1 00:00:06,242 --> 00:00:10,400 [Solemn music plays, noises of nature in background] 2 00:00:10,400 --> 00:00:14,303 Narrator: Broadmoor, a word that makes people shiver. 3 00:00:14,873 --> 00:00:17,673 Most think that Broadmoor is a prison, 4 00:00:17,673 --> 00:00:20,593 in fact it's a high secure psychiatric hospital, 5 00:00:20,593 --> 00:00:22,432 and home to some of the country's most 6 00:00:22,432 --> 00:00:24,532 dangerous and violent offenders. 7 00:00:24,532 --> 00:00:28,910 [Gate unlocking, mechanical noises] 8 00:00:28,910 --> 00:00:32,030 After five years of negotiation, and for the 9 00:00:32,030 --> 00:00:34,462 very first time, the hospital has allowed 10 00:00:34,462 --> 00:00:38,520 cameras in to meet the men who live behind these walls. 11 00:00:38,520 --> 00:00:45,004 [unintelligible yelling, sound of something slamming] 12 00:00:45,004 --> 00:00:48,340 [Running footsteps, keys jangling] 13 00:00:48,340 --> 00:00:51,694 [more yelling and sounds of a struggle] 14 00:00:51,694 --> 00:00:53,884 [door slams] 15 00:00:53,884 --> 00:00:56,264 [footsteps echo in the hallway] 16 00:00:56,264 --> 00:00:58,684 Inmate: Broadmoores got this, this history 17 00:00:58,684 --> 00:01:01,250 about people being all these monsters here basically. 18 00:01:01,250 --> 00:01:03,110 But you can be violent, and it don't 19 00:01:03,110 --> 00:01:04,991 mean you're a bad person, cos sometimes 20 00:01:04,991 --> 00:01:06,751 you don't....you're not intendin' it. 21 00:01:06,751 --> 00:01:09,261 Over radio: Hello Bravo one, two, and go. 22 00:01:09,261 --> 00:01:11,121 Over radio: One going to the 23 00:01:11,121 --> 00:01:13,981 [ unintelligible] all radio. Alpha four. 24 00:01:13,981 --> 00:01:14,821 Over. 25 00:01:15,518 --> 00:01:18,134 Man in Tan Suit: The easiest reaction in the world is to 26 00:01:18,134 --> 00:01:20,136 see somebody that has committed something 27 00:01:20,136 --> 00:01:22,630 atrocious, label them as evil, want to 28 00:01:22,630 --> 00:01:24,766 lock the door and throw away the key. 29 00:01:26,200 --> 00:01:29,916 Daniel: I've probably actually never said the words of what I've actually done. 30 00:01:29,916 --> 00:01:33,483 I've never admitted it. Still just a blur in my head 31 00:01:34,683 --> 00:01:36,533 [knocking on door] 32 00:01:37,434 --> 00:01:39,324 Inmate: I've got born into this Italian 33 00:01:39,324 --> 00:01:42,364 family. Very, very violent. In some cases 34 00:01:42,364 --> 00:01:44,279 it would have been better to have killed 35 00:01:44,279 --> 00:01:46,373 me than to have allowed me to have this 36 00:01:46,373 --> 00:01:49,294 abominable life that I've had. 37 00:01:50,476 --> 00:01:53,776 [keys rattling, chatter 38 00:01:53,979 --> 00:01:56,409 Narrator: With unprecedented access, and 39 00:01:56,409 --> 00:01:58,739 filmed over a year, this series reveals 40 00:01:58,739 --> 00:02:01,039 the secrets of life inside Britain's most 41 00:02:01,039 --> 00:02:03,429 notorious institution. 42 00:02:03,429 --> 00:02:07,779 [Bell rings] 43 00:02:07,779 --> 00:02:13,999 [Solemn music] 44 00:02:14,040 --> 00:02:16,080 Narrator: Broadmoor is perched above the 45 00:02:16,080 --> 00:02:18,260 Berkshire village of Crowthorne. Just 40 46 00:02:18,260 --> 00:02:20,680 miles from the center of London. 47 00:02:22,290 --> 00:02:24,510 When people think of Broadmoore they think of 48 00:02:24,510 --> 00:02:26,670 Ronny Kray, Peter Sutcliffe, Robert 49 00:02:26,670 --> 00:02:28,610 Napper, and Kenneth Erskine. Some of the 50 00:02:28,610 --> 00:02:30,640 most dangerous killers the country has 51 00:02:30,640 --> 00:02:31,951 ever known. 52 00:02:33,209 --> 00:02:35,529 Inmate: The public perceive this place as 'Oh, 53 00:02:35,529 --> 00:02:37,569 that's where the Yorkshire Ripper's locked 54 00:02:37,569 --> 00:02:39,789 up, that's Rachel Nickell's killers locked up' 55 00:02:39,789 --> 00:02:43,539 Broadmoor is an institution of lots of 56 00:02:43,539 --> 00:02:46,629 people. We're not all rapist pedophiles, 57 00:02:46,629 --> 00:02:50,629 or murderers. There is people in here for 58 00:02:50,629 --> 00:02:54,629 self-harming in prison, there's people in 59 00:02:54,629 --> 00:02:57,968 here for buggery who've then gotten in a prison, 60 00:02:57,968 --> 00:03:00,949 and there's people in here for very very evil things. 61 00:03:01,609 --> 00:03:03,679 and it brushes with all the same brush 62 00:03:03,679 --> 00:03:05,358 which they shouldn't do. 63 00:03:05,358 --> 00:03:09,358 [loud string crescendo] 64 00:03:09,542 --> 00:03:11,942 Narrator: First built as a victorian lunatic asylum 65 00:03:11,942 --> 00:03:13,377 for the criminally insane, 66 00:03:13,830 --> 00:03:16,310 today Broadmoor is an NHS hospital. 67 00:03:17,881 --> 00:03:21,171 Over its 150 year history, it's been a secretive 68 00:03:21,171 --> 00:03:23,871 and mysterious institution. 69 00:03:25,007 --> 00:03:27,277 Staff are under strict instructions not to 70 00:03:27,277 --> 00:03:30,207 discuss patients outside the hospital walls. 71 00:03:32,419 --> 00:03:35,569 [clicking as items are placed on conveyer and beeping of machinery] 72 00:03:35,569 --> 00:03:37,769 Many won't even admit to working here. 73 00:03:37,769 --> 00:03:41,209 Staff Member: Close, close family members know that, obviously, where we 74 00:03:41,209 --> 00:03:43,781 work. But if we're in a normal mainstream 75 00:03:43,781 --> 00:03:45,837 than you would, you would probably say you 76 00:03:45,837 --> 00:03:47,773 work in the hospital or something. Don't 77 00:03:47,773 --> 00:03:49,663 really talk about the place. 78 00:03:49,663 --> 00:03:52,683 Staff 2: Listen, if you said that you worked here, ah boy, you'd 79 00:03:52,683 --> 00:03:54,193 just spend the whole of a day, 80 00:03:54,193 --> 00:03:57,146 or the afternoon, with a barrage of questions about the place. 81 00:03:57,146 --> 00:03:59,466 So, it's just easy to say you work for the NHS. 82 00:04:00,753 --> 00:04:02,053 Narrator: They're told not to share 83 00:04:02,053 --> 00:04:03,515 personal information with the patients 84 00:04:03,515 --> 00:04:05,770 either, and to leave their private lives 85 00:04:05,770 --> 00:04:08,766 along with their possessions, at the front door. 86 00:04:12,407 --> 00:04:14,847 Broadmoor's most notorious patients, 87 00:04:14,847 --> 00:04:16,820 like Peter Sutcliffe and Kenneth Erskine, 88 00:04:16,820 --> 00:04:20,820 have chosen not to participate. 89 00:04:21,560 --> 00:04:23,380 But many of the men here have been front 90 00:04:23,380 --> 00:04:26,378 page news and are vilified by society. 91 00:04:26,801 --> 00:04:28,451 This is the first time they've been 92 00:04:28,451 --> 00:04:30,481 allowed to tell their stories. 93 00:04:30,698 --> 00:04:31,898 Alex: I've everything from taking 94 00:04:31,898 --> 00:04:35,189 hostages, multiple hostage taking, stabbings, 95 00:04:35,189 --> 00:04:38,043 ya' know. Uhhhh... multiple assaults, violent 96 00:04:38,043 --> 00:04:40,736 assaults, fire setting off. I set a whole 97 00:04:40,736 --> 00:04:43,496 stammers a fire in a hospital. A 98 00:04:43,496 --> 00:04:45,356 psychiatric hospital, the first one I 99 00:04:45,356 --> 00:04:47,626 ever went to. Umm.. yeah. Just mainly 100 00:04:47,626 --> 00:04:50,566 violence and whatnot. My history is mainly 101 00:04:50,566 --> 00:04:52,876 violence. 102 00:04:53,020 --> 00:04:55,710 Narrator: Broadmoor's 200 patients are all 103 00:04:55,710 --> 00:04:57,830 men suffering from mental disorders. 104 00:04:58,641 --> 00:05:01,351 They're classified as vulnerable adults 105 00:05:01,351 --> 00:05:03,411 and only those who have Capacity to 106 00:05:03,411 --> 00:05:05,761 Give Consent have been allowed to talk to 107 00:05:05,761 --> 00:05:06,191 us. 108 00:05:07,138 --> 00:05:10,188 Their faces have been blurred to 109 00:05:10,188 --> 00:05:11,825 protect their identities 110 00:05:16,225 --> 00:05:18,454 [Door closing] 111 00:05:18,454 --> 00:05:19,774 Female Voice: What are you like when 112 00:05:19,774 --> 00:05:21,274 you're not on medication? 