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[Solemn music plays, noises of nature in
background]
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Narrator: Broadmoor, a word that makes
people shiver.
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Most think that Broadmoor is a prison,
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in fact it's a high secure
psychiatric hospital,
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and home to some of the country's most
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dangerous and violent offenders.
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[Gate unlocking, mechanical noises]
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After five years of negotiation,
and for the
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very first time, the hospital has allowed
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cameras in to meet the men who live behind
these walls.
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[unintelligible yelling, sound of
something slamming]
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[Running footsteps, keys jangling]
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[more yelling and sounds of a struggle]
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[door slams]
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[footsteps echo in the hallway]
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Inmate: Broadmoores got this, this history
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about people being all these monsters
here basically.
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But you can be violent, and it
don't
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mean you're a bad person,
cos sometimes
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you don't....you're not intendin' it.
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Over radio: Hello Bravo one, two, and go.
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Over radio: One going to the
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[ unintelligible] all radio. Alpha four.
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Over.
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Man in Tan Suit: The easiest reaction
in the world is to
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see somebody that has committed something
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atrocious, label them as evil, want to
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lock the door and throw away the key.
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Daniel: I've probably actually never said
the words of what I've actually done.
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I've never admitted it. Still just a blur
in my head
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[knocking on door]
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Inmate: I've got born into this Italian
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family. Very, very violent. In some cases
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it would have been better to have killed
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me than to have allowed me to have this
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abominable life that I've had.
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[keys rattling, chatter]
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Narrator: With unprecedented access, and
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filmed over a year, this series reveals
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the secrets of life inside Britain's most
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notorious institution.
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[Bell rings]
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[Solemn music]
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Narrator: Broadmoor is perched above the
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Berkshire village of Crowthorne. Just 40
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miles from the center of London.
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When people think of Broadmoor
they think of
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Ronny Kray, Peter Sutcliffe, Robert
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Napper, and Kenneth Erskine. Some of the
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most dangerous killers the country has
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ever known.
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Inmate: The public perceive this place as
'Oh,
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that's where the Yorkshire Ripper's locked
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up, that's Rachel Nickell's killers locked
up'
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Broadmoor is an institution of lots of
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people. We're not all rapist pedophiles,
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or murderers. There is people in here for
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self-harming in prison, there's people in
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here for buggery who've then
gotten in a prison,
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and there's people in here for very very
evil things.
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and it brushes with all the same brush
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which they shouldn't do.
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[loud string crescendo]
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Narrator: First built as a victorian
lunatic asylum
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for the criminally insane,
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today Broadmoor is an NHS hospital.
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Over its 150 year history, it's been
a secretive
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and mysterious institution.
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Staff are under strict instructions not to
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discuss patients outside
the hospital walls.
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[clicking as items are placed on conveyer
and beeping of machinery]
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Many won't even admit to working here.
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Staff Member: Close, close family members
know that, obviously, where we
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work. But if we're in a normal mainstream
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than you would, you would probably say you
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work in the hospital or something. Don't
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really talk about the place.
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Staff 2: Listen, if you said that
you worked here, ah boy, you'd
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just spend the whole of a day,
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or the afternoon, with a barrage
of questions about the place.
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So, it's just easy to say you work for the
NHS.
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Narrator: They're told not to share
personal information with the patients
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either, and to leave their private lives
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along with their possessions,
at the front door.
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Broadmoor's most notorious patients,
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like Peter Sutcliffe and Kenneth Erskine,
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have chosen not to participate.
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But many of the men here have been front
page news,
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and are vilified by society.
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This is the first time they've been
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allowed to tell their stories.
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Alex: I've done everything
from taking hostages
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multiple hostage taking, stabbings,
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ya' know. Uh... multiple assaults, violent
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assaults, fire setting off. I set a whole
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stammers a fire in a hospital. A
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psychiatric hospital, the first one I
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ever went to. Umm.. yeah. Just mainly
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violence and whatnot. My history is mainly
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violence.
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Narrator: Broadmoor's 200 patients are all
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men suffering from mental disorders.
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They're classified as vulnerable adults
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and only those who have Capacity to
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Give Consent have been allowed to
talk to us.
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Their faces have been blurred to
protect their identities.
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[Door closing]
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(Interviewer): What are you like when
you're not on medication?
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Alex: Ummm...I'm quite a nasty
person, I'm quite violent,
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I'm very
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violent in most-most circumstances. Very
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antisocial. I don't like spending time
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with people. I'm paranoid. I'm, uh, very
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paranoid. stammers Every person around,
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I'm thinking 'what's their intention?'
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I come to that, sometimes
I come very close
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to attacking people because I'm thinking
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that they're going to do something to me
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and I don't want to get hurt first. Uh,
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um..I remember one time when I'm off
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medication, spent 11 months locked in a
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cell. Segregated, due to the fact that I
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was too dangerous to come out.
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Narrator: 24 year old Alex arrived at
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Broadmoor 7 months ago.
He was serving a
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life sentence in a dedicated prison unit
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for highly dangerous prisoners.
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They could no longer manage him.
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Alex: When I was younger, we would
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chase a seagull all round the council
estate, with a box, cos it-
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Narrator: Now in an admissions ward he's
been diagnosed with mental illness and
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personality disorder and put on
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medication.
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One of his symptoms is auditory
hallucinations.
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He hears voices.
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Alex: Oh, I was doing a fruit salad
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the other day for an assessment.
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That's when they do this assessment from
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personal motor, motor skills.
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It's like for learning disability.
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And....Umm...
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I was cutting a mango
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and I have never, I've never used a
sharp knife,
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In the seven years I've been away
I've not used a sharp knife
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and I was shaking, literally.
I nearly cut my fingers off cos
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the voices were telling me to attack the
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people in the room, with the knife.
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And, like, they were goading me into it,
and I thought 'I can't do that,
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I can't do that.'
and so I managed to finish fruit, the
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fruit salad, and I thought 'Wow like, what
achievement,' cos mostly
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stammers a year ago, two years
ago, my emotions
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would have done it.
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Ya know?
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[unintelligible speaking]
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Man in Sweater: No. We'll clean it
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afterwards. We want to give you
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bedding for now, yeah?
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Narrator: This is Cranfield, the
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intensive care ward.
Home to the hospital's
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most acute mentally ill patients.
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[door shutting, keys jangling, people
speaking unintelligibly]
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Female Voice: Hi, can we come in and
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talk to you, yeah?
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Man in Sweater: Sit on the bed for us
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Narrator: Any contact with them has to be
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carefully planned and executed.
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This is a six person unlock.
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The door to this patients room can only be
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opened with six staff present.
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Man in Glasses: There is always the risk
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of violence towards others, you
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have to accept that with chronic mental
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illness and they will be very disturbed
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throughout the day, but you have to
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learn to work with that.
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[person sobbing]
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My focus in working with these guys is
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actually telling them that they are here
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not because of the illness, they
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are here because of violence.
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And they only progress from here
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if there's a reduction in that violence.
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So that message, you know.
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It might take time, but gradually
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over a period of time, it's that
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going through.
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[keys jangling, unintelligible talking
in background]
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Narrator: On this ward, even the most
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routine tasks run a risk of violence and
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involve a protocol.
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This patient has asked for a drink.
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(Moe): Just give us a minute,
she's going to get a cup
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[unintelligible]
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Shukran. Shukran
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Shukran means thank you, right?
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You know, you taught me all this.
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[laughs]
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Right.
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[unintelligble]
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You go sit down.
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No, the one in the back.
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Alright?
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Inmate: [unintelligible] give me
some more?
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Moe: I'm gonna have it there
for you, okay?
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Thank you!
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Female voice: Thank you guys.
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Narrator: Life in Broadmoor can be a game
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of snakes and ladders.
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With patients moving between the hospitals
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15 wards according to their
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mental state.
