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
00:04:00,383 --> 00:04:03,875
Narrator: They're told not to share
personal information with the patients
83
00:04:03,875 --> 00:04:06,220
either, and to leave their private lives
84
00:04:06,220 --> 00:04:08,766
along with their possessions,
at the front door.
85
00:04:12,407 --> 00:04:14,847
Broadmoor's most notorious patients,
86
00:04:14,847 --> 00:04:16,820
like Peter Sutcliffe and Kenneth Erskine,
87
00:04:16,820 --> 00:04:20,040
have chosen not to participate.
88
00:04:21,560 --> 00:04:24,060
But many of the men here have been front
page news,
89
00:04:24,060 --> 00:04:26,378
and are vilified by society.
90
00:04:26,801 --> 00:04:28,691
This is the first time they've been
91
00:04:28,691 --> 00:04:30,181
allowed to tell their stories.
92
00:04:30,181 --> 00:04:32,418
Alex: I've done everything
from taking hostages
93
00:04:32,418 --> 00:04:35,189
multiple hostage taking, stabbings,
94
00:04:35,189 --> 00:04:38,043
ya' know. Uh... multiple assaults, violent
95
00:04:38,043 --> 00:04:40,736
assaults, fire setting off. I set a whole
96
00:04:40,736 --> 00:04:43,496
stammers a fire in a hospital. A
97
00:04:43,496 --> 00:04:45,356
psychiatric hospital, the first one I
98
00:04:45,356 --> 00:04:47,626
ever went to. Umm.. yeah. Just mainly
99
00:04:47,626 --> 00:04:50,566
violence and whatnot. My history is mainly
100
00:04:50,566 --> 00:04:52,186
violence.
101
00:04:53,020 --> 00:04:55,710
Narrator: Broadmoor's 200 patients are all
102
00:04:55,710 --> 00:04:57,830
men suffering from mental disorders.
103
00:04:58,641 --> 00:05:01,351
They're classified as vulnerable adults
104
00:05:01,351 --> 00:05:03,411
and only those who have Capacity to
105
00:05:03,411 --> 00:05:05,761
Give Consent have been allowed to
talk to us.
106
00:05:08,278 --> 00:05:11,398
Their faces have been blurred to
protect their identities.
107
00:05:16,225 --> 00:05:18,314
[Door closing]
108
00:05:18,314 --> 00:05:21,274
(Interviewer): What are you like when
you're not on medication?
109
00:05:21,274 --> 00:05:24,014
Alex: Ummm...I'm quite a nasty
person, I'm quite violent,
110
00:05:24,014 --> 00:05:24,854
I'm very
111
00:05:24,854 --> 00:05:28,234
violent in most-most circumstances. Very
112
00:05:28,234 --> 00:05:30,404
antisocial. I don't like spending time
113
00:05:30,404 --> 00:05:33,174
with people. I'm paranoid. I'm, uh, very
114
00:05:33,174 --> 00:05:35,354
paranoid. stammers Every person around,
115
00:05:35,354 --> 00:05:37,234
I'm thinking 'what's their intention?'
116
00:05:37,234 --> 00:05:39,284
I come to that, sometimes
I come very close
117
00:05:39,284 --> 00:05:41,204
to attacking people because I'm thinking
118
00:05:41,204 --> 00:05:43,165
that they're going to do something to me
119
00:05:43,165 --> 00:05:45,500
and I don't want to get hurt first. Uh,
120
00:05:45,500 --> 00:05:47,385
um..I remember one time when I'm off
121
00:05:47,385 --> 00:05:50,261
medication, spent 11 months locked in a
122
00:05:50,261 --> 00:05:52,221
cell. Segregated, due to the fact that I
123
00:05:52,221 --> 00:05:54,441
was too dangerous to come out.
124
00:05:55,581 --> 00:05:57,361
Narrator: 24 year old Alex arrived at
125
00:05:57,361 --> 00:06:00,451
Broadmoor 7 months ago.
He was serving a
126
00:06:00,451 --> 00:06:02,781
life sentence in a dedicated prison unit
127
00:06:02,781 --> 00:06:05,481
for highly dangerous prisoners.
128
00:06:05,481 --> 00:06:07,511
They could no longer manage him.
129
00:06:08,139 --> 00:06:09,959
Alex: When I was younger, we would
130
00:06:09,959 --> 00:06:13,630
chase a seagull all round the council
estate, with a box, cos it-
131
00:06:13,630 --> 00:06:17,450
Narrator: Now in an admissions ward he's
been diagnosed with mental illness and
132
00:06:17,450 --> 00:06:19,370
personality disorder and put on
133
00:06:19,370 --> 00:06:20,870
medication.
134
00:06:20,870 --> 00:06:24,067
One of his symptoms is auditory
hallucinations.
135
00:06:24,067 --> 00:06:25,870
He hears voices.
136
00:06:25,870 --> 00:06:27,690
Alex: Oh, I was doing a fruit salad
137
00:06:27,690 --> 00:06:29,264
the other day for an assessment.
138
00:06:29,264 --> 00:06:31,199
That's when they do this assessment from
139
00:06:31,199 --> 00:06:34,160
personal motor, motor skills.
140
00:06:34,160 --> 00:06:36,030
It's like for learning disability.
141
00:06:36,030 --> 00:06:37,180
And....Umm...
142
00:06:37,180 --> 00:06:38,260
I was cutting a mango
143
00:06:38,260 --> 00:06:40,560
and I have never, I've never used a
sharp knife,
144
00:06:40,560 --> 00:06:43,430
In the seven years I've been away
I've not used a sharp knife
145
00:06:43,430 --> 00:06:46,300
and I was shaking, literally.
I nearly cut my fingers off cos
146
00:06:46,300 --> 00:06:48,670
the voices were telling me to attack the
147
00:06:48,670 --> 00:06:50,360
people in the room, with the knife.
148
00:06:50,360 --> 00:06:53,760
And, like, they were goading me into it,
and I thought 'I can't do that,
149
00:06:53,760 --> 00:06:56,350
I can't do that.'
and so I managed to finish fruit, the
150
00:06:56,350 --> 00:06:59,620
fruit salad, and I thought 'Wow like, what
achievement,' cos mostly
151
00:06:59,620 --> 00:07:01,850
stammers a year ago, two years
ago, my emotions
152
00:07:01,850 --> 00:07:02,820
would have done it.
153
00:07:02,820 --> 00:07:04,810
Ya know?
154
00:07:05,158 --> 00:07:10,148
[unintelligible speaking]
155
00:07:10,148 --> 00:07:11,798
Man in Sweater: No. We'll clean it
156
00:07:11,798 --> 00:07:14,028
afterwards. We want to give you
157
00:07:14,028 --> 00:07:15,458
bedding for now, yeah?
158
00:07:17,064 --> 00:07:18,984
Narrator: This is Cranfield, the
159
00:07:18,984 --> 00:07:22,154
intensive care ward.
Home to the hospital's
160
00:07:22,154 --> 00:07:25,424
most acute mentally ill patients.
161
00:07:25,475 --> 00:07:29,408
[door shutting, keys jangling, people
speaking unintelligibly]
162
00:07:33,501 --> 00:07:35,261
Female Voice: Hi, can we come in and
163
00:07:35,261 --> 00:07:36,841
talk to you, yeah?
164
00:07:36,841 --> 00:07:39,151
Man in Sweater: Sit on the bed for us
165
00:07:39,151 --> 00:07:41,121
Narrator: Any contact with them has to be
166
00:07:41,121 --> 00:07:42,701
carefully planned and executed.
167
00:07:43,521 --> 00:07:45,981
This is a six person unlock.
168
00:07:45,981 --> 00:07:48,131
The door to this patients room can only be
169
00:07:48,131 --> 00:07:52,131
opened with six staff present.
170
00:07:53,439 --> 00:07:55,401
Man in Glasses: There is always the risk
171
00:07:55,401 --> 00:07:57,304
of violence towards others, you
172
00:07:57,304 --> 00:07:59,304
have to accept that with chronic mental
173
00:07:59,304 --> 00:08:01,474
illness and they will be very disturbed
174
00:08:01,474 --> 00:08:03,224
throughout the day, but you have to
175
00:08:03,224 --> 00:08:04,824
learn to work with that.
176
00:08:04,824 --> 00:08:09,514
[person sobbing]
177
00:08:09,514 --> 00:08:11,684
My focus in working with these guys is
178
00:08:11,684 --> 00:08:13,634
actually telling them that they are here
179
00:08:13,634 --> 00:08:15,232
not because of the illness, they
180
00:08:15,232 --> 00:08:16,762
are here because of violence.
181
00:08:16,762 --> 00:08:18,782
And they only progress from here
182
00:08:18,782 --> 00:08:21,022
if there's a reduction in that violence.
183
00:08:21,022 --> 00:08:22,862
So that message, you know.
184
00:08:22,862 --> 00:08:25,402
It might take time, but gradually
185
00:08:25,402 --> 00:08:27,222
over a period of time, is that
186
00:08:27,222 --> 00:08:28,297
going through.
187
00:08:28,297 --> 00:08:33,047
[keys jangling, unintelligible talking
in background]
188
00:08:33,047 --> 00:08:34,887
Narrator: On this ward, even the most
189
00:08:34,887 --> 00:08:36,856
routine tasks run a risk of violence and
190
00:08:36,856 --> 00:08:39,266
involve a protocol.
191
00:08:40,245 --> 00:08:42,141
This patient has asked for a drink.
