0:00:06.242,0:00:10.400
[Solemn music plays, noises of nature in[br]background]
0:00:10.400,0:00:14.303
Narrator: Broadmoor, a word that makes [br]people shiver.
0:00:14.873,0:00:17.673
Most think that Broadmoor is a prison,
0:00:17.673,0:00:20.593
in fact it's a high secure [br]psychiatric hospital,
0:00:20.593,0:00:22.432
and home to some of the country's most
0:00:22.432,0:00:24.532
dangerous and violent offenders.
0:00:24.532,0:00:28.910
[Gate unlocking, mechanical noises]
0:00:28.910,0:00:32.030
After five years of negotiation, [br]and for the
0:00:32.030,0:00:34.462
very first time, the hospital has allowed
0:00:34.462,0:00:38.520
cameras in to meet the men who live behind[br]these walls.
0:00:38.520,0:00:45.004
[unintelligible yelling, sound of [br]something slamming]
0:00:45.004,0:00:48.340
[Running footsteps, keys jangling]
0:00:48.340,0:00:51.694
[more yelling and sounds of a struggle]
0:00:51.694,0:00:53.884
[door slams]
0:00:53.884,0:00:56.264
[footsteps echo in the hallway]
0:00:56.264,0:00:58.684
Inmate: Broadmoores got this, this history
0:00:58.684,0:01:01.250
about people being all these monsters [br]here basically.
0:01:01.250,0:01:03.110
But you can be violent, and it [br]don't
0:01:03.110,0:01:04.991
mean you're a bad person,[br]cos sometimes
0:01:04.991,0:01:06.751
you don't....you're not intendin' it.
0:01:06.751,0:01:09.261
Over radio: Hello Bravo one, two, and go.
0:01:09.261,0:01:11.121
Over radio: One going to the
0:01:11.121,0:01:13.981
[ unintelligible] all radio. Alpha four.
0:01:13.981,0:01:14.821
Over.
0:01:15.518,0:01:18.134
Man in Tan Suit: The easiest reaction[br]in the world is to
0:01:18.134,0:01:20.136
see somebody that has committed something
0:01:20.136,0:01:22.630
atrocious, label them as evil, want to
0:01:22.630,0:01:24.766
lock the door and throw away the key.
0:01:26.200,0:01:29.916
Daniel: I've probably actually never said[br]the words of what I've actually done.
0:01:29.916,0:01:33.483
I've never admitted it. Still just a blur[br]in my head
0:01:34.683,0:01:36.533
[knocking on door]
0:01:37.434,0:01:39.324
Inmate: I've got born into this Italian
0:01:39.324,0:01:42.364
family. Very, very violent. In some cases
0:01:42.364,0:01:44.279
it would have been better to have killed
0:01:44.279,0:01:46.373
me than to have allowed me to have this
0:01:46.373,0:01:49.294
abominable life that I've had.
0:01:50.476,0:01:53.776
[keys rattling, chatter]
0:01:53.979,0:01:56.409
Narrator: With unprecedented access, and
0:01:56.409,0:01:58.739
filmed over a year, this series reveals
0:01:58.739,0:02:01.039
the secrets of life inside Britain's most
0:02:01.039,0:02:03.429
notorious institution.
0:02:03.429,0:02:07.779
[Bell rings]
0:02:07.779,0:02:13.999
[Solemn music]
0:02:14.040,0:02:16.080
Narrator: Broadmoor is perched above the
0:02:16.080,0:02:18.260
Berkshire village of Crowthorne. Just 40
0:02:18.260,0:02:20.680
miles from the center of London.
0:02:22.290,0:02:24.510
When people think of Broadmoor [br]they think of
0:02:24.510,0:02:26.670
Ronny Kray, Peter Sutcliffe, Robert
0:02:26.670,0:02:28.610
Napper, and Kenneth Erskine. Some of the
0:02:28.610,0:02:30.640
most dangerous killers the country has
0:02:30.640,0:02:31.951
ever known.
0:02:33.209,0:02:35.529
Inmate: The public perceive this place as [br]'Oh,
0:02:35.529,0:02:37.569
that's where the Yorkshire Ripper's locked
0:02:37.569,0:02:39.789
up, that's Rachel Nickell's killers locked[br]up'
0:02:39.789,0:02:43.539
Broadmoor is an institution of lots of
0:02:43.539,0:02:46.629
people. We're not all rapist pedophiles,
0:02:46.629,0:02:50.629
or murderers. There is people in here for
0:02:50.629,0:02:54.629
self-harming in prison, there's people in
0:02:54.629,0:02:57.968
here for buggery who've then[br]gotten in a prison,
0:02:57.968,0:03:00.949
and there's people in here for very very[br]evil things.
0:03:01.609,0:03:03.679
and it brushes with all the same brush
0:03:03.679,0:03:05.358
which they shouldn't do.
0:03:05.358,0:03:09.358
[loud string crescendo]
0:03:09.542,0:03:11.942
Narrator: First built as a victorian[br]lunatic asylum
0:03:11.942,0:03:13.377
for the criminally insane,
0:03:13.830,0:03:16.310
today Broadmoor is an NHS hospital.
0:03:17.881,0:03:21.171
Over its 150 year history, it's been [br]a secretive
0:03:21.171,0:03:23.871
and mysterious institution.
0:03:25.007,0:03:27.277
Staff are under strict instructions not to
0:03:27.277,0:03:30.207
discuss patients outside[br]the hospital walls.
0:03:32.419,0:03:35.569
[clicking as items are placed on conveyer[br]and beeping of machinery]
0:03:35.569,0:03:37.769
Many won't even admit to working here.
0:03:37.769,0:03:41.209
Staff Member: Close, close family members[br]know that, obviously, where we
0:03:41.209,0:03:43.781
work. But if we're in a normal mainstream
0:03:43.781,0:03:45.837
than you would, you would probably say you
0:03:45.837,0:03:47.773
work in the hospital or something. Don't
0:03:47.773,0:03:49.663
really talk about the place.
0:03:49.663,0:03:52.683
Staff 2: Listen, if you said that[br]you worked here, ah boy, you'd
0:03:52.683,0:03:54.193
just spend the whole of a day,
0:03:54.193,0:03:57.146
or the afternoon, with a barrage [br]of questions about the place.
0:03:57.146,0:03:59.466
So, it's just easy to say you work for the[br]NHS.
0:04:00.383,0:04:03.875
Narrator: They're told not to share[br]personal information with the patients
0:04:03.875,0:04:06.220
either, and to leave their private lives
0:04:06.220,0:04:08.766
along with their possessions, [br]at the front door.
0:04:12.407,0:04:14.847
Broadmoor's most notorious patients,
0:04:14.847,0:04:16.820
like Peter Sutcliffe and Kenneth Erskine,
0:04:16.820,0:04:20.040
have chosen not to participate.
0:04:21.560,0:04:24.060
But many of the men here have been front[br]page news,
0:04:24.060,0:04:26.378
and are vilified by society.
0:04:26.801,0:04:28.691
This is the first time they've been
0:04:28.691,0:04:30.181
allowed to tell their stories.
0:04:30.181,0:04:32.418
Alex: I've done everything [br]from taking hostages
0:04:32.418,0:04:35.189
multiple hostage taking, stabbings,
0:04:35.189,0:04:38.043
ya' know. Uh... multiple assaults, violent
0:04:38.043,0:04:40.736
assaults, fire setting off. I set a whole
0:04:40.736,0:04:43.496
stammers a fire in a hospital. A
0:04:43.496,0:04:45.356
psychiatric hospital, the first one I
0:04:45.356,0:04:47.626
ever went to. Umm.. yeah. Just mainly
0:04:47.626,0:04:50.566
violence and whatnot. My history is mainly
0:04:50.566,0:04:52.186
violence.
0:04:53.020,0:04:55.710
Narrator: Broadmoor's 200 patients are all
0:04:55.710,0:04:57.830
men suffering from mental disorders.
0:04:58.641,0:05:01.351
They're classified as vulnerable adults
0:05:01.351,0:05:03.411
and only those who have Capacity to
0:05:03.411,0:05:05.761
Give Consent have been allowed to [br]talk to us.
0:05:08.278,0:05:11.398
Their faces have been blurred to[br]protect their identities.
0:05:16.225,0:05:18.314
[Door closing]
0:05:18.314,0:05:21.274
(Interviewer): What are you like when[br]you're not on medication?
0:05:21.274,0:05:24.014
Alex: Ummm...I'm quite a nasty[br]person, I'm quite violent,
0:05:24.014,0:05:24.854
I'm very
0:05:24.854,0:05:28.234
violent in most-most circumstances. Very
0:05:28.234,0:05:30.404
antisocial. I don't like spending time
0:05:30.404,0:05:33.174
with people. I'm paranoid. I'm, uh, very
0:05:33.174,0:05:35.354
paranoid. stammers Every person around,
0:05:35.354,0:05:37.234
I'm thinking 'what's their intention?'