113 00:05:21,274 --> 00:05:22,534 Alex: Ummm...I'm quite a nasty 114 00:05:22,534 --> 00:05:24,854 person. I'm quite violent, I'm very 115 00:05:24,854 --> 00:05:28,234 violent in most-most circumstances. Very 116 00:05:28,234 --> 00:05:30,404 antisocial. I don't like spending time 117 00:05:30,404 --> 00:05:33,174 with people. I'm paranoid. I'm, uh, very 118 00:05:33,174 --> 00:05:35,354 paranoid. stammers Every person around, 119 00:05:35,354 --> 00:05:37,534 I'm thinking 'what's their intention?' I 120 00:05:37,534 --> 00:05:38,774 come to that, sometimes I come very close 121 00:05:38,774 --> 00:05:41,024 to attacking people because I'm thinking 122 00:05:41,024 --> 00:05:42,755 that they're going to do something to me 123 00:05:42,755 --> 00:05:45,500 and I don't want to get hurt first. Uh, 124 00:05:45,500 --> 00:05:47,385 um..I remember one time when I'm off 125 00:05:47,385 --> 00:05:50,261 medication, spent 11 months locked in a 126 00:05:50,261 --> 00:05:52,221 cell. Segregated, due to the fact that I 127 00:05:52,221 --> 00:05:54,441 was too dangerous to come out. 128 00:05:55,581 --> 00:05:57,361 Narrator: 24 year old Alex arrived at 129 00:05:57,361 --> 00:06:00,451 Broadmoor 7 months ago. He was serving a 130 00:06:00,451 --> 00:06:02,781 life sentence in a dedicated prison unit 131 00:06:02,781 --> 00:06:05,481 for highly dangerous prisoners. 132 00:06:05,481 --> 00:06:07,991 They could no longer manage him. 133 00:06:08,139 --> 00:06:09,419 Alex: When I was younger, we would 134 00:06:09,419 --> 00:06:12,656 chase a seagull all round the council estate, with a box, cos it- 135 00:06:13,630 --> 00:06:15,870 Narrator: Now in an admissions ward he's 136 00:06:15,870 --> 00:06:17,450 been diagnosed with mental illness and 137 00:06:17,450 --> 00:06:19,370 personality disorder and put on 138 00:06:19,370 --> 00:06:20,870 medication. 139 00:06:20,870 --> 00:06:24,217 One of his symptoms is auditory hallucinations. 140 00:06:24,217 --> 00:06:25,870 He hears voices. 141 00:06:25,870 --> 00:06:27,690 Alex: Oh, I was doing a fruit salad 142 00:06:27,690 --> 00:06:29,044 the other day for an assessment. That's 143 00:06:29,044 --> 00:06:31,029 when they do this assessment from 144 00:06:31,029 --> 00:06:34,160 personal motor, motor skills. 145 00:06:34,160 --> 00:06:36,030 It's like for learning disability. 146 00:06:36,030 --> 00:06:37,180 And....Umm... 147 00:06:37,180 --> 00:06:38,260 I was cutting a mango 148 00:06:38,260 --> 00:06:39,910 and I have never, I've never used a sharp knife. 149 00:06:39,910 --> 00:06:41,430 In the seven years I've been away 150 00:06:41,430 --> 00:06:42,600 I've not used a sharp knife 151 00:06:42,600 --> 00:06:44,190 and I was shaking. Literally. 152 00:06:44,190 --> 00:06:46,710 I nearly cut my fingers off cos 153 00:06:46,710 --> 00:06:48,670 the voices were telling me to attack the 154 00:06:48,670 --> 00:06:50,430 people in the room, with the knife. 155 00:06:50,430 --> 00:06:52,310 And, like, they were goading me into it, 156 00:06:52,310 --> 00:06:53,155 and I thought ' I can't do that. 157 00:06:53,155 --> 00:06:53,810 I can't do that. 158 00:06:53,810 --> 00:06:55,820 and so I managed to finish fruit, the 159 00:06:55,820 --> 00:06:57,820 fruit salad, and I thought 'Wow like, what 160 00:06:57,820 --> 00:07:00,360 achievement'. Cos mostly stammers a 161 00:07:00,360 --> 00:07:01,960 year ago, two years ago, my emotions 162 00:07:01,960 --> 00:07:02,820 would have done it. 163 00:07:02,820 --> 00:07:04,810 Ya know? 164 00:07:05,158 --> 00:07:10,358 [unintelligible speaking] 165 00:07:10,358 --> 00:07:11,798 Man in Sweater: No. We'll clean it 166 00:07:11,798 --> 00:07:14,028 afterwards. We want to give you 167 00:07:14,028 --> 00:07:15,458 bedding for now, yeah? 168 00:07:17,064 --> 00:07:18,984 Narrator: This is Cranfield, the 169 00:07:18,984 --> 00:07:22,154 intensive care ward. Home to the hospital's 170 00:07:22,154 --> 00:07:25,424 most acute mentally ill patients. 171 00:07:25,475 --> 00:07:28,068 [door shutting, keys jangling, people 172 00:07:28,068 --> 00:07:33,015 speaking unintelligibly] 173 00:07:33,501 --> 00:07:35,261 Female Voice: Hi, can we come in and 174 00:07:35,261 --> 00:07:36,841 talk to you, yeah? 175 00:07:36,841 --> 00:07:39,111 Man in Sweater: Sit on the bed for us 176 00:07:39,111 --> 00:07:40,881 Narrator: Any contact with them has to be 177 00:07:40,881 --> 00:07:43,521 carefully planned and executed. 178 00:07:43,521 --> 00:07:45,981 This is a six person unlock. 179 00:07:45,981 --> 00:07:48,131 The door to this patients room can only be 180 00:07:48,131 --> 00:07:52,131 opened with six staff present. 181 00:07:53,439 --> 00:07:55,001 Man in Glasses: There is always the risk 182 00:07:55,001 --> 00:07:57,304 of violence towards others, you 183 00:07:57,304 --> 00:07:59,304 have to accept that with chronic mental 184 00:07:59,304 --> 00:08:01,474 illness and they will be very disturbed 185 00:08:01,474 --> 00:08:03,224 throughout the day, but you have to 186 00:08:03,224 --> 00:08:04,824 learn to work with that. 187 00:08:04,824 --> 00:08:09,514 [person sobbing] 188 00:08:09,514 --> 00:08:11,684 My focus in working with this guys is 189 00:08:11,684 --> 00:08:13,744 actually telling them that they are here 190 00:08:13,744 --> 00:08:15,232 not because of the illness, they 191 00:08:15,232 --> 00:08:16,552 are here because of violence. 192 00:08:16,552 --> 00:08:18,782 And they only progress from here 193 00:08:18,782 --> 00:08:21,022 if there's a reduction in that violence. 194 00:08:21,022 --> 00:08:22,862 So that message, you know. 195 00:08:22,862 --> 00:08:25,402 It might take time, but gradually 196 00:08:25,402 --> 00:08:27,222 over a period of time, is that 197 00:08:27,222 --> 00:08:28,297 going through. 198 00:08:28,297 --> 00:08:33,047 [keys jangling, unintelligible talking in background] 199 00:08:33,047 --> 00:08:34,737 Narrator: On this ward, even the most 200 00:08:34,737 --> 00:08:36,856 routine tasks run a risk of violence and 201 00:08:36,856 --> 00:08:39,266 involve a protocol. 202 00:08:40,245 --> 00:08:42,141 This patient has asked for a drink. 203 00:08:43,159 --> 00:08:45,609 Man in White: Just give us a minute trails off 204 00:08:45,872 --> 00:08:47,572 [unintelligible] 205 00:08:47,572 --> 00:08:49,072 Shukran. Shukran 206 00:08:49,072 --> 00:08:51,870 Shukran means thank you, right? 207 00:08:51,870 --> 00:08:54,030 You know, you taught me all this. 208 00:08:57,127 --> 00:08:59,647 laughs 209 00:08:59,701 --> 00:09:10,141 [unintelligible speaking] 210 00:09:11,765 --> 00:09:13,925 Inmate: [unintelligible] give me some more? 211 00:09:14,467 --> 00:09:15,937 Man in White: [unintelligible response] 212 00:09:18,227 --> 00:09:19,187 Thank you! 213 00:09:20,612 --> 00:09:21,402 Female voice: Thank you guys. 214 00:09:24,970 --> 00:09:26,980 Narrator: Life in Broadmoor can be a game 215 00:09:26,980 --> 00:09:28,094 of snakes and ladders. 216 00:09:28,646 --> 00:09:30,636 With patients moving between the hospitals 217 00:09:30,636 --> 00:09:31,956 15 wards according to their 218 00:09:31,956 --> 00:09:33,096 mental state. 219 00:09:34,779 --> 00:09:36,880 [door closing] 220 00:09:38,203 --> 00:09:39,923 Patients who have responded to treatment 221 00:09:39,923 --> 00:09:41,798 can progress to one of the hospital's 222 00:09:41,798 --> 00:09:43,348 Assertive Rehab Wards, where 223 00:09:43,348 --> 00:09:44,998 they're given greater freedom. 224 00:09:47,384 --> 00:09:49,274 Daniel is one of 12 patients on this ward. 225 00:09:50,930 --> 00:09:52,886 Daniel: I've been here five years. 226 00:09:52,886 --> 00:09:54,556 Luckily I never went to a high dependency 227 00:09:54,556 --> 00:09:56,236 ward, I came straight to rehab. 228 00:09:56,813 --> 00:09:59,783 And, to be honest, it's been... 229 00:09:59,783 --> 00:10:01,473 I wouldn't use the word wonderful... 230 00:10:01,473 --> 00:10:03,493 Cos eh... it's not wonderful. 231 00:10:03,493 --> 00:10:05,053 But, I've been grateful basically 232 00:10:05,053 --> 00:10:06,246 to come here. 233 00:10:07,739 --> 00:10:09,759 In my spare time I try and engage 234 00:10:09,759 --> 00:10:10,834 in artwork mostly. 235 00:10:10,834 --> 00:10:12,824 This was the, uh... my first real attempt 236 00:10:12,824 --> 00:10:15,444 at an actual portrait. All done completely 237 00:10:15,444 --> 00:10:19,724 in graphite, and then I moved on to using 238 00:10:19,724 --> 00:10:22,234 charcoal along with, uh.. graphite. 239 00:10:22,270 --> 00:10:24,600 And the charcoal allows you to, to have 240 00:10:24,600 --> 00:10:27,330 so much more...uhhh...depth in the tonal quality. 241 00:10:28,498 --> 00:10:31,221 And then, yeah....I did a self-portrait. 242 00:10:31,221 --> 00:10:33,321 The whole, the whole picture was a 243 00:10:33,321 --> 00:10:35,051 statement about when I got locked up, 244 00:10:35,051 --> 00:10:37,241 when I was 14 and I'm now 24. 245 00:10:37,241 --> 00:10:41,241 This is me at 24, but uh, that's me..... 246 00:10:41,241 --> 00:10:45,241 back then...sort of thing.... 247 00:10:45,834 --> 00:10:48,484 Narrator: Mental Disorder is no respecter 248 00:10:48,484 --> 00:10:50,643 of class or education. 