puts on a camera, to record
872
99:59:59,999 --> 99:59:59,999
the planned intervention, in the event
of any violence.
873
99:59:59,999 --> 99:59:59,999
[chatter, dark music, patient laughing]
874
99:59:59,999 --> 99:59:59,999
(Patient): I want to stay out here, I'm
not coming in, more time, fuck off!
875
99:59:59,999 --> 99:59:59,999
Fuck off!
876
99:59:59,999 --> 99:59:59,999
Narrator: On the intensive care ward,
staff are preparing to move a
877
99:59:59,999 --> 99:59:59,999
reluctant patient back to his room,
from the yard.
878
99:59:59,999 --> 99:59:59,999
(Patient): Fucking release me! Fucking
release me man!
879
99:59:59,999 --> 99:59:59,999
Staff: I'm going home, and we are leaving
six people, so we need to go.
880
99:59:59,999 --> 99:59:59,999
(Patient): One, two, three, four, five,
six. It's a lot of people.
881
99:59:59,999 --> 99:59:59,999
Staff: Yeah we'll take it down, and six
of us will take you down.
882
99:59:59,999 --> 99:59:59,999
(Patient): [crazed laughter]
883
99:59:59,999 --> 99:59:59,999
Staff: Can we go, because we need to go
home?
884
99:59:59,999 --> 99:59:59,999
(Patient): Go home [unintelligible]
I'm not troubling you!
885
99:59:59,999 --> 99:59:59,999
Staff 2: You need to be ready now, cos we
are ready.
886
99:59:59,999 --> 99:59:59,999
Staff: Yeah turn around for us.
Staff 2: Turn around, turn around for us.
887
99:59:59,999 --> 99:59:59,999
Staff: Right.
Staff 2: Let's feed that hand to me,
888
99:59:59,999 --> 99:59:59,999
don't worry, do exactly what he says
889
99:59:59,999 --> 99:59:59,999
[chatter, beeping]
890
99:59:59,999 --> 99:59:59,999
Staff: Relax! Relax relax!
Staff 2: Relax, bring it inside.
891
99:59:59,999 --> 99:59:59,999
Narrator: The hospital has forbidden us
from showing this restraint procedure,
892
99:59:59,999 --> 99:59:59,999
even with the patient disguised, on the
grounds that he doesn't have
893
99:59:59,999 --> 99:59:59,999
the capacity to consent.
894
99:59:59,999 --> 99:59:59,999
His voice has been replaced by an actors.
895
99:59:59,999 --> 99:59:59,999
(Patient): Fuck off! Get off me!
[crosstalk]
896
99:59:59,999 --> 99:59:59,999
Narrator: Well-known for kicking staff,
the patient is asked to remove his shoes.
897
99:59:59,999 --> 99:59:59,999
As predicted, he lashes out.
898
99:59:59,999 --> 99:59:59,999
[shouting]
899
99:59:59,999 --> 99:59:59,999
The 8 staff members get the patient onto
the floor for everyone's safety.
900
99:59:59,999 --> 99:59:59,999
[echoing voices, shouts]
901
99:59:59,999 --> 99:59:59,999
They're outside his room. It's back on the
floor in a final maneuver
902
99:59:59,999 --> 99:59:59,999
to get him safely through the door.
903
99:59:59,999 --> 99:59:59,999
[staff issuing commands]
904
99:59:59,999 --> 99:59:59,999
Narrator: Once in the room, the patient
is placed on the bed,
905
99:59:59,999 --> 99:59:59,999
feet furthest from the door. Then one
nurse will keep hold of his legs,
906
99:59:59,999 --> 99:59:59,999
another his arms, and a third,
his head.
907
99:59:59,999 --> 99:59:59,999
(Patient): Sod off!
908
99:59:59,999 --> 99:59:59,999
Narrator: They let go and exit, one
by one.
909
99:59:59,999 --> 99:59:59,999
Staff: Release the legs.
910
99:59:59,999 --> 99:59:59,999
Narrator: The last to let go is holding
his head, and nearest to the door.
911
99:59:59,999 --> 99:59:59,999
[shouting]
912
99:59:59,999 --> 99:59:59,999
[slam]
913
99:59:59,999 --> 99:59:59,999
[chatter]
914
99:59:59,999 --> 99:59:59,999
Narrator: Whenever force has to be used,
staff take time out to reappraise.
915
99:59:59,999 --> 99:59:59,999
Moe: -had been verbally abusive and
threatening-
916
99:59:59,999 --> 99:59:59,999
(Staff): Are you okay?
Moe: -clenching his fist, swearing.
917
99:59:59,999 --> 99:59:59,999
The minute [unintelligible], you know
he's gonna fight.