0:05:37.234,0:05:39.284
I come to that, sometimes [br]I come very close
0:05:39.284,0:05:41.204
to attacking people because I'm thinking
0:05:41.204,0:05:43.165
that they're going to do something to me
0:05:43.165,0:05:45.500
and I don't want to get hurt first. Uh,
0:05:45.500,0:05:47.385
um..I remember one time when I'm off
0:05:47.385,0:05:50.261
medication, spent 11 months locked in a
0:05:50.261,0:05:52.221
cell. Segregated, due to the fact that I
0:05:52.221,0:05:54.441
was too dangerous to come out.
0:05:55.581,0:05:57.361
Narrator: 24 year old Alex arrived at
0:05:57.361,0:06:00.451
Broadmoor 7 months ago. [br]He was serving a
0:06:00.451,0:06:02.781
life sentence in a dedicated prison unit
0:06:02.781,0:06:05.481
for highly dangerous prisoners.
0:06:05.481,0:06:07.511
They could no longer manage him.
0:06:08.139,0:06:09.959
Alex: When I was younger, we would
0:06:09.959,0:06:13.630
chase a seagull all round the council[br]estate, with a box, cos it-
0:06:13.630,0:06:17.450
Narrator: Now in an admissions ward he's[br]been diagnosed with mental illness and
0:06:17.450,0:06:19.370
personality disorder and put on
0:06:19.370,0:06:20.870
medication.
0:06:20.870,0:06:24.067
One of his symptoms is auditory [br]hallucinations.
0:06:24.067,0:06:25.870
He hears voices.
0:06:25.870,0:06:27.690
Alex: Oh, I was doing a fruit salad
0:06:27.690,0:06:29.264
the other day for an assessment.
0:06:29.264,0:06:31.199
That's when they do this assessment from
0:06:31.199,0:06:34.160
personal motor, motor skills.
0:06:34.160,0:06:36.030
It's like for learning disability.
0:06:36.030,0:06:37.180
And....Umm...
0:06:37.180,0:06:38.260
I was cutting a mango
0:06:38.260,0:06:40.560
and I have never, I've never used a [br]sharp knife,
0:06:40.560,0:06:43.430
In the seven years I've been away[br]I've not used a sharp knife
0:06:43.430,0:06:46.300
and I was shaking, literally.[br]I nearly cut my fingers off cos
0:06:46.300,0:06:48.670
the voices were telling me to attack the
0:06:48.670,0:06:50.360
people in the room, with the knife.
0:06:50.360,0:06:53.760
And, like, they were goading me into it,[br]and I thought 'I can't do that,
0:06:53.760,0:06:56.350
I can't do that.'[br]and so I managed to finish fruit, the
0:06:56.350,0:06:59.620
fruit salad, and I thought 'Wow like, what[br]achievement,' cos mostly
0:06:59.620,0:07:01.850
stammers a year ago, two years[br]ago, my emotions
0:07:01.850,0:07:02.820
would have done it.
0:07:02.820,0:07:04.810
Ya know?
0:07:05.158,0:07:10.148
[unintelligible speaking]
0:07:10.148,0:07:11.798
Man in Sweater: No. We'll clean it
0:07:11.798,0:07:14.028
afterwards. We want to give you
0:07:14.028,0:07:15.458
bedding for now, yeah?
0:07:17.064,0:07:18.984
Narrator: This is Cranfield, the
0:07:18.984,0:07:22.154
intensive care ward. [br]Home to the hospital's
0:07:22.154,0:07:25.424
most acute mentally ill patients.
0:07:25.475,0:07:29.408
[door shutting, keys jangling, people[br]speaking unintelligibly]
0:07:33.501,0:07:35.261
Female Voice: Hi, can we come in and
0:07:35.261,0:07:36.841
talk to you, yeah?
0:07:36.841,0:07:39.151
Man in Sweater: Sit on the bed for us
0:07:39.151,0:07:41.121
Narrator: Any contact with them has to be
0:07:41.121,0:07:42.701
carefully planned and executed.
0:07:43.521,0:07:45.981
This is a six person unlock.
0:07:45.981,0:07:48.131
The door to this patients room can only be
0:07:48.131,0:07:52.131
opened with six staff present.
0:07:53.439,0:07:55.401
Man in Glasses: There is always the risk
0:07:55.401,0:07:57.304
of violence towards others, you
0:07:57.304,0:07:59.304
have to accept that with chronic mental
0:07:59.304,0:08:01.474
illness and they will be very disturbed
0:08:01.474,0:08:03.224
throughout the day, but you have to
0:08:03.224,0:08:04.824
learn to work with that.
0:08:04.824,0:08:09.514
[person sobbing]
0:08:09.514,0:08:11.684
My focus in working with these guys is
0:08:11.684,0:08:13.634
actually telling them that they are here
0:08:13.634,0:08:15.232
not because of the illness, they
0:08:15.232,0:08:16.762
are here because of violence.
0:08:16.762,0:08:18.782
And they only progress from here
0:08:18.782,0:08:21.022
if there's a reduction in that violence.
0:08:21.022,0:08:22.862
So that message, you know.
0:08:22.862,0:08:25.402
It might take time, but gradually
0:08:25.402,0:08:27.222
over a period of time, it's that
0:08:27.222,0:08:28.297
going through.
0:08:28.297,0:08:33.047
[keys jangling, unintelligible talking [br]in background]
0:08:33.047,0:08:34.887
Narrator: On this ward, even the most
0:08:34.887,0:08:36.856
routine tasks run a risk of violence and
0:08:36.856,0:08:39.266
involve a protocol.
0:08:40.245,0:08:42.141
This patient has asked for a drink.
0:08:42.739,0:08:45.609
(Moe): Just give us a minute,[br]she's going to get a cup
0:08:45.609,0:08:47.572
[unintelligible]
0:08:47.572,0:08:49.072
Shukran. Shukran
0:08:49.072,0:08:51.870
Shukran means thank you, right?
0:08:51.870,0:08:54.030
You know, you taught me all this.
0:08:57.127,0:08:59.647
[laughs]
0:08:59.701,0:09:00.901
Right.
0:09:02.123,0:09:03.323
[unintelligble]
0:09:03.774,0:09:04.954
You go sit down.
0:09:05.459,0:09:07.468
No, the one in the back.
0:09:07.468,0:09:08.346
Alright?
0:09:11.765,0:09:13.925
Inmate: [unintelligible] give me [br]some more?
0:09:13.925,0:09:16.517
Moe: I'm gonna have it there [br]for you, okay?
0:09:18.227,0:09:19.187
Thank you!
0:09:20.612,0:09:22.132
Female voice: Thank you guys.
0:09:24.970,0:09:26.980
Narrator: Life in Broadmoor can be a game
0:09:26.980,0:09:28.394
of snakes and ladders.
0:09:28.394,0:09:30.636
With patients moving between the hospitals
0:09:30.636,0:09:31.956
15 wards according to their
0:09:31.956,0:09:33.096
mental state.
0:09:35.769,0:09:36.880
[door closing]
0:09:38.033,0:09:39.983
Patients who have responded to treatment
0:09:39.983,0:09:41.798
can progress to one of the hospital's
0:09:41.798,0:09:43.348
Assertive Rehab Wards, where
0:09:43.348,0:09:44.998
they're given greater freedom.
0:09:47.384,0:09:49.844
Daniel is one of 12 patients on this[br]ward.
0:09:50.930,0:09:52.886
Daniel: I've been here five years.
0:09:52.886,0:09:54.856
Luckily I never went to a high dependency
0:09:54.856,0:09:56.813
ward, I came straight to rehab.
0:09:56.813,0:09:59.783
And, to be honest, it's been...
0:09:59.783,0:10:01.583
I wouldn't use the word wonderful...
0:10:01.583,0:10:03.493
Cos eh... it's not wonderful.
0:10:03.493,0:10:05.853
But, I've been grateful basically[br]to come here.
0:10:07.739,0:10:09.759
In my spare time I try and engage
0:10:09.759,0:10:10.834
in artwork mostly.
0:10:10.834,0:10:12.824
This was the, uh... my first real attempt
0:10:12.824,0:10:15.444
at an actual portrait. All done completely
0:10:15.444,0:10:16.574
in graphite,
0:10:18.364,0:10:19.724
and then I moved on to using
0:10:19.724,0:10:22.234
charcoal along with, uh.. graphite.
0:10:22.270,0:10:24.600
And the charcoal allows you to, to have
0:10:24.600,0:10:28.070
so much more...uhhh...depth in the tonal[br]quality.
0:10:28.498,0:10:31.221
And then, yeah....I did a self-portrait.
0:10:31.221,0:10:33.221
The whole, the whole picture was a
0:10:33.221,0:10:35.051
statement about when I got locked up,
0:10:35.051,0:10:37.241
when I was 14 and I'm now 24.
0:10:37.241,0:10:41.241
This is me at 24, but uh, that's me.....
0:10:41.241,0:10:43.861
back then...sort of thing....
