WEBVTT
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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
00:10:15.444 --> 00:10:16.574
in graphite,
00:10:18.364 --> 00:10:19.724
and then I moved on to using
00:10:19.724 --> 00:10:22.234
charcoal along with, uh.. graphite.
00:10:22.270 --> 00:10:24.600
And the charcoal allows you to, to have
00:10:24.600 --> 00:10:28.070
so much more...uhhh...depth in the tonal
quality.
00:10:28.498 --> 00:10:31.221
And then, yeah....I did a self-portrait.
00:10:31.221 --> 00:10:33.221
The whole, the whole picture was a
00:10:33.221 --> 00:10:35.051
statement about when I got locked up,
00:10:35.051 --> 00:10:37.241
when I was 14 and I'm now 24.
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This is me at 24, but uh, that's me.....
00:10:41.241 --> 00:10:43.861
back then...sort of thing....
00:10:45.834 --> 00:10:48.484
Narrator: Mental Disorder is no respecter
00:10:48.484 --> 00:10:50.643
of class or education.
00:10:51.180 --> 00:10:53.270
Daniel was a 14 year old boy at a
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mainstream school, and no one anticipated
00:10:55.624 --> 00:10:57.704
the violence of his attack....
00:10:57.704 --> 00:11:00.114
on his own family.
00:11:06.397 --> 00:11:10.397
[Heavy guitar riff]
00:11:11.817 --> 00:11:13.919
All of the men in Broadmoor present a
00:11:13.919 --> 00:11:15.958
grave and immediate risk to the public.
00:11:15.958 --> 00:11:18.538
And many have committed violent crimes.
00:11:18.758 --> 00:11:21.798
From arson, to torture, rape and murder.
00:11:23.246 --> 00:11:25.516
Unlike a prison sentence, they have
00:11:25.516 --> 00:11:27.101
no release date.
00:11:28.927 --> 00:11:30.737
Daniel: I've been a bit of a conundrum
00:11:30.737 --> 00:11:32.077
for the psychologists.
00:11:32.077 --> 00:11:34.217
And I've have, I've had about nine
different
00:11:34.217 --> 00:11:36.987
diagnoses from thirty different doctors.
00:11:36.987 --> 00:11:38.697
I've had seminars about me done,
00:11:38.697 --> 00:11:40.997
I've had people wanting to write books
about me,
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just because of the unusuallity of
00:11:42.897 --> 00:11:46.487
my offense, and my age, and
what happened...
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I mean, my family are my saving grace
00:11:48.467 --> 00:11:49.921
to be honest here. They, they,
00:11:49.921 --> 00:11:51.591
they're hugely...hugely supportive.
00:11:51.591 --> 00:11:54.381
And what's even more amazing is that
my offense
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was actually orientated against my family.
00:11:56.471 --> 00:11:59.491
So I think...so the fact....
and, and, what a
00:11:59.491 --> 00:12:02.201
lot of people see is that, when a family
00:12:02.201 --> 00:12:04.111
member has committed an
offense against
00:12:04.111 --> 00:12:07.328
a family member they often...
dis-disown them.
00:12:07.328 --> 00:12:09.673
So it think it's...it's too much for
the family.
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But, they-they, have told me that
they swore
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they'd stay by me when they, when I was
00:12:14.653 --> 00:12:16.983
christened, and they have. So I think,
ya know...
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They've always-they've always agreed
I've had Aspergers.
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One of the problems I have is I'm
00:12:21.443 --> 00:12:23.576
not very good at understanding emotions.
00:12:23.576 --> 00:12:26.686
Or...if I have a...if I'm
feeling something
00:12:26.686 --> 00:12:28.986
I don't always understand what it is that
00:12:28.986 --> 00:12:29.918
I'm feeling.
00:12:29.918 --> 00:12:32.808
But if I can draw it, I can get out these
00:12:32.808 --> 00:12:35.258
angry feelings, or these frustrations of
00:12:35.258 --> 00:12:38.008
being locked up, or guilt, or remorse.
00:12:38.008 --> 00:12:40.638
All these, all these negative feelings I
00:12:40.638 --> 00:12:43.528
can channel through this
imaginative artworks.
00:12:44.348 --> 00:12:49.388
[background talking, lunch bags rustle]
00:12:49.388 --> 00:12:52.984
Daniel: I've probably never actually said
the words of what I actually done.
00:12:52.984 --> 00:12:54.474
I've never admitted it.
00:12:56.826 --> 00:12:59.734
Because I still, I still get flashbacks.
00:12:59.734 --> 00:13:01.204
It's mainly guilt.
00:13:01.204 --> 00:13:03.724
I still-I still struggle to
bring it to mind
00:13:03.724 --> 00:13:06.214
It's still just a blur in my head.
00:13:06.214 --> 00:13:08.464
I've done such a terrible thing. Thats one
00:13:08.464 --> 00:13:11.004
of the things that I've got to got to come
00:13:11.004 --> 00:13:13.234
to terms with eventually is that I've
00:13:13.234 --> 00:13:17.234
done this, it's happened, and it WILL be
00:13:17.234 --> 00:13:19.334
with me forever.
00:13:20.473 --> 00:13:22.833
Narrator: We're not allowed to reveal the
00:13:22.833 --> 00:13:24.660
details of Daniel's offense.
00:13:25.243 --> 00:13:26.073
Man in Suit: Okay
00:13:26.073 --> 00:13:29.363
Daniel: Umm, the other thing I was
wondering about was, I sort of get
00:13:29.363 --> 00:13:32.783
problems of fine motor control
and spatial awareness,
00:13:32.783 --> 00:13:35.753
and like bumping into things, and dropping
00:13:35.753 --> 00:13:36.886
things a lot.
00:13:37.178 --> 00:13:39.558
Man in Suit: As you're saying it's
not one of
00:13:39.558 --> 00:13:41.638
the most common side effect. In fact, the
00:13:41.638 --> 00:13:42.908
opposite has been
reported.
00:13:42.908 --> 00:13:44.898
Narrator: Daniel is taking
medication and
00:13:44.898 --> 00:13:46.554
undergoing psychological therapy.
00:13:46.554 --> 00:13:48.866
These, together with everyday interaction
00:13:48.866 --> 00:13:51.166
with staff are the cornerstones of
00:13:51.166 --> 00:13:52.366
the treatment here.
00:13:52.366 --> 00:13:54.386
Man in Suit: Have you noticed any benefit?
00:13:54.386 --> 00:13:57.256
Daniel: I don't really know what it is
I'm looking for.
00:13:57.256 --> 00:13:59.216
Man in Suit: I have noticed a difference
00:13:59.216 --> 00:14:01.486
in you, not within the last week, but
00:14:01.486 --> 00:14:03.816
certainly over the last three months. I
00:14:03.816 --> 00:14:06.016
think that you are much more able to
00:14:06.016 --> 00:14:08.616
spend longer time with people in one to
00:14:08.616 --> 00:14:09.796
one situations.