192
00:08:43,159 --> 00:08:45,609
Man in White: Just give us a minute
193
00:08:45,609 --> 00:08:47,572
[unintelligible]
194
00:08:47,572 --> 00:08:49,072
Shukran. Shukran
195
00:08:49,072 --> 00:08:51,870
Shukran means thank you, right?
196
00:08:51,870 --> 00:08:54,030
You know, you taught me all this.
197
00:08:57,127 --> 00:08:59,647
[laughs]
198
00:08:59,701 --> 00:09:00,901
Right.
199
00:09:02,123 --> 00:09:03,323
[unintelligble]
200
00:09:03,774 --> 00:09:04,954
You go sit down.
201
00:09:05,459 --> 00:09:07,468
No, the one in the back.
202
00:09:07,468 --> 00:09:08,346
Alright?
203
00:09:11,765 --> 00:09:13,925
Inmate: [unintelligible] give me
some more?
204
00:09:13,925 --> 00:09:16,517
Man in White: I'm gonna have it there
for you, okay?
205
00:09:18,227 --> 00:09:19,187
Thank you!
206
00:09:20,612 --> 00:09:22,132
Female voice: Thank you guys.
207
00:09:24,970 --> 00:09:26,980
Narrator: Life in Broadmoor can be a game
208
00:09:26,980 --> 00:09:28,094
of snakes and ladders.
209
00:09:28,094 --> 00:09:30,636
With patients moving between the hospitals
210
00:09:30,636 --> 00:09:31,956
15 wards according to their
211
00:09:31,956 --> 00:09:33,096
mental state.
212
00:09:34,779 --> 00:09:36,880
[door closing]
213
00:09:38,033 --> 00:09:39,983
Patients who have responded to treatment
214
00:09:39,983 --> 00:09:41,798
can progress to one of the hospital's
215
00:09:41,798 --> 00:09:43,348
Assertive Rehab Wards, where
216
00:09:43,348 --> 00:09:44,998
they're given greater freedom.
217
00:09:47,384 --> 00:09:49,494
Daniel is one of 12 patients on this
ward.
218
00:09:50,930 --> 00:09:52,886
Daniel: I've been here five years.
219
00:09:52,886 --> 00:09:54,856
Luckily I never went to a high dependency
220
00:09:54,856 --> 00:09:56,813
ward, I came straight to rehab.
221
00:09:56,813 --> 00:09:59,783
And, to be honest, it's been...
222
00:09:59,783 --> 00:10:01,583
I wouldn't use the word wonderful...
223
00:10:01,583 --> 00:10:03,493
Cos eh... it's not wonderful.
224
00:10:03,493 --> 00:10:05,853
But, I've been grateful basically
to come here.
225
00:10:07,739 --> 00:10:09,759
In my spare time I try and engage
226
00:10:09,759 --> 00:10:10,834
in artwork mostly.
227
00:10:10,834 --> 00:10:12,824
This was the, uh... my first real attempt
228
00:10:12,824 --> 00:10:15,444
at an actual portrait. All done completely
229
00:10:15,444 --> 00:10:16,574
in graphite,
230
00:10:18,364 --> 00:10:19,724
and then I moved on to using
231
00:10:19,724 --> 00:10:22,234
charcoal along with, uh.. graphite.
232
00:10:22,270 --> 00:10:24,600
And the charcoal allows you to, to have
233
00:10:24,600 --> 00:10:28,070
so much more...uhhh...depth in the tonal
quality.
234
00:10:28,498 --> 00:10:31,221
And then, yeah....I did a self-portrait.
235
00:10:31,221 --> 00:10:33,221
The whole, the whole picture was a
236
00:10:33,221 --> 00:10:35,051
statement about when I got locked up,
237
00:10:35,051 --> 00:10:37,241
when I was 14 and I'm now 24.
238
00:10:37,241 --> 00:10:41,241
This is me at 24, but uh, that's me.....
239
00:10:41,241 --> 00:10:43,861
back then...sort of thing....
240
00:10:45,834 --> 00:10:48,484
Narrator: Mental Disorder is no respecter
241
00:10:48,484 --> 00:10:50,643
of class or education.
242
00:10:51,180 --> 00:10:53,270
Daniel was a 14 year old boy at a
243
00:10:53,270 --> 00:10:55,624
mainstream school, and no one anticipated
244
00:10:55,624 --> 00:10:57,704
the violence of his attack....
245
00:10:57,704 --> 00:11:00,114
on his own family.
246
00:11:06,397 --> 00:11:10,397
[Heavy guitar riff]
247
00:11:11,817 --> 00:11:13,919
All of the men in Broadmoor present a
248
00:11:13,919 --> 00:11:15,958
grave and immediate risk to the public.
249
00:11:15,958 --> 00:11:18,538
And many have committed violent crimes.
250
00:11:18,758 --> 00:11:21,798
From arson, to torture, rape and murder.
251
00:11:23,246 --> 00:11:25,516
Unlike a prison sentence, they have
252
00:11:25,516 --> 00:11:27,101
no release date.
253
00:11:28,927 --> 00:11:30,737
Daniel: I've been a bit of a conundrum
254
00:11:30,737 --> 00:11:32,077
for the psychologists.
255
00:11:32,077 --> 00:11:34,217
And I've have, I've had about nine
different
256
00:11:34,217 --> 00:11:36,987
diagnoses from thirty different doctors.
257
00:11:36,987 --> 00:11:38,697
I've had seminars about me done,
258
00:11:38,697 --> 00:11:40,997
I've had people wanting to write books
about me,
259
00:11:40,997 --> 00:11:42,897
just because of the unusuallity of
260
00:11:42,897 --> 00:11:46,487
my offense, and my age, and
what happened...
261
00:11:46,487 --> 00:11:48,467
I mean, my family are my saving grace
262
00:11:48,467 --> 00:11:49,921
to be honest here. They, they,
263
00:11:49,921 --> 00:11:51,591
they're hugely...hugely supportive.
264
00:11:51,591 --> 00:11:54,381
And what's even more amazing is that
my offense
265
00:11:54,381 --> 00:11:56,471
was actually orientated against my family.
266
00:11:56,471 --> 00:11:59,491
So I think...so the fact....
and, and, what a
267
00:11:59,491 --> 00:12:02,201
lot of people see is that, when a family
268
00:12:02,201 --> 00:12:04,111
member has committed an
offense against
269
00:12:04,111 --> 00:12:07,328
a family member they often...
dis-disown them.
270
00:12:07,328 --> 00:12:09,673
So it think it's...it's too much for
the family.
271
00:12:09,673 --> 00:12:12,743
But, they-they, have told me that
they swore
272
00:12:12,743 --> 00:12:14,653
they'd stay by me when they, when I was
273
00:12:14,653 --> 00:12:16,983
christened, and they have. So I think,
ya know...
274
00:12:16,983 --> 00:12:19,684
They've always-they've always agreed
I've had Aspergers.
275
00:12:19,684 --> 00:12:21,443
One of the problems I have is I'm
276
00:12:21,443 --> 00:12:23,576
not very good at understanding emotions.
277
00:12:23,576 --> 00:12:26,686
Or...if I have a...if I'm
feeling something
278
00:12:26,686 --> 00:12:28,986
I don't always understand what it is that
279
00:12:28,986 --> 00:12:29,918
I'm feeling.
280
00:12:29,918 --> 00:12:32,808
But if I can draw it, I can get out these
281
00:12:32,808 --> 00:12:35,258
angry feelings, or these frustrations of
282
00:12:35,258 --> 00:12:38,008
being locked up, or guilt, or remorse.
283
00:12:38,008 --> 00:12:40,638
All these, all these negative feelings I
284
00:12:40,638 --> 00:12:43,528
can channel through this
imaginative artworks.
285
00:12:44,348 --> 00:12:49,388
[background talking, lunch bags rustle]
286
00:12:49,388 --> 00:12:52,984
Daniel: I've probably never actually said
the words of what I actually done.
287
00:12:52,984 --> 00:12:54,474
I've never admitted it.
288
00:12:56,826 --> 00:12:59,734
Because I still, I still get flashbacks.
289
00:12:59,734 --> 00:13:01,204
It's mainly guilt.
290
00:13:01,204 --> 00:13:03,724
I still-I still struggle to
bring it to mind
291
00:13:03,724 --> 00:13:06,214
It's still just a blur in my head.
292
00:13:06,214 --> 00:13:08,464
I've done such a terrible thing. Thats one
293
00:13:08,464 --> 00:13:11,004
of the things that I've got to got to come
294
00:13:11,004 --> 00:13:13,234
to terms with eventually is that I've
295
00:13:13,234 --> 00:13:17,234
done this, it's happened, and it WILL be
296
00:13:17,234 --> 00:13:19,334
with me forever.
297
00:13:20,473 --> 00:13:22,833
Narrator: We're not allowed to reveal the
298
00:13:22,833 --> 00:13:24,660
details of Daniel's offense.
299
00:13:25,243 --> 00:13:26,073
Man in Suit: Okay
300
00:13:26,073 --> 00:13:29,363
Daniel: Umm, the other thing I was
wondering about was, I sort of get
301
00:13:29,363 --> 00:13:32,783
problems of fine motor control
and spatial awareness,
302
00:13:32,783 --> 00:13:35,753
and like bumping into things, and dropping
303
00:13:35,753 --> 00:13:36,886
things a lot.