0:10:45.834,0:10:48.484
Narrator: Mental Disorder is no respecter
0:10:48.484,0:10:50.643
of class or education.
0:10:51.180,0:10:53.270
Daniel was a 14 year old boy at a
0:10:53.270,0:10:55.624
mainstream school, and no one anticipated
0:10:55.624,0:10:57.704
the violence of his attack....
0:10:57.704,0:11:00.114
on his own family.
0:11:06.397,0:11:10.397
[Heavy guitar riff]
0:11:11.817,0:11:13.919
All of the men in Broadmoor present a
0:11:13.919,0:11:15.958
grave and immediate risk to the public.
0:11:15.958,0:11:18.538
And many have committed violent crimes.
0:11:18.758,0:11:21.798
From arson, to torture, rape and murder.
0:11:23.246,0:11:25.516
Unlike a prison sentence, they have
0:11:25.516,0:11:27.101
no release date.
0:11:28.927,0:11:30.737
Daniel: I've been a bit of a conundrum
0:11:30.737,0:11:32.077
for the psychologists.
0:11:32.077,0:11:34.217
And I've have, I've had about nine [br]different
0:11:34.217,0:11:36.987
diagnoses from thirty different doctors.
0:11:36.987,0:11:38.697
I've had seminars about me done,
0:11:38.697,0:11:40.997
I've had people wanting to write books [br]about me,
0:11:40.997,0:11:42.897
just because of the unusuallity of
0:11:42.897,0:11:46.487
my offense, and my age, and [br]what happened...
0:11:46.487,0:11:48.467
I mean, my family are my saving grace
0:11:48.467,0:11:49.921
to be honest here. They, they,
0:11:49.921,0:11:51.591
they're hugely...hugely supportive.
0:11:51.591,0:11:54.381
And what's even more amazing is that [br]my offense
0:11:54.381,0:11:56.471
was actually orientated against my family.
0:11:56.471,0:11:59.491
So I think...so the fact....[br]and, and, what a
0:11:59.491,0:12:02.201
lot of people see is that, when a family
0:12:02.201,0:12:04.111
member has committed an [br]offense against
0:12:04.111,0:12:07.328
a family member they often...[br]dis-disown them.
0:12:07.328,0:12:09.673
So it think it's...it's too much for [br]the family.
0:12:09.673,0:12:12.743
But, they-they, have told me that [br]they swore
0:12:12.743,0:12:14.653
they'd stay by me when they, when I was
0:12:14.653,0:12:16.983
christened, and they have. So I think,[br]ya know...
0:12:16.983,0:12:19.684
They've always-they've always agreed [br]I've had Aspergers.
0:12:19.684,0:12:21.443
One of the problems I have is I'm
0:12:21.443,0:12:23.576
not very good at understanding emotions.
0:12:23.576,0:12:26.686
Or...if I have a...if I'm [br]feeling something
0:12:26.686,0:12:28.986
I don't always understand what it is that
0:12:28.986,0:12:29.918
I'm feeling.
0:12:29.918,0:12:32.808
But if I can draw it, I can get out these
0:12:32.808,0:12:35.258
angry feelings, or these frustrations of
0:12:35.258,0:12:38.008
being locked up, or guilt, or remorse.
0:12:38.008,0:12:40.638
All these, all these negative feelings I
0:12:40.638,0:12:43.528
can channel through this [br]imaginative artworks.
0:12:44.348,0:12:49.388
[background talking, lunch bags rustle]
0:12:49.388,0:12:52.984
Daniel: I've probably never actually said[br]the words of what I actually done.
0:12:52.984,0:12:54.474
I've never admitted it.
0:12:56.826,0:12:59.734
Because I still, I still get flashbacks.
0:12:59.734,0:13:01.204
It's mainly guilt.
0:13:01.204,0:13:03.724
I still-I still struggle to [br]bring it to mind
0:13:03.724,0:13:06.214
It's still just a blur in my head.
0:13:06.214,0:13:08.464
I've done such a terrible thing. Thats one
0:13:08.464,0:13:11.004
of the things that I've got to got to come
0:13:11.004,0:13:13.234
to terms with eventually is that I've
0:13:13.234,0:13:17.234
done this, it's happened, and it WILL be
0:13:17.234,0:13:19.334
with me forever.
0:13:20.473,0:13:22.833
Narrator: We're not allowed to reveal the
0:13:22.833,0:13:24.660
details of Daniel's offense.
0:13:25.243,0:13:26.073
Man in Suit: Okay
0:13:26.073,0:13:29.363
Daniel: Umm, the other thing I was[br]wondering about was, I sort of get
0:13:29.363,0:13:32.783
problems of fine motor control [br]and spatial awareness,
0:13:32.783,0:13:35.753
and like bumping into things, and dropping
0:13:35.753,0:13:36.886
things a lot.
0:13:37.178,0:13:39.558
Man in Suit: As you're saying it's [br]not one of
0:13:39.558,0:13:41.638
the most common side effect. In fact, the
0:13:41.638,0:13:42.908
opposite has been[br]reported.
0:13:42.908,0:13:44.898
Narrator: Daniel is taking [br]medication and
0:13:44.898,0:13:46.554
undergoing psychological therapy.
0:13:46.554,0:13:48.866
These, together with everyday interaction
0:13:48.866,0:13:51.166
with staff are the cornerstones of
0:13:51.166,0:13:52.366
the treatment here.
0:13:52.366,0:13:54.386
Man in Suit: Have you noticed any benefit?
0:13:54.386,0:13:57.256
Daniel: I don't really know what it is[br]I'm looking for.
0:13:57.256,0:13:59.216
Man in Suit: I have noticed a difference
0:13:59.216,0:14:01.486
in you, not within the last week, but
0:14:01.486,0:14:03.816
certainly over the last three months. I
0:14:03.816,0:14:06.016
think that you are much more able to
0:14:06.016,0:14:08.616
spend longer time with people in one to
0:14:08.616,0:14:09.796
one situations.
0:14:09.909,0:14:14.039
[ducks quack, somber music]
0:14:14.259,0:14:16.579
Narrator: Broadmoor can feel like a ghost
0:14:16.579,0:14:19.090
town. Patients can only move at certain
0:14:19.090,0:14:21.714
times and in certain configurations.
0:14:22.110,0:14:24.740
Their cameras record where each patient is
0:14:24.740,0:14:26.240
at any given moment.
0:14:26.240,0:14:30.670
[Radio Chatter]
0:14:30.869,0:14:33.489
The control room ensures that incompatible
0:14:33.489,0:14:35.765
patients, do not collide.
0:14:36.011,0:14:40.611
[Radio Chatter]
0:14:41.437,0:14:43.842
Patients who are well enough, leave their
0:14:43.842,0:14:46.962
wards to go to work, study, and even once
0:14:46.962,0:14:49.613
a week go shopping. It's strangely like a
0:14:49.613,0:14:51.393
village.
0:14:51.393,0:14:56.263
Inmate: You got any wine gums? Wine gums?[br]No wine gums or nothing?
0:14:56.263,0:14:58.049
Is this a shop or not?
0:15:01.038,0:15:03.365
Inmate: Shut up[br]Inmate 2: You shut up
0:15:03.365,0:15:08.396
Shopkeeper Whats going on? [br]You sure it's okay?
0:15:08.396,0:15:09.886
[indistinct response]
0:15:09.886,0:15:10.907
Shopkeeper: Good.
0:15:13.488,0:15:15.872
Narrator: The freedom to shop is a
0:15:15.872,0:15:18.352
mixed blessing. One of the side effects
0:15:18.352,0:15:21.482
of medication is increased appetite
0:15:21.482,0:15:24.582
and many patients are severely overweight.
0:15:25.456,0:15:29.736
[indistinct talking]
0:15:29.906,0:15:32.716
Narrator:However normal it feels, [br]the reminder of
0:15:32.716,0:15:34.695
the threat of violence is ever-present.
0:15:35.478,0:15:37.924
Searches looking for potential weapons
0:15:37.924,0:15:40.473
are carried out before any [br]patient movement.
0:15:41.399,0:15:43.409
Hospital Staff: This is stuff that we've
0:15:43.409,0:15:46.617
retrieved from patients. I think this is
0:15:46.617,0:15:49.727
just, what used to be a CD and its been
0:15:49.727,0:15:52.297
broken up into shards. It can be used as a
0:15:52.297,0:15:54.167
blade, even for self harming.
0:15:54.167,0:15:56.605
In fact, we don't use the CDs [br]here anymore.
0:15:56.678,0:15:59.128
We've got spoons and forks that have been
0:15:59.128,0:16:01.597
sharpened off on the edge. So a normal
0:16:01.597,0:16:04.327
teaspoon-plastic spoon-which is [br]quite innocent
0:16:04.327,0:16:06.807
to you and I, has been fashioned off and
0:16:06.807,0:16:09.108
can be used as a potential weapon to stab.