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[door closing]
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Patients who have responded to treatment
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can progress to one of the hospital's
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Assertive Rehab Wards, where
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they're given greater freedom.
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Daniel is one of 12 patients on this
ward.
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Daniel: I've been here five years.
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Luckily I never went to a high dependency
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ward, I came straight to rehab.
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And, to be honest, it's been...
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I wouldn't use the word wonderful...
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Cos eh... it's not wonderful.
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But, I've been grateful basically
to come here.
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In my spare time I try and engage
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in artwork mostly.
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This was the, uh... my first real attempt
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at an actual portrait. All done completely
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in graphite,
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and then I moved on to using
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charcoal along with, uh.. graphite.
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And the charcoal allows you to, to have
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so much more...uhhh...depth in the tonal
quality.
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And then, yeah....I did a self-portrait.
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The whole, the whole picture was a
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statement about when I got locked up,
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when I was 14 and I'm now 24.
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This is me at 24, but uh, that's me.....
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back then...sort of thing....
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Narrator: Mental Disorder is no respecter
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of class or education.
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Daniel was a 14 year old boy at a
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mainstream school, and no one anticipated
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the violence of his attack....
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on his own family.
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[Heavy guitar riff]
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All of the men in Broadmoor present a
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grave and immediate risk to the public.
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And many have committed violent crimes.
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From arson, to torture, rape and murder.
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Unlike a prison sentence, they have
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no release date.
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Daniel: I've been a bit of a conundrum
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for the psychologists.
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And I've have, I've had about nine
different
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diagnoses from thirty different doctors.
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I've had seminars about me done,
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I've had people wanting to write books
about me,
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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 has been
reported.
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 --> 00:13:52,366
the treatment here.
312
00:13:52,366 --> 00:13:54,386
Man in Suit: Have you noticed any benefit?
313
00:13:54,386 --> 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
00:14:41,437 --> 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
00:15:01,038 --> 00:15:03,365
Inmate: Shut up
Inmate 2: You shut up
337
00:15:03,365 --> 00:15:08,396
Shopkeeper Whats going on?
You sure it's okay?
338
00:15:08,396 --> 00:15:09,886
[indistinct response]
339
00:15:09,886 --> 00:15:10,907
Shopkeeper: Good.
340
00:15:13,488 --> 00:15:15,872
Narrator: The freedom to shop is a
341
00:15:15,872 --> 00:15:18,352
mixed blessing. One of the side effects
342
00:15:18,352 --> 00:15:21,482
of medication is increased appetite
343
00:15:21,482 --> 00:15:24,582
and many patients are severely overweight.
344
00:15:25,456 --> 00:15:29,736
[indistinct talking]
345
00:15:29,906 --> 00:15:32,716
Narrator:However normal it feels,
the reminder of
346
00:15:32,716 --> 00:15:34,695
the threat of violence is ever-present.
347
00:15:35,478 --> 00:15:37,924
Searches looking for potential weapons
348
00:15:37,924 --> 00:15:40,473
are carried out before any
patient movement.
349
00:15:41,399 --> 00:15:43,409
Hospital Staff: This is stuff that we've
350
00:15:43,409 --> 00:15:46,617
retrieved from patients. I think this is
351
00:15:46,617 --> 00:15:49,727
just, what used to be a CD and its been
352
00:15:49,727 --> 00:15:52,297
broken up into shards. It can be used as a
353
00:15:52,297 --> 00:15:54,167
blade, even for self harming.
354
00:15:54,167 --> 00:15:56,605
In fact, we don't use the CDs
here anymore.
355
00:15:56,678 --> 00:15:59,128
We've got spoons and forks that have been
356
00:15:59,128 --> 00:16:01,597
sharpened off on the edge. So a normal
357
00:16:01,597 --> 00:16:04,327
teaspoon-plastic spoon-which is
quite innocent
358
00:16:04,327 --> 00:16:06,807
to you and I, has been fashioned off and
359
00:16:06,807 --> 00:16:09,108
can be used as a potential weapon to stab.
360
00:16:09,108 --> 00:16:11,458
It's an example of how vigilant we have to
361
00:16:11,458 --> 00:16:13,052
be with everyday items.
362
00:16:14,078 --> 00:16:15,078
[radio chatter]
363
00:16:16,105 --> 00:16:18,531
Alex: I've done a lot of self harming, as
364
00:16:18,531 --> 00:16:21,681
you can see. I've cut my own throat
a couple
365
00:16:21,681 --> 00:16:24,511
of times. I've cut my throat like four
366
00:16:24,511 --> 00:16:27,161
times I think. Umm funny enough, I think
367
00:16:27,161 --> 00:16:29,256
It was like five weeks
before I come here,
368
00:16:29,256 --> 00:16:32,426
I hung myself and they had to do CPR
369
00:16:32,426 --> 00:16:33,416
on me in the cell.
370
00:16:33,416 --> 00:16:34,576
Like, you know?
371
00:16:36,932 --> 00:16:39,332
I was sexually abused when I was a child
372
00:16:39,332 --> 00:16:41,712
and that had an affect on my behavior,
373
00:16:41,712 --> 00:16:43,192
on my mental state.
374
00:16:43,192 --> 00:16:46,352
I couldn't sleep at night, and the rest
of it... I was, you know...
375
00:16:46,352 --> 00:16:48,272
Basically everything that you go through
376
00:16:48,272 --> 00:16:51,372
when you've had a traumatic situation
like I did.
377
00:16:52,245 --> 00:16:54,232
I think as well as being here,
378
00:16:54,232 --> 00:16:56,062
I said to my mum 'this feels like the
379
00:16:56,062 --> 00:16:58,111
best I've ever been in ten years.'
380
00:17:01,485 --> 00:17:03,745
Man in Tan Suit: Patients that come here,
381
00:17:03,745 --> 00:17:05,851
they will have perpetrated, often,
382
00:17:05,851 --> 00:17:08,691
horrendous crimes. But, they are also
383
00:17:08,691 --> 00:17:12,791
victims. It is very easy to see somebody
384
00:17:12,791 --> 00:17:14,981
as either the perpetrator or the victim.
385
00:17:14,981 --> 00:17:17,399
It is much more difficult to understand
386
00:17:17,399 --> 00:17:19,889
that somebody might be both.
387
00:17:19,949 --> 00:17:22,049
[squirrel chatters]
388
00:17:22,049 --> 00:17:29,029
[loud drumming and incoherent yelling]
389
00:17:29,396 --> 00:17:31,776
Narrator: Patients from different wards
390
00:17:31,776 --> 00:17:33,347
meet at certain events.
391
00:17:33,538 --> 00:17:35,198
(Neita): Hi, first of all, thank
392
00:17:35,198 --> 00:17:36,641
you for giving up your time.
393
00:17:36,641 --> 00:17:38,891
I know you could be doing
other things, I know
394
00:17:38,891 --> 00:17:40,461
you have different [trails off]
395
00:17:40,461 --> 00:17:42,551
Narrator: Todays a diversity workshop and
396
00:17:42,551 --> 00:17:45,371
Poet and Lawyer Dave Neita is encouraging
397
00:17:45,371 --> 00:17:47,418
them to celebrate their
different cultures.
398
00:17:47,418 --> 00:17:50,391
Neita: Today we're gonna
invite you to speak
399
00:17:50,391 --> 00:17:52,691
about your own culture, but before
400
00:17:52,691 --> 00:17:54,661
that we're going to have lunch.
401
00:17:56,525 --> 00:17:59,190
But most of them are celebrating lunch.
402
00:17:59,190 --> 00:18:03,190
[drums continue]
403
00:18:03,190 --> 00:18:05,650
With no alcohol or tobacco allowed, food
404
00:18:05,650 --> 00:18:08,210
is the only thing they have
free reign over.
