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This programme contains some strong language and some scenes which some viewers may find upsetting | 0:00:02 | 0:00:08 | |
Teenage girls are self-harming more than ever before. | 0:00:09 | 0:00:12 | |
Admissions to A&E have risen two-thirds in the past decade. | 0:00:12 | 0:00:15 | |
I don't want people just to know me as "that girl with problems" | 0:00:15 | 0:00:19 | |
or "the girl who self-harms". | 0:00:19 | 0:00:21 | |
This is the story of three families | 0:00:21 | 0:00:24 | |
whose daughters have been sectioned... | 0:00:24 | 0:00:26 | |
I just thought, I'm your sister. | 0:00:26 | 0:00:29 | |
You can't leave me behind. | 0:00:29 | 0:00:31 | |
..away from home, | 0:00:31 | 0:00:33 | |
as they go through the most crucial stage in their treatment. | 0:00:33 | 0:00:36 | |
No-one is expecting you to recover overnight. | 0:00:36 | 0:00:38 | |
It doesn't happen like that. | 0:00:38 | 0:00:40 | |
-SOBS: -Yeah, but it's took a year and a half, Mum! | 0:00:40 | 0:00:42 | |
What's it like to face the reality | 0:00:42 | 0:00:44 | |
of being unable to keep your child safe? | 0:00:44 | 0:00:47 | |
It sounds daft as a parent not to know that your own daughter | 0:00:47 | 0:00:51 | |
wants to hurt herself. | 0:00:51 | 0:00:53 | |
You're waiting for that phone call to say that she's killed herself. | 0:00:53 | 0:00:56 | |
Having to hand over responsibility to a secure hospital, | 0:00:56 | 0:01:00 | |
not knowing when they'll return? | 0:01:00 | 0:01:02 | |
I'm really hopeful this time that she's going to crack it | 0:01:02 | 0:01:05 | |
and we're going to get her home. | 0:01:05 | 0:01:07 | |
"22nd July, 2017. All day yesterday, I was quite emotional. | 0:01:28 | 0:01:34 | |
"Thoughts are bad at the moment | 0:01:34 | 0:01:37 | |
"and I'm struggling to just ignore them now." | 0:01:37 | 0:01:41 | |
"Favourite songs at the moment - Space Oddity, David Bowie. | 0:01:41 | 0:01:45 | |
"No Surprises, Radiohead." | 0:01:45 | 0:01:47 | |
Jade is 17. | 0:01:49 | 0:01:51 | |
She was detained under the Mental Health Act 18 months ago | 0:01:51 | 0:01:54 | |
to protect her from harming herself. | 0:01:54 | 0:01:57 | |
Can I have some Special K, please? | 0:01:58 | 0:02:00 | |
-Thank you. -That's all right. | 0:02:01 | 0:02:03 | |
'She's one of 90 patients at Fitzroy House, | 0:02:03 | 0:02:06 | |
a secure psychiatric hospital | 0:02:06 | 0:02:08 | |
which treats some of the most unwell children in the country | 0:02:08 | 0:02:11 | |
with complex mental illness. | 0:02:11 | 0:02:13 | |
-Do you mind if I join you, Jade? -No, come join. | 0:02:13 | 0:02:16 | |
Why are you here? | 0:02:16 | 0:02:17 | |
Um, it started getting bad when I was about 12. | 0:02:17 | 0:02:21 | |
Um... | 0:02:22 | 0:02:24 | |
..and then, | 0:02:24 | 0:02:26 | |
I don't know, it's always been around. | 0:02:26 | 0:02:28 | |
But I just thought it was normal. | 0:02:28 | 0:02:31 | |
When I was in year ten, | 0:02:31 | 0:02:34 | |
so by the time GCSEs had already started, | 0:02:34 | 0:02:37 | |
I just looked completely miserable in my eyes. | 0:02:37 | 0:02:40 | |
Like if you just covered my face, you would see no emotion in my eyes. | 0:02:40 | 0:02:43 | |
And that's when I actually thought to myself, like, "Crap. | 0:02:43 | 0:02:46 | |
"I can't keep going on like this." | 0:02:46 | 0:02:49 | |
With your mental health then, have you been diagnosed? | 0:02:49 | 0:02:52 | |
Yeah. | 0:02:52 | 0:02:54 | |
Schizotypal personality disorder. | 0:02:54 | 0:02:56 | |
It's a bit of a complicated one. | 0:03:01 | 0:03:03 | |
I don't actually understand it myself. | 0:03:03 | 0:03:05 | |
For me, it just means... | 0:03:06 | 0:03:07 | |