0:16:09.108,0:16:11.458
It's an example of how vigilant we have to
0:16:11.458,0:16:13.052
be with everyday items.
0:16:14.078,0:16:15.078
[radio chatter]
0:16:16.105,0:16:18.531
Alex: I've done a lot of self harming, as
0:16:18.531,0:16:21.681
you can see. I've cut my own throat [br]a couple
0:16:21.681,0:16:24.511
of times. I've cut my throat like four
0:16:24.511,0:16:27.161
times I think. Umm funny enough, I think
0:16:27.161,0:16:29.256
It was like five weeks [br]before I come here,
0:16:29.256,0:16:32.426
I hung myself and they had to do CPR
0:16:32.426,0:16:33.416
on me in the cell.
0:16:33.416,0:16:34.576
Like, you know?
0:16:36.932,0:16:39.332
I was sexually abused when I was a child
0:16:39.332,0:16:41.712
and that had an affect on my behavior,
0:16:41.712,0:16:43.192
on my mental state.
0:16:43.192,0:16:46.352
I couldn't sleep at night, and the rest[br]of it... I was, you know...
0:16:46.352,0:16:48.272
Basically everything that you go through
0:16:48.272,0:16:51.372
when you've had a traumatic situation[br]like I did.
0:16:52.245,0:16:54.232
I think as well as being here,
0:16:54.232,0:16:56.062
I said to my mum 'this feels like the
0:16:56.062,0:16:58.111
best I've ever been in ten years.'
0:17:01.485,0:17:03.745
Man in Tan Suit: Patients that come here,
0:17:03.745,0:17:05.851
they will have perpetrated, often,
0:17:05.851,0:17:08.691
horrendous crimes. But, they are also
0:17:08.691,0:17:12.791
victims. It is very easy to see somebody
0:17:12.791,0:17:14.981
as either the perpetrator or the victim.
0:17:14.981,0:17:17.399
It is much more difficult to understand
0:17:17.399,0:17:19.889
that somebody might be both.
0:17:19.949,0:17:22.049
[squirrel chatters]
0:17:22.049,0:17:29.029
[loud drumming and incoherent yelling]
0:17:29.396,0:17:31.776
Narrator: Patients from different wards
0:17:31.776,0:17:33.347
meet at certain events.
0:17:33.538,0:17:35.198
(Neita): Hi, first of all, thank
0:17:35.198,0:17:36.641
you for giving up your time.
0:17:36.641,0:17:38.891
I know you could be doing [br]other things, I know
0:17:38.891,0:17:40.461
you have different [trails off]
0:17:40.461,0:17:42.551
Narrator: Todays a diversity workshop and
0:17:42.551,0:17:45.371
Poet and Lawyer Dave Neita is encouraging
0:17:45.371,0:17:47.418
them to celebrate their [br]different cultures.
0:17:47.418,0:17:50.391
Neita: Today we're gonna[br]invite you to speak
0:17:50.391,0:17:52.691
about your own culture, but before
0:17:52.691,0:17:54.661
that we're going to have lunch.
0:17:56.525,0:17:59.190
But most of them are celebrating lunch.
0:17:59.190,0:18:03.190
[drums continue]
0:18:03.190,0:18:05.650
With no alcohol or tobacco allowed, food
0:18:05.650,0:18:08.210
is the only thing they have [br]free reign over.
0:18:08.365,0:18:13.785
[drums in background]
0:18:14.725,0:18:17.895
Alex: My mum's Italian and my dad's from[br]a little island in Africa
0:18:17.895,0:18:20.922
and I'd like to say that [br]being multicultural
0:18:20.922,0:18:24.622
It helps. It's good. It's nice [br]to be different.
0:18:24.622,0:18:26.492
Because different is what we need. We
0:18:26.492,0:18:28.822
don't want everyone the same. [br]And that's it.
0:18:28.822,0:18:30.411
[applause]
0:18:31.001,0:18:34.540
Declan: How'd I end up in here? Umm
0:18:34.540,0:18:36.740
they said they had a spare bed so I
0:18:36.740,0:18:38.950
thought 'I've been in children's homes,
0:18:38.950,0:18:41.219
I've been in secure units, [br]I've been in prison.
0:18:41.219,0:18:43.293
The only place I haven't been is [br]Broadmoor.
0:18:43.293,0:18:45.203
So I thought I'd come along.
0:18:45.203,0:18:47.813
[laughs]
0:18:47.813,0:18:48.753
[drumming]
0:18:48.753,0:18:50.993
Narrator: Now 26, Declan was put
0:18:50.993,0:18:52.773
into care at the age of nine.
0:18:52.773,0:18:54.413
Declan: I remember the day that my
0:18:54.413,0:18:56.917
mum took me to this office. I sat there
0:18:56.917,0:18:58.896
on a chair, and the next minute she just
0:18:58.896,0:19:01.086
left. She went 'your not coming with me'.
0:19:01.176,0:19:03.129
A social worker come out and she went
0:19:03.129,0:19:04.802
'alright, you got to come with me'.
0:19:04.802,0:19:07.293
I went to children's homes, foster homes.
0:19:07.293,0:19:10.416
I kept running away, cause' I got abused
0:19:10.416,0:19:12.284
when I was in the children home. By the
0:19:12.284,0:19:16.928
staff. Sexually and physical. And umm I
0:19:16.928,0:19:18.846
think it was like, no one would actually
0:19:18.846,0:19:19.933
listen to me.
0:19:19.933,0:19:22.521
I ran away to London, and I was living on
0:19:22.521,0:19:24.652
the streets. I mean I was living out of
0:19:24.652,0:19:27.113
bins, yeah....not nice but, when you're
0:19:27.113,0:19:29.345
on the streets you have to do that [br]sometimes.
0:19:29.345,0:19:30.661
you know what I mean?
0:19:30.661,0:19:32.603
Inmate in Red: Yeah guys, this is called
0:19:32.603,0:19:33.572
Think, yeah?
0:19:33.572,0:19:36.315
It goes like this: When you see a tramp
0:19:36.315,0:19:38.711
out on the street. Don't look down your
0:19:38.711,0:19:40.933
nose so far that you see your own feet.
0:19:40.933,0:19:43.652
When you see people homeless don't reach
0:19:43.652,0:19:45.855
for a broom. Consider if you have the
0:19:45.855,0:19:47.669
means to give them a room.
0:19:47.669,0:19:50.366
Declan: Am I a victim? I mean my current
0:19:50.366,0:19:52.958
defendant...umm...basically stabbed 'em
0:19:52.958,0:19:55.755
up. The judge classed it under as torture.
0:19:55.755,0:19:58.384
Inmate in Blue: I'm Black, I'm
0:19:58.384,0:20:00.407
British, and I'm proud of it [fades into
0:20:00.407,0:20:04.494
clapping and drums].
0:20:04.494,0:20:06.508
(Interviewer): You say you've got a child?
0:20:06.508,0:20:08.064
Declan: Mm-hm. Got a little boy,
0:20:08.064,0:20:09.277
he's seven.
0:20:09.277,0:20:10.980
And he lives with his mum.
0:20:10.980,0:20:12.680
Don't really see him, but I would-
0:20:12.680,0:20:14.583
I wouldn't expect children to come in a
0:20:14.583,0:20:15.610
place like this.
0:20:15.610,0:20:18.470
(Interviewer): And are you still on good[br]terms with his mum?
0:20:18.470,0:20:20.760
Declan: Ummm... [laughs]
0:20:20.760,0:20:22.321
Not really, no.
0:20:22.321,0:20:24.348
I started having a bit of a relationship
0:20:24.348,0:20:27.466
with [name beeped out]. Sooo, yeah..that
0:20:27.466,0:20:29.969
was the first time I found out that I was
0:20:29.969,0:20:32.991
sort of that way.
0:20:32.991,0:20:35.007
I've always-for some reason-I've always
0:20:35.007,0:20:36.472
wanted to be a woman.
0:20:36.472,0:20:39.243
I think that's the way I am, you know[br]what I mean?
0:20:39.243,0:20:41.284
But in this place you can't do that,
0:20:41.284,0:20:42.811
they won't allow it.
0:20:42.811,0:20:44.969
Declan in front of room: I just wanted
0:20:44.969,0:20:46.929
to say I'm gay, and I'm proud of it.
0:20:46.929,0:20:47.754
Thank you.
0:20:47.754,0:20:48.979
[applause]
0:20:49.203,0:20:52.501
Declan: I want to be a Drag Queen,[br]that's what I've done for a while.
0:20:52.501,0:20:54.162
(Interviewer): What's she called?
0:20:54.162,0:20:55.176
Declan: Crystal.
0:20:55.176,0:20:57.114
(Interviewer): And what's she look like?
0:20:57.114,0:20:59.246
Declan: Blonde, and just fabulous.
0:20:59.246,0:21:01.484
[laughs]
0:21:03.493,0:21:08.259
[Intense music]
0:21:08.722,0:21:10.418
Narrator: We've come to Chepstow, a
0:21:10.418,0:21:12.851
medium-dependancy ward, where Lenny
0:21:12.851,0:21:14.568
wants to show us his artwork.