00:14:09.909 --> 00:14:14.039
[ducks quack, somber music]
00:14:14.259 --> 00:14:16.579
Narrator: Broadmoor can feel like a ghost
00:14:16.579 --> 00:14:19.090
town. Patients can only move at certain
00:14:19.090 --> 00:14:21.714
times and in certain configurations.
00:14:22.110 --> 00:14:24.740
Their cameras record where each patient is
00:14:24.740 --> 00:14:26.240
at any given moment.
00:14:26.240 --> 00:14:30.670
[Radio Chatter]
00:14:30.869 --> 00:14:33.489
The control room ensures that incompatible
00:14:33.489 --> 00:14:35.765
patients, do not collide.
00:14:36.011 --> 00:14:40.611
[Radio Chatter]
00:14:41.437 --> 00:14:43.842
Patients who are well enough, leave their
00:14:43.842 --> 00:14:46.962
wards to go to work, study, and even once
00:14:46.962 --> 00:14:49.613
a week go shopping. It's strangely like a
00:14:49.613 --> 00:14:51.393
village.
00:14:51.393 --> 00:14:56.263
Inmate: You got any wine gums? Wine gums?
No wine gums or nothing?
00:14:56.263 --> 00:14:58.049
Is this a shop or not?
00:15:01.038 --> 00:15:03.365
Inmate: Shut up
Inmate 2: You shut up
00:15:03.365 --> 00:15:08.396
Shopkeeper Whats going on?
You sure it's okay?
00:15:08.396 --> 00:15:09.886
[indistinct response]
00:15:09.886 --> 00:15:10.907
Shopkeeper: Good.
00:15:13.488 --> 00:15:15.872
Narrator: The freedom to shop is a
00:15:15.872 --> 00:15:18.352
mixed blessing. One of the side effects
00:15:18.352 --> 00:15:21.482
of medication is increased appetite
00:15:21.482 --> 00:15:24.582
and many patients are severely overweight.
00:15:25.456 --> 00:15:29.736
[indistinct talking]
00:15:29.906 --> 00:15:32.716
Narrator:However normal it feels,
the reminder of
00:15:32.716 --> 00:15:34.695
the threat of violence is ever-present.
00:15:35.478 --> 00:15:37.924
Searches looking for potential weapons
00:15:37.924 --> 00:15:40.473
are carried out before any
patient movement.
00:15:41.399 --> 00:15:43.409
Hospital Staff: This is stuff that we've
00:15:43.409 --> 00:15:46.617
retrieved from patients. I think this is
00:15:46.617 --> 00:15:49.727
just, what used to be a CD and its been
00:15:49.727 --> 00:15:52.297
broken up into shards. It can be used as a
00:15:52.297 --> 00:15:54.167
blade, even for self harming.
00:15:54.167 --> 00:15:56.605
In fact, we don't use the CDs
here anymore.
00:15:56.678 --> 00:15:59.128
We've got spoons and forks that have been
00:15:59.128 --> 00:16:01.597
sharpened off on the edge. So a normal
00:16:01.597 --> 00:16:04.327
teaspoon-plastic spoon-which is
quite innocent
00:16:04.327 --> 00:16:06.807
to you and I, has been fashioned off and
00:16:06.807 --> 00:16:09.108
can be used as a potential weapon to stab.
00:16:09.108 --> 00:16:11.458
It's an example of how vigilant we have to
00:16:11.458 --> 00:16:13.052
be with everyday items.
00:16:14.078 --> 00:16:15.078
[radio chatter]
00:16:16.105 --> 00:16:18.531
Alex: I've done a lot of self harming, as
00:16:18.531 --> 00:16:21.681
you can see. I've cut my own throat
a couple
00:16:21.681 --> 00:16:24.511
of times. I've cut my throat like four
00:16:24.511 --> 00:16:27.161
times I think. Umm funny enough, I think
00:16:27.161 --> 00:16:29.256
It was like five weeks
before I come here,
00:16:29.256 --> 00:16:32.426
I hung myself and they had to do CPR
00:16:32.426 --> 00:16:33.416
on me in the cell.
00:16:33.416 --> 00:16:34.576
Like, you know?
00:16:36.932 --> 00:16:39.332
I was sexually abused when I was a child
00:16:39.332 --> 00:16:41.712
and that had an affect on my behavior,
00:16:41.712 --> 00:16:43.192
on my mental state.
00:16:43.192 --> 00:16:46.352
I couldn't sleep at night, and the rest
of it... I was, you know...
00:16:46.352 --> 00:16:48.272
Basically everything that you go through
00:16:48.272 --> 00:16:51.372
when you've had a traumatic situation
like I did.
00:16:52.245 --> 00:16:54.232
I think as well as being here,
00:16:54.232 --> 00:16:56.062
I said to my mum 'this feels like the
00:16:56.062 --> 00:16:58.111
best I've ever been in ten years.'
00:17:01.485 --> 00:17:03.745
Man in Tan Suit: Patients that come here,
00:17:03.745 --> 00:17:05.851
they will have perpetrated, often,
00:17:05.851 --> 00:17:08.691
horrendous crimes. But, they are also
00:17:08.691 --> 00:17:12.791
victims. It is very easy to see somebody
00:17:12.791 --> 00:17:14.981
as either the perpetrator or the victim.
00:17:14.981 --> 00:17:17.399
It is much more difficult to understand
00:17:17.399 --> 00:17:19.889
that somebody might be both.
00:17:19.949 --> 00:17:22.049
[squirrel chatters]
00:17:22.049 --> 00:17:29.029
[loud drumming and incoherent yelling]
00:17:29.396 --> 00:17:31.776
Narrator: Patients from different wards
00:17:31.776 --> 00:17:33.347
meet at certain events.
00:17:33.538 --> 00:17:35.198
(Neita): Hi, first of all, thank
00:17:35.198 --> 00:17:36.641
you for giving up your time.
00:17:36.641 --> 00:17:38.891
I know you could be doing
other things, I know
00:17:38.891 --> 00:17:40.461
you have different [trails off]
00:17:40.461 --> 00:17:42.551
Narrator: Todays a diversity workshop and
00:17:42.551 --> 00:17:45.371
Poet and Lawyer Dave Neita is encouraging
00:17:45.371 --> 00:17:47.418
them to celebrate their
different cultures.
00:17:47.418 --> 00:17:50.391
Neita: Today we're gonna
invite you to speak
00:17:50.391 --> 00:17:52.691
about your own culture, but before
00:17:52.691 --> 00:17:54.661
that we're going to have lunch.
00:17:56.525 --> 00:17:59.190
But most of them are celebrating lunch.
00:17:59.190 --> 00:18:03.190
[drums continue]
00:18:03.190 --> 00:18:05.650
With no alcohol or tobacco allowed, food
00:18:05.650 --> 00:18:08.210
is the only thing they have
free reign over.
00:18:08.365 --> 00:18:13.785
[drums in background]
00:18:14.725 --> 00:18:17.895
Alex: My mum's Italian and my dad's from
a little island in Africa
00:18:17.895 --> 00:18:20.922
and I'd like to say that
being multicultural
00:18:20.922 --> 00:18:24.622
It helps. It's good. It's nice
to be different.