405
00:18:08,365 --> 00:18:13,785
[drums in background]
406
00:18:14,725 --> 00:18:17,895
Alex: My mum's Italian and my dad's from
a little island in Africa
407
00:18:17,895 --> 00:18:20,922
and I'd like to say that
being multicultural
408
00:18:20,922 --> 00:18:24,622
It helps. It's good. It's nice
to be different.
409
00:18:24,622 --> 00:18:26,492
Because different is what we need. We
410
00:18:26,492 --> 00:18:28,822
don't want everyone the same.
And that's it.
411
00:18:28,822 --> 00:18:30,411
[applause]
412
00:18:31,001 --> 00:18:34,540
Declan: How'd I end up in here? Umm
413
00:18:34,540 --> 00:18:36,740
they said they had a spare bed so I
414
00:18:36,740 --> 00:18:38,950
thought 'I've been in children's homes,
415
00:18:38,950 --> 00:18:41,219
I've been in secure units,
I've been in prison.
416
00:18:41,219 --> 00:18:43,293
The only place I haven't been is
Broadmoor.
417
00:18:43,293 --> 00:18:45,203
So I thought I'd come along.
418
00:18:45,203 --> 00:18:47,813
[laughs]
419
00:18:47,813 --> 00:18:48,753
[drumming]
420
00:18:48,753 --> 00:18:50,993
Narrator: Now 26, Declan was put
421
00:18:50,993 --> 00:18:52,773
into care at the age of nine.
422
00:18:52,773 --> 00:18:54,413
Declan: I remember the day that my
423
00:18:54,413 --> 00:18:56,917
mum took me to this office. I sat there
424
00:18:56,917 --> 00:18:58,896
on a chair, and the next minute she just
425
00:18:58,896 --> 00:19:01,086
left. She went 'your not coming with me'.
426
00:19:01,176 --> 00:19:03,129
A social worker come out and she went
427
00:19:03,129 --> 00:19:04,802
'alright, you got to come with me'.
428
00:19:04,802 --> 00:19:07,293
I went to children's homes, foster homes.
429
00:19:07,293 --> 00:19:10,416
I kept running away, cause' I got abused
430
00:19:10,416 --> 00:19:12,284
when I was in the children home. By the
431
00:19:12,284 --> 00:19:16,928
staff. Sexually and physical. And umm I
432
00:19:16,928 --> 00:19:18,846
think it was like, no one would actually
433
00:19:18,846 --> 00:19:19,933
listen to me.
434
00:19:19,933 --> 00:19:22,521
I ran away to London, and I was living on
435
00:19:22,521 --> 00:19:24,652
the streets. I mean I was living out of
436
00:19:24,652 --> 00:19:27,113
bins, yeah....not nice but, when you're
437
00:19:27,113 --> 00:19:29,345
on the streets you have to do that
sometimes.
438
00:19:29,345 --> 00:19:30,661
you know what I mean?
439
00:19:30,661 --> 00:19:32,603
Inmate in Red: Yeah guys, this is called
440
00:19:32,603 --> 00:19:33,572
Think, yeah?
441
00:19:33,572 --> 00:19:36,315
It goes like this: When you see a tramp
442
00:19:36,315 --> 00:19:38,711
out on the street. Don't look down your
443
00:19:38,711 --> 00:19:40,933
nose so far that you see your own feet.
444
00:19:40,933 --> 00:19:43,652
When you see people homeless don't reach
445
00:19:43,652 --> 00:19:45,855
for a broom. Consider if you have the
446
00:19:45,855 --> 00:19:47,669
means to give them a room.
447
00:19:47,669 --> 00:19:50,366
Declan: Am I a victim? I mean my current
448
00:19:50,366 --> 00:19:52,958
defendant...umm...basically stabbed 'em
449
00:19:52,958 --> 00:19:55,755
up. The judge classed it under as torture.
450
00:19:55,755 --> 00:19:58,384
Inmate in Blue: I'm Black, I'm
451
00:19:58,384 --> 00:20:00,407
British, and I'm proud of it [fades into
452
00:20:00,407 --> 00:20:04,494
clapping and drums].
453
00:20:04,494 --> 00:20:06,508
(Interviewer): You say you've got a child?
454
00:20:06,508 --> 00:20:08,064
Declan: Mm-hm. Got a little boy,
455
00:20:08,064 --> 00:20:09,277
he's seven.
456
00:20:09,277 --> 00:20:10,980
And he lives with his mum.
457
00:20:10,980 --> 00:20:12,680
Don't really see him, but I would-
458
00:20:12,680 --> 00:20:14,583
I wouldn't expect children to come in a
459
00:20:14,583 --> 00:20:15,610
place like this.
460
00:20:15,610 --> 00:20:18,470
(Interviewer): And are you still on good
terms with his mum?
461
00:20:18,470 --> 00:20:20,760
Declan: Ummm... [laughs]
462
00:20:20,760 --> 00:20:22,321
Not really, no.
463
00:20:22,321 --> 00:20:24,348
I started having a bit of a relationship
464
00:20:24,348 --> 00:20:27,466
with [name beeped out]. Sooo, yeah..that
465
00:20:27,466 --> 00:20:29,969
was the first time I found out that I was
466
00:20:29,969 --> 00:20:32,991
sort of that way.
467
00:20:32,991 --> 00:20:35,007
I've always-for some reason-I've always
468
00:20:35,007 --> 00:20:36,472
wanted to be a woman.
469
00:20:36,472 --> 00:20:39,243
I think that's the way I am, you know
what I mean?
470
00:20:39,243 --> 00:20:41,284
But in this place you can't do that,
471
00:20:41,284 --> 00:20:42,811
they won't allow it.
472
00:20:42,811 --> 00:20:44,969
Declan in front of room: I just wanted
473
00:20:44,969 --> 00:20:46,929
to say I'm gay, and I'm proud of it.
474
00:20:46,929 --> 00:20:47,754
Thank you.
475
00:20:47,754 --> 00:20:48,979
[applause]
476
00:20:49,203 --> 00:20:52,501
Declan: I want to be a Drag Queen,
that's what I've done for a while.
477
00:20:52,501 --> 00:20:54,162
(Interviewer): What's she called?
478
00:20:54,162 --> 00:20:55,176
Declan: Crystal.
479
00:20:55,176 --> 00:20:57,114
(Interviewer): And what's she look like?
480
00:20:57,114 --> 00:20:59,246
Declan: Blonde, and just fabulous.
481
00:20:59,246 --> 00:21:01,484
[laughs]
482
00:21:03,493 --> 00:21:08,259
[Intense music]
483
00:21:08,722 --> 00:21:10,418
Narrator: We've come to Chepstow, a
484
00:21:10,418 --> 00:21:12,851
medium-dependancy ward, where Lenny
485
00:21:12,851 --> 00:21:14,568
wants to show us his artwork.
486
00:21:14,568 --> 00:21:16,390
(Interviewer): You do it in your room?
487
00:21:16,390 --> 00:21:19,885
Lenny: Yeah. I do work with spare pens,
and it's mostly based on pens and
488
00:21:19,885 --> 00:21:22,323
basically your using cups and shapes
489
00:21:22,323 --> 00:21:24,361
and bottle tops to draw around.
490
00:21:24,371 --> 00:21:26,433
(Interviewer): How long have you
been here?
491
00:21:26,433 --> 00:21:27,778
Lenny: 7 years this time.
492
00:21:27,778 --> 00:21:29,918
(Interviewer): Is it not your first time?
493
00:21:29,918 --> 00:21:31,574
Lenny: No it's the second time.
494
00:21:33,004 --> 00:21:34,784
What do you think of that one?
495
00:21:35,104 --> 00:21:37,809
That's the corridors in a ward that's shut
down now
496
00:21:37,809 --> 00:21:40,460
(Interviewer): So why are you considered
a risk?