918
99:59:59,999 --> 99:59:59,999
Staff: You can't predict these things, we
did our best to try and manage it,
919
99:59:59,999 --> 99:59:59,999
but the most important thing is that
everybody's safe and the
920
99:59:59,999 --> 99:59:59,999
procedures were followed very well, and
the patient himself is not harmed
921
99:59:59,999 --> 99:59:59,999
or injured. So, that's it then, guys.
Back to our jobs.
922
99:59:59,999 --> 99:59:59,999
[chatter, Moe sighs deeply]
923
99:59:59,999 --> 99:59:59,999
Narrator: On average, there are 5 physical
assaults a week on staff.
924
99:59:59,999 --> 99:59:59,999
Staff: I'm ok, just a scratch.
925
99:59:59,999 --> 99:59:59,999
Narrator: Including punching, kicking ,
throwing hot liquids, urine and feces.
926
99:59:59,999 --> 99:59:59,999
Some are serious enough to warrant the
hospital pursuing criminal charges.
927
99:59:59,999 --> 99:59:59,999
(Interviewer): Does that happen to you
a lot?
928
99:59:59,999 --> 99:59:59,999
Staff: Well, it's part of, you know-
(Staff 2:) Anyone at any time.
929
99:59:59,999 --> 99:59:59,999
Staff: Anyone at any time, mm. Obviously
you can see the their-
930
99:59:59,999 --> 99:59:59,999
their state. Their mental state is very
unstable. [laughs]
931
99:59:59,999 --> 99:59:59,999
Staff 3: Really, it was well managed. Cos
there are times you can get serious
932
99:59:59,999 --> 99:59:59,999
injury.
933
99:59:59,999 --> 99:59:59,999
(Interviewer): So Moe, is every day like
this for you?
934
99:59:59,999 --> 99:59:59,999
Moe: Sorry?
(Interviewer): Is every day like this for
935
99:59:59,999 --> 99:59:59,999
you?
Moe: Uhmmm
936
99:59:59,999 --> 99:59:59,999
Every other day.
937
99:59:59,999 --> 99:59:59,999
There are days when, um, the ward will
be very settled, patients are quiet,
938
99:59:59,999 --> 99:59:59,999
all will be in a happy mood, but
not all the time cos their
939
99:59:59,999 --> 99:59:59,999
mental state tends to subside a lot.
940
99:59:59,999 --> 99:59:59,999
(Interviewer): So you were right about him
though, weren't you?
941
99:59:59,999 --> 99:59:59,999
Moe: Yeah of course, actually I am his
primary nurse, so I know him.
942
99:59:59,999 --> 99:59:59,999
You know, you can tell, we can see
it's coming-
943
99:59:59,999 --> 99:59:59,999
It's about knowing your patients, we know
all of them.
944
99:59:59,999 --> 99:59:59,999
(Interviewer): So was he complaining about
how many of you there were there?
945
99:59:59,999 --> 99:59:59,999
He was counting, how many staff there
were.
946
99:59:59,999 --> 99:59:59,999
Moe: He knew that we are ready for action,
you know?
947
99:59:59,999 --> 99:59:59,999
Inasmuch as they are mentally ill, but
they are not stupid.
948
99:59:59,999 --> 99:59:59,999
Yeah, some of them, they know exactly
what they are doing. It's kind of
949
99:59:59,999 --> 99:59:59,999
like, pre-planned, 'I'm gonna get them'
and they look at the teams and say
950
99:59:59,999 --> 99:59:59,999
'Oh I think this is a weak team,' and then
they will go for it.
951
99:59:59,999 --> 99:59:59,999
[muffled screaming, keys rattling,
chatter]
952
99:59:59,999 --> 99:59:59,999
Narrator: Patients like these on Cranfield
can progress. They will eventually
953
99:59:59,999 --> 99:59:59,999
move on to other wards, and, with time,
even out of the hospital.
954
99:59:59,999 --> 99:59:59,999
Staff: You watching football or something?
The finals? You watching it.
955
99:59:59,999 --> 99:59:59,999
We'll bring you out to the
[unintelligible] so you can
956
99:59:59,999 --> 99:59:59,999
watch it live, yeah? Good man.
957
99:59:59,999 --> 99:59:59,999
[somber keyboard music]
♪Every day there is none for you ♪
958
99:59:59,999 --> 99:59:59,999
♪and every day we can start anew ♪
♪we've only got one chance in the world ♪
959
99:59:59,999 --> 99:59:59,999
♪together ♪
960
99:59:59,999 --> 99:59:59,999
♪make a dream come true ♪
♪hold on, and treasure your love ♪