00:18:24.622 --> 00:18:26.492
Because different is what we need. We
00:18:26.492 --> 00:18:28.822
don't want everyone the same.
And that's it.
00:18:28.822 --> 00:18:30.411
[applause]
00:18:31.001 --> 00:18:34.540
Declan: How'd I end up in here? Umm
00:18:34.540 --> 00:18:36.740
they said they had a spare bed so I
00:18:36.740 --> 00:18:38.950
thought 'I've been in children's homes,
00:18:38.950 --> 00:18:41.219
I've been in secure units,
I've been in prison.
00:18:41.219 --> 00:18:43.293
The only place I haven't been is
Broadmoor.
00:18:43.293 --> 00:18:45.203
So I thought I'd come along.
00:18:45.203 --> 00:18:47.813
[laughs]
00:18:47.813 --> 00:18:48.753
[drumming]
00:18:48.753 --> 00:18:50.993
Narrator: Now 26, Declan was put
00:18:50.993 --> 00:18:52.773
into care at the age of nine.
00:18:52.773 --> 00:18:54.413
Declan: I remember the day that my
00:18:54.413 --> 00:18:56.917
mum took me to this office. I sat there
00:18:56.917 --> 00:18:58.896
on a chair, and the next minute she just
00:18:58.896 --> 00:19:01.086
left. She went 'your not coming with me'.
00:19:01.176 --> 00:19:03.129
A social worker come out and she went
00:19:03.129 --> 00:19:04.802
'alright, you got to come with me'.
00:19:04.802 --> 00:19:07.293
I went to children's homes, foster homes.
00:19:07.293 --> 00:19:10.416
I kept running away, cause' I got abused
00:19:10.416 --> 00:19:12.284
when I was in the children home. By the
00:19:12.284 --> 00:19:16.928
staff. Sexually and physical. And umm I
00:19:16.928 --> 00:19:18.846
think it was like, no one would actually
00:19:18.846 --> 00:19:19.933
listen to me.
00:19:19.933 --> 00:19:22.521
I ran away to London, and I was living on
00:19:22.521 --> 00:19:24.652
the streets. I mean I was living out of
00:19:24.652 --> 00:19:27.113
bins, yeah....not nice but, when you're
00:19:27.113 --> 00:19:29.345
on the streets you have to do that
sometimes.
00:19:29.345 --> 00:19:30.661
you know what I mean?
00:19:30.661 --> 00:19:32.603
Inmate in Red: Yeah guys, this is called
00:19:32.603 --> 00:19:33.572
Think, yeah?
00:19:33.572 --> 00:19:36.315
It goes like this: When you see a tramp
00:19:36.315 --> 00:19:38.711
out on the street. Don't look down your
00:19:38.711 --> 00:19:40.933
nose so far that you see your own feet.
00:19:40.933 --> 00:19:43.652
When you see people homeless don't reach
00:19:43.652 --> 00:19:45.855
for a broom. Consider if you have the
00:19:45.855 --> 00:19:47.669
means to give them a room.
00:19:47.669 --> 00:19:50.366
Declan: Am I a victim? I mean my current
00:19:50.366 --> 00:19:52.958
defendant...umm...basically stabbed 'em
00:19:52.958 --> 00:19:55.755
up. The judge classed it under as torture.
00:19:55.755 --> 00:19:58.384
Inmate in Blue: I'm Black, I'm
00:19:58.384 --> 00:20:00.407
British, and I'm proud of it [fades into
00:20:00.407 --> 00:20:04.494
clapping and drums].
00:20:04.494 --> 00:20:06.508
(Interviewer): You say you've got a child?
00:20:06.508 --> 00:20:08.064
Declan: Mm-hm. Got a little boy,
00:20:08.064 --> 00:20:09.277
he's seven.
00:20:09.277 --> 00:20:10.980
And he lives with his mum.
00:20:10.980 --> 00:20:12.680
Don't really see him, but I would-
00:20:12.680 --> 00:20:14.583
I wouldn't expect children to come in a
00:20:14.583 --> 00:20:15.610
place like this.
00:20:15.610 --> 00:20:18.470
(Interviewer): And are you still on good
terms with his mum?
00:20:18.470 --> 00:20:20.760
Declan: Ummm... [laughs]
00:20:20.760 --> 00:20:22.321
Not really, no.
00:20:22.321 --> 00:20:24.348
I started having a bit of a relationship
00:20:24.348 --> 00:20:27.466
with [name beeped out]. Sooo, yeah..that
00:20:27.466 --> 00:20:29.969
was the first time I found out that I was
00:20:29.969 --> 00:20:32.991
sort of that way.
00:20:32.991 --> 00:20:35.007
I've always-for some reason-I've always
00:20:35.007 --> 00:20:36.472
wanted to be a woman.
00:20:36.472 --> 00:20:39.243
I think that's the way I am, you know
what I mean?
00:20:39.243 --> 00:20:41.284
But in this place you can't do that,
00:20:41.284 --> 00:20:42.811
they won't allow it.
00:20:42.811 --> 00:20:44.969
Declan in front of room: I just wanted
00:20:44.969 --> 00:20:46.929
to say I'm gay, and I'm proud of it.
00:20:46.929 --> 00:20:47.754
Thank you.
00:20:47.754 --> 00:20:48.979
[applause]
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.
00:20:52.501 --> 00:20:54.162
(Interviewer): What's she called?
00:20:54.162 --> 00:20:55.176
Declan: Crystal.
00:20:55.176 --> 00:20:57.114
(Interviewer): And what's she look like?
00:20:57.114 --> 00:20:59.246
Declan: Blonde, and just fabulous.
00:20:59.246 --> 00:21:01.484
[laughs]
00:21:03.493 --> 00:21:08.259
[Intense music]
00:21:08.722 --> 00:21:10.418
Narrator: We've come to Chepstow, a
00:21:10.418 --> 00:21:12.851
medium-dependancy ward, where Lenny
00:21:12.851 --> 00:21:14.568
wants to show us his artwork.
00:21:14.568 --> 00:21:16.390
(Interviewer): You do it in your room?
00:21:16.390 --> 00:21:19.885
Lenny: Yeah. I do work with spare pens,
and it's mostly based on pens and
00:21:19.885 --> 00:21:22.323
basically your using cups and shapes
00:21:22.323 --> 00:21:24.361
and bottle tops to draw around.
00:21:24.371 --> 00:21:26.433
(Interviewer): How long have you
been here?
00:21:26.433 --> 00:21:27.778
Lenny: 7 years this time.
00:21:27.778 --> 00:21:29.918
(Interviewer): Is it not your first time?
00:21:29.918 --> 00:21:31.574
Lenny: No it's the second time.
00:21:33.004 --> 00:21:34.784
What do you think of that one?
00:21:35.104 --> 00:21:37.809
That's the corridors in a ward that's shut
down now
00:21:37.809 --> 00:21:40.460
(Interviewer): So why are you considered
a risk?
00:21:40.460 --> 00:21:43.892
Lenny: Because...I think its because
my particular offense was against a
00:21:43.892 --> 00:21:46.069
consulting psychiatrist. They
00:21:46.069 --> 00:21:48.634
called in a section 12
approved psychiatrist.