0:21:14.568,0:21:16.390
(Interviewer): You do it in your room?
0:21:16.390,0:21:19.885
Lenny: Yeah. I do work with spare pens,[br]and it's mostly based on pens and
0:21:19.885,0:21:22.323
basically your using cups and shapes
0:21:22.323,0:21:24.361
and bottle tops to draw around.
0:21:24.371,0:21:26.433
(Interviewer): How long have you [br]been here?
0:21:26.433,0:21:27.778
Lenny: 7 years this time.
0:21:27.778,0:21:29.918
(Interviewer): Is it not your first time?
0:21:29.918,0:21:31.574
Lenny: No it's the second time.
0:21:33.004,0:21:34.784
What do you think of that one?
0:21:35.104,0:21:37.809
That's the corridors in a ward that's shut[br]down now
0:21:37.809,0:21:40.460
(Interviewer): So why are you considered[br]a risk?
0:21:40.460,0:21:43.892
Lenny: Because...I think its because[br]my particular offense was against a
0:21:43.892,0:21:46.069
consulting psychiatrist. They
0:21:46.069,0:21:48.634
called in a section 12 [br]approved psychiatrist.
0:21:48.634,0:21:50.592
And they're very powerful, not like- not
0:21:50.592,0:21:54.244
like when you go to an ordinary doctor.[br]They- they work for the home office.
0:21:54.244,0:21:56.043
Narrator: He's not happy with life in
0:21:56.043,0:21:57.999
Broadmoor, and tells us he's bringing a
0:21:57.999,0:22:00.033
High Court case against the hospital.
0:22:00.033,0:22:01.841
Lenny: It costs how much? What was the
0:22:01.841,0:22:03.794
last figure they said it cost to keep us
0:22:03.794,0:22:05.779
here every year? 320,000 pounds a year or
0:22:05.779,0:22:10.418
something? Surely its-its wrong to charge
0:22:10.418,0:22:12.427
a fortune for people like us. When we're
0:22:12.427,0:22:15.728
nowhere near about the centers of the
0:22:15.728,0:22:16.486
community.
0:22:17.196,0:22:19.370
Narrator: I costs 300,000 pounds a year
0:22:19.370,0:22:21.753
to keep a patient in Broadmoor. Almost
0:22:21.753,0:22:24.142
five times the cost of keeping[br]someone in prison.
0:22:26.242,0:22:28.511
Before Lenny came to Broadmoor, he was
0:22:28.511,0:22:30.896
in outpatient at a psychiatric hospital
0:22:30.896,0:22:33.499
where he threatened his psychiatrist with
0:22:33.499,0:22:34.334
a machete.
0:22:34.714,0:22:37.113
(Interviewer): Do you think you should[br]be here, or?
0:22:37.113,0:22:39.754
Lenny: Do you think I sound like a[br]mad blathering idiot?
0:22:39.754,0:22:43.472
Cause' I think-No I don't think I should[br]be, I think I should be sharing this-
0:22:43.472,0:22:46.464
my life- with people, I want to be[br]sharing my life with people.
0:22:46.464,0:22:49.279
I want to be able to decide what I do,[br]when I do it, and be
0:22:49.279,0:22:51.270
reasonably responsible for my
0:22:51.270,0:22:53.229
own behavior, like anyone else out there.
0:22:53.229,0:22:57.027
And I don't think I'll be any more of a[br]danger than whatever's already out there
0:22:57.027,0:23:00.883
And I will be honest with you, I am rude[br]here, I could be really furious and angry
0:23:00.883,0:23:04.754
and people come with 'You're the patient,[br]yeah?' That is a term we use to separate
0:23:04.754,0:23:08.453
you from the rest of society, we're the[br]last thing on earth -this is the truth
0:23:08.453,0:23:11.973
here- to be given what you call equal[br]rights. What do you think? You agree
0:23:11.973,0:23:14.217
or not? I'm not anti-people I'm all for[br]people.
0:23:14.427,0:23:16.530
Narrator: Downstairs on the admissions[br]ward,
0:23:16.530,0:23:18.535
Alex is keen to progress.
0:23:18.535,0:23:20.405
Alex: I was seven months up in here
0:23:20.405,0:23:22.277
yesterday, seven months yesterday. It's
0:23:22.277,0:23:24.920
taking forever. Are you aware of any
0:23:24.920,0:23:27.116
beds coming up soon?
0:23:27.116,0:23:29.233
Narrator: His medication has stabilized[br]him.
0:23:29.233,0:23:31.420
He wants to move from Admissions to
0:23:31.420,0:23:33.923
an Assertive Rehab ward, where he'll
0:23:33.923,0:23:35.238
have greater freedom.
0:23:35.988,0:23:37.525
Man in suit: That I don't know.
0:23:37.525,0:23:40.850
Alex: Well you should know, [laughing][br]you're the consultant in there!
0:23:40.850,0:23:43.378
Man in suit: Yes- I can't- I don't know
0:23:43.378,0:23:45.188
the timescales, cause it's not quite
0:23:45.188,0:23:46.175
within my control...
0:23:48.625,0:23:50.341
Narrator: Back upstairs on Chepstow,
0:23:50.341,0:23:53.932
Benson, the PAT dog, has arrived for
0:23:53.932,0:23:55.608
his weekly visit.
0:23:56.768,0:23:58.629
Lenny's behavior over the past few days
0:23:58.629,0:24:00.577
is becoming a cause for concern.
0:24:02.497,0:24:04.113
He's been increasingly manic and
0:24:04.113,0:24:06.407
hyperactive, and his doctor feels he
0:24:06.407,0:24:07.931
needs medication.
0:24:07.931,0:24:10.851
[door clatter] Dog Handler: Bye!
0:24:12.421,0:24:14.572
Narrator: Lenny refuses to take it,
0:24:14.572,0:24:17.455
so it'll have to be forcibly administered,
0:24:17.455,0:24:18.992
by injection.
0:24:18.992,0:24:22.337
Lenny: Hang on hang on, you filming?
0:24:22.337,0:24:25.347
[crosstalk]
0:24:25.347,0:24:29.295
Lenny: This is wrong, I'm not fighting you
0:24:29.295,0:24:31.214
[crosstalk]
0:24:31.214,0:24:38.757
[chatter]
0:24:41.827,0:24:44.069
Doctor: Guys, we really need to get this
0:24:44.069,0:24:45.883
started, if you just mind, just, just-
0:24:45.883,0:24:47.601
please.. OK? All right
0:24:49.161,0:24:51.499
Narrator: At this point, staff tell us
0:24:51.499,0:24:53.307
to leave the ward.
0:24:53.307,0:24:56.534
[moody music]
0:24:56.534,0:24:59.490
We're told we can see Lenny the following
0:24:59.490,0:25:01.928
day. [door shuts]
0:25:07.048,0:25:13.870
[birds, brooding music]
0:25:13.870,0:25:15.792
Lenny: Neil? Neil, could we have a key
0:25:15.792,0:25:17.690
please? There should [unintelligible]
0:25:19.383,0:25:21.587
Narrator: The day before, we were told to
0:25:21.587,0:25:23.361
leave the ward when staff were about
0:25:23.361,0:25:25.099
to forcibly inject Lenny with
0:25:25.099,0:25:26.766
antipsychotic medication.
0:25:29.336,0:25:32.316
He's keen to explain what happened after[br]we left.
0:25:32.316,0:25:33.632
Lenny: Come this way-
0:25:33.632,0:25:35.308
So I moved into here-
0:25:35.308,0:25:37.465
Narrator: He leads us into the seclusion[br]area.
0:25:37.969,0:25:39.170
Lenny: Come in, come in.
0:25:39.520,0:25:42.956
All right, well [unintelligible] First[br]of all, I was at that point, I was
0:25:42.956,0:25:44.979
laying like this, alright, and I was
0:25:44.979,0:25:48.495
talking saying 'Please don't turn me[br]over, cos I'm not trying to fight you'
0:25:48.495,0:25:50.507
And they said, and the next thing happened
0:25:50.507,0:25:52.315
they all came in and [unintelligible]
0:25:52.315,0:25:54.624
I can make a deal with them, I'm on the
0:25:54.624,0:25:57.567
bed, so I'm like this, one point, all the
0:25:57.567,0:25:59.379
staff were holding me, I was like that
0:25:59.379,0:26:02.896
and said 'Would you please let me go,[br]and I'll get up' so I went like that
0:26:02.896,0:26:04.681
and stood like that and took down my
0:26:04.681,0:26:06.255
pants and trousers and he stopped
0:26:06.255,0:26:08.458
me there, let's see, I came out again,
0:26:08.458,0:26:10.167
that's what happened, but I didn't-
0:26:10.167,0:26:12.530
What do you think? What's your opinion[br]about that?
0:26:12.530,0:26:14.598
(Interviewer): But did you hit[br]one of them?