304
00:13:37,178 --> 00:13:39,558
Man in Suit: As you're saying it's
not one of
305
00:13:39,558 --> 00:13:41,638
the most common side effect. In fact, the
306
00:13:41,638 --> 00:13:42,908
opposite....[trails off]
307
00:13:42,908 --> 00:13:44,898
Narrator: Daniel is taking
medication and
308
00:13:44,898 --> 00:13:46,554
undergoing psychological therapy.
309
00:13:46,554 --> 00:13:48,866
These, together with everyday interaction
310
00:13:48,866 --> 00:13:51,166
with staff are the cornerstones of
311
00:13:51,166 --> 00:13:52,666
the treatment here.
312
00:13:52,666 --> 00:13:54,676
Man in Suit: Have you noticed any benefit?
313
00:13:54,676 --> 00:13:57,256
Daniel: I don't really know what it is
I'm looking for.
314
00:13:57,256 --> 00:13:59,216
Man in Suit: I have noticed a difference
315
00:13:59,216 --> 00:14:01,486
in you, not within the last week, but
316
00:14:01,486 --> 00:14:03,816
certainly over the last three months. I
317
00:14:03,816 --> 00:14:06,016
think that you are much more able to
318
00:14:06,016 --> 00:14:08,616
spend longer time with people in one to
319
00:14:08,616 --> 00:14:09,796
one situations.
320
00:14:09,909 --> 00:14:14,039
[ducks quack, somber music]
321
00:14:14,259 --> 00:14:16,579
Narrator: Broadmoor can feel like a ghost
322
00:14:16,579 --> 00:14:19,090
town. Patients can only move at certain
323
00:14:19,090 --> 00:14:21,714
times and in certain configurations.
324
00:14:22,110 --> 00:14:24,740
Their cameras record where each patient is
325
00:14:24,740 --> 00:14:26,240
at any given moment.
326
00:14:26,240 --> 00:14:30,670
[Radio Chatter]
327
00:14:30,869 --> 00:14:33,489
The control room ensures that incompatible
328
00:14:33,489 --> 00:14:35,765
patients, do not collide.
329
00:14:36,011 --> 00:14:40,611
[Radio Chatter]
330
00:14:41,197 --> 00:14:43,842
Patients who are well enough, leave their
331
00:14:43,842 --> 00:14:46,962
wards to go to work, study, and even once
332
00:14:46,962 --> 00:14:49,613
a week go shopping. It's strangely like a
333
00:14:49,613 --> 00:14:51,393
village.
334
00:14:51,393 --> 00:14:56,263
Inmate: You got any wine gums? Wine gums?
No wine gums or nothing?
335
00:14:56,263 --> 00:14:58,049
Is this a shop or not?
336
00:15:03,365 --> 00:15:08,396
Shopkeeper Whats going on?
You sure it's okay?
337
00:15:08,396 --> 00:15:09,886
[indistinct response]
338
00:15:09,886 --> 00:15:10,907
Shopkeeper: Good.
339
00:15:13,488 --> 00:15:15,872
Narrator: The freedom to shop is a
340
00:15:15,872 --> 00:15:18,352
mixed blessing. One of the side effects
341
00:15:18,352 --> 00:15:21,482
of medication is increased appetite
342
00:15:21,482 --> 00:15:24,582
and many patients are severely overweight.
343
00:15:25,456 --> 00:15:29,736
[indistinct talking]
344
00:15:29,906 --> 00:15:32,716
Narrator:However normal it feels,
the reminder of
345
00:15:32,716 --> 00:15:34,695
the threat of violence is ever-present.
346
00:15:35,478 --> 00:15:37,924
Searches looking for potential weapons
347
00:15:37,924 --> 00:15:40,473
are carried out before any
patient movement.
348
00:15:41,399 --> 00:15:43,409
Hospital Staff: This is stuff that we've
349
00:15:43,409 --> 00:15:46,617
retrieved from patients. I think this is
350
00:15:46,617 --> 00:15:49,727
just, what used to be a CD and its been
351
00:15:49,727 --> 00:15:52,297
broken up into shards. It can be used as a
352
00:15:52,297 --> 00:15:54,167
blade, even for self harming.
353
00:15:54,167 --> 00:15:56,605
In fact, we don't use the CDs
here anymore.
354
00:15:56,678 --> 00:15:59,128
We've got spoons and forks that have been
355
00:15:59,128 --> 00:16:01,597
sharpened off on the edge. So a normal
356
00:16:01,597 --> 00:16:04,327
teaspoon-plastic spoon-which is
quite innocent
357
00:16:04,327 --> 00:16:06,807
to you and I, has been fashioned off and
358
00:16:06,807 --> 00:16:09,108
can be used as a potential weapon to stab.
359
00:16:09,108 --> 00:16:11,458
It's an example of how vigilant we have to
360
00:16:11,458 --> 00:16:13,052
be with everyday items.
361
00:16:14,078 --> 00:16:15,078
[radio chatter]
362
00:16:16,105 --> 00:16:18,531
Alex: I've done a lot of self harming, as
363
00:16:18,531 --> 00:16:21,681
you can see. I've cut my own throat
a couple
364
00:16:21,681 --> 00:16:24,511
of times. I've cut my throat like four
365
00:16:24,511 --> 00:16:27,161
times I think. Umm funny enough, I think
366
00:16:27,161 --> 00:16:29,256
It was like five weeks
before I come here,
367
00:16:29,256 --> 00:16:32,426
I hung myself and they had to do CPR
368
00:16:32,426 --> 00:16:33,416
on me in the cell.
369
00:16:33,416 --> 00:16:34,576
Like, you know?
370
00:16:36,932 --> 00:16:39,332
I was sexually abused when I was a child
371
00:16:39,332 --> 00:16:41,712
and that had an affect on my behavior,
372
00:16:41,712 --> 00:16:43,192
on my mental state.
373
00:16:43,192 --> 00:16:46,352
I couldn't sleep at night, and the rest
of it... I was, you know...
374
00:16:46,352 --> 00:16:48,272
Basically everything that you go through
375
00:16:48,272 --> 00:16:51,372
when you've had a traumatic situation
like I did.
376
00:16:52,245 --> 00:16:54,232
I think as well as being here,
377
00:16:54,232 --> 00:16:56,062
I said to my mum 'this feels like the
378
00:16:56,062 --> 00:16:58,111
best I've ever been in ten years.'
379
00:17:01,485 --> 00:17:03,745
Man in Tan Suit: Patients that come here,
380
00:17:03,745 --> 00:17:05,851
they will have perpetrated, often,
381
00:17:05,851 --> 00:17:08,691
horrendous crimes. But, they are also
382
00:17:08,691 --> 00:17:12,791
victims. It is very easy to see somebody
383
00:17:12,791 --> 00:17:14,981
as either the perpetrator or the victim.
384
00:17:14,981 --> 00:17:17,399
It is much more difficult to understand
385
00:17:17,399 --> 00:17:19,889
that somebody might be both.
386
00:17:19,949 --> 00:17:22,049
[squirrel chatters]
387
00:17:22,049 --> 00:17:29,029
[loud drumming and incoherent yelling]
388
00:17:29,396 --> 00:17:31,776
Narrator: Patients from different wards
389
00:17:31,776 --> 00:17:33,347
meet in certain events.
390
00:17:33,538 --> 00:17:35,198
(Neita): Hi, first of all, thank
391
00:17:35,198 --> 00:17:36,641
you for giving up your time.
392
00:17:36,641 --> 00:17:38,891
I know you could be doing
other things, I know
393
00:17:38,891 --> 00:17:40,461
you have different [trails off]
394
00:17:40,461 --> 00:17:42,551
Narrator: Todays a diversity workshop and
395
00:17:42,551 --> 00:17:45,371
Poet and Lawyer Dave Neita is encouraging
396
00:17:45,371 --> 00:17:47,418
them to celebrate their
different cultures.
397
00:17:47,481 --> 00:17:49,791
Neita: Today I invite you to speak
398
00:17:49,791 --> 00:17:52,691
about your own culture, but before
399
00:17:52,691 --> 00:17:54,661
that we're going to have lunch.
400
00:17:56,525 --> 00:17:59,190
But most of them are celebrating lunch.
401
00:17:59,190 --> 00:18:03,190
[drums continue]
402
00:18:03,190 --> 00:18:05,650
With no alcohol or tobacco allowed, food
403
00:18:05,650 --> 00:18:08,210
is the only thing they have
free reign over.
404
00:18:08,365 --> 00:18:13,785
[drums in background]
405
00:18:14,725 --> 00:18:17,895
Alex: My mum's Italian and my dad's from
a little island in Africa
406
00:18:17,895 --> 00:18:20,922
and I'd like to say that
being multicultural
407
00:18:20,922 --> 00:18:24,622
It helps. It's good. It's nice
to be different.
408
00:18:24,622 --> 00:18:26,492
Because different is what we need. We
409
00:18:26,492 --> 00:18:28,822
don't want everyone the same.
And that's it.
410
00:18:28,822 --> 00:18:30,411
[applause]
411
00:18:31,001 --> 00:18:34,540
Declan: How'd I end up in here? Umm
412
00:18:34,540 --> 00:18:36,740
they said they had a spare bed so I
413
00:18:36,740 --> 00:18:38,950
thought 'I've been in children's homes,
414
00:18:38,950 --> 00:18:41,219
I've been in secure units,
I've been in prison.
415
00:18:41,219 --> 00:18:43,293
The only place I haven't been is
Broadmoor.