497
00:21:40,460 --> 00:21:43,892
Lenny: Because...I think its because
my particular offense was against a
498
00:21:43,892 --> 00:21:46,069
consulting psychiatrist. They
499
00:21:46,069 --> 00:21:48,634
called in a section 12
approved psychiatrist.
500
00:21:48,634 --> 00:21:50,592
And they're very powerful, not like- not
501
00:21:50,592 --> 00:21:54,244
like when you go to an ordinary doctor.
They- they work for the home office.
502
00:21:54,244 --> 00:21:56,043
Narrator: He's not happy with life in
503
00:21:56,043 --> 00:21:57,999
Broadmoor, and tells us he's bringing a
504
00:21:57,999 --> 00:22:00,033
High Court case against the hospital.
505
00:22:00,033 --> 00:22:01,841
Lenny: It costs how much? What was the
506
00:22:01,841 --> 00:22:03,794
last figure they said it cost to keep us
507
00:22:03,794 --> 00:22:05,779
here every year? 320,000 pounds a year or
508
00:22:05,779 --> 00:22:10,418
something? Surely its-its wrong to charge
509
00:22:10,418 --> 00:22:12,427
a fortune for people like us. When we're
510
00:22:12,427 --> 00:22:15,728
nowhere near about the centers of the
511
00:22:15,728 --> 00:22:16,486
community.
512
00:22:17,196 --> 00:22:19,370
Narrator: I costs 300,000 pounds a year
513
00:22:19,370 --> 00:22:21,753
to keep a patient in Broadmoor. Almost
514
00:22:21,753 --> 00:22:24,142
five times the cost of keeping
someone in prison.
515
00:22:26,242 --> 00:22:28,511
Before Lenny came to Broadmoor, he was
516
00:22:28,511 --> 00:22:30,896
in outpatient at a psychiatric hospital
517
00:22:30,896 --> 00:22:33,499
where he threatened his psychiatrist with
518
00:22:33,499 --> 00:22:34,334
a machete.
519
00:22:34,714 --> 00:22:37,113
(Interviewer): Do you think you should
be here, or?
520
00:22:37,113 --> 00:22:39,754
Lenny: Do you think I sound like a
mad blathering idiot?
521
00:22:39,754 --> 00:22:43,472
Cause' I think-No I don't think I should
be, I think I should be sharing this-
522
00:22:43,472 --> 00:22:46,464
my life- with people, I want to be
sharing my life with people.
523
00:22:46,464 --> 00:22:49,279
I want to be able to decide what I do,
when I do it, and be
524
00:22:49,279 --> 00:22:51,270
reasonably responsible for my
525
00:22:51,270 --> 00:22:53,229
own behavior, like anyone else out there.
526
00:22:53,229 --> 00:22:57,027
And I don't think I'll be any more of a
danger than whatever's already out there
527
00:22:57,027 --> 00:23:00,883
And I will be honest with you, I am rude
here, I could be really furious and angry
528
00:23:00,883 --> 00:23:04,754
and people come with 'You're the patient,
yeah?' That is a term we use to separate
529
00:23:04,754 --> 00:23:08,453
you from the rest of society, we're the
last thing on earth -this is the truth
530
00:23:08,453 --> 00:23:11,973
here- to be given what you call equal
rights. What do you think? You agree
531
00:23:11,973 --> 00:23:14,217
or not? I'm not anti-people I'm all for
people.
532
00:23:14,427 --> 00:23:16,530
Narrator: Downstairs on the admissions
ward,
533
00:23:16,530 --> 00:23:18,535
Alex is keen to progress.
534
00:23:18,535 --> 00:23:20,405
Alex: I was seven months up in here
535
00:23:20,405 --> 00:23:22,277
yesterday, seven months yesterday. It's
536
00:23:22,277 --> 00:23:24,920
taking forever. Are you aware of any
537
00:23:24,920 --> 00:23:27,116
beds coming up soon?
538
00:23:27,116 --> 00:23:29,233
Narrator: His medication has stabilized
him.
539
00:23:29,233 --> 00:23:31,420
He wants to move from Admissions to
540
00:23:31,420 --> 00:23:33,923
an Assertive Rehab ward, where he'll
541
00:23:33,923 --> 00:23:35,238
have greater freedom.
542
00:23:35,988 --> 00:23:37,525
Man in suit: That I don't know.
543
00:23:37,525 --> 00:23:40,850
Alex: Well you should know, [laughing]
you're the consultant in there!
544
00:23:40,850 --> 00:23:43,378
Man in suit: Yes- I can't- I don't know
545
00:23:43,378 --> 00:23:45,188
the timescales, cause it's not quite
546
00:23:45,188 --> 00:23:46,175
within my control...
547
00:23:48,625 --> 00:23:50,341
Narrator: Back upstairs on Chepstow,
548
00:23:50,341 --> 00:23:53,932
Benson, the PAT dog, has arrived for
549
00:23:53,932 --> 00:23:55,608
his weekly visit.
550
00:23:56,768 --> 00:23:58,629
Lenny's behavior over the past few days
551
00:23:58,629 --> 00:24:00,577
is becoming a cause for concern.
552
00:24:02,497 --> 00:24:04,113
He's been increasingly manic and
553
00:24:04,113 --> 00:24:06,407
hyperactive, and his doctor feels he
554
00:24:06,407 --> 00:24:07,931
needs medication.
555
00:24:07,931 --> 00:24:10,851
[door clatter] Dog Handler: Bye!
556
00:24:12,421 --> 00:24:14,572
Narrator: Lenny refuses to take it,
557
00:24:14,572 --> 00:24:17,455
so it'll have to be forcibly administered,
558
00:24:17,455 --> 00:24:18,992
by injection.
559
00:24:18,992 --> 00:24:22,337
Lenny: Hang on hang on, you filming?
560
00:24:22,337 --> 00:24:25,347
[crosstalk]
561
00:24:25,347 --> 00:24:29,295
Lenny: This is wrong, I'm not fighting you
562
00:24:29,295 --> 00:24:31,214
[crosstalk]
563
00:24:31,214 --> 00:24:38,757
[chatter]
564
00:24:41,827 --> 00:24:44,069
Doctor: Guys, we really need to get this
565
00:24:44,069 --> 00:24:45,883
started, if you just mind, just, just-
566
00:24:45,883 --> 00:24:47,601
please.. OK? All right
567
00:24:49,161 --> 00:24:51,499
Narrator: At this point, staff tell us
568
00:24:51,499 --> 00:24:53,307
to leave the ward.
569
00:24:53,307 --> 00:24:56,534
[moody music]
570
00:24:56,534 --> 00:24:59,490
We're told we can see Lenny the following
571
00:24:59,490 --> 00:25:01,928
day. [door shuts]
572
00:25:07,048 --> 00:25:13,870
[birds, brooding music]
573
00:25:13,870 --> 00:25:15,792
Lenny: Neil? Neil, could we have a key
574
00:25:15,792 --> 00:25:17,690
please? There should [unintelligible]
575
00:25:19,383 --> 00:25:21,587
Narrator: The day before, we were told to
576
00:25:21,587 --> 00:25:23,361
leave the ward when staff were about
577
00:25:23,361 --> 00:25:25,099
to forcibly inject Lenny with
578
00:25:25,099 --> 00:25:26,766
antipsychotic medication.
579
00:25:29,336 --> 00:25:32,316
He's keen to explain what happened after
we left.
580
00:25:32,316 --> 00:25:33,632
Lenny: Come this way-
581
00:25:33,632 --> 00:25:35,308
So I moved into here-
582
00:25:35,308 --> 00:25:37,465
Narrator: He leads us into the seclusion
area.
583
00:25:37,969 --> 00:25:39,170
Lenny: Come in, come in.