249 00:10:51,180 --> 00:10:53,270 Daniel was a 14 year old boy at a 250 00:10:53,270 --> 00:10:55,624 mainstream school, and no one anticipated 251 00:10:55,624 --> 00:10:58,194 the violence of his attack.... 252 00:10:58,194 --> 00:11:00,114 on his own family. 253 00:11:06,397 --> 00:11:10,397 [Heavy guitar riff] 254 00:11:11,817 --> 00:11:13,919 All of the men in Broadmoor present a 255 00:11:13,919 --> 00:11:15,958 grave and immediate risk to the public. 256 00:11:15,958 --> 00:11:18,538 And many have committed violent crimes. 257 00:11:18,758 --> 00:11:21,798 From arson, to torture, rape and murder. 258 00:11:23,246 --> 00:11:25,516 Unlike a prison sentence, they have no 259 00:11:25,516 --> 00:11:27,101 release date. 260 00:11:28,927 --> 00:11:30,737 Daniel: I've been a bit of a conundrum 261 00:11:30,737 --> 00:11:32,237 for the psychologists. 262 00:11:32,237 --> 00:11:34,007 And I've have, I've had about nine different 263 00:11:34,007 --> 00:11:36,987 diagnoses from thirty different doctors. 264 00:11:36,987 --> 00:11:38,967 I've had seminars about me done, 265 00:11:38,967 --> 00:11:40,567 I've had people wanting to write books about me, 266 00:11:40,567 --> 00:11:42,607 just because of the unusuallity of 267 00:11:42,607 --> 00:11:46,847 my offense, and my age, and what happened... 268 00:11:46,847 --> 00:11:48,467 I mean, my family are my saving grace 269 00:11:48,467 --> 00:11:49,541 to be honest here. They, they, 270 00:11:49,541 --> 00:11:51,591 they're hugely...hugely supportive. 271 00:11:51,591 --> 00:11:54,381 And what's even more amazing is that my offense 272 00:11:54,381 --> 00:11:56,471 was actually orientated against my family. 273 00:11:56,471 --> 00:11:59,491 So I think...so the fact.... and, and, what a 274 00:11:59,491 --> 00:12:02,201 lot of people see is that, when a family 275 00:12:02,201 --> 00:12:03,551 member has committed an offense against 276 00:12:03,551 --> 00:12:07,328 a family member they often... dis-disown them. 277 00:12:07,328 --> 00:12:09,673 So it think it's...it's too much for the family. 278 00:12:09,673 --> 00:12:12,743 But, they-they, have told me that they swore 279 00:12:12,743 --> 00:12:14,703 they'd stay by me when they, when I was 280 00:12:14,703 --> 00:12:16,143 christened, and they have. So I think, 281 00:12:16,143 --> 00:12:16,643 ya know... 282 00:12:16,643 --> 00:12:19,684 They've always-they've always agreed I've had Aspergers. 283 00:12:19,684 --> 00:12:21,443 One of the problems I have is I'm 284 00:12:21,443 --> 00:12:23,576 not very good at understanding emotions. 285 00:12:23,576 --> 00:12:26,686 Or...if I have a...if I'm feeling something 286 00:12:26,686 --> 00:12:28,986 I don't always understand what it is that 287 00:12:28,986 --> 00:12:29,618 I'm feeling. 288 00:12:29,618 --> 00:12:32,808 But if I can draw it, I can get out these 289 00:12:32,808 --> 00:12:35,258 angry feelings, or these frustrations of 290 00:12:35,258 --> 00:12:38,008 being locked up, or guilt, or remorse. 291 00:12:38,008 --> 00:12:40,638 All these, all these negative feelings I 292 00:12:40,638 --> 00:12:43,528 can channel through this imaginative artworks. 293 00:12:44,348 --> 00:12:49,388 [background talking, lunch bags rustle] 294 00:12:49,388 --> 00:12:50,974 Daniel: I've probably never actually said 295 00:12:50,974 --> 00:12:52,404 the words of what I actually done. 296 00:12:52,404 --> 00:12:54,034 I've never admitted it. 297 00:12:56,826 --> 00:12:59,734 Because I still, I still get flashbacks. 298 00:12:59,734 --> 00:13:01,204 It's mainly guilt. 299 00:13:01,204 --> 00:13:03,724 I still-I still struggle to bring it to mind 300 00:13:03,724 --> 00:13:06,214 It's still just a blur in my head. 301 00:13:06,214 --> 00:13:08,464 I've done such a terrible thing. Thats one 302 00:13:08,464 --> 00:13:11,004 of the things that I've got to got to come 303 00:13:11,004 --> 00:13:13,234 to terms with eventually is that I've 304 00:13:13,234 --> 00:13:17,234 done this, it's happened, and it WILL be 305 00:13:17,234 --> 00:13:19,334 with me forever. 306 00:13:20,473 --> 00:13:22,833 Narrator: We're not allowed to reveal the 307 00:13:22,833 --> 00:13:24,660 details of Daniel's offense. 308 00:13:25,243 --> 00:13:26,553 Man in Suit: Okay 309 00:13:26,553 --> 00:13:27,243 Daniel: Umm, the other thing I was 310 00:13:27,243 --> 00:13:29,093 wondering about was, I sort of get 311 00:13:29,093 --> 00:13:32,783 problems of fine motor control and spatial awareness, 312 00:13:32,783 --> 00:13:35,753 and like bumping into things, and dropping 313 00:13:35,753 --> 00:13:36,886 things a lot. 314 00:13:37,178 --> 00:13:39,558 Man in Suit: As you're saying it's not one of 315 00:13:39,558 --> 00:13:41,638 the most common side effect. In fact, the 316 00:13:41,638 --> 00:13:42,908 opposite....[trails off] 317 00:13:42,908 --> 00:13:44,508 Narrator: Daniel is taking medication and 318 00:13:44,508 --> 00:13:46,554 undergoing psychological therapy. 319 00:13:46,554 --> 00:13:48,866 These, together with everyday interaction 320 00:13:48,866 --> 00:13:51,166 with staff are the cornerstones of 321 00:13:51,166 --> 00:13:52,666 the treatment here. 322 00:13:52,666 --> 00:13:54,796 Man in Suit: Have you noticed any benefit? 323 00:13:54,796 --> 00:13:56,266 Daniel: I don't really know what it is 324 00:13:56,266 --> 00:13:57,206 I'm looking for. 325 00:13:57,206 --> 00:13:58,726 Man in Suit: I have noticed a difference 326 00:13:58,726 --> 00:14:01,486 in you, not within the last week, but 327 00:14:01,486 --> 00:14:03,816 certainly over the last three months. I 328 00:14:03,816 --> 00:14:06,016 think that you are much more able to 329 00:14:06,016 --> 00:14:08,616 spend longer time with people in one to 330 00:14:08,616 --> 00:14:09,796 one situations. 331 00:14:09,909 --> 00:14:14,039 [ducks quack, somber music] 332 00:14:14,259 --> 00:14:16,579 Narrator: Broadmoor can feel like a ghost 333 00:14:16,579 --> 00:14:19,090 town. Patients can only move at certain 334 00:14:19,090 --> 00:14:21,714 times and in certain configurations. 335 00:14:22,110 --> 00:14:24,740 Their cameras record where each patient is 336 00:14:24,740 --> 00:14:26,240 at any given moment. 337 00:14:26,240 --> 00:14:30,670 [Radio Chatter] 338 00:14:30,869 --> 00:14:33,489 The control room ensures that incompatible 339 00:14:33,489 --> 00:14:35,765 patients, do not collide. 340 00:14:36,011 --> 00:14:40,611 [Radio Chatter] 341 00:14:41,197 --> 00:14:43,842 Patients who are well enough, leave their 342 00:14:43,842 --> 00:14:46,962 wards to go to work, study, and even once 343 00:14:46,962 --> 00:14:49,613 a week go shopping. It's strangely like a 344 00:14:49,613 --> 00:14:51,393 village. 345 00:14:51,393 --> 00:15:01,353 Inmate: You got any wine gums? Wine gums? No wine gums or nothing? 346 00:15:01,859 --> 00:15:02,859 Is this a shop or not? 347 00:15:03,365 --> 00:15:08,396 Shopkeeper Whats going on? You sure it's okay? 348 00:15:08,396 --> 00:15:09,886 [indistinct response] 349 00:15:09,886 --> 00:15:10,327 Shopkeeper: Good. 350 00:15:13,488 --> 00:15:15,872 Narrator: The freedom to shop is a 351 00:15:15,872 --> 00:15:18,352 mixed blessing. One of the side effects 352 00:15:18,352 --> 00:15:21,482 of medication is increased appetite 353 00:15:21,482 --> 00:15:25,282 and many patients are severely overweight. 354 00:15:25,456 --> 00:15:29,736 [indistinct talking] 355 00:15:29,906 --> 00:15:32,716 However normal it feels, the reminder of 356 00:15:32,716 --> 00:15:34,695 the threat of violence is ever-present. 357 00:15:35,478 --> 00:15:37,924 Searches looking for potential weapons 358 00:15:37,924 --> 00:15:40,803 are carried out before any patient movement. 359 00:15:41,399 --> 00:15:43,409 Hospital Staff: This is stuff that we've 360 00:15:43,409 --> 00:15:46,617 retrieved from patients. I think this is 361 00:15:46,617 --> 00:15:49,727 just, what used to be a CD and its been 362 00:15:49,727 --> 00:15:52,297 broken up into shards. It can be used as a 363 00:15:52,297 --> 00:15:54,167 blade, even for self harming. 364 00:15:54,167 --> 00:15:56,605 In fact, we don't use the CDs here anymore. 365 00:15:56,678 --> 00:15:59,128 We've got spoons and forks that have been 366 00:15:59,128 --> 00:16:01,597 sharpened off on the edge. So a normal 367 00:16:01,597 --> 00:16:04,327 teaspoon-plastic spoon-which is quite innocent 368 00:16:04,327 --> 00:16:06,807 to you and I, has been fashioned off and 369 00:16:06,807 --> 00:16:09,108 can be used as a potential weapon to stab. 370 00:16:09,108 --> 00:16:11,458 It's an example of how vigilant we have to 371 00:16:11,458 --> 00:16:13,052 be with everyday items. 