0:26:14.598,0:26:16.738
Lenny: Yeah but that's cos I was being[br]chased-
0:26:16.738,0:26:19.254
Larkin: One of the biggest [br]areas of conflict, um
0:26:19.254,0:26:21.106
between certainly doctor and patient
0:26:21.106,0:26:22.504
is the issue of medication.
0:26:22.504,0:26:24.168
Lenny: This one's sealed, alright?
0:26:24.168,0:26:25.434
It's stifling sometimes.
0:26:25.434,0:26:28.557
(Larkin): One of the difficulties[br]with psychotic disorders is your
0:26:28.557,0:26:31.351
interpretation of reality is different[br]from other people's.
0:26:31.351,0:26:33.067
And if you genuinely believe there's
0:26:33.067,0:26:35.813
nothing wrong with you and you don't[br]need any medication,
0:26:35.813,0:26:38.586
why on earth would you want to take[br]some of the medications
0:26:38.586,0:26:40.420
that would be up for discussion?
0:26:40.420,0:26:43.821
Lenny: Could we open this door please?[br](Larkin): He's particularly angry
0:26:43.821,0:26:47.415
for two reasons, one is he doesn't believe[br]he'll benefit from the medication
0:26:47.415,0:26:51.101
at all, second reason is that he believes[br]he's involved in a major, high court
0:26:51.101,0:26:54.636
case against the hospital to expose a[br]range of malpractice particularly in
0:26:54.636,0:26:58.068
relation to him, but in general about[br]how these services are just really
0:26:58.068,0:27:00.893
keeping people in jobs and don't[br]provide any useful service.
0:27:00.893,0:27:04.372
Lenny: The hospital's defense is just-[br]'Here's some of the most notorious
0:27:04.372,0:27:06.378
people in the country,' I'll show you[br]what-
0:27:06.378,0:27:10.030
(Larkin): He believes we've given him the[br]medication purely to dull his mind
0:27:10.030,0:27:13.930
and weaken his chances of being successful[br]in that case. In fact he's not currently
0:27:13.930,0:27:16.140
involved in any, uh legal action or court[br]case.
0:27:16.140,0:27:19.675
(Lenny): No you're not going in there,[br]it's private, sorry come on you guys
0:27:19.675,0:27:22.015
Look at that, that's my mum and me.
0:27:22.015,0:27:25.534
See she pretty in the black and white from[br]the '60s, see her?
0:27:25.534,0:27:27.387
(Larkin): He's a man who's spent a long
0:27:27.387,0:27:29.506
time in institutional care, um in previous
0:27:29.506,0:27:31.553
settings was frequently assaulted, he was
0:27:31.553,0:27:33.276
violent himself on several occasions
0:27:33.276,0:27:34.408
but he often assaulted.
0:27:34.408,0:27:37.280
Lenny: You want a drink or anything, cup[br]of tea or something?
0:27:37.280,0:27:39.800
[offscreen] I'm fine[br]You sure, any sweet, soft drink?
0:27:39.800,0:27:41.830
[offscreen] Nothing
0:27:41.830,0:27:44.969
Lenny: Alright thanks very, thank you [br]very much [unintelligible]
0:27:46.713,0:27:50.295
[contemplative music]
0:27:55.495,0:28:01.487
[keys clattering, chatter]
0:28:04.507,0:28:06.490
[offscreen] Just check to make sure, all
0:28:06.490,0:28:08.992
the shadows are covered..
0:28:10.492,0:28:12.462
So they're checked, first thing in the
0:28:12.462,0:28:14.983
morning, again before the patients go back
0:28:19.156,0:28:20.500
[door handle rattles]
0:28:21.700,0:28:23.624
Narrator: Patients who are well enough
0:28:23.624,0:28:26.085
to go to work can make goods, which go
0:28:26.085,0:28:28.503
on sale to the public. They are paid
0:28:28.503,0:28:30.022
80 pence an hour.
0:28:34.952,0:28:37.011
Alex has been doing well and is now
0:28:37.011,0:28:39.021
allowed off the Admissions ward to
0:28:39.021,0:28:39.929
come to work.
0:28:40.799,0:28:42.809
Alex: Everyone's saying 'Oh you gonna move
0:28:42.809,0:28:44.792
you're gonna move' they said I would have
0:28:44.792,0:28:46.505
moved by Thursday last week, nothing
0:28:46.505,0:28:48.557
so far now, I've been onto my psychiatrist
0:28:48.557,0:28:52.045
saying, 'Look, why am I still on at[br]Admission ward,
0:28:52.045,0:28:54.166
after 8 months, when there's a bed for me
0:28:54.166,0:28:54.995
on Rehab? Know?'
0:28:54.995,0:28:58.277
(Interviewer): You a bit frustrated?[br]Alex: Yeah it is frustrating, but
0:28:58.277,0:29:00.284
I'm just at the moment, focusing, cos next
0:29:00.284,0:29:02.117
week I've got a visit, mum and dad are
0:29:02.117,0:29:04.778
coming up for 2 days, so, y'know, I'll
0:29:04.778,0:29:06.263
spend some time with my family.
0:29:06.263,0:29:08.124
[tapping]
0:29:08.124,0:29:10.269
[outdoor ambiance, guitar music]
0:29:10.269,0:29:12.298
Narrator: They have a saying here:
0:29:12.298,0:29:15.382
There's time, and then there's Broadmoor[br]Time.
0:29:15.762,0:29:17.796
Tan shirt: Which episode did you see last,
0:29:17.796,0:29:20.481
of Eastenders? Bout a week ago?[br]Black shirt: Last night?
0:29:20.481,0:29:22.923
Tan shirt: Last night?[br]Black shirt: Last night yeah.
0:29:22.923,0:29:26.695
Tan shirt: Did they show the man who was[br]pretending to be Nick Cotton's own son?
0:29:26.695,0:29:28.485
Black shirt: No I didn't see it
0:29:29.809,0:29:31.567
Narrator: While medication can often
0:29:31.567,0:29:34.174
control behavior, extensive therapy is
0:29:34.174,0:29:36.774
needed to change it, and that takes time.
0:29:36.774,0:29:38.928
Estelle: I'm in the diary, ok?[br][offscreen] OK
0:29:38.928,0:29:41.903
Narrator: Estelle Moore is the hospital's
0:29:41.903,0:29:45.317
lead psychologist, she's been here for 20[br]years.
0:29:45.317,0:29:47.614
Estelle: [keys jangling] You alright?
0:29:47.614,0:29:49.665
Declan: They say just carry on with the
0:29:49.665,0:29:52.094
violent offenders group, what finishes in[br]December
0:29:52.094,0:29:54.695
Narrator: Patients undergo specific
0:29:54.695,0:29:56.574
therapies depending on their offense,
0:29:56.574,0:29:59.186
whether it's violence, sex offending, or
0:29:59.186,0:30:00.789
fire setting.
0:30:00.789,0:30:02.812
Declan: -understand our relationships and
0:30:02.812,0:30:06.263
uhh, borderlines. No not borderlines, [br]boundaries.
0:30:06.263,0:30:09.346
Estelle: What sort of actions are safe
0:30:09.346,0:30:11.820
and contained in relationships? The sorts
0:30:11.820,0:30:14.213
of things that you would do that feel
0:30:14.213,0:30:16.604
like normal and safe relationships?
0:30:16.604,0:30:17.380
Declan: Laughter
0:30:17.380,0:30:19.908
Estelle: Laughter? OK so laughing,
0:30:19.908,0:30:24.214
Declan: Talking sensible. Feeling[br]comfortable with each other.
0:30:26.300,0:30:27.695
[keys, footsteps]
0:30:27.695,0:30:31.749
Narrator: Declan was found guilty of a[br]life-threatening assault on a man.
0:30:33.389,0:30:36.224
Declan: Do I feel sorry for him? No.[br]Will I do it again? No.
0:30:39.054,0:30:42.515
No. I'm missing the sun, I'm missing[br]the surfing. Know what I mean?
0:30:44.505,0:30:46.535
[keys, door squeaks]
0:30:51.809,0:30:52.768
[door shuts]
0:30:52.768,0:30:55.728
[moody music]
0:31:00.028,0:31:01.842
[ping pong ball clatters]
0:31:03.272,0:31:05.236
Narrator: Lenny has been on antipsychotic
0:31:05.236,0:31:07.084
medication for a few weeks.
0:31:07.084,0:31:09.649
It has had time to build up in his system.
0:31:10.729,0:31:14.185
Neil: Now he's had the depot [br]injection, the chemicals from that
0:31:14.185,0:31:18.876
are slowing down his reactions to the[br]point where he has those few
0:31:18.876,0:31:20.483
more seconds to think-
0:31:20.483,0:31:23.048
'How am I gonna reply to this?'
0:31:23.048,0:31:28.754
and he will reply in a much more- manner[br]to what you or I would reply to something.