416
00:18:43,293 --> 00:18:45,203
So I thought I'd come along.
417
00:18:45,203 --> 00:18:47,813
[laughs]
418
00:18:47,813 --> 00:18:48,753
[drumming]
419
00:18:48,753 --> 00:18:50,993
Narrator: Now 26, Declan was put
420
00:18:50,993 --> 00:18:52,773
into care at the age of nine.
421
00:18:52,773 --> 00:18:54,413
Declan: I remember the day that my
422
00:18:54,413 --> 00:18:56,917
mum took me to this office. I sat there
423
00:18:56,917 --> 00:18:58,896
on a chair, and the next minute she just
424
00:18:58,896 --> 00:19:01,086
left. She went 'your not coming with me'.
425
00:19:01,176 --> 00:19:03,129
A social worker come out and she went
426
00:19:03,129 --> 00:19:04,802
'alright, you got to come with me'.
427
00:19:04,802 --> 00:19:07,293
I went to children's homes, foster homes.
428
00:19:07,293 --> 00:19:10,416
I kept running away, cause' I got abused
429
00:19:10,416 --> 00:19:12,284
when I was in the children home. By the
430
00:19:12,284 --> 00:19:16,928
staff. Sexually and physical. And umm I
431
00:19:16,928 --> 00:19:18,846
think it was like, no one would actually
432
00:19:18,846 --> 00:19:19,933
listen to me.
433
00:19:19,933 --> 00:19:22,521
I ran away to London, and I was living on
434
00:19:22,521 --> 00:19:24,652
the streets. I mean I was living out of
435
00:19:24,652 --> 00:19:27,703
bins, yeah....not nice but, when you're
436
00:19:27,703 --> 00:19:29,345
on the streets you have to do that
sometimes.
437
00:19:29,345 --> 00:19:31,074
you know what I mean?
438
00:19:31,074 --> 00:19:32,643
Inmate in Red: Yeah guys, this is called
439
00:19:32,643 --> 00:19:33,882
Think, yeah?
440
00:19:33,882 --> 00:19:36,315
It goes like this: When you see a tramp
441
00:19:36,315 --> 00:19:38,711
out on the street. Don't look down your
442
00:19:38,711 --> 00:19:40,933
nose so far that you see your own feet.
443
00:19:40,933 --> 00:19:43,652
When you see people homeless don't reach
444
00:19:43,652 --> 00:19:45,855
for a broom. Consider if you have the
445
00:19:45,855 --> 00:19:47,669
means to give them a room.
446
00:19:47,669 --> 00:19:50,366
Declan: Am I a victim? I mean my current
447
00:19:50,366 --> 00:19:52,958
defendant...umm...basically stabbed 'em
448
00:19:52,958 --> 00:19:55,755
up. The judge classed it under as torture.
449
00:19:55,755 --> 00:19:58,674
Inmate in Blue: I'm Black, I'm
450
00:19:58,674 --> 00:20:00,407
British, and I'm proud of it [fades into
451
00:20:00,407 --> 00:20:05,094
clapping and drums].
452
99:59:59,999 --> 99:59:59,999
(Interviewer): You say you've got a child?
453
99:59:59,999 --> 99:59:59,999
Declan: Mm-hm. Got a little boy,
454
99:59:59,999 --> 99:59:59,999
he's seven.
455
99:59:59,999 --> 99:59:59,999
And he lives with his mum.
456
99:59:59,999 --> 99:59:59,999
Don't really see him, but I would-
457
99:59:59,999 --> 99:59:59,999
I wouldn't expect children to come in a
458
99:59:59,999 --> 99:59:59,999
place like this.
459
99:59:59,999 --> 99:59:59,999
(Interviewer): And are you still on good
460
99:59:59,999 --> 99:59:59,999
terms with his mum?
461
99:59:59,999 --> 99:59:59,999
Declan: Ummm... [laughs]
462
99:59:59,999 --> 99:59:59,999
not really. No.
463
99:59:59,999 --> 99:59:59,999
I started having a bit of a relationship
464
99:59:59,999 --> 99:59:59,999
with [name beeped out]. Sooo, yeah..that
465
99:59:59,999 --> 99:59:59,999
was the first time I found out that I was
466
99:59:59,999 --> 99:59:59,999
sort of that way.
467
99:59:59,999 --> 99:59:59,999
I've always-for some reason-I've always
468
99:59:59,999 --> 99:59:59,999
wanted to be a woman.
469
99:59:59,999 --> 99:59:59,999
I think that's the way I am, you know
470
99:59:59,999 --> 99:59:59,999
but in this place you can't do that,
471
99:59:59,999 --> 99:59:59,999
they won't allow it.
472
99:59:59,999 --> 99:59:59,999
Declan in front of room: I just wanted
473
99:59:59,999 --> 99:59:59,999
to say I'm gay, and I'm proud of it.
474
99:59:59,999 --> 99:59:59,999
Thank you.
475
99:59:59,999 --> 99:59:59,999
Declan: I want to be a Drag Queen that's
476
99:59:59,999 --> 99:59:59,999
what I've done for a while.
477
99:59:59,999 --> 99:59:59,999
(Interviewer): What's she called?
478
99:59:59,999 --> 99:59:59,999
Declan: Crystal.
479
99:59:59,999 --> 99:59:59,999
Female Voice: And what's she look like?
480
99:59:59,999 --> 99:59:59,999
Declan: Blonde, and just fabulous.
481
99:59:59,999 --> 99:59:59,999
[laughs]
482
99:59:59,999 --> 99:59:59,999
[Intense music]
483
99:59:59,999 --> 99:59:59,999
Narrator: We've come to Chepstow, a
484
99:59:59,999 --> 99:59:59,999
medium-dependancy ward, where Lenny
485
99:59:59,999 --> 99:59:59,999
wants to show us his artwork.
486
99:59:59,999 --> 99:59:59,999
(Interviewer): You do it in your room?
487
99:59:59,999 --> 99:59:59,999
Lenny: Yeah. I do work with spare pens,
488
99:59:59,999 --> 99:59:59,999
and it's mostly based on pens and
489
99:59:59,999 --> 99:59:59,999
basically your using cups and shapes
490
99:59:59,999 --> 99:59:59,999
and bottle tops to draw around.
491
99:59:59,999 --> 99:59:59,999
(Interviewer): How long have you
been here?
492
99:59:59,999 --> 99:59:59,999
Lenny: 7 years this time.
493
99:59:59,999 --> 99:59:59,999
(Interviewer): Is it not your first time?
494
99:59:59,999 --> 99:59:59,999
Lenny: No it's the second time.
495
99:59:59,999 --> 99:59:59,999
What do you think of that one?
496
99:59:59,999 --> 99:59:59,999
That's the corridors in a ward that's shut
down now
497
99:59:59,999 --> 99:59:59,999
(Interviewer): So why are you considered
498
99:59:59,999 --> 99:59:59,999
a risk?
499
99:59:59,999 --> 99:59:59,999
Lenny: Because...I think its because of
500
99:59:59,999 --> 99:59:59,999
my particular offense was against a
501
99:59:59,999 --> 99:59:59,999
consulting psychiatrist. They
502
99:59:59,999 --> 99:59:59,999
called in a section 12
approved psychiatrist.
503
99:59:59,999 --> 99:59:59,999
And they're very powerful, not like- not
504
99:59:59,999 --> 99:59:59,999
like when you go to an ordinary doctor.
505
99:59:59,999 --> 99:59:59,999
They-they work for the home office.
506
99:59:59,999 --> 99:59:59,999
Narrator: He's not happy with life in
507
99:59:59,999 --> 99:59:59,999
Broadmoor, and tells us he's bringing a
508
99:59:59,999 --> 99:59:59,999
High Court case against the hospital.
509
99:59:59,999 --> 99:59:59,999
Lenny: It costs how much? What was the
510
99:59:59,999 --> 99:59:59,999
last figure they said it cost to keep us
511
99:59:59,999 --> 99:59:59,999
here every year? 320,000 pounds a year or
512
99:59:59,999 --> 99:59:59,999
something? Surely its-its wrong to charge
513
99:59:59,999 --> 99:59:59,999
a fortune for people like us. When we're
514
99:59:59,999 --> 99:59:59,999
nowhere near about the centers of the
515
99:59:59,999 --> 99:59:59,999
community.
516
99:59:59,999 --> 99:59:59,999
Narrator: I costs 300,000 pounds a year
517
99:59:59,999 --> 99:59:59,999
to keep a patient in Broadmoor. Almost
518
99:59:59,999 --> 99:59:59,999
five times the cost of keeping
someone in prison.
519
99:59:59,999 --> 99:59:59,999
Before Lenny came to Broadmoor, he was
520
99:59:59,999 --> 99:59:59,999
in outpatient at a psychiatric hospital
521
99:59:59,999 --> 99:59:59,999
where he threatened his psychiatrist with
522
99:59:59,999 --> 99:59:59,999
a machete.
523
99:59:59,999 --> 99:59:59,999
(Interviewer): Do you think you shouldn't
524
99:59:59,999 --> 99:59:59,999
be here, or?
525
99:59:59,999 --> 99:59:59,999
Lenny: Do you think I sound like a
526
99:59:59,999 --> 99:59:59,999
mad blathering idiot?