584
00:25:39,520 --> 00:25:42,956
All right, well [unintelligible] First
of all, I was at that point, I was
585
00:25:42,956 --> 00:25:44,979
laying like this, alright, and I was
586
00:25:44,979 --> 00:25:48,495
talking saying 'Please don't turn me
over, cos I'm not trying to fight you'
587
00:25:48,495 --> 00:25:50,507
And they said, and the next thing happened
588
00:25:50,507 --> 00:25:52,315
they all came in and [unintelligible]
589
00:25:52,315 --> 00:25:54,624
I can make a deal with them, I'm on the
590
00:25:54,624 --> 00:25:57,567
bed, so I'm like this, one point, all the
591
00:25:57,567 --> 00:25:59,379
staff were holding me, I was like that
592
00:25:59,379 --> 00:26:02,896
and said 'Would you please let me go,
and I'll get up' so I went like that
593
00:26:02,896 --> 00:26:04,681
and stood like that and took down my
594
00:26:04,681 --> 00:26:06,255
pants and trousers and he stopped
595
00:26:06,255 --> 00:26:08,458
me there, let's see, I came out again,
596
00:26:08,458 --> 00:26:10,167
that's what happened, but I didn't-
597
00:26:10,167 --> 00:26:12,530
What do you think? What's your opinion
about that?
598
00:26:12,530 --> 00:26:14,598
(Interviewer): But did you hit
one of them?
599
00:26:14,598 --> 00:26:16,738
Lenny: Yeah but that's cos I was being
chased-
600
00:26:16,738 --> 00:26:19,254
Larkin: One of the biggest
areas of conflict, um
601
00:26:19,254 --> 00:26:21,106
between certainly doctor and patient
602
00:26:21,106 --> 00:26:22,504
is the issue of medication.
603
00:26:22,504 --> 00:26:24,168
Lenny: This one's sealed, alright?
604
00:26:24,168 --> 00:26:25,434
It's stifling sometimes.
605
00:26:25,434 --> 00:26:28,557
(Larkin): One of the difficulties
with psychotic disorders is your
606
00:26:28,557 --> 00:26:31,351
interpretation of reality is different
from other people's.
607
00:26:31,351 --> 00:26:33,067
And if you genuinely believe there's
608
00:26:33,067 --> 00:26:35,813
nothing wrong with you and you don't
need any medication,
609
00:26:35,813 --> 00:26:38,586
why on earth would you want to take
some of the medications
610
00:26:38,586 --> 00:26:40,420
that would be up for discussion?
611
00:26:40,420 --> 00:26:43,821
Lenny: Could we open this door please?
(Larkin): He's particularly angry
612
00:26:43,821 --> 00:26:47,415
for two reasons, one is he doesn't believe
he'll benefit from the medication
613
00:26:47,415 --> 00:26:51,101
at all, second reason is that he believes
he's involved in a major, high court
614
00:26:51,101 --> 00:26:54,636
case against the hospital to expose a
range of malpractice particularly in
615
00:26:54,636 --> 00:26:58,068
relation to him, but in general about
how these services are just really
616
00:26:58,068 --> 00:27:00,893
keeping people in jobs and don't
provide any useful service.
617
00:27:00,893 --> 00:27:04,372
Lenny: The hospital's defense is just-
'Here's some of the most notorious
618
00:27:04,372 --> 00:27:06,378
people in the country,' I'll show you
what-
619
00:27:06,378 --> 00:27:10,030
(Larkin): He believes we've given him the
medication purely to dull his mind
620
00:27:10,030 --> 00:27:13,930
and weaken his chances of being successful
in that case. In fact he's not currently
621
00:27:13,930 --> 00:27:16,140
involved in any, uh legal action or court
case.
622
00:27:16,140 --> 00:27:19,675
(Lenny): No you're not going in there,
it's private, sorry come on you guys
623
00:27:19,675 --> 00:27:22,015
Look at that, that's my mum and me.
624
00:27:22,015 --> 00:27:25,534
See she pretty in the black and white from
the '60s, see her?
625
00:27:25,534 --> 00:27:27,387
(Larkin): He's a man who's spent a long
626
00:27:27,387 --> 00:27:29,506
time in institutional care, um in previous
627
00:27:29,506 --> 00:27:31,553
settings was frequently assaulted, he was
628
00:27:31,553 --> 00:27:33,276
violent himself on several occasions
629
00:27:33,276 --> 00:27:34,408
but he often assaulted.
630
00:27:34,408 --> 00:27:37,280
Lenny: You want a drink or anything, cup
of tea or something?
631
00:27:37,280 --> 00:27:39,800
[offscreen] I'm fine
You sure, any sweet, soft drink?
632
00:27:39,800 --> 00:27:41,830
[offscreen] Nothing
633
00:27:41,830 --> 00:27:44,969
Lenny: Alright thanks very, thank you
very much [unintelligible]
634
00:27:46,713 --> 00:27:50,295
[contemplative music]
635
00:27:55,495 --> 00:28:01,487
[keys clattering, chatter]
636
00:28:04,507 --> 00:28:06,490
[offscreen] Just check to make sure, all
637
00:28:06,490 --> 00:28:08,992
the shadows are covered..
638
00:28:10,492 --> 00:28:12,462
So they're checked, first thing in the
639
00:28:12,462 --> 00:28:14,983
morning, again before the patients go back
640
00:28:19,156 --> 00:28:20,500
[door handle rattles]
641
00:28:21,700 --> 00:28:23,624
Narrator: Patients who are well enough
642
00:28:23,624 --> 00:28:26,085
to go to work can make goods, which go
643
00:28:26,085 --> 00:28:28,503
on sale to the public. They are paid
644
00:28:28,503 --> 00:28:30,022
80 pence an hour.
645
00:28:34,952 --> 00:28:37,011
Alex has been doing well and is now
646
00:28:37,011 --> 00:28:39,021
allowed off the Admissions ward to
647
00:28:39,021 --> 00:28:39,929
come to work.
648
00:28:40,799 --> 00:28:42,809
Alex: Everyone's saying 'Oh you gonna move
649
00:28:42,809 --> 00:28:44,792
you're gonna move' they said I would have
650
00:28:44,792 --> 00:28:46,505
moved by Thursday last week, nothing
651
00:28:46,505 --> 00:28:48,557
so far now, I've been onto my psychiatrist
652
00:28:48,557 --> 00:28:52,045
saying, 'Look, why am I still on at
Admission ward,
653
00:28:52,045 --> 00:28:54,166
after 8 months, when there's a bed for me
654
00:28:54,166 --> 00:28:54,995
on Rehab? Know?'
655
00:28:54,995 --> 00:28:58,277
(Interviewer): You a bit frustrated?
Alex: Yeah it is frustrating, but
656
00:28:58,277 --> 00:29:00,284
I'm just at the moment, focusing, cos next
657
00:29:00,284 --> 00:29:02,117
week I've got a visit, mum and dad are
658
00:29:02,117 --> 00:29:04,778
coming up for 2 days, so, y'know, I'll
659
00:29:04,778 --> 00:29:06,263
spend some time with my family.
660
00:29:06,263 --> 00:29:08,124
[tapping]
661
00:29:08,124 --> 00:29:10,269
[outdoor ambiance, guitar music]
662
00:29:10,269 --> 00:29:12,298
Narrator: They have a saying here:
663
00:29:12,298 --> 00:29:15,382
There's time, and then there's Broadmoor
Time.
664
00:29:15,762 --> 00:29:17,796
Tan shirt: Which episode did you see last,
665
00:29:17,796 --> 00:29:20,481
of Eastenders? Bout a week ago?
Black shirt: Last night?
666
00:29:20,481 --> 00:29:22,923
Tan shirt: Last night?
Black shirt: Last night yeah.