0:31:30.304,0:31:32.772
I can definitely empathize with him, he
0:31:32.772,0:31:35.059
hasn't come from a different [br]background to me
0:31:35.059,0:31:38.471
but he has come from different parents[br]to me.
0:31:38.471,0:31:40.912
(Interviewer): It seems to be[br]the case with so many.
0:31:40.912,0:31:44.084
Neil:Yeah, I know, I agree with that, [br]you can
0:31:44.084,0:31:47.516
probably see if you go back into, um,
0:31:47.516,0:31:53.029
the lives of most of our patients, you[br]could probably identify them at
0:31:53.029,0:31:58.312
5, 6 years old, and say 'I'll be seeing[br]you later on' and things like that.
0:31:58.312,0:32:01.361
Lenny: He's alright here, he's my buddy,
0:32:01.361,0:32:04.505
one day he's gonna tell the [br]truth as well. [laughs]
0:32:04.505,0:32:08.103
[walkie talkie chatter]
0:32:08.813,0:32:10.462
(Tan Suit): Everyone is born with
0:32:10.462,0:32:13.360
certain temperaments, with certain[br]predispositions to certain
0:32:13.360,0:32:17.791
behavior, and if you've been given a [br]triple-whammy of, of genes, environment,
0:32:17.791,0:32:22.757
upbringing, childhood adversity, substance[br]misuse, all of those different
0:32:22.757,0:32:25.366
aspects build up to make the person.
0:32:25.366,0:32:29.821
And it's a long term project of gradually[br]putting somebody back together and
0:32:29.821,0:32:33.933
making sure that they stay in that[br]recovered state.
0:32:35.503,0:32:39.180
[ominous music]
0:32:39.180,0:32:41.601
Narrator: Things have finally changed for[br]Alex-
0:32:41.601,0:32:45.137
after 8 months, he's been moved to [br]Assertive Rehab.
0:32:45.137,0:32:47.540
Alex: It's better over here, it's a little[br]better.
0:32:47.540,0:32:51.104
Got a lot more freedom, key to a door,
0:32:51.104,0:32:55.344
come out when you want to make hot drinks,[br]yeah, it's alright.
0:32:55.344,0:32:59.378
Narrator: But it's not all good news. As[br]so often in the past,
0:32:59.378,0:33:02.159
he's in danger of self-harming.
0:33:02.159,0:33:06.119
He's had to be put on Eyesight Observation[br]which means nurses have to
0:33:06.119,0:33:09.384
take turns to watch him, 24 hours a day.
0:33:09.384,0:33:12.891
Alex: Cos my mental state haven't been[br]the best, it's not nice, you know,
0:33:12.891,0:33:17.125
hearing voices and what-have-you, but[br]you know, just got to control it,
0:33:17.125,0:33:19.468
that's all you can do, not let it get[br]to you.
0:33:19.468,0:33:22.712
(Alex): Dr Romero said I'm gonna[br]be here a few years, yet
0:33:22.712,0:33:24.629
(Nurse): A few years?[br]Alex: A few years.
0:33:24.809,0:33:27.671
(Nurse): How do you feel about that?[br]Alex: I don't mind...
0:33:27.671,0:33:30.193
Nurse: You don't mind?[br]Alex: I'm here for a reason.
0:33:30.193,0:33:32.301
Nurse: All right.[br]Alex: Get better, innit? So
0:33:32.301,0:33:37.021
if that means I got to stay a[br]couple years, so be it. But-
0:33:37.021,0:33:41.058
I'm getting there, now.[br](Nurse): You're getting there.
0:33:41.058,0:33:42.957
Alex: [unintelligible][br]Nurse: Mhmm
0:33:42.957,0:33:45.465
Alex: Least, at least there was no[br]violence.
0:33:46.768,0:33:51.141
(Nurse): Which is good! You should be [br]proud of.
0:33:52.141,0:33:54.151
At least it shows that you're
0:33:54.151,0:33:56.051
making, you know, more progress.
0:33:57.251,0:34:00.452
[meditative music]
0:34:00.452,0:34:04.827
Narrator: Alex's mental state continued[br]to deteriorate, after a couple of weeks
0:34:04.827,0:34:07.468
on the ward did self-harm, and had to
0:34:07.468,0:34:11.098
be moved back a High Dependency ward.
0:34:11.098,0:34:13.793
[nighttime ambiance]
0:34:13.793,0:34:16.401
[keys rattling, chatter]
0:34:18.101,0:34:22.275
Narrator: On Chepstow Ward, Dr Larkin[br]wants to discuss a recent incident
0:34:22.275,0:34:24.954
involving Lenny and another doctor.
0:34:24.954,0:34:28.453
Lenny: I would say that I was really[br]pleased that they are now starting to
0:34:28.453,0:34:31.212
track and find pedophiles in our society,[br]how pleased I was, and that they
0:34:31.212,0:34:33.929
weren't just ordinary poor folk that[br]were getting nicked, it was also
0:34:33.929,0:34:36.055
people of importance were getting [br]found out.
0:34:36.055,0:34:37.962
Larkin: Right[br]Lenny: And I'm really pleased about that,
0:34:37.962,0:34:39.803
and she felt threatened that I was saying[br]it also included
0:34:39.803,0:34:42.731
a couple of doctors, that were nicked[br]for pedophilia.
0:34:42.731,0:34:44.792
Larkin: You're not angry with her about[br]something in her report?
0:34:44.792,0:34:47.391
Lenny: No, it wasn't anything with her, [br]it wasn't directed towards her
0:34:47.391,0:34:49.881
it was directed towards the general idea[br]of pedophilia, cos you know I am
0:34:49.881,0:34:53.537
a victim of pedophilia, for 9 years, [br]under the Home Office, when I was
0:34:53.537,0:34:57.146
a child myself, and they've done[br]nothing, but- um, bury that fact.
0:34:57.146,0:35:01.330
Cos I'm an offender. I am an offender,[br]and I admit that, I'm guilty of the crime
0:35:01.330,0:35:04.376
that brought me to Broadmoor, [br]I threatened to kill a Section 12
0:35:04.376,0:35:07.627
consultant psychiatrist, like you are,[br]with a machete.
0:35:08.339,0:35:11.493
But, I'm not guilty of raping myself.[br]Larkin: Well-
0:35:11.493,0:35:14.396
I think the issue is that you felt[br]nobody here was [crosstalk]
0:35:14.396,0:35:18.071
Lenny: I was being tied up, right? Raped,[br]against my will, alcohol shoved down
0:35:18.071,0:35:22.655
my throat, right, pacified, with- with all[br]kinds of medicines that belong to
0:35:22.655,0:35:25.640
that person, you know, not me, so[br]that I would be pliable
0:35:25.640,0:35:28.383
and agree to having sex, which I didn't[br]want to do, as a
0:35:28.383,0:35:32.434
5 or 6 year-old boy, but 9 years[br]I was in the system itself, being-
0:35:32.434,0:35:35.726
seeing psychologists at the same time[br]I'm being raped, and nobody did
0:35:35.726,0:35:38.876
a single thing to help me. You are[br]offering me therapy, and I'm not
0:35:38.876,0:35:42.689
angry at you- I'm not angry at anybody-[br]I'm angry at the people did what they did
0:35:42.689,0:35:45.547
to me. And never recognized that I[br]was a victim.
0:35:45.547,0:35:48.020
Larkin: So, are we agreeing that you're[br]gonna meet with David
0:35:48.020,0:35:50.224
about options for therapy for you as a[br]victim?
0:35:50.224,0:35:53.265
Lenny: Yeah thank you very much Dr Larkin.[br]Larkin: You're welcome, okay.
0:35:53.265,0:35:55.584
Lenny: Thank you. I got to keep- I'm [br]keeping trouble free- if I keep out of
0:35:55.584,0:35:58.829
trouble for- for 12 weeks, they'll let me [br]work in the cafe?
0:35:58.829,0:36:00.469
Larkin: Yes, you think you can do that?
0:36:00.469,0:36:03.056
Lenny: Be hard, but I'll give it a try.
0:36:06.146,0:36:09.625
Narrator: The most challenging patients[br]are housed here on Cranfield Ward.
0:36:09.625,0:36:13.190
Any movement outside their rooms has to[br]be carefully planned.
0:36:13.190,0:36:15.850
Violence is always near the surface.
0:36:16.600,0:36:21.569
Patients are allowed, one by one, in the[br]yard, for limited periods.
0:36:22.929,0:36:27.098
A patient doesn't want to return to[br]his room. [radio chatter]
0:36:27.098,0:36:31.087
(Patient): [cursing, hooting, laughing]
0:36:31.087,0:36:32.609
Moe: OK
0:36:32.609,0:36:38.360
(Patient): [laughter continues]
0:36:38.360,0:36:40.308
Moe: He's gearing for a fight.
0:36:40.563,0:36:41.838
Well, let's get the staff.
0:36:42.258,0:36:46.646
Narrator: His primary nurse, Moe, has[br]already given him an extra 30 minutes.