527
99:59:59,999 --> 99:59:59,999
Cause' I think-No I don't think I should
528
99:59:59,999 --> 99:59:59,999
be here. I think I should be sharing this-
529
99:59:59,999 --> 99:59:59,999
my life- with people. I want to be
530
99:59:59,999 --> 99:59:59,999
sharing my life with people. I want to
531
99:59:59,999 --> 99:59:59,999
be able to decide
532
99:59:59,999 --> 99:59:59,999
what I do, when I do it
533
99:59:59,999 --> 99:59:59,999
and be reasonably responsible for my
534
99:59:59,999 --> 99:59:59,999
own behavior, like anyone else out there.
535
99:59:59,999 --> 99:59:59,999
And I don't think I'll be any more of a
536
99:59:59,999 --> 99:59:59,999
danger then whatever's already out there.
537
99:59:59,999 --> 99:59:59,999
And I will be honest with you, I am rude
538
99:59:59,999 --> 99:59:59,999
here, I could be really furious and angry
539
99:59:59,999 --> 99:59:59,999
and people come with 'You're the patient,
540
99:59:59,999 --> 99:59:59,999
yeah?' That is a term we use to separate
541
99:59:59,999 --> 99:59:59,999
you from the rest of society, we're the
542
99:59:59,999 --> 99:59:59,999
last thing on earth -this is the truth
543
99:59:59,999 --> 99:59:59,999
here- to be given what you call equal
544
99:59:59,999 --> 99:59:59,999
rights. What do you think? You agree
545
99:59:59,999 --> 99:59:59,999
or not? I'm not anti-people I'm all for
546
99:59:59,999 --> 99:59:59,999
people.
547
99:59:59,999 --> 99:59:59,999
Narrator: Downstairs on the admissions
548
99:59:59,999 --> 99:59:59,999
ward, Alex is keen to progress.
549
99:59:59,999 --> 99:59:59,999
Alex: I was seven months up in here
550
99:59:59,999 --> 99:59:59,999
yesterday, seven months yesterday. It's
551
99:59:59,999 --> 99:59:59,999
taking forever. Are you aware of any
552
99:59:59,999 --> 99:59:59,999
beds coming up soon?
553
99:59:59,999 --> 99:59:59,999
Narrator: His medication has stabilized
554
99:59:59,999 --> 99:59:59,999
him. He wants to move from Admissions to
555
99:59:59,999 --> 99:59:59,999
an Assertive Rehab ward, where he'll
556
99:59:59,999 --> 99:59:59,999
have greater freedom.
557
99:59:59,999 --> 99:59:59,999
Man in suit: That I don't know.
558
99:59:59,999 --> 99:59:59,999
Alex: Well you should know, [laughing]
559
99:59:59,999 --> 99:59:59,999
you're a consultant in there!
560
99:59:59,999 --> 99:59:59,999
Man in suit: Yes- I can't- I don't know
561
99:59:59,999 --> 99:59:59,999
the timescales, cause it's not quite
562
99:59:59,999 --> 99:59:59,999
within my control...
563
99:59:59,999 --> 99:59:59,999
Narrator: Back upstairs on Chepstow,
564
99:59:59,999 --> 99:59:59,999
Benson, the PAT dog, has arrived for
565
99:59:59,999 --> 99:59:59,999
his weekly visit.
566
99:59:59,999 --> 99:59:59,999
Lenny's behavior over the past few days
567
99:59:59,999 --> 99:59:59,999
is becoming a cause for concern.
568
99:59:59,999 --> 99:59:59,999
He's been increasingly manic and
569
99:59:59,999 --> 99:59:59,999
hyperactive, and his doctor feels he
570
99:59:59,999 --> 99:59:59,999
needs medication.
571
99:59:59,999 --> 99:59:59,999
[door clatter] Dog Handler: Bye!
572
99:59:59,999 --> 99:59:59,999
Narrator: Lenny refuses to take it,
573
99:59:59,999 --> 99:59:59,999
so it'll have to be forcibly administered,
574
99:59:59,999 --> 99:59:59,999
by injection.
575
99:59:59,999 --> 99:59:59,999
Lenny: Hang on hang on, you filming?
576
99:59:59,999 --> 99:59:59,999
[crosstalk]
577
99:59:59,999 --> 99:59:59,999
Lenny: This is wrong, I'm not fighting you
578
99:59:59,999 --> 99:59:59,999
[crosstalk]
579
99:59:59,999 --> 99:59:59,999
[chatter]
580
99:59:59,999 --> 99:59:59,999
Doctor: Guys, we really need to get this
581
99:59:59,999 --> 99:59:59,999
started, if you just mind, just, just-
582
99:59:59,999 --> 99:59:59,999
please.. OK? All right
583
99:59:59,999 --> 99:59:59,999
Narrator: At this point, staff tell us
584
99:59:59,999 --> 99:59:59,999
to leave the ward.
585
99:59:59,999 --> 99:59:59,999
[moody music]
586
99:59:59,999 --> 99:59:59,999
We're told we can see Lenny the following
587
99:59:59,999 --> 99:59:59,999
day. [door shuts]
588
99:59:59,999 --> 99:59:59,999
[birds, brooding music]
589
99:59:59,999 --> 99:59:59,999
Lenny: Neil? Neil, could we have a key
590
99:59:59,999 --> 99:59:59,999
please? There should [unintelligible]
591
99:59:59,999 --> 99:59:59,999
Narrator: The day before, we were told to
592
99:59:59,999 --> 99:59:59,999
leave the ward when staff were about
593
99:59:59,999 --> 99:59:59,999
to forcibly inject Lenny with
594
99:59:59,999 --> 99:59:59,999
antipsychotic medication.
595
99:59:59,999 --> 99:59:59,999
He's keen to explain what happened after
596
99:59:59,999 --> 99:59:59,999
we left.
597
99:59:59,999 --> 99:59:59,999
Lenny: Come this way-
598
99:59:59,999 --> 99:59:59,999
So I moved into here-
599
99:59:59,999 --> 99:59:59,999
Narrator: He leads us into the seclusion
600
99:59:59,999 --> 99:59:59,999
area.
601
99:59:59,999 --> 99:59:59,999
Lenny: Come in, come in.
602
99:59:59,999 --> 99:59:59,999
All right, well [unintelligible] First
603
99:59:59,999 --> 99:59:59,999
of all, I was at that point, I was
604
99:59:59,999 --> 99:59:59,999
laying like this, alright, and I was
605
99:59:59,999 --> 99:59:59,999
talking saying 'Please don't turn me
606
99:59:59,999 --> 99:59:59,999
over, cos I'm not trying to fight you'
607
99:59:59,999 --> 99:59:59,999
And they said, and the next thing happened
608
99:59:59,999 --> 99:59:59,999
they all came in and [unintelligible]
609
99:59:59,999 --> 99:59:59,999
I can make a deal with them, I'm on the
610
99:59:59,999 --> 99:59:59,999
bed, so I'm like this, one point, all the
611
99:59:59,999 --> 99:59:59,999
staff were holding me, I was like that
612
99:59:59,999 --> 99:59:59,999
and said 'Would you please let me go,
613
99:59:59,999 --> 99:59:59,999
and I'll get up' so I went like that
614
99:59:59,999 --> 99:59:59,999
and stood like that and took down my
615
99:59:59,999 --> 99:59:59,999
pants and trousers and he stopped
616
99:59:59,999 --> 99:59:59,999
me there, let's see, I came out again,
617
99:59:59,999 --> 99:59:59,999
that's what happened, but I didn't-
618
99:59:59,999 --> 99:59:59,999
What do you think? What's your opinion
619
99:59:59,999 --> 99:59:59,999
about that?
620
99:59:59,999 --> 99:59:59,999
(Interviewer): But did you, so did you hit
621
99:59:59,999 --> 99:59:59,999
one of them then?
622
99:59:59,999 --> 99:59:59,999
Lenny: Yeah but that's cos I was being
623
99:59:59,999 --> 99:59:59,999
chased [unintelligible].
624
99:59:59,999 --> 99:59:59,999
Doctor: One of the biggest
areas of conflict, um
625
99:59:59,999 --> 99:59:59,999
between certainly doctor and patient
626
99:59:59,999 --> 99:59:59,999
is the issue of medication.
627
99:59:59,999 --> 99:59:59,999
Lenny: This one's sealed, alright?
628
99:59:59,999 --> 99:59:59,999
It's stifling sometimes.
629
99:59:59,999 --> 99:59:59,999
(Doctor): One of the difficulties
630
99:59:59,999 --> 99:59:59,999
with psychotic disorders is your
631
99:59:59,999 --> 99:59:59,999
interpretation of reality is different
632
99:59:59,999 --> 99:59:59,999
from other people's.
633
99:59:59,999 --> 99:59:59,999
And if you genuinely believe there's
634
99:59:59,999 --> 99:59:59,999
nothing wrong with you and you don't
635
99:59:59,999 --> 99:59:59,999
need any medication, why on earth would
636
99:59:59,999 --> 99:59:59,999
you want to take some of the medications
637
99:59:59,999 --> 99:59:59,999
that would be up for discussion?
638
99:59:59,999 --> 99:59:59,999
Lenny: Could we open this door please?
639
99:59:59,999 --> 99:59:59,999
(Doctor): He's particularly angry for two
reasons, so
640
99:59:59,999 --> 99:59:59,999
one is he doesn't believe he'll benefit
641
99:59:59,999 --> 99:59:59,999
from the medication at all, second reason
642
99:59:59,999 --> 99:59:59,999
is that he believes he's involved in a
643
99:59:59,999 --> 99:59:59,999
major, high court case against the
644
99:59:59,999 --> 99:59:59,999
hospital to expose a range of malpractice
645
99:59:59,999 --> 99:59:59,999
particularly in relation to him, but in
646
99:59:59,999 --> 99:59:59,999
general about how these services are just
647
99:59:59,999 --> 99:59:59,999
really keeping people in jobs and don't
648
99:59:59,999 --> 99:59:59,999
provide any useful service.