372 00:16:14,078 --> 00:16:15,078 [radio chatter] 373 00:16:16,105 --> 00:16:18,531 Alex: I've done a lot of self harming, as 374 00:16:18,531 --> 00:16:21,681 you can see. I've cut my own throat a couple 375 00:16:21,681 --> 00:16:24,511 of times. I've cut my throat like four 376 00:16:24,511 --> 00:16:27,421 times I think. Umm funny enough, I think 377 00:16:27,421 --> 00:16:29,256 It was like five weeks before I come here, 378 00:16:29,256 --> 00:16:32,426 I hung myself and they had to do CPR 379 00:16:32,426 --> 00:16:33,416 on me in the cell. 380 00:16:33,416 --> 00:16:34,576 Like, you know? 381 00:16:36,932 --> 00:16:39,332 I was sexually abused when I was a child 382 00:16:39,332 --> 00:16:41,712 and that had an affect on my behavior, 383 00:16:41,712 --> 00:16:43,332 on my mental state. 384 00:16:43,332 --> 00:16:44,902 I couldn't sleep at night, and the rest 385 00:16:44,902 --> 00:16:46,352 of it...I was, you know... 386 00:16:46,352 --> 00:16:48,132 Basically everything that you go through 387 00:16:48,132 --> 00:16:49,952 when you've had a traumatic situation 388 00:16:49,952 --> 00:16:51,195 like I did. 389 00:16:52,245 --> 00:16:54,232 I think as well as being here, 390 00:16:54,232 --> 00:16:55,822 I said to my mum 'this feels like the 391 00:16:55,822 --> 00:16:58,111 best I've ever been in ten years.' 392 00:17:01,485 --> 00:17:03,745 Man in Tan Suit: Patients that come here, 393 00:17:03,745 --> 00:17:05,851 they will have perpetrated, often, 394 00:17:05,851 --> 00:17:08,691 horrendous crimes. But, they are also 395 00:17:08,691 --> 00:17:12,791 victims. It is very easy to see somebody 396 00:17:12,791 --> 00:17:14,981 as either the perpetrator or the victim. 397 00:17:14,981 --> 00:17:17,399 It is much more difficult to understand 398 00:17:17,399 --> 00:17:19,889 that somebody might be both. 399 00:17:19,949 --> 00:17:22,049 [squirrel chatters] 400 00:17:22,049 --> 00:17:29,029 [loud drumming and incoherent yelling] 401 00:17:29,396 --> 00:17:31,776 Narrator: Patients from different wards 402 00:17:31,776 --> 00:17:33,347 meet in certain events. 403 00:17:33,538 --> 00:17:35,198 (Neita): Hi, first of all, thank 404 00:17:35,198 --> 00:17:36,641 you for giving up your time. I know you 405 00:17:36,641 --> 00:17:38,761 could be doing other things, I know 406 00:17:38,761 --> 00:17:40,461 you have different [trails off] 407 00:17:40,461 --> 00:17:42,551 Narrator: Todays a diversity workshop and 408 00:17:42,551 --> 00:17:45,421 Poet and Lawyer Dave Neita is encouraging 409 00:17:45,421 --> 00:17:47,418 them to celebrate their different cultures. 410 00:17:47,481 --> 00:17:49,791 Neita: Today I invite you to speak 411 00:17:49,791 --> 00:17:52,691 about your own culture, but before 412 00:17:52,691 --> 00:17:54,661 that we're going to have lunch. 413 00:17:55,755 --> 00:17:58,685 But most of them are celebrating lunch. 414 00:17:59,190 --> 00:18:03,190 [drums continue] 415 00:18:03,190 --> 00:18:05,650 With no alcohol or tobacco allowed, food 416 00:18:05,650 --> 00:18:08,210 is the only thing they have free reign over. 417 00:18:08,365 --> 00:18:13,785 [drums in background] 418 00:18:14,725 --> 00:18:16,215 Alex: My mum's Italian and my dad's from 419 00:18:16,215 --> 00:18:17,215 a little island in Africa 420 00:18:17,215 --> 00:18:20,922 and I'd like to say that being multicultural 421 00:18:20,922 --> 00:18:24,622 It helps. It's good. It's nice to be different. 422 00:18:24,622 --> 00:18:26,492 Because different is what we need. We 423 00:18:26,492 --> 00:18:29,142 don't want everyone the same. And that's it. 424 00:18:31,001 --> 00:18:34,540 Declan: How'd I end up in here? Umm 425 00:18:34,540 --> 00:18:36,740 they said they had a spare bed so I 426 00:18:36,740 --> 00:18:38,950 thought 'I've been in children's homes, 427 00:18:38,950 --> 00:18:40,939 I've been in secure units, I've been in prison. 428 00:18:40,939 --> 00:18:43,293 The only place I haven't been is Broadmoor. 429 00:18:43,293 --> 00:18:45,203 So I thought I'd come along. 430 00:18:45,203 --> 00:18:47,813 [laughs] 431 00:18:47,813 --> 00:18:48,753 [drumming] 432 00:18:48,753 --> 00:18:50,993 Narrator: Now 26, Declan was put 433 00:18:50,993 --> 00:18:52,773 into care at the age of nine. 434 00:18:52,773 --> 00:18:54,983 Declan: I remember the day that my 435 00:18:54,983 --> 00:18:57,193 mum took me to this office. I sat there 436 99:59:59,999 --> 99:59:59,999 on a chair, and the next minute she just 437 99:59:59,999 --> 99:59:59,999 left. She went 'your not coming with me'. 438 99:59:59,999 --> 99:59:59,999 A social worker come out and she went 439 99:59:59,999 --> 99:59:59,999 'alright, you got to come with me'. 440 99:59:59,999 --> 99:59:59,999 I went to children's homes, foster homes. 441 99:59:59,999 --> 99:59:59,999 I kept running away, cause' I got abused 442 99:59:59,999 --> 99:59:59,999 when I was in the children home. By the 443 99:59:59,999 --> 99:59:59,999 staff. Sexually and physical. And umm I 444 99:59:59,999 --> 99:59:59,999 think it was like, no one would actually 445 99:59:59,999 --> 99:59:59,999 listen to me. 446 99:59:59,999 --> 99:59:59,999 I ran away to London, and I was living on 447 99:59:59,999 --> 99:59:59,999 the streets. I mean I was living out of 448 99:59:59,999 --> 99:59:59,999 bins, yeah....not nice but, when you're 449 99:59:59,999 --> 99:59:59,999 on the streets you have to do that sometimes. 450 99:59:59,999 --> 99:59:59,999 you know what I mean? 451 99:59:59,999 --> 99:59:59,999 Inmate in Red: Yeah guys, this is called 452 99:59:59,999 --> 99:59:59,999 Think, yeah? 453 99:59:59,999 --> 99:59:59,999 It goes like this: When you see a tramp 454 99:59:59,999 --> 99:59:59,999 out on the street. Don't look down your 455 99:59:59,999 --> 99:59:59,999 nose so far that you see your own feet. 456 99:59:59,999 --> 99:59:59,999 When you see people homeless don't reach 457 99:59:59,999 --> 99:59:59,999 for a broom. Consider if you have the 458 99:59:59,999 --> 99:59:59,999 means to give them a room. 459 99:59:59,999 --> 99:59:59,999 Declan: Am I a victim? I mean my current 460 99:59:59,999 --> 99:59:59,999 defendant...umm...basically stabbed 'em 461 99:59:59,999 --> 99:59:59,999 up. The judge classed it under as torture. 462 99:59:59,999 --> 99:59:59,999 Inmate in Blue: I'm Black, I'm 463 99:59:59,999 --> 99:59:59,999 British, and I'm proud of it [fades into 464 99:59:59,999 --> 99:59:59,999 clapping and drums]. 465 99:59:59,999 --> 99:59:59,999 (Interviewer): You say you've got a child? 466 99:59:59,999 --> 99:59:59,999 Declan: Mm-hm. Got a little boy, 467 99:59:59,999 --> 99:59:59,999 he's seven. 468 99:59:59,999 --> 99:59:59,999 And he lives with his mum. 469 99:59:59,999 --> 99:59:59,999 Don't really see him, but I would- 470 99:59:59,999 --> 99:59:59,999 I wouldn't expect children to come in a 471 99:59:59,999 --> 99:59:59,999 place like this. 472 99:59:59,999 --> 99:59:59,999 (Interviewer): And are you still on good 473 99:59:59,999 --> 99:59:59,999 terms with his mum? 474 99:59:59,999 --> 99:59:59,999 Declan: Ummm... [laughs] 475 99:59:59,999 --> 99:59:59,999 not really. No. 476 99:59:59,999 --> 99:59:59,999 I started having a bit of a relationship 477 99:59:59,999 --> 99:59:59,999 with [name beeped out]. Sooo, yeah..that 478 99:59:59,999 --> 99:59:59,999 was the first time I found out that I was 479 99:59:59,999 --> 99:59:59,999 sort of that way. 480 99:59:59,999 --> 99:59:59,999 I've always-for some reason-I've always 481 99:59:59,999 --> 99:59:59,999 wanted to be a woman. 482 99:59:59,999 --> 99:59:59,999 I think that's the way I am, you know 483 99:59:59,999 --> 99:59:59,999 but in this place you can't do that, 484 99:59:59,999 --> 99:59:59,999 they won't allow it. 485 99:59:59,999 --> 99:59:59,999 Declan in front of room: I just wanted 486 99:59:59,999 --> 99:59:59,999 to say I'm gay, and I'm proud of it. 487 99:59:59,999 --> 99:59:59,999 Thank you. 488 99:59:59,999 --> 99:59:59,999 Declan: I want to be a Drag Queen that's 489 99:59:59,999 --> 99:59:59,999 what I've done for a while. 490 99:59:59,999 --> 99:59:59,999 (Interviewer): What's she called? 491 99:59:59,999 --> 99:59:59,999 Declan: Crystal. 492 99:59:59,999 --> 99:59:59,999 Female Voice: And what's she look like? 493 99:59:59,999 --> 99:59:59,999 Declan: Blonde, and just fabulous. 494 99:59:59,999 --> 99:59:59,999 [laughs] 495 99:59:59,999 --> 99:59:59,999 [Intense music] 496 99:59:59,999 --> 99:59:59,999 Narrator: We've come to Chepstow, a 497 99:59:59,999 --> 99:59:59,999 medium-dependancy ward, where Lenny 498 99:59:59,999 --> 99:59:59,999 wants to show us his artwork. 