0:36:49.206,0:36:50.951
[chatter]
0:36:50.951,0:36:54.632
Moe: It's a planned intervention. To [br]relocate him to his room?
0:36:56.002,0:37:02.493
Because um, his presentation dictates[br]that he could put up a fight.
0:37:02.713,0:37:05.604
(Interviewer): Do you feel he's a bit[br]unstable at the moment?
0:37:05.604,0:37:07.617
Moe: Yeah, very. Yeah.
0:37:09.487,0:37:14.853
He's um... quite threatening and verbally[br]abusive at the moment. Yeah...
0:37:17.193,0:37:19.313
Narrator: Moe puts on a camera, to record
0:37:19.313,0:37:23.028
the planned intervention, in the event [br]of any violence.
0:37:25.498,0:37:35.394
[chatter, dark music, patient laughing]
0:37:40.454,0:37:44.042
(Patient): I want to stay out here, I'm [br]not coming in, more time, fuck off!
0:37:44.042,0:37:44.753
Fuck off!
0:37:45.243,0:37:48.857
Narrator: On the intensive care ward, [br]staff are preparing to move a
0:37:48.857,0:37:51.845
reluctant patient back to his room,[br]from the yard.
0:37:52.451,0:37:55.703
(Patient): Fucking release me! Fucking[br]release me man!
0:37:55.703,0:37:59.276
Staff: I'm going home, and we are leaving[br]six people, so we need to go.
0:37:59.276,0:38:03.323
(Patient): One, two, three, four, five,[br]six. It's a lot of people.
0:38:03.323,0:38:06.436
Staff: Yeah we'll take it down, and six[br]of us will take you down.
0:38:08.706,0:38:10.706
(Patient): [crazed laughter]
0:38:10.706,0:38:12.831
Staff: Can we go, because we need to go[br]home?
0:38:12.831,0:38:15.048
(Patient): Go home [unintelligible][br]I'm not troubling you!
0:38:15.048,0:38:16.846
Staff 2: You need to be ready now, cos we[br]are ready.
0:38:16.846,0:38:19.650
Staff: Yeah turn around for us.[br]Staff 2: Turn around, turn around for us.
0:38:19.650,0:38:23.341
Staff: Right.[br]Staff 2: Let's feed that hand to me,
0:38:23.341,0:38:25.923
don't worry, do exactly what he says
0:38:25.923,0:38:29.673
[chatter, beeping]
0:38:29.673,0:38:32.573
Staff: Relax! Relax relax![br]Staff 2: Relax, bring it inside.
0:38:41.133,0:38:44.995
Narrator: The hospital has forbidden us[br]from showing this restraint procedure,
0:38:44.995,0:38:48.922
even with the patient disguised, on the[br]grounds that he doesn't have
0:38:48.922,0:38:50.597
the capacity to consent.
0:38:50.597,0:38:53.421
His voice has been replaced by an actors.
0:38:53.421,0:38:55.501
(Patient): Fuck off! Get off me![br][crosstalk]
0:39:09.221,0:39:13.452
Narrator: Well-known for kicking staff, [br]the patient is asked to remove his shoes.
0:39:14.982,0:39:17.421
As predicted, he lashes out.
0:39:19.441,0:39:21.328
[shouting]
0:39:24.568,0:39:28.533
The 8 staff members get the patient onto[br]the floor for everyone's safety.
0:39:28.533,0:39:32.819
[echoing voices, shouts]
0:39:37.469,0:39:41.415
They're outside his room. It's back on the[br]floor in a final maneuver
0:39:41.415,0:39:43.811
to get him safely through the door.
0:39:43.811,0:39:46.838
[staff issuing commands]
0:39:54.068,0:39:57.060
Narrator: Once in the room, the patient [br]is placed on the bed,
0:39:57.060,0:40:00.872
feet furthest from the door. Then one[br]nurse will keep hold of his legs,
0:40:00.872,0:40:04.231
another his arms, and a third, [br]his head.
0:40:04.231,0:40:05.258
(Patient): Sod off!
0:40:07.898,0:40:10.105
Narrator: They let go and exit, one[br]by one.
0:40:10.105,0:40:11.326
Staff: Release the legs.
0:40:12.456,0:40:16.204
Narrator: The last to let go is holding [br]his head, and nearest to the door.
0:40:16.204,0:40:24.584
[shouting]
0:40:24.584,0:40:25.651
[slam]
0:40:25.651,0:40:30.239
[chatter]
0:40:35.489,0:40:40.374
Narrator: Whenever force has to be used, [br]staff take time out to reappraise.
0:40:41.664,0:40:43.957
Moe: -had been verbally abusive and [br]threatening-
0:40:43.957,0:40:47.928
(Staff): Are you okay?[br]Moe: -clenching his fist, swearing.
0:40:47.928,0:40:51.901
The minute [unintelligible], you know[br]he's gonna fight.
0:40:53.811,0:40:57.428
Staff: You can't predict these things, we[br]did our best to try and manage it,
0:40:57.428,0:41:00.673
but the most important thing is that [br]everybody's safe and the
0:41:00.673,0:41:04.130
procedures were followed very well, and[br]the patient himself is not harmed
0:41:04.130,0:41:07.923
or injured. So, that's it then, guys.[br]Back to our jobs.
0:41:09.913,0:41:14.852
[chatter, Moe sighs deeply]
0:41:15.582,0:41:19.023
Narrator: On average, there are 5 physical[br]assaults a week on staff.
0:41:19.023,0:41:21.146
Staff: I'm ok, just a scratch.
0:41:21.146,0:41:26.722
Narrator: Including punching, kicking ,[br]throwing hot liquids, urine and feces.
0:41:27.512,0:41:31.322
Some are serious enough to warrant the[br]hospital pursuing criminal charges.
0:41:32.292,0:41:34.421
(Interviewer): Does that happen to you[br]a lot?
0:41:34.421,0:41:37.567
Staff: Well, it's part of, you know-[br](Staff 2:) Anyone at any time.
0:41:37.567,0:41:41.333
Staff: Anyone at any time, mm. Obviously[br]you can see the their-
0:41:41.333,0:41:46.957
their state. Their mental state is very [br]unstable. [laughs]
0:41:46.957,0:41:52.590
Staff 3: Really, it was well managed. Cos[br]there are times you can get serious
0:41:52.590,0:41:53.336
injury.
0:41:56.546,0:41:59.124
(Interviewer): So Moe, is every day like[br]this for you?
0:41:59.124,0:42:01.650
Moe: Sorry?[br](Interviewer): Is every day like this for
0:42:01.650,0:42:02.520
you?[br]Moe: Uhmmm
0:42:02.520,0:42:03.805
Every other day.
0:42:03.805,0:42:07.333
There are days when, um, the ward will[br]be very settled, patients are quiet,
0:42:07.333,0:42:11.853
all will be in a happy mood, but[br]not all the time cos their
0:42:11.853,0:42:14.120
mental state tends to subside a lot.
0:42:14.120,0:42:16.733
(Interviewer): So you were right about him[br]though, weren't you?
0:42:16.733,0:42:20.239
Moe: Yeah of course, actually I am his[br]primary nurse, so I know him.
0:42:20.239,0:42:23.261
You know, you can tell, we can see[br]it's coming-
0:42:23.261,0:42:25.810
It's about knowing your patients, we know[br]all of them.
0:42:25.810,0:42:28.831
(Interviewer): So was he complaining about[br]how many of you there were there?
0:42:28.831,0:42:30.896
He was counting, how many staff there[br]were.
0:42:30.896,0:42:35.558
Moe: He knew that we are ready for action,[br]you know?
0:42:35.558,0:42:39.731
Inasmuch as they are mentally ill, but[br]they are not stupid.
0:42:41.321,0:42:46.447
Yeah, some of them, they know exactly[br]what they are doing. It's kind of
0:42:46.447,0:42:50.416
like, pre-planned, 'I'm gonna get them'[br]and they look at the teams and say
0:42:50.416,0:42:54.009
'Oh I think this is a weak team,' and then[br]they will go for it.
0:42:56.269,0:43:02.752
[muffled screaming, keys rattling, [br]chatter]
0:43:08.112,0:43:12.705
Narrator: Patients like these on Cranfield[br]can progress. They will eventually
0:43:12.705,0:43:17.214
move on to other wards, and, with time,[br]even out of the hospital.
0:43:18.284,0:43:22.616
Staff: You watching football or something?[br]The finals? You watching it.
0:43:22.616,0:43:26.109
We'll bring you out to the [br][unintelligible] so you can
0:43:26.109,0:43:27.813
watch it live, yeah? Good man.
0:43:31.019,0:43:39.096
[somber keyboard music][br]♪Every day there is none for you ♪
0:43:39.096,0:43:50.095
♪and every day we can start anew ♪[br]♪we've only got one chance in the world ♪
0:43:50.095,0:43:52.736
♪together ♪
0:43:52.736,0:44:05.262
♪make a dream come true ♪[br]♪hold on, and treasure your love ♪