649
99:59:59,999 --> 99:59:59,999
Lenny: The hospital's defense is just-
650
99:59:59,999 --> 99:59:59,999
'Here's some of the most notorious
651
99:59:59,999 --> 99:59:59,999
people in the country,' I'll show you
what-
652
99:59:59,999 --> 99:59:59,999
(Doctor): He believes we've given him the
653
99:59:59,999 --> 99:59:59,999
medication purely to dull his mind
654
99:59:59,999 --> 99:59:59,999
and weaken his chances of being successful
655
99:59:59,999 --> 99:59:59,999
in that case.
656
99:59:59,999 --> 99:59:59,999
In fact he's not currently involved
in any,
657
99:59:59,999 --> 99:59:59,999
uh, legal action or court case.
658
99:59:59,999 --> 99:59:59,999
(Lenny): No you're not going in there
659
99:59:59,999 --> 99:59:59,999
it's private, sorry come on you guys
660
99:59:59,999 --> 99:59:59,999
it's private. It's my mess, my own mess.
661
99:59:59,999 --> 99:59:59,999
Hey look, can you show 'em all now?
662
99:59:59,999 --> 99:59:59,999
Look at that, that's my mum and me.
663
99:59:59,999 --> 99:59:59,999
See she pretty in the black and white from
664
99:59:59,999 --> 99:59:59,999
the 60s, see her?
665
99:59:59,999 --> 99:59:59,999
(Doctor): He's a man who's spent a long
666
99:59:59,999 --> 99:59:59,999
time in institutional care, um in previous
667
99:59:59,999 --> 99:59:59,999
settings was frequently assaulted, he was
668
99:59:59,999 --> 99:59:59,999
violent himself on several occasions
669
99:59:59,999 --> 99:59:59,999
but he often assaulted.
670
99:59:59,999 --> 99:59:59,999
Lenny: You want a drink or anything, cup
671
99:59:59,999 --> 99:59:59,999
of tea or something?
[offscreen] I'm fine
672
99:59:59,999 --> 99:59:59,999
You sure? Any sweets, soft drink?
[offscreen] Nothing
673
99:59:59,999 --> 99:59:59,999
Lenny: Alright thanks very, thank you
very much [unintelligible]
674
99:59:59,999 --> 99:59:59,999
[contemplative music]
675
99:59:59,999 --> 99:59:59,999
[keys clattering, chatter]
676
99:59:59,999 --> 99:59:59,999
[offscreen] Just check to make sure, all
677
99:59:59,999 --> 99:59:59,999
the shadows are covered..
678
99:59:59,999 --> 99:59:59,999
So they're checked, first thing in the
679
99:59:59,999 --> 99:59:59,999
morning, again before the patients go back
680
99:59:59,999 --> 99:59:59,999
[door handle rattles]
681
99:59:59,999 --> 99:59:59,999
Narrator: Patients who are well enough
682
99:59:59,999 --> 99:59:59,999
to go to work can make goods, which go
683
99:59:59,999 --> 99:59:59,999
on sale to the public. They are paid
684
99:59:59,999 --> 99:59:59,999
80 pence an hour.
685
99:59:59,999 --> 99:59:59,999
Alex has been doing well and is now
686
99:59:59,999 --> 99:59:59,999
allowed off the Admissions ward to
687
99:59:59,999 --> 99:59:59,999
come to work.
688
99:59:59,999 --> 99:59:59,999
Alex: Everyone's saying 'Oh you gonna move
689
99:59:59,999 --> 99:59:59,999
you're gonna move' they said I would have
690
99:59:59,999 --> 99:59:59,999
moved by Thursday last week, nothing
691
99:59:59,999 --> 99:59:59,999
so far now, I've been onto my psychiatrist
692
99:59:59,999 --> 99:59:59,999
saying, 'Look, why am I still on at
Admission ward,
693
99:59:59,999 --> 99:59:59,999
after 8 months, when there's a bed for me
694
99:59:59,999 --> 99:59:59,999
on Rehab? Know?'
695
99:59:59,999 --> 99:59:59,999
(Interviewer): You a bit frustrated?
Alex: Yeah
696
99:59:59,999 --> 99:59:59,999
it is frustrating, but
697
99:59:59,999 --> 99:59:59,999
I'm just at the moment, focusing, cos next
698
99:59:59,999 --> 99:59:59,999
week I've got a visit, mum and dad are
699
99:59:59,999 --> 99:59:59,999
coming up for 2 days, so, y'know, I'll
700
99:59:59,999 --> 99:59:59,999
spend some time with my family.
701
99:59:59,999 --> 99:59:59,999
[tapping]
702
99:59:59,999 --> 99:59:59,999
[outdoor ambiance, guitar music]
703
99:59:59,999 --> 99:59:59,999
Narrator: They have a saying here:
704
99:59:59,999 --> 99:59:59,999
There's time, and then there's Broadmoor
Time.
705
99:59:59,999 --> 99:59:59,999
Tan shirt: Which episode did you see last,
706
99:59:59,999 --> 99:59:59,999
of Eastenders? Bout a week ago?
707
99:59:59,999 --> 99:59:59,999
Black shirt: Last night?
Tan shirt: Last night?
708
99:59:59,999 --> 99:59:59,999
Black shirt: Last night yeah
709
99:59:59,999 --> 99:59:59,999
Tan shirt: Did they show the man who was
710
99:59:59,999 --> 99:59:59,999
pretending to be Nick Cotton's own son?
711
99:59:59,999 --> 99:59:59,999
Black shirt: No I didn't see it
712
99:59:59,999 --> 99:59:59,999
[moody music]
713
99:59:59,999 --> 99:59:59,999
Narrator: While medication can often
714
99:59:59,999 --> 99:59:59,999
control behavior, extensive therapy is
715
99:59:59,999 --> 99:59:59,999
needed to change it, and that takes time.
716
99:59:59,999 --> 99:59:59,999
Estelle: I'm in the diary, ok?
[offscreen] OK
717
99:59:59,999 --> 99:59:59,999
Narrator: Estelle Moore is the hospital's
718
99:59:59,999 --> 99:59:59,999
lead psychologist, she's been here for 20
years.
719
99:59:59,999 --> 99:59:59,999
Estelle: [keys jangling] You alright?
720
99:59:59,999 --> 99:59:59,999
Declan: They say just carry on with the
721
99:59:59,999 --> 99:59:59,999
violent offenders group, what finishes in
December
722
99:59:59,999 --> 99:59:59,999
Narrator: Patients undergo specific
723
99:59:59,999 --> 99:59:59,999
therapies depending on their offense,
724
99:59:59,999 --> 99:59:59,999
whether it's violence, sex offending, or
725
99:59:59,999 --> 99:59:59,999
fire setting.
726
99:59:59,999 --> 99:59:59,999
Declan: -understand our relationships and
727
99:59:59,999 --> 99:59:59,999
uhh, borderlines. No not borderlines,
boundaries.
728
99:59:59,999 --> 99:59:59,999
Estelle: What sort of actions are safe
729
99:59:59,999 --> 99:59:59,999
and contained in relationships? The sorts
730
99:59:59,999 --> 99:59:59,999
of things that you would do that feel
731
99:59:59,999 --> 99:59:59,999
like normal and safe relationships?
732
99:59:59,999 --> 99:59:59,999
Declan: Laughter
733
99:59:59,999 --> 99:59:59,999
Estelle: Laughter? OK so laughing,
734
99:59:59,999 --> 99:59:59,999
Declan: Talking sensible. Feeling
comfortable with each other.
735
99:59:59,999 --> 99:59:59,999
[keys, footsteps]
736
99:59:59,999 --> 99:59:59,999
Narrator: Declan was found guilty of a
life-threatening assault on a man.
737
99:59:59,999 --> 99:59:59,999
Declan: Do I feel sorry for him? No.
Will I do it again? No.
738
99:59:59,999 --> 99:59:59,999
No. I'm missing the sun, I'm missing
the surfing. Know what I mean?
739
99:59:59,999 --> 99:59:59,999
[keys, door squeaks]
740
99:59:59,999 --> 99:59:59,999
[door shuts]
741
99:59:59,999 --> 99:59:59,999
[moody music]
742
99:59:59,999 --> 99:59:59,999
[ping pong ball clatters]
743
99:59:59,999 --> 99:59:59,999
Narrator: Lenny has been on antipsychotic
744
99:59:59,999 --> 99:59:59,999
medication for a few weeks.
745
99:59:59,999 --> 99:59:59,999
It has had time to build up in his system.
746
99:59:59,999 --> 99:59:59,999
Staff: Now he's had the depot
injection, the chemicals from that
747
99:59:59,999 --> 99:59:59,999
are slowing down his reactions to the
point where he has those few
748
99:59:59,999 --> 99:59:59,999
more seconds to think-
749
99:59:59,999 --> 99:59:59,999
'How am I gonna reply to this?'
750
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.
751
99:59:59,999 --> 99:59:59,999
I can definitely empathize with him, he
752
99:59:59,999 --> 99:59:59,999
hasn't come from a different
background to me
753
99:59:59,999 --> 99:59:59,999
but he has come from different parents
to me.