499 99:59:59,999 --> 99:59:59,999 (Interviewer): You do it in your room? 500 99:59:59,999 --> 99:59:59,999 Lenny: Yeah. I do work with spare pens, 501 99:59:59,999 --> 99:59:59,999 and it's mostly based on pens and 502 99:59:59,999 --> 99:59:59,999 basically your using cups and shapes 503 99:59:59,999 --> 99:59:59,999 and bottle tops to draw around. 504 99:59:59,999 --> 99:59:59,999 (Interviewer): How long have you been here? 505 99:59:59,999 --> 99:59:59,999 Lenny: 7 years this time. 506 99:59:59,999 --> 99:59:59,999 (Interviewer): Is it not your first time? 507 99:59:59,999 --> 99:59:59,999 Lenny: No it's the second time. 508 99:59:59,999 --> 99:59:59,999 What do you think of that one? 509 99:59:59,999 --> 99:59:59,999 That's the corridors in a ward that's shut down now 510 99:59:59,999 --> 99:59:59,999 (Interviewer): So why are you considered 511 99:59:59,999 --> 99:59:59,999 a risk? 512 99:59:59,999 --> 99:59:59,999 Lenny: Because...I think its because of 513 99:59:59,999 --> 99:59:59,999 my particular offense was against a 514 99:59:59,999 --> 99:59:59,999 consulting psychiatrist. They 515 99:59:59,999 --> 99:59:59,999 called in a section 12 approved psychiatrist. 516 99:59:59,999 --> 99:59:59,999 And they're very powerful, not like- not 517 99:59:59,999 --> 99:59:59,999 like when you go to an ordinary doctor. 518 99:59:59,999 --> 99:59:59,999 They-they work for the home office. 519 99:59:59,999 --> 99:59:59,999 Narrator: He's not happy with life in 520 99:59:59,999 --> 99:59:59,999 Broadmoor, and tells us he's bringing a 521 99:59:59,999 --> 99:59:59,999 High Court case against the hospital. 522 99:59:59,999 --> 99:59:59,999 Lenny: It costs how much? What was the 523 99:59:59,999 --> 99:59:59,999 last figure they said it cost to keep us 524 99:59:59,999 --> 99:59:59,999 here every year? 320,000 pounds a year or 525 99:59:59,999 --> 99:59:59,999 something? Surely its-its wrong to charge 526 99:59:59,999 --> 99:59:59,999 a fortune for people like us. When we're 527 99:59:59,999 --> 99:59:59,999 nowhere near about the centers of the 528 99:59:59,999 --> 99:59:59,999 community. 529 99:59:59,999 --> 99:59:59,999 Narrator: I costs 300,000 pounds a year 530 99:59:59,999 --> 99:59:59,999 to keep a patient in Broadmoor. Almost 531 99:59:59,999 --> 99:59:59,999 five times the cost of keeping someone in prison. 532 99:59:59,999 --> 99:59:59,999 Before Lenny came to Broadmoor, he was 533 99:59:59,999 --> 99:59:59,999 in outpatient at a psychiatric hospital 534 99:59:59,999 --> 99:59:59,999 where he threatened his psychiatrist with 535 99:59:59,999 --> 99:59:59,999 a machete. 536 99:59:59,999 --> 99:59:59,999 (Interviewer): Do you think you shouldn't 537 99:59:59,999 --> 99:59:59,999 be here, or? 538 99:59:59,999 --> 99:59:59,999 Lenny: Do you think I sound like a 539 99:59:59,999 --> 99:59:59,999 mad blathering idiot? 540 99:59:59,999 --> 99:59:59,999 Cause' I think-No I don't think I should 541 99:59:59,999 --> 99:59:59,999 be here. I think I should be sharing this- 542 99:59:59,999 --> 99:59:59,999 my life- with people. I want to be 543 99:59:59,999 --> 99:59:59,999 sharing my life with people. I want to 544 99:59:59,999 --> 99:59:59,999 be able to decide 545 99:59:59,999 --> 99:59:59,999 what I do, when I do it 546 99:59:59,999 --> 99:59:59,999 and be reasonably responsible for my 547 99:59:59,999 --> 99:59:59,999 own behavior, like anyone else out there. 548 99:59:59,999 --> 99:59:59,999 And I don't think I'll be any more of a 549 99:59:59,999 --> 99:59:59,999 danger then whatever's already out there. 550 99:59:59,999 --> 99:59:59,999 And I will be honest with you, I am rude 551 99:59:59,999 --> 99:59:59,999 here, I could be really furious and angry 552 99:59:59,999 --> 99:59:59,999 and people come with 'You're the patient, 553 99:59:59,999 --> 99:59:59,999 yeah?' That is a term we use to separate 554 99:59:59,999 --> 99:59:59,999 you from the rest of society, we're the 555 99:59:59,999 --> 99:59:59,999 last thing on earth -this is the truth 556 99:59:59,999 --> 99:59:59,999 here- to be given what you call equal 557 99:59:59,999 --> 99:59:59,999 rights. What do you think? You agree 558 99:59:59,999 --> 99:59:59,999 or not? I'm not anti-people I'm all for 559 99:59:59,999 --> 99:59:59,999 people. 560 99:59:59,999 --> 99:59:59,999 Narrator: Downstairs on the admissions 561 99:59:59,999 --> 99:59:59,999 ward, Alex is keen to progress. 562 99:59:59,999 --> 99:59:59,999 Alex: I was seven months up in here 563 99:59:59,999 --> 99:59:59,999 yesterday, seven months yesterday. It's 564 99:59:59,999 --> 99:59:59,999 taking forever. Are you aware of any 565 99:59:59,999 --> 99:59:59,999 beds coming up soon? 566 99:59:59,999 --> 99:59:59,999 Narrator: His medication has stabilized 567 99:59:59,999 --> 99:59:59,999 him. He wants to move from Admissions to 568 99:59:59,999 --> 99:59:59,999 an Assertive Rehab ward, where he'll 569 99:59:59,999 --> 99:59:59,999 have greater freedom. 570 99:59:59,999 --> 99:59:59,999 Man in suit: That I don't know. 571 99:59:59,999 --> 99:59:59,999 Alex: Well you should know, [laughing] 572 99:59:59,999 --> 99:59:59,999 you're a consultant in there! 573 99:59:59,999 --> 99:59:59,999 Man in suit: Yes- I can't- I don't know 574 99:59:59,999 --> 99:59:59,999 the timescales, cause it's not quite 575 99:59:59,999 --> 99:59:59,999 within my control... 576 99:59:59,999 --> 99:59:59,999 Narrator: Back upstairs on Chepstow, 577 99:59:59,999 --> 99:59:59,999 Benson, the PAT dog, has arrived for 578 99:59:59,999 --> 99:59:59,999 his weekly visit. 579 99:59:59,999 --> 99:59:59,999 Lenny's behavior over the past few days 580 99:59:59,999 --> 99:59:59,999 is becoming a cause for concern. 581 99:59:59,999 --> 99:59:59,999 He's been increasingly manic and 582 99:59:59,999 --> 99:59:59,999 hyperactive, and his doctor feels he 583 99:59:59,999 --> 99:59:59,999 needs medication. 584 99:59:59,999 --> 99:59:59,999 [door clatter] Dog Handler: Bye! 585 99:59:59,999 --> 99:59:59,999 Narrator: Lenny refuses to take it, 586 99:59:59,999 --> 99:59:59,999 so it'll have to be forcibly administered, 587 99:59:59,999 --> 99:59:59,999 by injection. 588 99:59:59,999 --> 99:59:59,999 Lenny: Hang on hang on, you filming? 589 99:59:59,999 --> 99:59:59,999 [crosstalk] 590 99:59:59,999 --> 99:59:59,999 Lenny: This is wrong, I'm not fighting you 591 99:59:59,999 --> 99:59:59,999 [crosstalk] 592 99:59:59,999 --> 99:59:59,999 [chatter] 593 99:59:59,999 --> 99:59:59,999 Doctor: Guys, we really need to get this 594 99:59:59,999 --> 99:59:59,999 started, if you just mind, just, just- 595 99:59:59,999 --> 99:59:59,999 please.. OK? All right 596 99:59:59,999 --> 99:59:59,999 Narrator: At this point, staff tell us 597 99:59:59,999 --> 99:59:59,999 to leave the ward. 598 99:59:59,999 --> 99:59:59,999 [moody music] 599 99:59:59,999 --> 99:59:59,999 We're told we can see Lenny the following 600 99:59:59,999 --> 99:59:59,999 day. [door shuts] 601 99:59:59,999 --> 99:59:59,999 [birds, brooding music] 602 99:59:59,999 --> 99:59:59,999 Lenny: Neil? Neil, could we have a key 603 99:59:59,999 --> 99:59:59,999 please? There should [unintelligible] 604 99:59:59,999 --> 99:59:59,999 Narrator: The day before, we were told to 605 99:59:59,999 --> 99:59:59,999 leave the ward when staff were about 606 99:59:59,999 --> 99:59:59,999 to forcibly inject Lenny with 607 99:59:59,999 --> 99:59:59,999 antipsychotic medication. 608 99:59:59,999 --> 99:59:59,999 He's keen to explain what happened after 609 99:59:59,999 --> 99:59:59,999 we left. 610 99:59:59,999 --> 99:59:59,999 Lenny: Come this way- 611 99:59:59,999 --> 99:59:59,999 So I moved into here- 612 99:59:59,999 --> 99:59:59,999 Narrator: He leads us into the seclusion 613 99:59:59,999 --> 99:59:59,999 area. 614 99:59:59,999 --> 99:59:59,999 Lenny: Come in, come in. 615 99:59:59,999 --> 99:59:59,999 All right, well [unintelligible] First 616 99:59:59,999 --> 99:59:59,999 of all, I was at that point, I was 617 99:59:59,999 --> 99:59:59,999 laying like this, alright, and I was 618 99:59:59,999 --> 99:59:59,999 talking saying 'Please don't turn me 619 99:59:59,999 --> 99:59:59,999 over, cos I'm not trying to fight you' 620 99:59:59,999 --> 99:59:59,999 And they said, and the next thing happened 621 99:59:59,999 --> 99:59:59,999 they all came in and [unintelligible] 622 99:59:59,999 --> 99:59:59,999 I can make a deal with them, I'm on the 623 99:59:59,999 --> 99:59:59,999 bed, so I'm like this, one point, all the 624 99:59:59,999 --> 99:59:59,999 staff were holding me, I was like that 625 99:59:59,999 --> 99:59:59,999 and said 'Would you please let me go, 626 99:59:59,999 --> 99:59:59,999 and I'll get up' so I went like that 627 99:59:59,999 --> 99:59:59,999 and stood like that and took down my 628 99:59:59,999 --> 99:59:59,999 pants and trousers and he stopped 629 99:59:59,999 --> 99:59:59,999 me there, let's see, I came out again, 630 99:59:59,999 --> 99:59:59,999 that's what happened, but I didn't- 631 99:59:59,999 --> 99:59:59,999 What do you think? What's your opinion 632 99:59:59,999 --> 99:59:59,999 about that? 633 99:59:59,999 --> 99:59:59,999 (Interviewer): But did you, so did you hit 634 99:59:59,999 --> 99:59:59,999 one of them then? 635 99:59:59,999 --> 99:59:59,999 Lenny: Yeah but that's cos I was being 636 99:59:59,999 --> 99:59:59,999 chased [unintelligible]. 