667
00:29:22,923 --> 00:29:26,695
Tan shirt: Did they show the man who was
pretending to be Nick Cotton's own son?
668
00:29:26,695 --> 00:29:28,485
Black shirt: No I didn't see it
669
00:29:29,809 --> 00:29:31,567
Narrator: While medication can often
670
00:29:31,567 --> 00:29:34,174
control behavior, extensive therapy is
671
00:29:34,174 --> 00:29:36,774
needed to change it, and that takes time.
672
00:29:36,774 --> 00:29:38,928
Estelle: I'm in the diary, ok?
[offscreen] OK
673
00:29:38,928 --> 00:29:41,903
Narrator: Estelle Moore is the hospital's
674
00:29:41,903 --> 00:29:45,317
lead psychologist, she's been here for 20
years.
675
00:29:45,317 --> 00:29:47,614
Estelle: [keys jangling] You alright?
676
00:29:47,614 --> 00:29:49,665
Declan: They say just carry on with the
677
00:29:49,665 --> 00:29:52,094
violent offenders group, what finishes in
December
678
00:29:52,094 --> 00:29:54,695
Narrator: Patients undergo specific
679
00:29:54,695 --> 00:29:56,574
therapies depending on their offense,
680
00:29:56,574 --> 00:29:59,186
whether it's violence, sex offending, or
681
00:29:59,186 --> 00:30:00,789
fire setting.
682
00:30:00,789 --> 00:30:02,812
Declan: -understand our relationships and
683
00:30:02,812 --> 00:30:06,263
uhh, borderlines. No not borderlines,
boundaries.
684
00:30:06,263 --> 00:30:09,346
Estelle: What sort of actions are safe
685
00:30:09,346 --> 00:30:11,820
and contained in relationships? The sorts
686
00:30:11,820 --> 00:30:14,213
of things that you would do that feel
687
00:30:14,213 --> 00:30:16,604
like normal and safe relationships?
688
00:30:16,604 --> 00:30:17,380
Declan: Laughter
689
00:30:17,380 --> 00:30:19,908
Estelle: Laughter? OK so laughing,
690
00:30:19,908 --> 00:30:24,214
Declan: Talking sensible. Feeling
comfortable with each other.
691
00:30:26,300 --> 00:30:27,695
[keys, footsteps]
692
00:30:27,695 --> 00:30:31,749
Narrator: Declan was found guilty of a
life-threatening assault on a man.
693
00:30:33,389 --> 00:30:36,224
Declan: Do I feel sorry for him? No.
Will I do it again? No.
694
00:30:39,054 --> 00:30:42,515
No. I'm missing the sun, I'm missing
the surfing. Know what I mean?
695
00:30:44,505 --> 00:30:46,535
[keys, door squeaks]
696
00:30:51,809 --> 00:30:52,768
[door shuts]
697
00:30:52,768 --> 00:30:55,728
[moody music]
698
00:31:00,028 --> 00:31:01,842
[ping pong ball clatters]
699
00:31:03,272 --> 00:31:05,236
Narrator: Lenny has been on antipsychotic
700
00:31:05,236 --> 00:31:07,084
medication for a few weeks.
701
00:31:07,084 --> 00:31:09,649
It has had time to build up in his system.
702
00:31:10,729 --> 00:31:14,185
Neil: Now he's had the depot
injection, the chemicals from that
703
00:31:14,185 --> 00:31:18,876
are slowing down his reactions to the
point where he has those few
704
00:31:18,876 --> 00:31:20,483
more seconds to think-
705
00:31:20,483 --> 00:31:23,048
'How am I gonna reply to this?'
706
00:31:23,048 --> 00:31:28,754
and he will reply in a much more- manner
to what you or I would reply to something.
707
00:31:30,304 --> 00:31:32,772
I can definitely empathize with him, he
708
00:31:32,772 --> 00:31:35,059
hasn't come from a different
background to me
709
00:31:35,059 --> 00:31:38,471
but he has come from different parents
to me.
710
00:31:38,471 --> 00:31:40,912
(Interviewer): It seems to be
the case with so many.
711
00:31:40,912 --> 00:31:44,084
Neil:Yeah, I know, I agree with that,
you can
712
00:31:44,084 --> 00:31:47,516
probably see if you go back into, um,
713
00:31:47,516 --> 00:31:53,029
the lives of most of our patients, you
could probably identify them at
714
00:31:53,029 --> 00:31:58,312
5, 6 years old, and say 'I'll be seeing
you later on' and things like that.
715
00:31:58,312 --> 00:32:01,361
Lenny: He's alright here, he's my buddy,
716
00:32:01,361 --> 00:32:04,505
one day he's gonna tell the
truth as well. [laughs]
717
00:32:04,505 --> 00:32:08,103
[walkie talkie chatter]
718
00:32:08,813 --> 00:32:10,462
(Tan Suit): Everyone is born with
719
00:32:10,462 --> 00:32:13,360
certain temperaments, with certain
predispositions to certain
720
00:32:13,360 --> 00:32:17,791
behavior, and if you've been given a
triple-whammy of, of genes, environment,
721
00:32:17,791 --> 00:32:22,757
upbringing, childhood adversity, substance
misuse, all of those different
722
00:32:22,757 --> 00:32:25,366
aspects build up to make the person.
723
00:32:25,366 --> 00:32:29,821
And it's a long term project of gradually
putting somebody back together and
724
00:32:29,821 --> 00:32:33,933
making sure that they stay in that
recovered state.
725
00:32:35,503 --> 00:32:39,180
[ominous music]
726
00:32:39,180 --> 00:32:41,601
Narrator: Things have finally changed for
Alex-
727
00:32:41,601 --> 00:32:45,137
after 8 months, he's been moved to
Assertive Rehab.
728
00:32:45,137 --> 00:32:47,540
Alex: It's better over here, it's a little
better.
729
00:32:47,540 --> 00:32:51,104
Got a lot more freedom, key to a door,
730
00:32:51,104 --> 00:32:55,344
come out when you want to make hot drinks,
yeah, it's alright.
731
00:32:55,344 --> 00:32:59,378
Narrator: But it's not all good news. As
so often in the past,
732
00:32:59,378 --> 00:33:02,159
he's in danger of self-harming.
733
00:33:02,159 --> 00:33:06,119
He's had to be put on Eyesight Observation
which means nurses have to
734
00:33:06,119 --> 00:33:09,384
take turns to watch him, 24 hours a day.
735
00:33:09,384 --> 00:33:12,891
Alex: Cos my mental state haven't been
the best, it's not nice, you know,
736
00:33:12,891 --> 00:33:17,125
hearing voices and what-have-you, but
you know, just got to control it,
737
00:33:17,125 --> 00:33:19,468
that's all you can do, not let it get
to you.
738
00:33:19,468 --> 00:33:22,712
(Alex): Dr Romero said I'm gonna
be here a few years, yet
739
00:33:22,712 --> 00:33:24,629
(Nurse): A few years?
Alex: A few years.
740
00:33:24,809 --> 00:33:27,671
(Nurse): How do you feel about that?
Alex: I don't mind...
741
00:33:27,671 --> 00:33:30,193
Nurse: You don't mind?
Alex: I'm here for a reason.
742
00:33:30,193 --> 00:33:32,301
Nurse: All right.
Alex: Get better, innit? So
743
00:33:32,301 --> 00:33:37,021
if that means I got to stay a
couple years, so be it. But-
744
00:33:37,021 --> 00:33:41,058
I'm getting there, now.
(Nurse): You're getting there.
745
00:33:41,058 --> 00:33:42,957
Alex: [unintelligible]
Nurse: Mhmm
746
00:33:42,957 --> 00:33:45,465
Alex: Least, at least there was no
violence.
747
00:33:46,768 --> 00:33:51,141
(Nurse): Which is good! You should be
proud of.