754
99:59:59,999 --> 99:59:59,999
(Interviewer): It seems to be
the case with so many.
755
99:59:59,999 --> 99:59:59,999
Staff:Yeah, I know, I agree with that,
you can
756
99:59:59,999 --> 99:59:59,999
probably see if you go back into, um,
757
99:59:59,999 --> 99:59:59,999
the lives of most of our patients, you
could probably identify them at
758
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.
759
99:59:59,999 --> 99:59:59,999
Lenny: He's alright here, he's my buddy,
760
99:59:59,999 --> 99:59:59,999
one day he's gonna tell the
truth as well. [laughs]
761
99:59:59,999 --> 99:59:59,999
[walkie talkie chatter]
762
99:59:59,999 --> 99:59:59,999
(Tan Suit): Everyone is born with
763
99:59:59,999 --> 99:59:59,999
certain temperaments, with certain
predispositions to certain
764
99:59:59,999 --> 99:59:59,999
behavior, and if you've been given a
triple-whammy of, of genes, environment,
765
99:59:59,999 --> 99:59:59,999
upbringing, childhood adversity, substance
misuse, all of those different
766
99:59:59,999 --> 99:59:59,999
aspects build up to make the person.
767
99:59:59,999 --> 99:59:59,999
And it's a long term project of gradually
putting somebody back together and
768
99:59:59,999 --> 99:59:59,999
making sure that they stay in that
recovered state.
769
99:59:59,999 --> 99:59:59,999
[ominous music]
770
99:59:59,999 --> 99:59:59,999
Narrator: Things have finally changed for
Alex-
771
99:59:59,999 --> 99:59:59,999
after 8 months, he's been moved to
Assertive Rehab.
772
99:59:59,999 --> 99:59:59,999
Alex: It's better over here, it's a little
better.
773
99:59:59,999 --> 99:59:59,999
Got a lot more freedom, key to a door,
774
99:59:59,999 --> 99:59:59,999
come out when you want to make hot drinks,
yeah, it's alright.
775
99:59:59,999 --> 99:59:59,999
Narrator: But it's not all good news. As
so often in the past,
776
99:59:59,999 --> 99:59:59,999
he's in danger of self-harming.
777
99:59:59,999 --> 99:59:59,999
He's had to be put on Eyesight Observation
which means nurses have to
778
99:59:59,999 --> 99:59:59,999
take turns to watch him, 24 hours a day.
779
99:59:59,999 --> 99:59:59,999
Alex: Cos my mental state haven't been
the best, it's not nice, you know,
780
99:59:59,999 --> 99:59:59,999
hearing voices and what-have-you, but
you know, just got to control it,
781
99:59:59,999 --> 99:59:59,999
that's all you can do, not let it get
to you.
782
99:59:59,999 --> 99:59:59,999
(Alex): Dr Romero said I'm gonna
be here a few years, yet
783
99:59:59,999 --> 99:59:59,999
(Nurse): A few years?
Alex: A few years.
784
99:59:59,999 --> 99:59:59,999
(Nurse): How do you feel about that?
Alex: I don't mind...
785
99:59:59,999 --> 99:59:59,999
Nurse: You don't mind?
Alex: I'm here for a reason.
786
99:59:59,999 --> 99:59:59,999
Nurse: All right.
Alex: Get better, innit? So
787
99:59:59,999 --> 99:59:59,999
if that means I got to stay a
couple years, so be it. But-
788
99:59:59,999 --> 99:59:59,999
I'm getting there, now.
(Nurse): You're getting there.
789
99:59:59,999 --> 99:59:59,999
Alex: [unintelligible]
Nurse: Mhmm
790
99:59:59,999 --> 99:59:59,999
Alex: Least, at least there was no
violence.
791
99:59:59,999 --> 99:59:59,999
(Nurse): Which is good! You should be
proud of. At least it shows that you're
792
99:59:59,999 --> 99:59:59,999
making, you know, more progress.
793
99:59:59,999 --> 99:59:59,999
[meditative music]
794
99:59:59,999 --> 99:59:59,999
Narrator: Alex's mental state continued
to deteriorate, after a couple of weeks
795
99:59:59,999 --> 99:59:59,999
on the ward did self-harm, and had to
796
99:59:59,999 --> 99:59:59,999
be moved back a High Dependency ward.
797
99:59:59,999 --> 99:59:59,999
[nighttime ambiance]
798
99:59:59,999 --> 99:59:59,999
[keys rattling, chatter]
799
99:59:59,999 --> 99:59:59,999
Narrator: On Chepstow Ward, Dr Larkin
wants to discuss a recent incident
800
99:59:59,999 --> 99:59:59,999
involving Lenny and another doctor.
801
99:59:59,999 --> 99:59:59,999
Lenny: I would say that I was really
pleased that they are now starting to
802
99:59:59,999 --> 99:59:59,999
track and find pedophiles in our society,
how pleased I was, and that they
803
99:59:59,999 --> 99:59:59,999
weren't just ordinary poor folk that
were getting nicked, it was also
804
99:59:59,999 --> 99:59:59,999
people of importance were getting
found out.
805
99:59:59,999 --> 99:59:59,999
Larkin: Right
Lenny: And I'm really pleased about that,
806
99:59:59,999 --> 99:59:59,999
and she felt threatened that I was saying
it also included
807
99:59:59,999 --> 99:59:59,999
a couple of doctors, that were nicked
for pedophilia.
808
99:59:59,999 --> 99:59:59,999
Larkin: You're not angry with her about
something in her report?
809
99:59:59,999 --> 99:59:59,999
Lenny: No, it wasn't anything with her,
it wasn't directed towards her
810
99:59:59,999 --> 99:59:59,999
it was directed towards the general idea
of pedophilia, cos you know I am
811
99:59:59,999 --> 99:59:59,999
a victim of pedophilia, for 9 years,
under the Home Office, when I was
812
99:59:59,999 --> 99:59:59,999
a child myself, and they've done
nothing, but- um, bury that fact.
813
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
814
99:59:59,999 --> 99:59:59,999
that brought me to Broadmoor,
I threatened to kill a Section 12
815
99:59:59,999 --> 99:59:59,999
consultant psychiatrist, like you are,
with a machete.
816
99:59:59,999 --> 99:59:59,999
But, I'm not guilty of raping myself.
Larkin: Well-
817
99:59:59,999 --> 99:59:59,999
I think the issue is that you felt
nobody here was [crosstalk]
818
99:59:59,999 --> 99:59:59,999
Lenny: I was being tied up, right? Raped,
against my will, alcohol shoved down
819
99:59:59,999 --> 99:59:59,999
my throat, right, pacified, with- with all
kinds of medicines that belong to
820
99:59:59,999 --> 99:59:59,999
that person, you know, not me, so
that I would be pliable
821
99:59:59,999 --> 99:59:59,999
and agree to having sex, which I didn't
want to do, with a
822
99:59:59,999 --> 99:59:59,999
5 or 6 year-old boy, but 9 years
I was in the system itself, being-
823
99:59:59,999 --> 99:59:59,999
seeing psychologists at the same time
I'm being raped, and nobody did
824
99:59:59,999 --> 99:59:59,999
a single thing to help me. You are
offering me therapy, and I'm not
825
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
826
99:59:59,999 --> 99:59:59,999
to me. And no one recognized that I
was a victim.
827
99:59:59,999 --> 99:59:59,999
Larkin: So, are we agreeing that you're
gonna meet with David
828
99:59:59,999 --> 99:59:59,999
about options for therapy for you as a
victim?
829
99:59:59,999 --> 99:59:59,999
Lenny: Yeah thank you very much Dr Larkin.
Larkin: You're welcome, okay.
830
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
831
99:59:59,999 --> 99:59:59,999
trouble for- for 12 weeks, they'll let me
work in the cafe?
832
99:59:59,999 --> 99:59:59,999
Larkin: Yes, you think you can do that?
833
99:59:59,999 --> 99:59:59,999
Lenny: Be hard, but I'll give it a try.
834
99:59:59,999 --> 99:59:59,999
Narrator: The most challenging patients
are housed here on Cranfield Ward.
835
99:59:59,999 --> 99:59:59,999
Any movement outside their rooms has to
be carefully planned.
836
99:59:59,999 --> 99:59:59,999
Violence is always near the surface.
837
99:59:59,999 --> 99:59:59,999
Patients are allowed, one by one, in the
yard, for limited periods.
838
99:59:59,999 --> 99:59:59,999
A patient doesn't want to return to
his room. [radio chatter]
839
99:59:59,999 --> 99:59:59,999
(Patient): [cursing, hooting, laughing]
840
99:59:59,999 --> 99:59:59,999
Staff: OK
841
99:59:59,999 --> 99:59:59,999
(Patient): [laughter continues]
842
99:59:59,999 --> 99:59:59,999
Staff: He's gearing for a fight.
843
99:59:59,999 --> 99:59:59,999
Narrator: His primary nurse, Moe, has
already given him an extra 30 minutes.
844
99:59:59,999 --> 99:59:59,999
[chatter]
845
99:59:59,999 --> 99:59:59,999
Moe: It's a planned intervention. To
relocate him to his room?
846
99:59:59,999 --> 99:59:59,999
Because um, his presentation dictates
that he could put up a fight.
847
99:59:59,999 --> 99:59:59,999
(Interviewer): Do you feel he's a bit
unstable at the moment?