637 99:59:59,999 --> 99:59:59,999 Doctor: One of the biggest areas of conflict, um 638 99:59:59,999 --> 99:59:59,999 between certainly doctor and patient 639 99:59:59,999 --> 99:59:59,999 is the issue of medication. 640 99:59:59,999 --> 99:59:59,999 Lenny: This one's sealed, alright? 641 99:59:59,999 --> 99:59:59,999 It's stifling sometimes. 642 99:59:59,999 --> 99:59:59,999 (Doctor): One of the difficulties 643 99:59:59,999 --> 99:59:59,999 with psychotic disorders is your 644 99:59:59,999 --> 99:59:59,999 interpretation of reality is different 645 99:59:59,999 --> 99:59:59,999 from other people's. 646 99:59:59,999 --> 99:59:59,999 And if you genuinely believe there's 647 99:59:59,999 --> 99:59:59,999 nothing wrong with you and you don't 648 99:59:59,999 --> 99:59:59,999 need any medication, why on earth would 649 99:59:59,999 --> 99:59:59,999 you want to take some of the medications 650 99:59:59,999 --> 99:59:59,999 that would be up for discussion? 651 99:59:59,999 --> 99:59:59,999 Lenny: Could we open this door please? 652 99:59:59,999 --> 99:59:59,999 (Doctor): He's particularly angry for two reasons, so 653 99:59:59,999 --> 99:59:59,999 one is he doesn't believe he'll benefit 654 99:59:59,999 --> 99:59:59,999 from the medication at all, second reason 655 99:59:59,999 --> 99:59:59,999 is that he believes he's involved in a 656 99:59:59,999 --> 99:59:59,999 major, high court case against the 657 99:59:59,999 --> 99:59:59,999 hospital to expose a range of malpractice 658 99:59:59,999 --> 99:59:59,999 particularly in relation to him, but in 659 99:59:59,999 --> 99:59:59,999 general about how these services are just 660 99:59:59,999 --> 99:59:59,999 really keeping people in jobs and don't 661 99:59:59,999 --> 99:59:59,999 provide any useful service. 662 99:59:59,999 --> 99:59:59,999 Lenny: The hospital's defense is just- 663 99:59:59,999 --> 99:59:59,999 'Here's some of the most notorious 664 99:59:59,999 --> 99:59:59,999 people in the country,' I'll show you what- 665 99:59:59,999 --> 99:59:59,999 (Doctor): He believes we've given him the 666 99:59:59,999 --> 99:59:59,999 medication purely to dull his mind 667 99:59:59,999 --> 99:59:59,999 and weaken his chances of being successful 668 99:59:59,999 --> 99:59:59,999 in that case. 669 99:59:59,999 --> 99:59:59,999 In fact he's not currently involved in any, 670 99:59:59,999 --> 99:59:59,999 uh, legal action or court case. 671 99:59:59,999 --> 99:59:59,999 (Lenny): No you're not going in there 672 99:59:59,999 --> 99:59:59,999 it's private, sorry come on you guys 673 99:59:59,999 --> 99:59:59,999 it's private. It's my mess, my own mess. 674 99:59:59,999 --> 99:59:59,999 Hey look, can you show 'em all now? 675 99:59:59,999 --> 99:59:59,999 Look at that, that's my mum and me. 676 99:59:59,999 --> 99:59:59,999 See she pretty in the black and white from 677 99:59:59,999 --> 99:59:59,999 the 60s, see her? 678 99:59:59,999 --> 99:59:59,999 (Doctor): He's a man who's spent a long 679 99:59:59,999 --> 99:59:59,999 time in institutional care, um in previous 680 99:59:59,999 --> 99:59:59,999 settings was frequently assaulted, he was 681 99:59:59,999 --> 99:59:59,999 violent himself on several occasions 682 99:59:59,999 --> 99:59:59,999 but he often assaulted. 683 99:59:59,999 --> 99:59:59,999 Lenny: You want a drink or anything, cup 684 99:59:59,999 --> 99:59:59,999 of tea or something? [offscreen] I'm fine 685 99:59:59,999 --> 99:59:59,999 You sure? Any sweets, soft drink? [offscreen] Nothing 686 99:59:59,999 --> 99:59:59,999 Lenny: Alright thanks very, thank you very much [unintelligible] 687 99:59:59,999 --> 99:59:59,999 [contemplative music] 688 99:59:59,999 --> 99:59:59,999 [keys clattering, chatter] 689 99:59:59,999 --> 99:59:59,999 [offscreen] Just check to make sure, all 690 99:59:59,999 --> 99:59:59,999 the shadows are covered.. 691 99:59:59,999 --> 99:59:59,999 So they're checked, first thing in the 692 99:59:59,999 --> 99:59:59,999 morning, again before the patients go back 693 99:59:59,999 --> 99:59:59,999 [door handle rattles] 694 99:59:59,999 --> 99:59:59,999 Narrator: Patients who are well enough 695 99:59:59,999 --> 99:59:59,999 to go to work can make goods, which go 696 99:59:59,999 --> 99:59:59,999 on sale to the public. They are paid 697 99:59:59,999 --> 99:59:59,999 80 pence an hour. 698 99:59:59,999 --> 99:59:59,999 Alex has been doing well and is now 699 99:59:59,999 --> 99:59:59,999 allowed off the Admissions ward to 700 99:59:59,999 --> 99:59:59,999 come to work. 701 99:59:59,999 --> 99:59:59,999 Alex: Everyone's saying 'Oh you gonna move 702 99:59:59,999 --> 99:59:59,999 you're gonna move' they said I would have 703 99:59:59,999 --> 99:59:59,999 moved by Thursday last week, nothing 704 99:59:59,999 --> 99:59:59,999 so far now, I've been onto my psychiatrist 705 99:59:59,999 --> 99:59:59,999 saying, 'Look, why am I still on at Admission ward, 706 99:59:59,999 --> 99:59:59,999 after 8 months, when there's a bed for me 707 99:59:59,999 --> 99:59:59,999 on Rehab? Know?' 708 99:59:59,999 --> 99:59:59,999 (Interviewer): You a bit frustrated? Alex: Yeah 709 99:59:59,999 --> 99:59:59,999 it is frustrating, but 710 99:59:59,999 --> 99:59:59,999 I'm just at the moment, focusing, cos next 711 99:59:59,999 --> 99:59:59,999 week I've got a visit, mum and dad are 712 99:59:59,999 --> 99:59:59,999 coming up for 2 days, so, y'know, I'll 713 99:59:59,999 --> 99:59:59,999 spend some time with my family. 714 99:59:59,999 --> 99:59:59,999 [tapping] 715 99:59:59,999 --> 99:59:59,999 [outdoor ambiance, guitar music] 716 99:59:59,999 --> 99:59:59,999 Narrator: They have a saying here: 717 99:59:59,999 --> 99:59:59,999 There's time, and then there's Broadmoor Time. 718 99:59:59,999 --> 99:59:59,999 Tan shirt: Which episode did you see last, 719 99:59:59,999 --> 99:59:59,999 of Eastenders? Bout a week ago? 720 99:59:59,999 --> 99:59:59,999 Black shirt: Last night? Tan shirt: Last night? 721 99:59:59,999 --> 99:59:59,999 Black shirt: Last night yeah 722 99:59:59,999 --> 99:59:59,999 Tan shirt: Did they show the man who was 723 99:59:59,999 --> 99:59:59,999 pretending to be Nick Cotton's own son? 724 99:59:59,999 --> 99:59:59,999 Black shirt: No I didn't see it 725 99:59:59,999 --> 99:59:59,999 [moody music] 726 99:59:59,999 --> 99:59:59,999 Narrator: While medication can often 727 99:59:59,999 --> 99:59:59,999 control behavior, extensive therapy is 728 99:59:59,999 --> 99:59:59,999 needed to change it, and that takes time. 729 99:59:59,999 --> 99:59:59,999 Estelle: I'm in the diary, ok? [offscreen] OK 730 99:59:59,999 --> 99:59:59,999 Narrator: Estelle Moore is the hospital's 731 99:59:59,999 --> 99:59:59,999 lead psychologist, she's been here for 20 years. 732 99:59:59,999 --> 99:59:59,999 Estelle: [keys jangling] You alright? 733 99:59:59,999 --> 99:59:59,999 Declan: They say just carry on with the 734 99:59:59,999 --> 99:59:59,999 violent offenders group, what finishes in December 735 99:59:59,999 --> 99:59:59,999 Narrator: Patients undergo specific 736 99:59:59,999 --> 99:59:59,999 therapies depending on their offense, 737 99:59:59,999 --> 99:59:59,999 whether it's violence, sex offending, or 738 99:59:59,999 --> 99:59:59,999 fire setting. 739 99:59:59,999 --> 99:59:59,999 Declan: -understand our relationships and 740 99:59:59,999 --> 99:59:59,999 uhh, borderlines. No not borderlines, boundaries. 741 99:59:59,999 --> 99:59:59,999 Estelle: What sort of actions are safe 742 99:59:59,999 --> 99:59:59,999 and contained in relationships? The sorts 743 99:59:59,999 --> 99:59:59,999 of things that you would do that feel 744 99:59:59,999 --> 99:59:59,999 like normal and safe relationships? 745 99:59:59,999 --> 99:59:59,999 Declan: Laughter 746 99:59:59,999 --> 99:59:59,999 Estelle: Laughter? OK so laughing, 747 99:59:59,999 --> 99:59:59,999 Declan: Talking sensible. Feeling comfortable with each other. 