748
00:33:52,141 --> 00:33:54,151
At least it shows that you're
749
00:33:54,151 --> 00:33:56,051
making, you know, more progress.
750
00:33:57,251 --> 00:34:00,452
[meditative music]
751
00:34:00,452 --> 00:34:04,827
Narrator: Alex's mental state continued
to deteriorate, after a couple of weeks
752
00:34:04,827 --> 00:34:07,468
on the ward did self-harm, and had to
753
00:34:07,468 --> 00:34:11,098
be moved back a High Dependency ward.
754
00:34:11,098 --> 00:34:13,793
[nighttime ambiance]
755
00:34:13,793 --> 00:34:16,401
[keys rattling, chatter]
756
00:34:18,101 --> 00:34:22,275
Narrator: On Chepstow Ward, Dr Larkin
wants to discuss a recent incident
757
00:34:22,275 --> 00:34:24,954
involving Lenny and another doctor.
758
00:34:24,954 --> 00:34:28,453
Lenny: I would say that I was really
pleased that they are now starting to
759
00:34:28,453 --> 00:34:31,212
track and find pedophiles in our society,
how pleased I was, and that they
760
00:34:31,212 --> 00:34:33,929
weren't just ordinary poor folk that
were getting nicked, it was also
761
00:34:33,929 --> 00:34:36,055
people of importance were getting
found out.
762
00:34:36,055 --> 00:34:37,962
Larkin: Right
Lenny: And I'm really pleased about that,
763
00:34:37,962 --> 00:34:39,803
and she felt threatened that I was saying
it also included
764
00:34:39,803 --> 00:34:42,731
a couple of doctors, that were nicked
for pedophilia.
765
00:34:42,731 --> 00:34:44,792
Larkin: You're not angry with her about
something in her report?
766
00:34:44,792 --> 00:34:47,391
Lenny: No, it wasn't anything with her,
it wasn't directed towards her
767
00:34:47,391 --> 00:34:49,881
it was directed towards the general idea
of pedophilia, cos you know I am
768
00:34:49,881 --> 00:34:53,537
a victim of pedophilia, for 9 years,
under the Home Office, when I was
769
00:34:53,537 --> 00:34:57,146
a child myself, and they've done
nothing, but- um, bury that fact.
770
00:34:57,146 --> 00:35:01,330
Cos I'm an offender. I am an offender,
and I admit that, I'm guilty of the crime
771
00:35:01,330 --> 00:35:04,376
that brought me to Broadmoor,
I threatened to kill a Section 12
772
00:35:04,376 --> 00:35:07,627
consultant psychiatrist, like you are,
with a machete.
773
00:35:08,339 --> 00:35:11,493
But, I'm not guilty of raping myself.
Larkin: Well-
774
00:35:11,493 --> 00:35:14,396
I think the issue is that you felt
nobody here was [crosstalk]
775
00:35:14,396 --> 00:35:18,071
Lenny: I was being tied up, right? Raped,
against my will, alcohol shoved down
776
00:35:18,071 --> 00:35:22,655
my throat, right, pacified, with- with all
kinds of medicines that belong to
777
00:35:22,655 --> 00:35:25,640
that person, you know, not me, so
that I would be pliable
778
00:35:25,640 --> 00:35:28,383
and agree to having sex, which I didn't
want to do, as a
779
00:35:28,383 --> 00:35:32,434
5 or 6 year-old boy, but 9 years
I was in the system itself, being-
780
00:35:32,434 --> 00:35:35,726
seeing psychologists at the same time
I'm being raped, and nobody did
781
00:35:35,726 --> 00:35:38,876
a single thing to help me. You are
offering me therapy, and I'm not
782
00:35:38,876 --> 00:35:42,689
angry at you- I'm not angry at anybody-
I'm angry at the people did what they did
783
00:35:42,689 --> 00:35:45,547
to me. And never recognized that I
was a victim.
784
00:35:45,547 --> 00:35:48,020
Larkin: So, are we agreeing that you're
gonna meet with David
785
00:35:48,020 --> 00:35:50,224
about options for therapy for you as a
victim?
786
00:35:50,224 --> 00:35:53,265
Lenny: Yeah thank you very much Dr Larkin.
Larkin: You're welcome, okay.
787
00:35:53,265 --> 00:35:55,584
Lenny: Thank you. I got to keep- I'm
keeping trouble free- if I keep out of
788
00:35:55,584 --> 00:35:58,829
trouble for- for 12 weeks, they'll let me
work in the cafe?
789
00:35:58,829 --> 00:36:00,469
Larkin: Yes, you think you can do that?
790
00:36:00,469 --> 00:36:03,056
Lenny: Be hard, but I'll give it a try.
791
00:36:06,146 --> 00:36:09,625
Narrator: The most challenging patients
are housed here on Cranfield Ward.
792
00:36:09,625 --> 00:36:13,190
Any movement outside their rooms has to
be carefully planned.
793
00:36:13,190 --> 00:36:15,850
Violence is always near the surface.
794
00:36:16,600 --> 00:36:21,569
Patients are allowed, one by one, in the
yard, for limited periods.
795
00:36:22,929 --> 00:36:27,098
A patient doesn't want to return to
his room. [radio chatter]
796
00:36:27,098 --> 00:36:31,087
(Patient): [cursing, hooting, laughing]
797
00:36:31,087 --> 00:36:32,609
Moe: OK
798
00:36:32,609 --> 00:36:38,360
(Patient): [laughter continues]
799
00:36:38,360 --> 00:36:40,308
Moe: He's gearing for a fight.
800
00:36:40,563 --> 00:36:41,838
Well, let's get the staff.
801
00:36:42,258 --> 00:36:46,646
Narrator: His primary nurse, Moe, has
already given him an extra 30 minutes.
802
00:36:49,206 --> 00:36:50,951
[chatter]
803
00:36:50,951 --> 00:36:54,632
Moe: It's a planned intervention. To
relocate him to his room?
804
00:36:56,002 --> 00:37:02,493
Because um, his presentation dictates
that he could put up a fight.
805
00:37:02,713 --> 00:37:05,604
(Interviewer): Do you feel he's a bit
unstable at the moment?
806
00:37:05,604 --> 00:37:07,617
Moe: Yeah, very. Yeah.
807
00:37:09,487 --> 00:37:14,853
He's um... quite threatening and verbally
abusive at the moment. Yeah...
808
00:37:17,193 --> 00:37:19,313
Narrator: Moe puts on a camera, to record
809
00:37:19,313 --> 00:37:23,028
the planned intervention, in the event
of any violence.
810
00:37:25,498 --> 00:37:35,394
[chatter, dark music, patient laughing]
811
00:37:40,454 --> 00:37:44,042
(Patient): I want to stay out here, I'm
not coming in, more time, fuck off!
812
00:37:44,042 --> 00:37:44,753
Fuck off!
813
00:37:45,243 --> 00:37:48,857
Narrator: On the intensive care ward,
staff are preparing to move a
814
00:37:48,857 --> 00:37:51,845
reluctant patient back to his room,
from the yard.
815
00:37:52,451 --> 00:37:55,703
(Patient): Fucking release me! Fucking
release me man!
816
00:37:55,703 --> 00:37:59,276
Staff: I'm going home, and we are leaving
six people, so we need to go.
817
00:37:59,276 --> 00:38:03,323
(Patient): One, two, three, four, five,
six. It's a lot of people.
818
00:38:03,323 --> 00:38:06,436
Staff: Yeah we'll take it down, and six
of us will take you down.
819
00:38:08,706 --> 00:38:10,706
(Patient): [crazed laughter]
820
00:38:10,706 --> 00:38:12,831
Staff: Can we go, because we need to go
home?
821
00:38:12,831 --> 00:38:15,048
(Patient): Go home [unintelligible]
I'm not troubling you!