848
99:59:59,999 --> 99:59:59,999
Moe: Yeah, very. Yeah.
849
99:59:59,999 --> 99:59:59,999
He's um... quite threatening and verbally
abusive at the moment. Yeah...
850
99:59:59,999 --> 99:59:59,999
Narrator: Moe puts on a camera, to record
851
99:59:59,999 --> 99:59:59,999
the planned intervention, in the event
of any violence.
852
99:59:59,999 --> 99:59:59,999
[chatter, dark music, patient laughing]
853
99:59:59,999 --> 99:59:59,999
(Patient): I want to stay out here, I'm
not coming in, more time, fuck off!
854
99:59:59,999 --> 99:59:59,999
Fuck off!
855
99:59:59,999 --> 99:59:59,999
Narrator: On the intensive care ward,
staff are preparing to move a
856
99:59:59,999 --> 99:59:59,999
reluctant patient back to his room,
from the yard.
857
99:59:59,999 --> 99:59:59,999
(Patient): Fucking release me! Fucking
release me man!
858
99:59:59,999 --> 99:59:59,999
Staff: I'm going home, and we are leaving
six people, so we need to go.
859
99:59:59,999 --> 99:59:59,999
(Patient): One, two, three, four, five,
six. It's a lot of people.
860
99:59:59,999 --> 99:59:59,999
Staff: Yeah we'll take it down, and six
of us will take you down.
861
99:59:59,999 --> 99:59:59,999
(Patient): [crazed laughter]
862
99:59:59,999 --> 99:59:59,999
Staff: Can we go, because we need to go
home?
863
99:59:59,999 --> 99:59:59,999
(Patient): Go home [unintelligible]
I'm not troubling you!
864
99:59:59,999 --> 99:59:59,999
Staff 2: You need to be ready now, cos we
are ready.
865
99:59:59,999 --> 99:59:59,999
Staff: Yeah turn around for us.
Staff 2: Turn around, turn around for us.
866
99:59:59,999 --> 99:59:59,999
Staff: Right.
Staff 2: Let's feed that hand to me,
867
99:59:59,999 --> 99:59:59,999
don't worry, do exactly what he says
868
99:59:59,999 --> 99:59:59,999
[chatter, beeping]
869
99:59:59,999 --> 99:59:59,999
Staff: Relax! Relax relax!
Staff 2: Relax, bring it inside.
870
99:59:59,999 --> 99:59:59,999
Narrator: The hospital has forbidden us
from showing this restraint procedure,
871
99:59:59,999 --> 99:59:59,999
even with the patient disguised, on the
grounds that he doesn't have
872
99:59:59,999 --> 99:59:59,999
the capacity to consent.
873
99:59:59,999 --> 99:59:59,999
His voice has been replaced by an actors.
874
99:59:59,999 --> 99:59:59,999
(Patient): Fuck off! Get off me!
[crosstalk]
875
99:59:59,999 --> 99:59:59,999
Narrator: Well-known for kicking staff,
the patient is asked to remove his shoes.
876
99:59:59,999 --> 99:59:59,999
As predicted, he lashes out.
877
99:59:59,999 --> 99:59:59,999
[shouting]
878
99:59:59,999 --> 99:59:59,999
The 8 staff members get the patient onto
the floor for everyone's safety.
879
99:59:59,999 --> 99:59:59,999
[echoing voices, shouts]
880
99:59:59,999 --> 99:59:59,999
They're outside his room. It's back on the
floor in a final maneuver
881
99:59:59,999 --> 99:59:59,999
to get him safely through the door.
882
99:59:59,999 --> 99:59:59,999
[staff issuing commands]
883
99:59:59,999 --> 99:59:59,999
Narrator: Once in the room, the patient
is placed on the bed,
884
99:59:59,999 --> 99:59:59,999
feet furthest from the door. Then one
nurse will keep hold of his legs,
885
99:59:59,999 --> 99:59:59,999
another his arms, and a third,
his head.
886
99:59:59,999 --> 99:59:59,999
(Patient): Sod off!
887
99:59:59,999 --> 99:59:59,999
Narrator: They let go and exit, one
by one.
888
99:59:59,999 --> 99:59:59,999
Staff: Release the legs.
889
99:59:59,999 --> 99:59:59,999
Narrator: The last to let go is holding
his head, and nearest to the door.
890
99:59:59,999 --> 99:59:59,999
[shouting]
891
99:59:59,999 --> 99:59:59,999
[slam]
892
99:59:59,999 --> 99:59:59,999
[chatter]
893
99:59:59,999 --> 99:59:59,999
Narrator: Whenever force has to be used,
staff take time out to reappraise.
894
99:59:59,999 --> 99:59:59,999
Moe: -had been verbally abusive and
threatening-
895
99:59:59,999 --> 99:59:59,999
(Staff): Are you okay?
Moe: -clenching his fist, swearing.
896
99:59:59,999 --> 99:59:59,999
The minute [unintelligible], you know
he's gonna fight.
897
99:59:59,999 --> 99:59:59,999
Staff: You can't predict these things, we
did our best to try and manage it,
898
99:59:59,999 --> 99:59:59,999
but the most important thing is that
everybody's safe and the
899
99:59:59,999 --> 99:59:59,999
procedures were followed very well, and
the patient himself is not harmed
900
99:59:59,999 --> 99:59:59,999
or injured. So, that's it then, guys.
Back to our jobs.
901
99:59:59,999 --> 99:59:59,999
[chatter, Moe sighs deeply]
902
99:59:59,999 --> 99:59:59,999
Narrator: On average, there are 5 physical
assaults a week on staff.
903
99:59:59,999 --> 99:59:59,999
Staff: I'm ok, just a scratch.
904
99:59:59,999 --> 99:59:59,999
Narrator: Including punching, kicking ,
throwing hot liquids, urine and feces.
905
99:59:59,999 --> 99:59:59,999
Some are serious enough to warrant the
hospital pursuing criminal charges.
906
99:59:59,999 --> 99:59:59,999
(Interviewer): Does that happen to you
a lot?
907
99:59:59,999 --> 99:59:59,999
Staff: Well, it's part of, you know-
(Staff 2:) Anyone at any time.
908
99:59:59,999 --> 99:59:59,999
Staff: Anyone at any time, mm. Obviously
you can see the their-
909
99:59:59,999 --> 99:59:59,999
their state. Their mental state is very
unstable. [laughs]
910
99:59:59,999 --> 99:59:59,999
Staff 3: Really, it was well managed. Cos
there are times you can get serious
911
99:59:59,999 --> 99:59:59,999
injury.
912
99:59:59,999 --> 99:59:59,999
(Interviewer): So Moe, is every day like
this for you?
913
99:59:59,999 --> 99:59:59,999
Moe: Sorry?
(Interviewer): Is every day like this for
914
99:59:59,999 --> 99:59:59,999
you?
Moe: Uhmmm
915
99:59:59,999 --> 99:59:59,999
Every other day.
916
99:59:59,999 --> 99:59:59,999
There are days when, um, the ward will
be very settled, patients are quiet,
917
99:59:59,999 --> 99:59:59,999
all will be in a happy mood, but
not all the time cos their
918
99:59:59,999 --> 99:59:59,999
mental state tends to subside a lot.
919
99:59:59,999 --> 99:59:59,999
(Interviewer): So you were right about him
though, weren't you?
920
99:59:59,999 --> 99:59:59,999
Moe: Yeah of course, actually I am his
primary nurse, so I know him.
921
99:59:59,999 --> 99:59:59,999
You know, you can tell, we can see
it's coming-
922
99:59:59,999 --> 99:59:59,999
It's about knowing your patients, we know
all of them.
923
99:59:59,999 --> 99:59:59,999
(Interviewer): So was he complaining about
how many of you there were there?
924
99:59:59,999 --> 99:59:59,999
He was counting, how many staff there
were.
925
99:59:59,999 --> 99:59:59,999
Moe: He knew that we are ready for action,
you know?
926
99:59:59,999 --> 99:59:59,999
Inasmuch as they are mentally ill, but
they are not stupid.
927
99:59:59,999 --> 99:59:59,999
Yeah, some of them, they know exactly
what they are doing. It's kind of
928
99:59:59,999 --> 99:59:59,999
like, pre-planned, 'I'm gonna get them'
and they look at the teams and say
929
99:59:59,999 --> 99:59:59,999
'Oh I think this is a weak team,' and then
they will go for it.
930
99:59:59,999 --> 99:59:59,999
[muffled screaming, keys rattling,
chatter]
931
99:59:59,999 --> 99:59:59,999
Narrator: Patients like these on Cranfield
can progress. They will eventually
932
99:59:59,999 --> 99:59:59,999
move on to other wards, and, with time,
even out of the hospital.
933
99:59:59,999 --> 99:59:59,999
Staff: You watching football or something?
The finals? You watching it.
934
99:59:59,999 --> 99:59:59,999
We'll bring you out to the
[unintelligible] so you can
935
99:59:59,999 --> 99:59:59,999
watch it live, yeah? Good man.
936
99:59:59,999 --> 99:59:59,999
[somber keyboard music]
♪Every day there is none for you ♪
937
99:59:59,999 --> 99:59:59,999
♪and every day we can start anew ♪
♪we've only got one chance in the world ♪
938
99:59:59,999 --> 99:59:59,999
♪together ♪
939
99:59:59,999 --> 99:59:59,999
♪make a dream come true ♪
♪hold on, and treasure your love ♪