00:21:48.634 --> 00:21:50.592
And they're very powerful, not like- not
00:21:50.592 --> 00:21:54.244
like when you go to an ordinary doctor.
They- they work for the home office.
00:21:54.244 --> 00:21:56.043
Narrator: He's not happy with life in
00:21:56.043 --> 00:21:57.999
Broadmoor, and tells us he's bringing a
00:21:57.999 --> 00:22:00.033
High Court case against the hospital.
00:22:00.033 --> 00:22:01.841
Lenny: It costs how much? What was the
00:22:01.841 --> 00:22:03.794
last figure they said it cost to keep us
00:22:03.794 --> 00:22:05.779
here every year? 320,000 pounds a year or
00:22:05.779 --> 00:22:10.418
something? Surely its-its wrong to charge
00:22:10.418 --> 00:22:12.427
a fortune for people like us. When we're
00:22:12.427 --> 00:22:15.728
nowhere near about the centers of the
00:22:15.728 --> 00:22:16.486
community.
00:22:17.196 --> 00:22:19.370
Narrator: I costs 300,000 pounds a year
00:22:19.370 --> 00:22:21.753
to keep a patient in Broadmoor. Almost
00:22:21.753 --> 00:22:24.142
five times the cost of keeping
someone in prison.
00:22:26.242 --> 00:22:28.511
Before Lenny came to Broadmoor, he was
00:22:28.511 --> 00:22:30.896
in outpatient at a psychiatric hospital
00:22:30.896 --> 00:22:33.499
where he threatened his psychiatrist with
00:22:33.499 --> 00:22:34.334
a machete.
00:22:34.714 --> 00:22:37.113
(Interviewer): Do you think you should
be here, or?
00:22:37.113 --> 00:22:39.754
Lenny: Do you think I sound like a
mad blathering idiot?
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-
00:22:43.472 --> 00:22:46.464
my life- with people, I want to be
sharing my life with people.
00:22:46.464 --> 00:22:49.279
I want to be able to decide what I do,
when I do it, and be
00:22:49.279 --> 00:22:51.270
reasonably responsible for my
00:22:51.270 --> 00:22:53.229
own behavior, like anyone else out there.
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
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
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
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
00:23:08.453 --> 00:23:11.973
here- to be given what you call equal
rights. What do you think? You agree
00:23:11.973 --> 00:23:14.217
or not? I'm not anti-people I'm all for
people.
00:23:14.427 --> 00:23:16.530
Narrator: Downstairs on the admissions
ward,
00:23:16.530 --> 00:23:18.535
Alex is keen to progress.
00:23:18.535 --> 00:23:20.405
Alex: I was seven months up in here
00:23:20.405 --> 00:23:22.277
yesterday, seven months yesterday. It's
00:23:22.277 --> 00:23:24.920
taking forever. Are you aware of any
00:23:24.920 --> 00:23:27.116
beds coming up soon?
00:23:27.116 --> 00:23:29.233
Narrator: His medication has stabilized
him.
00:23:29.233 --> 00:23:31.420
He wants to move from Admissions to
00:23:31.420 --> 00:23:33.923
an Assertive Rehab ward, where he'll
00:23:33.923 --> 00:23:35.238
have greater freedom.
00:23:35.988 --> 00:23:37.525
Man in suit: That I don't know.
00:23:37.525 --> 00:23:40.850
Alex: Well you should know, [laughing]
you're the consultant in there!
00:23:40.850 --> 00:23:43.378
Man in suit: Yes- I can't- I don't know
00:23:43.378 --> 00:23:45.188
the timescales, cause it's not quite
00:23:45.188 --> 00:23:46.175
within my control...
00:23:48.625 --> 00:23:50.341
Narrator: Back upstairs on Chepstow,
00:23:50.341 --> 00:23:53.932
Benson, the PAT dog, has arrived for
00:23:53.932 --> 00:23:55.608
his weekly visit.
00:23:56.768 --> 00:23:58.629
Lenny's behavior over the past few days
00:23:58.629 --> 00:24:00.577
is becoming a cause for concern.
00:24:02.497 --> 00:24:04.113
He's been increasingly manic and
00:24:04.113 --> 00:24:06.407
hyperactive, and his doctor feels he
00:24:06.407 --> 00:24:07.931
needs medication.
00:24:07.931 --> 00:24:10.851
[door clatter] Dog Handler: Bye!
00:24:12.421 --> 00:24:14.572
Narrator: Lenny refuses to take it,
00:24:14.572 --> 00:24:17.455
so it'll have to be forcibly administered,
00:24:17.455 --> 00:24:18.992
by injection.
00:24:18.992 --> 00:24:22.337
Lenny: Hang on hang on, you filming?
00:24:22.337 --> 00:24:25.347
[crosstalk]
00:24:25.347 --> 00:24:29.295
Lenny: This is wrong, I'm not fighting you
00:24:29.295 --> 00:24:31.214
[crosstalk]
00:24:31.214 --> 00:24:38.757
[chatter]
00:24:41.827 --> 00:24:44.069
Doctor: Guys, we really need to get this
00:24:44.069 --> 00:24:45.883
started, if you just mind, just, just-
00:24:45.883 --> 00:24:47.601
please.. OK? All right
00:24:49.161 --> 00:24:51.499
Narrator: At this point, staff tell us
00:24:51.499 --> 00:24:53.307
to leave the ward.
00:24:53.307 --> 00:24:56.534
[moody music]
00:24:56.534 --> 00:24:59.490
We're told we can see Lenny the following
00:24:59.490 --> 00:25:01.928
day. [door shuts]
00:25:07.048 --> 00:25:13.870
[birds, brooding music]
00:25:13.870 --> 00:25:15.792
Lenny: Neil? Neil, could we have a key
00:25:15.792 --> 00:25:17.690
please? There should [unintelligible]
00:25:19.383 --> 00:25:21.587
Narrator: The day before, we were told to
00:25:21.587 --> 00:25:23.361
leave the ward when staff were about
00:25:23.361 --> 00:25:25.099
to forcibly inject Lenny with
00:25:25.099 --> 00:25:26.766
antipsychotic medication.
00:25:29.336 --> 00:25:32.316
He's keen to explain what happened after
we left.
00:25:32.316 --> 00:25:33.632
Lenny: Come this way-
00:25:33.632 --> 00:25:35.308
So I moved into here-
00:25:35.308 --> 00:25:37.465
Narrator: He leads us into the seclusion
area.
00:25:37.969 --> 00:25:39.170
Lenny: Come in, come in.