822
00:38:15,048 --> 00:38:16,846
Staff 2: You need to be ready now, cos we
are ready.
823
00:38:16,846 --> 00:38:19,650
Staff: Yeah turn around for us.
Staff 2: Turn around, turn around for us.
824
00:38:19,650 --> 00:38:23,341
Staff: Right.
Staff 2: Let's feed that hand to me,
825
00:38:23,341 --> 00:38:25,923
don't worry, do exactly what he says
826
00:38:25,923 --> 00:38:29,673
[chatter, beeping]
827
00:38:29,673 --> 00:38:32,573
Staff: Relax! Relax relax!
Staff 2: Relax, bring it inside.
828
00:38:41,133 --> 00:38:44,995
Narrator: The hospital has forbidden us
from showing this restraint procedure,
829
00:38:44,995 --> 00:38:48,922
even with the patient disguised, on the
grounds that he doesn't have
830
00:38:48,922 --> 00:38:50,597
the capacity to consent.
831
00:38:50,597 --> 00:38:53,421
His voice has been replaced by an actors.
832
00:38:53,421 --> 00:38:55,501
(Patient): Fuck off! Get off me!
[crosstalk]
833
00:39:09,221 --> 00:39:13,452
Narrator: Well-known for kicking staff,
the patient is asked to remove his shoes.
834
00:39:14,982 --> 00:39:17,421
As predicted, he lashes out.
835
00:39:19,441 --> 00:39:21,328
[shouting]
836
00:39:24,568 --> 00:39:28,533
The 8 staff members get the patient onto
the floor for everyone's safety.
837
00:39:28,533 --> 00:39:32,819
[echoing voices, shouts]
838
00:39:37,469 --> 00:39:41,415
They're outside his room. It's back on the
floor in a final maneuver
839
00:39:41,415 --> 00:39:43,811
to get him safely through the door.
840
00:39:43,811 --> 00:39:46,838
[staff issuing commands]
841
00:39:54,068 --> 00:39:57,060
Narrator: Once in the room, the patient
is placed on the bed,
842
00:39:57,060 --> 00:40:00,872
feet furthest from the door. Then one
nurse will keep hold of his legs,
843
00:40:00,872 --> 00:40:04,231
another his arms, and a third,
his head.
844
00:40:04,231 --> 00:40:05,258
(Patient): Sod off!
845
00:40:07,898 --> 00:40:10,105
Narrator: They let go and exit, one
by one.
846
00:40:10,105 --> 00:40:11,326
Staff: Release the legs.
847
00:40:12,456 --> 00:40:16,204
Narrator: The last to let go is holding
his head, and nearest to the door.
848
00:40:16,204 --> 00:40:24,584
[shouting]
849
00:40:24,584 --> 00:40:25,651
[slam]
850
00:40:25,651 --> 00:40:30,239
[chatter]
851
00:40:35,489 --> 00:40:40,374
Narrator: Whenever force has to be used,
staff take time out to reappraise.
852
00:40:41,664 --> 00:40:43,957
Moe: -had been verbally abusive and
threatening-
853
00:40:43,957 --> 00:40:47,928
(Staff): Are you okay?
Moe: -clenching his fist, swearing.
854
00:40:47,928 --> 00:40:51,901
The minute [unintelligible], you know
he's gonna fight.
855
00:40:53,811 --> 00:40:57,428
Staff: You can't predict these things, we
did our best to try and manage it,
856
00:40:57,428 --> 00:41:00,673
but the most important thing is that
everybody's safe and the
857
00:41:00,673 --> 00:41:04,130
procedures were followed very well, and
the patient himself is not harmed
858
00:41:04,130 --> 00:41:07,923
or injured. So, that's it then, guys.
Back to our jobs.
859
00:41:09,913 --> 00:41:14,852
[chatter, Moe sighs deeply]
860
00:41:15,582 --> 00:41:19,023
Narrator: On average, there are 5 physical
assaults a week on staff.
861
00:41:19,023 --> 00:41:21,146
Staff: I'm ok, just a scratch.
862
00:41:21,146 --> 00:41:26,722
Narrator: Including punching, kicking ,
throwing hot liquids, urine and feces.
863
00:41:27,512 --> 00:41:31,322
Some are serious enough to warrant the
hospital pursuing criminal charges.
864
00:41:32,292 --> 00:41:34,421
(Interviewer): Does that happen to you
a lot?
865
00:41:34,421 --> 00:41:37,567
Staff: Well, it's part of, you know-
(Staff 2:) Anyone at any time.
866
00:41:37,567 --> 00:41:41,333
Staff: Anyone at any time, mm. Obviously
you can see the their-
867
00:41:41,333 --> 00:41:46,957
their state. Their mental state is very
unstable. [laughs]
868
00:41:46,957 --> 00:41:52,590
Staff 3: Really, it was well managed. Cos
there are times you can get serious
869
00:41:52,590 --> 00:41:53,336
injury.
870
00:41:56,546 --> 00:41:59,124
(Interviewer): So Moe, is every day like
this for you?
871
00:41:59,124 --> 00:42:01,650
Moe: Sorry?
(Interviewer): Is every day like this for
872
00:42:01,650 --> 00:42:02,520
you?
Moe: Uhmmm
873
00:42:02,520 --> 00:42:03,805
Every other day.
874
00:42:03,805 --> 00:42:07,333
There are days when, um, the ward will
be very settled, patients are quiet,
875
00:42:07,333 --> 00:42:11,853
all will be in a happy mood, but
not all the time cos their
876
00:42:11,853 --> 00:42:14,120
mental state tends to subside a lot.
877
00:42:14,120 --> 00:42:16,733
(Interviewer): So you were right about him
though, weren't you?
878
00:42:16,733 --> 00:42:20,239
Moe: Yeah of course, actually I am his
primary nurse, so I know him.
879
00:42:20,239 --> 00:42:23,261
You know, you can tell, we can see
it's coming-
880
00:42:23,261 --> 00:42:25,810
It's about knowing your patients, we know
all of them.
881
00:42:25,810 --> 00:42:28,831
(Interviewer): So was he complaining about
how many of you there were there?
882
00:42:28,831 --> 00:42:30,896
He was counting, how many staff there
were.
883
00:42:30,896 --> 00:42:35,558
Moe: He knew that we are ready for action,
you know?
884
00:42:35,558 --> 00:42:39,731
Inasmuch as they are mentally ill, but
they are not stupid.
885
00:42:41,321 --> 00:42:46,447
Yeah, some of them, they know exactly
what they are doing. It's kind of
886
00:42:46,447 --> 00:42:50,416
like, pre-planned, 'I'm gonna get them'
and they look at the teams and say
887
00:42:50,416 --> 00:42:54,009
'Oh I think this is a weak team,' and then
they will go for it.
888
00:42:56,269 --> 00:43:02,752
[muffled screaming, keys rattling,
chatter]
889
00:43:08,112 --> 00:43:12,705
Narrator: Patients like these on Cranfield
can progress. They will eventually
890
00:43:12,705 --> 00:43:17,214
move on to other wards, and, with time,
even out of the hospital.
891
00:43:18,284 --> 00:43:22,616
Staff: You watching football or something?
The finals? You watching it.
892
00:43:22,616 --> 00:43:26,109
We'll bring you out to the
[unintelligible] so you can
893
00:43:26,109 --> 00:43:27,813
watch it live, yeah? Good man.
894
00:43:31,019 --> 00:43:39,096
[somber keyboard music]
♪Every day there is none for you ♪
895
00:43:39,096 --> 00:43:50,095
♪and every day we can start anew ♪
♪we've only got one chance in the world ♪
896
00:43:50,095 --> 00:43:52,736
♪together ♪
897
00:43:52,736 --> 00:44:05,262
♪make a dream come true ♪
♪hold on, and treasure your love ♪