748 99:59:59,999 --> 99:59:59,999 [keys, footsteps] 749 99:59:59,999 --> 99:59:59,999 Narrator: Declan was found guilty of a life-threatening assault on a man. 750 99:59:59,999 --> 99:59:59,999 Declan: Do I feel sorry for him? No. Will I do it again? No. 751 99:59:59,999 --> 99:59:59,999 No. I'm missing the sun, I'm missing the surfing. Know what I mean? 752 99:59:59,999 --> 99:59:59,999 [keys, door squeaks] 753 99:59:59,999 --> 99:59:59,999 [door shuts] 754 99:59:59,999 --> 99:59:59,999 [moody music] 755 99:59:59,999 --> 99:59:59,999 [ping pong ball clatters] 756 99:59:59,999 --> 99:59:59,999 Narrator: Lenny has been on antipsychotic 757 99:59:59,999 --> 99:59:59,999 medication for a few weeks. 758 99:59:59,999 --> 99:59:59,999 It has had time to build up in his system. 759 99:59:59,999 --> 99:59:59,999 Staff: Now he's had the depot injection, the chemicals from that 760 99:59:59,999 --> 99:59:59,999 are slowing down his reactions to the point where he has those few 761 99:59:59,999 --> 99:59:59,999 more seconds to think- 762 99:59:59,999 --> 99:59:59,999 'How am I gonna reply to this?' 763 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. 764 99:59:59,999 --> 99:59:59,999 I can definitely empathize with him, he 765 99:59:59,999 --> 99:59:59,999 hasn't come from a different background to me 766 99:59:59,999 --> 99:59:59,999 but he has come from different parents to me. 767 99:59:59,999 --> 99:59:59,999 (Interviewer): It seems to be the case with so many. 768 99:59:59,999 --> 99:59:59,999 Staff:Yeah, I know, I agree with that, you can 769 99:59:59,999 --> 99:59:59,999 probably see if you go back into, um, 770 99:59:59,999 --> 99:59:59,999 the lives of most of our patients, you could probably identify them at 771 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. 772 99:59:59,999 --> 99:59:59,999 Lenny: He's alright here, he's my buddy, 773 99:59:59,999 --> 99:59:59,999 one day he's gonna tell the truth as well. [laughs] 774 99:59:59,999 --> 99:59:59,999 [walkie talkie chatter] 775 99:59:59,999 --> 99:59:59,999 (Tan Suit): Everyone is born with 776 99:59:59,999 --> 99:59:59,999 certain temperaments, with certain predispositions to certain 777 99:59:59,999 --> 99:59:59,999 behavior, and if you've been given a triple-whammy of, of genes, environment, 778 99:59:59,999 --> 99:59:59,999 upbringing, childhood adversity, substance misuse, all of those different 779 99:59:59,999 --> 99:59:59,999 aspects build up to make the person. 780 99:59:59,999 --> 99:59:59,999 And it's a long term project of gradually putting somebody back together and 781 99:59:59,999 --> 99:59:59,999 making sure that they stay in that recovered state. 782 99:59:59,999 --> 99:59:59,999 [ominous music] 783 99:59:59,999 --> 99:59:59,999 Narrator: Things have finally changed for Alex- 784 99:59:59,999 --> 99:59:59,999 after 8 months, he's been moved to Assertive Rehab. 785 99:59:59,999 --> 99:59:59,999 Alex: It's better over here, it's a little better. 786 99:59:59,999 --> 99:59:59,999 Got a lot more freedom, key to a door, 787 99:59:59,999 --> 99:59:59,999 come out when you want to make hot drinks, yeah, it's alright. 788 99:59:59,999 --> 99:59:59,999 Narrator: But it's not all good news. As so often in the past, 789 99:59:59,999 --> 99:59:59,999 he's in danger of self-harming. 790 99:59:59,999 --> 99:59:59,999 He's had to be put on Eyesight Observation which means nurses have to 791 99:59:59,999 --> 99:59:59,999 take turns to watch him, 24 hours a day. 792 99:59:59,999 --> 99:59:59,999 Alex: Cos my mental state haven't been the best, it's not nice, you know, 793 99:59:59,999 --> 99:59:59,999 hearing voices and what-have-you, but you know, just got to control it, 794 99:59:59,999 --> 99:59:59,999 that's all you can do, not let it get to you. 795 99:59:59,999 --> 99:59:59,999 (Alex): Dr Romero said I'm gonna be here a few years, yet 796 99:59:59,999 --> 99:59:59,999 (Nurse): A few years? Alex: A few years. 797 99:59:59,999 --> 99:59:59,999 (Nurse): How do you feel about that? Alex: I don't mind... 798 99:59:59,999 --> 99:59:59,999 Nurse: You don't mind? Alex: I'm here for a reason. 799 99:59:59,999 --> 99:59:59,999 Nurse: All right. Alex: Get better, innit? So 800 99:59:59,999 --> 99:59:59,999 if that means I got to stay a couple years, so be it. But- 801 99:59:59,999 --> 99:59:59,999 I'm getting there, now. (Nurse): You're getting there. 802 99:59:59,999 --> 99:59:59,999 Alex: [unintelligible] Nurse: Mhmm 803 99:59:59,999 --> 99:59:59,999 Alex: Least, at least there was no violence. 804 99:59:59,999 --> 99:59:59,999 (Nurse): Which is good! You should be proud of. At least it shows that you're 805 99:59:59,999 --> 99:59:59,999 making, you know, more progress. 806 99:59:59,999 --> 99:59:59,999 [meditative music] 807 99:59:59,999 --> 99:59:59,999 Narrator: Alex's mental state continued to deteriorate, after a couple of weeks 808 99:59:59,999 --> 99:59:59,999 on the ward did self-harm, and had to 809 99:59:59,999 --> 99:59:59,999 be moved back a High Dependency ward. 810 99:59:59,999 --> 99:59:59,999 [nighttime ambiance] 811 99:59:59,999 --> 99:59:59,999 [keys rattling, chatter] 812 99:59:59,999 --> 99:59:59,999 Narrator: On Chepstow Ward, Dr Larkin wants to discuss a recent incident 813 99:59:59,999 --> 99:59:59,999 involving Lenny and another doctor. 814 99:59:59,999 --> 99:59:59,999 Lenny: I would say that I was really pleased that they are now starting to 815 99:59:59,999 --> 99:59:59,999 track and find pedophiles in our society, how pleased I was, and that they 816 99:59:59,999 --> 99:59:59,999 weren't just ordinary poor folk that were getting nicked, it was also 817 99:59:59,999 --> 99:59:59,999 people of importance were getting found out. 818 99:59:59,999 --> 99:59:59,999 Larkin: Right Lenny: And I'm really pleased about that, 819 99:59:59,999 --> 99:59:59,999 and she felt threatened that I was saying it also included 820 99:59:59,999 --> 99:59:59,999 a couple of doctors, that were nicked for pedophilia. 821 99:59:59,999 --> 99:59:59,999 Larkin: You're not angry with her about something in her report? 822 99:59:59,999 --> 99:59:59,999 Lenny: No, it wasn't anything with her, it wasn't directed towards her 823 99:59:59,999 --> 99:59:59,999 it was directed towards the general idea of pedophilia, cos you know I am 824 99:59:59,999 --> 99:59:59,999 a victim of pedophilia, for 9 years, under the Home Office, when I was 825 99:59:59,999 --> 99:59:59,999 a child myself, and they've done nothing, but- um, bury that fact. 826 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 827 99:59:59,999 --> 99:59:59,999 that brought me to Broadmoor, I threatened to kill a Section 12 828 99:59:59,999 --> 99:59:59,999 consultant psychiatrist, like you are, with a machete. 829 99:59:59,999 --> 99:59:59,999 But, I'm not guilty of raping myself. Larkin: Well- 830 99:59:59,999 --> 99:59:59,999 I think the issue is that you felt nobody here was [crosstalk] 831 99:59:59,999 --> 99:59:59,999 Lenny: I was being tied up, right? Raped, against my will, alcohol shoved down 832 99:59:59,999 --> 99:59:59,999 my throat, right, pacified, with- with all kinds of medicines that belong to 833 99:59:59,999 --> 99:59:59,999 that person, you know, not me, so that I would be pliable 834 99:59:59,999 --> 99:59:59,999 and agree to having sex, which I didn't want to do, with a 835 99:59:59,999 --> 99:59:59,999 5 or 6 year-old boy, but 9 years I was in the system itself, being- 836 99:59:59,999 --> 99:59:59,999 seeing psychologists at the same time I'm being raped, and nobody did 837 99:59:59,999 --> 99:59:59,999 a single thing to help me. You are offering me therapy, and I'm not 838 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 839 99:59:59,999 --> 99:59:59,999 to me. And no one recognized that I was a victim. 840 99:59:59,999 --> 99:59:59,999 Larkin: So, are we agreeing that you're gonna meet with David 841 99:59:59,999 --> 99:59:59,999 about options for therapy for you as a victim? 842 99:59:59,999 --> 99:59:59,999 Lenny: Yeah thank you very much Dr Larkin. Larkin: You're welcome, okay. 843 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 844 99:59:59,999 --> 99:59:59,999 trouble for- for 12 weeks, they'll let me work in the cafe? 845 99:59:59,999 --> 99:59:59,999 Larkin: Yes, you think you can do that? 846 99:59:59,999 --> 99:59:59,999 Lenny: Be hard, but I'll give it a try. 847 99:59:59,999 --> 99:59:59,999 Narrator: The most challenging patients are housed here on Cranfield Ward. 848 99:59:59,999 --> 99:59:59,999 Any movement outside their rooms has to be carefully planned. 849 99:59:59,999 --> 99:59:59,999 Violence is always near the surface. 850 99:59:59,999 --> 99:59:59,999 Patients are allowed, one by one, in the yard, for limited periods. 