00:25:39.520 --> 00:25:42.956
All right, well [unintelligible] First
of all, I was at that point, I was
00:25:42.956 --> 00:25:44.979
laying like this, alright, and I was
00:25:44.979 --> 00:25:48.495
talking saying 'Please don't turn me
over, cos I'm not trying to fight you'
00:25:48.495 --> 00:25:50.507
And they said, and the next thing happened
00:25:50.507 --> 00:25:52.315
they all came in and [unintelligible]
00:25:52.315 --> 00:25:54.624
I can make a deal with them, I'm on the
00:25:54.624 --> 00:25:57.567
bed, so I'm like this, one point, all the
00:25:57.567 --> 00:25:59.379
staff were holding me, I was like that
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
00:26:02.896 --> 00:26:04.681
and stood like that and took down my
00:26:04.681 --> 00:26:06.255
pants and trousers and he stopped
00:26:06.255 --> 00:26:08.458
me there, let's see, I came out again,
00:26:08.458 --> 00:26:10.167
that's what happened, but I didn't-
00:26:10.167 --> 00:26:12.530
What do you think? What's your opinion
about that?
00:26:12.530 --> 00:26:14.598
(Interviewer): But did you hit
one of them?
00:26:14.598 --> 00:26:16.738
Lenny: Yeah but that's cos I was being
chased-
00:26:16.738 --> 00:26:19.254
Larkin: One of the biggest
areas of conflict, um
00:26:19.254 --> 00:26:21.106
between certainly doctor and patient
00:26:21.106 --> 00:26:22.504
is the issue of medication.
00:26:22.504 --> 00:26:24.168
Lenny: This one's sealed, alright?
00:26:24.168 --> 00:26:25.434
It's stifling sometimes.
00:26:25.434 --> 00:26:28.557
(Larkin): One of the difficulties
with psychotic disorders is your
00:26:28.557 --> 00:26:31.351
interpretation of reality is different
from other people's.
00:26:31.351 --> 00:26:33.067
And if you genuinely believe there's
00:26:33.067 --> 00:26:35.813
nothing wrong with you and you don't
need any medication,
00:26:35.813 --> 00:26:38.586
why on earth would you want to take
some of the medications
00:26:38.586 --> 00:26:40.420
that would be up for discussion?
00:26:40.420 --> 00:26:43.821
Lenny: Could we open this door please?
(Larkin): He's particularly angry
00:26:43.821 --> 00:26:47.415
for two reasons, one is he doesn't believe
he'll benefit from the medication
00:26:47.415 --> 00:26:51.101
at all, second reason is that he believes
he's involved in a major, high court
00:26:51.101 --> 00:26:54.636
case against the hospital to expose a
range of malpractice particularly in
00:26:54.636 --> 00:26:58.068
relation to him, but in general about
how these services are just really
00:26:58.068 --> 00:27:00.893
keeping people in jobs and don't
provide any useful service.
00:27:00.893 --> 00:27:04.372
Lenny: The hospital's defense is just-
'Here's some of the most notorious
00:27:04.372 --> 00:27:06.378
people in the country,' I'll show you
what-
00:27:06.378 --> 00:27:10.030
(Larkin): He believes we've given him the
medication purely to dull his mind
00:27:10.030 --> 00:27:13.930
and weaken his chances of being successful
in that case. In fact he's not currently
00:27:13.930 --> 00:27:16.140
involved in any, uh legal action or court
case.
00:27:16.140 --> 00:27:19.675
(Lenny): No you're not going in there,
it's private, sorry come on you guys
00:27:19.675 --> 00:27:22.015
Look at that, that's my mum and me.
00:27:22.015 --> 00:27:25.534
See she pretty in the black and white from
the '60s, see her?
00:27:25.534 --> 00:27:27.387
(Larkin): He's a man who's spent a long
00:27:27.387 --> 00:27:29.506
time in institutional care, um in previous
00:27:29.506 --> 00:27:31.553
settings was frequently assaulted, he was
00:27:31.553 --> 00:27:33.276
violent himself on several occasions
00:27:33.276 --> 00:27:34.408
but he often assaulted.
00:27:34.408 --> 00:27:37.280
Lenny: You want a drink or anything, cup
of tea or something?
00:27:37.280 --> 00:27:39.800
[offscreen] I'm fine
You sure, any sweet, soft drink?
00:27:39.800 --> 00:27:41.830
[offscreen] Nothing
00:27:41.830 --> 00:27:44.969
Lenny: Alright thanks very, thank you
very much [unintelligible]
00:27:46.713 --> 00:27:50.295
[contemplative music]
00:27:55.495 --> 00:28:01.487
[keys clattering, chatter]
00:28:04.507 --> 00:28:06.490
[offscreen] Just check to make sure, all
00:28:06.490 --> 00:28:08.992
the shadows are covered..
00:28:10.492 --> 00:28:12.462
So they're checked, first thing in the
00:28:12.462 --> 00:28:14.983
morning, again before the patients go back
00:28:19.156 --> 00:28:20.500
[door handle rattles]
00:28:21.700 --> 00:28:23.624
Narrator: Patients who are well enough
00:28:23.624 --> 00:28:26.085
to go to work can make goods, which go
00:28:26.085 --> 00:28:28.503
on sale to the public. They are paid
00:28:28.503 --> 00:28:30.022
80 pence an hour.
00:28:34.952 --> 00:28:37.011
Alex has been doing well and is now
00:28:37.011 --> 00:28:39.021
allowed off the Admissions ward to
00:28:39.021 --> 00:28:39.929
come to work.
00:28:40.799 --> 00:28:42.809
Alex: Everyone's saying 'Oh you gonna move
00:28:42.809 --> 00:28:44.792
you're gonna move' they said I would have
00:28:44.792 --> 00:28:46.505
moved by Thursday last week, nothing
00:28:46.505 --> 00:28:48.557
so far now, I've been onto my psychiatrist
00:28:48.557 --> 00:28:52.045
saying, 'Look, why am I still on at
Admission ward,
00:28:52.045 --> 00:28:54.166
after 8 months, when there's a bed for me
00:28:54.166 --> 00:28:54.995
on Rehab? Know?'
00:28:54.995 --> 00:28:58.277
(Interviewer): You a bit frustrated?
Alex: Yeah it is frustrating, but
00:28:58.277 --> 00:29:00.284
I'm just at the moment, focusing, cos next
00:29:00.284 --> 00:29:02.117
week I've got a visit, mum and dad are
00:29:02.117 --> 00:29:04.778
coming up for 2 days, so, y'know, I'll
00:29:04.778 --> 00:29:06.263
spend some time with my family.
00:29:06.263 --> 00:29:08.124
[tapping]
00:29:08.124 --> 00:29:10.269
[outdoor ambiance, guitar music]
00:29:10.269 --> 00:29:12.298
Narrator: They have a saying here:
00:29:12.298 --> 00:29:15.382
There's time, and then there's Broadmoor
Time.
00:29:15.762 --> 00:29:17.796
Tan shirt: Which episode did you see last,
00:29:17.796 --> 00:29:20.481
of Eastenders? Bout a week ago?
Black shirt: Last night?
00:29:20.481 --> 00:29:22.923
Tan shirt: Last night?
Black shirt: Last night yeah.
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?
00:29:26.695 --> 00:29:28.485
Black shirt: No I didn't see it
00:29:29.809 --> 00:29:31.567
Narrator: While medication can often
00:29:31.567 --> 00:29:34.174
control behavior, extensive therapy is
00:29:34.174 --> 00:29:36.774
needed to change it, and that takes time.
00:29:36.774 --> 00:29:38.928
Estelle: I'm in the diary, ok?
[offscreen] OK
00:29:38.928 --> 00:29:41.903
Narrator: Estelle Moore is the hospital's
00:29:41.903 --> 00:29:45.317
lead psychologist, she's been here for 20
years.
00:29:45.317 --> 00:29:47.614
Estelle: [keys jangling] You alright?
00:29:47.614 --> 00:29:49.665
Declan: They say just carry on with the
00:29:49.665 --> 00:29:52.094
violent offenders group, what finishes in
December
00:29:52.094 --> 00:29:54.695
Narrator: Patients undergo specific
00:29:54.695 --> 00:29:56.574
therapies depending on their offense,
00:29:56.574 --> 00:29:59.186
whether it's violence, sex offending, or
00:29:59.186 --> 00:30:00.789
fire setting.
00:30:00.789 --> 00:30:02.812
Declan: -understand our relationships and
00:30:02.812 --> 00:30:06.263
uhh, borderlines. No not borderlines,
boundaries.
00:30:06.263 --> 00:30:09.346
Estelle: What sort of actions are safe
00:30:09.346 --> 00:30:11.820
and contained in relationships? The sorts
00:30:11.820 --> 00:30:14.213
of things that you would do that feel
00:30:14.213 --> 00:30:16.604
like normal and safe relationships?
00:30:16.604 --> 00:30:17.380
Declan: Laughter
00:30:17.380 --> 00:30:19.908
Estelle: Laughter? OK so laughing,
00:30:19.908 --> 00:30:24.214
Declan: Talking sensible. Feeling
comfortable with each other.
00:30:26.300 --> 00:30:27.695
[keys, footsteps]
00:30:27.695 --> 00:30:31.749
Narrator: Declan was found guilty of a
life-threatening assault on a man.
00:30:33.389 --> 00:30:36.224
Declan: Do I feel sorry for him? No.
Will I do it again? No.
00:30:39.054 --> 00:30:42.515
No. I'm missing the sun, I'm missing
the surfing. Know what I mean?
00:30:44.505 --> 00:30:46.535
[keys, door squeaks]
00:30:51.809 --> 00:30:52.768
[door shuts]
00:30:52.768 --> 00:30:55.728
[moody music]
00:31:00.028 --> 00:31:01.842
[ping pong ball clatters]
00:31:03.272 --> 00:31:05.236
Narrator: Lenny has been on antipsychotic
00:31:05.236 --> 00:31:07.084
medication for a few weeks.
00:31:07.084 --> 00:31:09.649
It has had time to build up in his system.
00:31:10.729 --> 00:31:14.185
Neil: Now he's had the depot
injection, the chemicals from that
00:31:14.185 --> 00:31:18.876
are slowing down his reactions to the
point where he has those few
00:31:18.876 --> 00:31:20.483
more seconds to think-
00:31:20.483 --> 00:31:23.048
'How am I gonna reply to this?'
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.
00:31:30.304 --> 00:31:32.772
I can definitely empathize with him, he
00:31:32.772 --> 00:31:35.059
hasn't come from a different
background to me
00:31:35.059 --> 00:31:38.471
but he has come from different parents
to me.
00:31:38.471 --> 00:31:40.912
(Interviewer): It seems to be
the case with so many.
00:31:40.912 --> 00:31:44.084
Neil:Yeah, I know, I agree with that,
you can
00:31:44.084 --> 00:31:47.516
probably see if you go back into, um,
00:31:47.516 --> 00:31:53.029
the lives of most of our patients, you
could probably identify them at
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.
00:31:58.312 --> 00:32:01.361
Lenny: He's alright here, he's my buddy,
00:32:01.361 --> 00:32:04.505
one day he's gonna tell the
truth as well. [laughs]
00:32:04.505 --> 00:32:08.103
[walkie talkie chatter]
00:32:08.813 --> 00:32:10.462
(Tan Suit): Everyone is born with
00:32:10.462 --> 00:32:13.360
certain temperaments, with certain
predispositions to certain
00:32:13.360 --> 00:32:17.791
behavior, and if you've been given a
triple-whammy of, of genes, environment,
00:32:17.791 --> 00:32:22.757
upbringing, childhood adversity, substance
misuse, all of those different
00:32:22.757 --> 00:32:25.366
aspects build up to make the person.
00:32:25.366 --> 00:32:29.821
And it's a long term project of gradually
putting somebody back together and
00:32:29.821 --> 00:32:33.933
making sure that they stay in that
recovered state.
00:32:35.503 --> 00:32:39.180
[ominous music]
00:32:39.180 --> 00:32:41.601
Narrator: Things have finally changed for
Alex-
00:32:41.601 --> 00:32:45.137
after 8 months, he's been moved to
Assertive Rehab.
00:32:45.137 --> 00:32:47.540
Alex: It's better over here, it's a little
better.
00:32:47.540 --> 00:32:51.104
Got a lot more freedom, key to a door,
00:32:51.104 --> 00:32:55.344
come out when you want to make hot drinks,
yeah, it's alright.
00:32:55.344 --> 00:32:59.378
Narrator: But it's not all good news. As
so often in the past,
00:32:59.378 --> 00:33:02.159
he's in danger of self-harming.
00:33:02.159 --> 00:33:06.119
He's had to be put on Eyesight Observation
which means nurses have to
00:33:06.119 --> 00:33:09.384
take turns to watch him, 24 hours a day.
00:33:09.384 --> 00:33:12.891
Alex: Cos my mental state haven't been
the best, it's not nice, you know,
00:33:12.891 --> 00:33:17.125
hearing voices and what-have-you, but
you know, just got to control it,
00:33:17.125 --> 00:33:19.468
that's all you can do, not let it get
to you.
00:33:19.468 --> 00:33:22.712
(Alex): Dr Romero said I'm gonna
be here a few years, yet
00:33:22.712 --> 00:33:24.629
(Nurse): A few years?
Alex: A few years.
00:33:24.809 --> 00:33:27.671
(Nurse): How do you feel about that?
Alex: I don't mind...
00:33:27.671 --> 00:33:30.193
Nurse: You don't mind?
Alex: I'm here for a reason.
00:33:30.193 --> 00:33:32.301
Nurse: All right.
Alex: Get better, innit? So
00:33:32.301 --> 00:33:37.021
if that means I got to stay a
couple years, so be it. But-
00:33:37.021 --> 00:33:41.058
I'm getting there, now.
(Nurse): You're getting there.
00:33:41.058 --> 00:33:42.957
Alex: [unintelligible]
Nurse: Mhmm
00:33:42.957 --> 00:33:45.465
Alex: Least, at least there was no
violence.
00:33:46.768 --> 00:33:51.141
(Nurse): Which is good! You should be
proud of.
00:33:52.141 --> 00:33:54.151
At least it shows that you're
00:33:54.151 --> 00:33:56.051
making, you know, more progress.
00:33:57.251 --> 00:34:00.452
[meditative music]
00:34:00.452 --> 00:34:04.827
Narrator: Alex's mental state continued
to deteriorate, after a couple of weeks
00:34:04.827 --> 00:34:07.468
on the ward did self-harm, and had to
00:34:07.468 --> 00:34:11.098
be moved back a High Dependency ward.