851 99:59:59,999 --> 99:59:59,999 A patient doesn't want to return to his room. [radio chatter] 852 99:59:59,999 --> 99:59:59,999 (Patient): [cursing, hooting, laughing] 853 99:59:59,999 --> 99:59:59,999 Staff: OK 854 99:59:59,999 --> 99:59:59,999 (Patient): [laughter continues] 855 99:59:59,999 --> 99:59:59,999 Staff: He's gearing for a fight. 856 99:59:59,999 --> 99:59:59,999 Narrator: His primary nurse, Moe, has already given him an extra 30 minutes. 857 99:59:59,999 --> 99:59:59,999 [chatter] 858 99:59:59,999 --> 99:59:59,999 Moe: It's a planned intervention. To relocate him to his room? 859 99:59:59,999 --> 99:59:59,999 Because um, his presentation dictates that he could put up a fight. 860 99:59:59,999 --> 99:59:59,999 (Interviewer): Do you feel he's a bit unstable at the moment? 861 99:59:59,999 --> 99:59:59,999 Moe: Yeah, very. Yeah. 862 99:59:59,999 --> 99:59:59,999 He's um... quite threatening and verbally abusive at the moment. Yeah... 863 99:59:59,999 --> 99:59:59,999 Narrator: Moe puts on a camera, to record 864 99:59:59,999 --> 99:59:59,999 the planned intervention, in the event of any violence. 865 99:59:59,999 --> 99:59:59,999 [chatter, dark music, patient laughing] 866 99:59:59,999 --> 99:59:59,999 (Patient): I want to stay out here, I'm not coming in, more time, fuck off! 867 99:59:59,999 --> 99:59:59,999 Fuck off! 868 99:59:59,999 --> 99:59:59,999 Narrator: On the intensive care ward, staff are preparing to move a 869 99:59:59,999 --> 99:59:59,999 reluctant patient back to his room, from the yard. 870 99:59:59,999 --> 99:59:59,999 (Patient): Fucking release me! Fucking release me man! 871 99:59:59,999 --> 99:59:59,999 Staff: I'm going home, and we are leaving six people, so we need to go. 872 99:59:59,999 --> 99:59:59,999 (Patient): One, two, three, four, five, six. It's a lot of people. 873 99:59:59,999 --> 99:59:59,999 Staff: Yeah we'll take it down, and six of us will take you down. 874 99:59:59,999 --> 99:59:59,999 (Patient): [crazed laughter] 875 99:59:59,999 --> 99:59:59,999 Staff: Can we go, because we need to go home? 876 99:59:59,999 --> 99:59:59,999 (Patient): Go home [unintelligible] I'm not troubling you! 877 99:59:59,999 --> 99:59:59,999 Staff 2: You need to be ready now, cos we are ready. 878 99:59:59,999 --> 99:59:59,999 Staff: Yeah turn around for us. Staff 2: Turn around, turn around for us. 879 99:59:59,999 --> 99:59:59,999 Staff: Right. Staff 2: Let's feed that hand to me, 880 99:59:59,999 --> 99:59:59,999 don't worry, do exactly what he says 881 99:59:59,999 --> 99:59:59,999 [chatter, beeping] 882 99:59:59,999 --> 99:59:59,999 Staff: Relax! Relax relax! Staff 2: Relax, bring it inside. 883 99:59:59,999 --> 99:59:59,999 Narrator: The hospital has forbidden us from showing this restraint procedure, 884 99:59:59,999 --> 99:59:59,999 even with the patient disguised, on the grounds that he doesn't have 885 99:59:59,999 --> 99:59:59,999 the capacity to consent. 886 99:59:59,999 --> 99:59:59,999 His voice has been replaced by an actors. 887 99:59:59,999 --> 99:59:59,999 (Patient): Fuck off! Get off me! [crosstalk] 888 99:59:59,999 --> 99:59:59,999 Narrator: Well-known for kicking staff, the patient is asked to remove his shoes. 889 99:59:59,999 --> 99:59:59,999 As predicted, he lashes out. 890 99:59:59,999 --> 99:59:59,999 [shouting] 891 99:59:59,999 --> 99:59:59,999 The 8 staff members get the patient onto the floor for everyone's safety. 892 99:59:59,999 --> 99:59:59,999 [echoing voices, shouts] 893 99:59:59,999 --> 99:59:59,999 They're outside his room. It's back on the floor in a final maneuver 894 99:59:59,999 --> 99:59:59,999 to get him safely through the door. 895 99:59:59,999 --> 99:59:59,999 [staff issuing commands] 896 99:59:59,999 --> 99:59:59,999 Narrator: Once in the room, the patient is placed on the bed, 897 99:59:59,999 --> 99:59:59,999 feet furthest from the door. Then one nurse will keep hold of his legs, 898 99:59:59,999 --> 99:59:59,999 another his arms, and a third, his head. 899 99:59:59,999 --> 99:59:59,999 (Patient): Sod off! 900 99:59:59,999 --> 99:59:59,999 Narrator: They let go and exit, one by one. 901 99:59:59,999 --> 99:59:59,999 Staff: Release the legs. 902 99:59:59,999 --> 99:59:59,999 Narrator: The last to let go is holding his head, and nearest to the door. 903 99:59:59,999 --> 99:59:59,999 [shouting] 904 99:59:59,999 --> 99:59:59,999 [slam] 905 99:59:59,999 --> 99:59:59,999 [chatter] 906 99:59:59,999 --> 99:59:59,999 Narrator: Whenever force has to be used, staff take time out to reappraise. 907 99:59:59,999 --> 99:59:59,999 Moe: -had been verbally abusive and threatening- 908 99:59:59,999 --> 99:59:59,999 (Staff): Are you okay? Moe: -clenching his fist, swearing. 909 99:59:59,999 --> 99:59:59,999 The minute [unintelligible], you know he's gonna fight. 910 99:59:59,999 --> 99:59:59,999 Staff: You can't predict these things, we did our best to try and manage it, 911 99:59:59,999 --> 99:59:59,999 but the most important thing is that everybody's safe and the 912 99:59:59,999 --> 99:59:59,999 procedures were followed very well, and the patient himself is not harmed 913 99:59:59,999 --> 99:59:59,999 or injured. So, that's it then, guys. Back to our jobs. 914 99:59:59,999 --> 99:59:59,999 [chatter, Moe sighs deeply] 915 99:59:59,999 --> 99:59:59,999 Narrator: On average, there are 5 physical assaults a week on staff. 916 99:59:59,999 --> 99:59:59,999 Staff: I'm ok, just a scratch. 917 99:59:59,999 --> 99:59:59,999 Narrator: Including punching, kicking , throwing hot liquids, urine and feces. 918 99:59:59,999 --> 99:59:59,999 Some are serious enough to warrant the hospital pursuing criminal charges. 919 99:59:59,999 --> 99:59:59,999 (Interviewer): Does that happen to you a lot? 920 99:59:59,999 --> 99:59:59,999 Staff: Well, it's part of, you know- (Staff 2:) Anyone at any time. 921 99:59:59,999 --> 99:59:59,999 Staff: Anyone at any time, mm. Obviously you can see the their- 922 99:59:59,999 --> 99:59:59,999 their state. Their mental state is very unstable. [laughs] 923 99:59:59,999 --> 99:59:59,999 Staff 3: Really, it was well managed. Cos there are times you can get serious 924 99:59:59,999 --> 99:59:59,999 injury. 925 99:59:59,999 --> 99:59:59,999 (Interviewer): So Moe, is every day like this for you? 926 99:59:59,999 --> 99:59:59,999 Moe: Sorry? (Interviewer): Is every day like this for 927 99:59:59,999 --> 99:59:59,999 you? Moe: Uhmmm 928 99:59:59,999 --> 99:59:59,999 Every other day. 929 99:59:59,999 --> 99:59:59,999 There are days when, um, the ward will be very settled, patients are quiet, 930 99:59:59,999 --> 99:59:59,999 all will be in a happy mood, but not all the time cos their 931 99:59:59,999 --> 99:59:59,999 mental state tends to subside a lot. 932 99:59:59,999 --> 99:59:59,999 (Interviewer): So you were right about him though, weren't you? 933 99:59:59,999 --> 99:59:59,999 Moe: Yeah of course, actually I am his primary nurse, so I know him. 934 99:59:59,999 --> 99:59:59,999 You know, you can tell, we can see it's coming- 935 99:59:59,999 --> 99:59:59,999 It's about knowing your patients, we know all of them. 936 99:59:59,999 --> 99:59:59,999 (Interviewer): So was he complaining about how many of you there were there? 937 99:59:59,999 --> 99:59:59,999 He was counting, how many staff there were. 938 99:59:59,999 --> 99:59:59,999 Moe: He knew that we are ready for action, you know? 939 99:59:59,999 --> 99:59:59,999 Inasmuch as they are mentally ill, but they are not stupid. 940 99:59:59,999 --> 99:59:59,999 Yeah, some of them, they know exactly what they are doing. It's kind of 941 99:59:59,999 --> 99:59:59,999 like, pre-planned, 'I'm gonna get them' and they look at the teams and say 942 99:59:59,999 --> 99:59:59,999 'Oh I think this is a weak team,' and then they will go for it. 943 99:59:59,999 --> 99:59:59,999 [muffled screaming, keys rattling, chatter] 944 99:59:59,999 --> 99:59:59,999 Narrator: Patients like these on Cranfield can progress. They will eventually 945 99:59:59,999 --> 99:59:59,999 move on to other wards, and, with time, even out of the hospital. 946 99:59:59,999 --> 99:59:59,999 Staff: You watching football or something? The finals? You watching it. 947 99:59:59,999 --> 99:59:59,999 We'll bring you out to the [unintelligible] so you can 948 99:59:59,999 --> 99:59:59,999 watch it live, yeah? Good man. 949 99:59:59,999 --> 99:59:59,999 [somber keyboard music] ♪Every day there is none for you ♪ 950 99:59:59,999 --> 99:59:59,999 ♪and every day we can start anew ♪ ♪we've only got one chance in the world ♪ 951 99:59:59,999 --> 99:59:59,999 ♪together ♪ 952 99:59:59,999 --> 99:59:59,999 ♪make a dream come true ♪ ♪hold on, and treasure your love ♪