00:34:11.098 --> 00:34:13.793
[nighttime ambiance]
00:34:13.793 --> 00:34:16.401
[keys rattling, chatter]
00:34:18.101 --> 00:34:22.275
Narrator: On Chepstow Ward, Dr Larkin
wants to discuss a recent incident
00:34:22.275 --> 00:34:24.954
involving Lenny and another doctor.
00:34:24.954 --> 00:34:28.453
Lenny: I would say that I was really
pleased that they are now starting to
00:34:28.453 --> 00:34:31.212
track and find pedophiles in our society,
how pleased I was, and that they
00:34:31.212 --> 00:34:33.929
weren't just ordinary poor folk that
were getting nicked, it was also
00:34:33.929 --> 00:34:36.055
people of importance were getting
found out.
00:34:36.055 --> 00:34:37.962
Larkin: Right
Lenny: And I'm really pleased about that,
00:34:37.962 --> 00:34:39.803
and she felt threatened that I was saying
it also included
00:34:39.803 --> 00:34:42.731
a couple of doctors, that were nicked
for pedophilia.
00:34:42.731 --> 00:34:44.792
Larkin: You're not angry with her about
something in her report?
00:34:44.792 --> 00:34:47.391
Lenny: No, it wasn't anything with her,
it wasn't directed towards her
00:34:47.391 --> 00:34:49.881
it was directed towards the general idea
of pedophilia, cos you know I am
00:34:49.881 --> 00:34:53.537
a victim of pedophilia, for 9 years,
under the Home Office, when I was
00:34:53.537 --> 00:34:57.146
a child myself, and they've done
nothing, but- um, bury that fact.
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
00:35:01.330 --> 00:35:04.376
that brought me to Broadmoor,
I threatened to kill a Section 12
00:35:04.376 --> 00:35:07.627
consultant psychiatrist, like you are,
with a machete.
00:35:08.339 --> 00:35:11.493
But, I'm not guilty of raping myself.
Larkin: Well-
00:35:11.493 --> 00:35:14.396
I think the issue is that you felt
nobody here was [crosstalk]
00:35:14.396 --> 00:35:18.071
Lenny: I was being tied up, right? Raped,
against my will, alcohol shoved down
00:35:18.071 --> 00:35:22.655
my throat, right, pacified, with- with all
kinds of medicines that belong to
00:35:22.655 --> 00:35:25.640
that person, you know, not me, so
that I would be pliable
00:35:25.640 --> 00:35:28.383
and agree to having sex, which I didn't
want to do, as a
00:35:28.383 --> 00:35:32.434
5 or 6 year-old boy, but 9 years
I was in the system itself, being-
00:35:32.434 --> 00:35:35.726
seeing psychologists at the same time
I'm being raped, and nobody did
00:35:35.726 --> 00:35:38.876
a single thing to help me. You are
offering me therapy, and I'm not
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
00:35:42.689 --> 00:35:45.547
to me. And never recognized that I
was a victim.
00:35:45.547 --> 00:35:48.020
Larkin: So, are we agreeing that you're
gonna meet with David
00:35:48.020 --> 00:35:50.224
about options for therapy for you as a
victim?
00:35:50.224 --> 00:35:53.265
Lenny: Yeah thank you very much Dr Larkin.
Larkin: You're welcome, okay.
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
00:35:55.584 --> 00:35:58.829
trouble for- for 12 weeks, they'll let me
work in the cafe?
00:35:58.829 --> 00:36:00.469
Larkin: Yes, you think you can do that?
00:36:00.469 --> 00:36:03.056
Lenny: Be hard, but I'll give it a try.
00:36:06.146 --> 00:36:09.625
Narrator: The most challenging patients
are housed here on Cranfield Ward.
00:36:09.625 --> 00:36:13.190
Any movement outside their rooms has to
be carefully planned.
00:36:13.190 --> 00:36:15.850
Violence is always near the surface.
00:36:16.600 --> 00:36:21.569
Patients are allowed, one by one, in the
yard, for limited periods.
00:36:22.929 --> 00:36:27.098
A patient doesn't want to return to
his room. [radio chatter]
00:36:27.098 --> 00:36:31.087
(Patient): [cursing, hooting, laughing]
00:36:31.087 --> 00:36:32.609
Moe: OK
00:36:32.609 --> 00:36:38.360
(Patient): [laughter continues]
00:36:38.360 --> 00:36:40.308
Moe: He's gearing for a fight.
00:36:40.563 --> 00:36:41.838
Well, let's get the staff.
00:36:42.258 --> 00:36:46.646
Narrator: His primary nurse, Moe, has
already given him an extra 30 minutes.
00:36:49.206 --> 00:36:50.951
[chatter]
00:36:50.951 --> 00:36:54.632
Moe: It's a planned intervention. To
relocate him to his room?
00:36:56.002 --> 00:37:02.493
Because um, his presentation dictates
that he could put up a fight.
00:37:02.713 --> 00:37:05.604
(Interviewer): Do you feel he's a bit
unstable at the moment?
00:37:05.604 --> 00:37:07.617
Moe: Yeah, very. Yeah.
00:37:09.487 --> 00:37:14.853
He's um... quite threatening and verbally
abusive at the moment. Yeah...
00:37:17.193 --> 00:37:19.313
Narrator: Moe puts on a camera, to record
00:37:19.313 --> 00:37:23.028
the planned intervention, in the event
of any violence.
00:37:25.498 --> 00:37:35.394
[chatter, dark music, patient laughing]
00:37:40.454 --> 00:37:44.042
(Patient): I want to stay out here, I'm
not coming in, more time, fuck off!
00:37:44.042 --> 00:37:44.753
Fuck off!
00:37:45.243 --> 00:37:48.857
Narrator: On the intensive care ward,
staff are preparing to move a
00:37:48.857 --> 00:37:51.845
reluctant patient back to his room,
from the yard.
00:37:52.451 --> 00:37:55.703
(Patient): Fucking release me! Fucking
release me man!
00:37:55.703 --> 00:37:59.276
Staff: I'm going home, and we are leaving
six people, so we need to go.
00:37:59.276 --> 00:38:03.323
(Patient): One, two, three, four, five,
six. It's a lot of people.
00:38:03.323 --> 00:38:06.436
Staff: Yeah we'll take it down, and six
of us will take you down.
00:38:08.706 --> 00:38:10.706
(Patient): [crazed laughter]
00:38:10.706 --> 00:38:12.831
Staff: Can we go, because we need to go
home?
00:38:12.831 --> 00:38:15.048
(Patient): Go home [unintelligible]
I'm not troubling you!
00:38:15.048 --> 00:38:16.846
Staff 2: You need to be ready now, cos we
are ready.
00:38:16.846 --> 00:38:19.650
Staff: Yeah turn around for us.
Staff 2: Turn around, turn around for us.
00:38:19.650 --> 00:38:23.341
Staff: Right.
Staff 2: Let's feed that hand to me,
00:38:23.341 --> 00:38:25.923
don't worry, do exactly what he says
00:38:25.923 --> 00:38:29.673
[chatter, beeping]
00:38:29.673 --> 00:38:32.573
Staff: Relax! Relax relax!
Staff 2: Relax, bring it inside.
00:38:41.133 --> 00:38:44.995
Narrator: The hospital has forbidden us
from showing this restraint procedure,
00:38:44.995 --> 00:38:48.922
even with the patient disguised, on the
grounds that he doesn't have
00:38:48.922 --> 00:38:50.597
the capacity to consent.
00:38:50.597 --> 00:38:53.421
His voice has been replaced by an actors.
00:38:53.421 --> 00:38:55.501
(Patient): Fuck off! Get off me!
[crosstalk]
00:39:09.221 --> 00:39:13.452
Narrator: Well-known for kicking staff,
the patient is asked to remove his shoes.
00:39:14.982 --> 00:39:17.421
As predicted, he lashes out.
00:39:19.441 --> 00:39:21.328
[shouting]
00:39:24.568 --> 00:39:28.533
The 8 staff members get the patient onto
the floor for everyone's safety.
00:39:28.533 --> 00:39:32.819
[echoing voices, shouts]
00:39:37.469 --> 00:39:41.415
They're outside his room. It's back on the
floor in a final maneuver
00:39:41.415 --> 00:39:43.811
to get him safely through the door.
00:39:43.811 --> 00:39:46.838
[staff issuing commands]
00:39:54.068 --> 00:39:57.060
Narrator: Once in the room, the patient
is placed on the bed,
00:39:57.060 --> 00:40:00.872
feet furthest from the door. Then one
nurse will keep hold of his legs,
00:40:00.872 --> 00:40:04.231
another his arms, and a third,
his head.
00:40:04.231 --> 00:40:05.258
(Patient): Sod off!
00:40:07.898 --> 00:40:10.105
Narrator: They let go and exit, one
by one.
00:40:10.105 --> 00:40:11.326
Staff: Release the legs.
00:40:12.456 --> 00:40:16.204
Narrator: The last to let go is holding
his head, and nearest to the door.
00:40:16.204 --> 00:40:24.584
[shouting]
00:40:24.584 --> 00:40:25.651
[slam]
00:40:25.651 --> 00:40:30.239
[chatter]
00:40:35.489 --> 00:40:40.374
Narrator: Whenever force has to be used,
staff take time out to reappraise.
00:40:41.664 --> 00:40:43.957
Moe: -had been verbally abusive and
threatening-
00:40:43.957 --> 00:40:47.928
(Staff): Are you okay?
Moe: -clenching his fist, swearing.
00:40:47.928 --> 00:40:51.901
The minute [unintelligible], you know
he's gonna fight.
00:40:53.811 --> 00:40:57.428
Staff: You can't predict these things, we
did our best to try and manage it,
00:40:57.428 --> 00:41:00.673
but the most important thing is that
everybody's safe and the
00:41:00.673 --> 00:41:04.130
procedures were followed very well, and
the patient himself is not harmed
00:41:04.130 --> 00:41:07.923
or injured. So, that's it then, guys.
Back to our jobs.
00:41:09.913 --> 00:41:14.852
[chatter, Moe sighs deeply]
00:41:15.582 --> 00:41:19.023
Narrator: On average, there are 5 physical
assaults a week on staff.
00:41:19.023 --> 00:41:21.146
Staff: I'm ok, just a scratch.
00:41:21.146 --> 00:41:26.722
Narrator: Including punching, kicking ,
throwing hot liquids, urine and feces.
00:41:27.512 --> 00:41:31.322
Some are serious enough to warrant the
hospital pursuing criminal charges.
00:41:32.292 --> 00:41:34.421
(Interviewer): Does that happen to you
a lot?
00:41:34.421 --> 00:41:37.567
Staff: Well, it's part of, you know-
(Staff 2:) Anyone at any time.
00:41:37.567 --> 00:41:41.333
Staff: Anyone at any time, mm. Obviously
you can see the their-
00:41:41.333 --> 00:41:46.957
their state. Their mental state is very
unstable. [laughs]
00:41:46.957 --> 00:41:52.590
Staff 3: Really, it was well managed. Cos
there are times you can get serious
00:41:52.590 --> 00:41:53.336
injury.
00:41:56.546 --> 00:41:59.124
(Interviewer): So Moe, is every day like
this for you?
00:41:59.124 --> 00:42:01.650
Moe: Sorry?
(Interviewer): Is every day like this for
00:42:01.650 --> 00:42:02.520
you?
Moe: Uhmmm
00:42:02.520 --> 00:42:03.805
Every other day.
00:42:03.805 --> 00:42:07.333
There are days when, um, the ward will
be very settled, patients are quiet,
00:42:07.333 --> 00:42:11.853
all will be in a happy mood, but
not all the time cos their
00:42:11.853 --> 00:42:14.120
mental state tends to subside a lot.
00:42:14.120 --> 00:42:16.733
(Interviewer): So you were right about him
though, weren't you?
00:42:16.733 --> 00:42:20.239
Moe: Yeah of course, actually I am his
primary nurse, so I know him.
00:42:20.239 --> 00:42:23.261
You know, you can tell, we can see
it's coming-
00:42:23.261 --> 00:42:25.810
It's about knowing your patients, we know
all of them.
00:42:25.810 --> 00:42:28.831
(Interviewer): So was he complaining about
how many of you there were there?
00:42:28.831 --> 00:42:30.896
He was counting, how many staff there
were.
00:42:30.896 --> 00:42:35.558
Moe: He knew that we are ready for action,
you know?
00:42:35.558 --> 00:42:39.731
Inasmuch as they are mentally ill, but
they are not stupid.
00:42:41.321 --> 00:42:46.447
Yeah, some of them, they know exactly
what they are doing. It's kind of
00:42:46.447 --> 00:42:50.416
like, pre-planned, 'I'm gonna get them'
and they look at the teams and say
00:42:50.416 --> 00:42:54.009
'Oh I think this is a weak team,' and then
they will go for it.
00:42:56.269 --> 00:43:02.752
[muffled screaming, keys rattling,
chatter]
00:43:08.112 --> 00:43:12.705
Narrator: Patients like these on Cranfield
can progress. They will eventually
00:43:12.705 --> 00:43:17.214
move on to other wards, and, with time,
even out of the hospital.
00:43:18.284 --> 00:43:22.616
Staff: You watching football or something?
The finals? You watching it.
00:43:22.616 --> 00:43:26.109
We'll bring you out to the
[unintelligible] so you can
00:43:26.109 --> 00:43:27.813
watch it live, yeah? Good man.
00:43:31.019 --> 00:43:39.096
[somber keyboard music]
♪Every day there is none for you ♪
00:43:39.096 --> 00:43:50.095
♪and every day we can start anew ♪
♪we've only got one chance in the world ♪
00:43:50.095 --> 00:43:52.736
♪together ♪
00:43:52.736 --> 00:44:05.262
♪make a dream come true ♪
♪hold on, and treasure your love ♪