..thinking things that may not necessarily be true. | 0:03:09 | 0:03:12 | |
Like paranoid or delusional thoughts. | 0:03:14 | 0:03:17 | |
I don't trust my own mind. | 0:03:17 | 0:03:19 | |
Jade takes a mixture of antidepressants | 0:03:25 | 0:03:27 | |
and anti-psychotic drugs to help stabilise her mood. | 0:03:27 | 0:03:31 | |
Her treatment also involves regular group and individual therapy. | 0:03:31 | 0:03:36 | |
Thank you. | 0:03:36 | 0:03:38 | |
She's observed 24 hours a day | 0:03:38 | 0:03:40 | |
and lives on a locked ward with seven others. | 0:03:40 | 0:03:43 | |
She's not allowed to have access to social media | 0:03:43 | 0:03:47 | |
and is supervised with risk items | 0:03:47 | 0:03:49 | |
such as mirrors or glass. | 0:03:49 | 0:03:51 | |
I guess to anyone else, if they came here for a day, | 0:03:51 | 0:03:54 | |
it would be difficult, but I think we're just so used to it now, | 0:03:54 | 0:03:57 | |
we're so used to having observations and knowing where we are | 0:03:57 | 0:04:00 | |
and having the doors opened for us and having things locked away, | 0:04:00 | 0:04:05 | |
it just becomes normal now. | 0:04:05 | 0:04:09 | |
But I know when I first came into hospital, it was...a shock. | 0:04:10 | 0:04:13 | |
It was a complete shock. | 0:04:15 | 0:04:17 | |
What does it feel like being here, then? | 0:04:17 | 0:04:20 | |
Um... | 0:04:20 | 0:04:21 | |
It's nice that you get to be with other people kind of like you, | 0:04:21 | 0:04:27 | |
but I kind of miss home and my family. | 0:04:27 | 0:04:31 | |
I kept blaming myself. | 0:04:35 | 0:04:37 | |
I went over about 50 different things. | 0:04:38 | 0:04:41 | |
Is it me? Is it the divorce? Is it the move? | 0:04:41 | 0:04:44 | |
Is it the change of schools? Is she being bullied? | 0:04:44 | 0:04:47 | |
Is it self-esteem? Oh, dear. | 0:04:47 | 0:04:49 | |
There was nothing to indicate, as she was getting older, | 0:04:51 | 0:04:54 | |
that there was anything like this down the pipeline. | 0:04:54 | 0:04:56 | |
Took me ages to walk past her room and not go, "Morning, Jade." | 0:04:57 | 0:05:01 | |
Or knock on the door, going, "Get up." | 0:05:01 | 0:05:05 | |
You forget that she's not here. She's not here at all. | 0:05:05 | 0:05:08 | |
It sometimes just makes me choke up and then, if I do that, | 0:05:08 | 0:05:12 | |
I sometimes just take myself out of the room | 0:05:12 | 0:05:14 | |
because I feel it's better. | 0:05:14 | 0:05:16 | |
I don't want to get myself too upset. | 0:05:16 | 0:05:18 | |
It doesn't stop myself from crying, | 0:05:18 | 0:05:20 | |
but we're all human and entitled to cry about things. | 0:05:20 | 0:05:25 | |
I just don't like to show it a lot of the time. | 0:05:25 | 0:05:28 | |
We've had bad times in here, we've had good times in here. | 0:05:30 | 0:05:34 | |
We had one of the worst ones when Jade tried to... | 0:05:35 | 0:05:38 | |
She put a ligature around her neck | 0:05:38 | 0:05:41 | |
and I walked in on her with it around her neck. | 0:05:41 | 0:05:44 | |
So then we phoned the unit and told them | 0:05:45 | 0:05:47 | |
they were bringing her straight back. | 0:05:47 | 0:05:49 | |
In some ways, is it a relief to have her in hospital? | 0:05:49 | 0:05:53 | |
It sounds horrible, but yes. | 0:05:53 | 0:05:55 | |
A big relief, and it's not saying that's shirking responsibility | 0:05:57 | 0:06:00 | |
as a parent, but you kind of feel... | 0:06:00 | 0:06:03 | |
..yeah, someone else is looking after her and... | 0:06:04 | 0:06:07 | |
..they are doing far more than we ever could. | 0:06:09 | 0:06:11 | |
Just finding photos. | 0:06:15 | 0:06:17 | |
I think we must've took about a million photographs. | 0:06:20 | 0:06:24 | |
At the time, they just looked exactly the same, obviously, | 0:06:24 | 0:06:27 | |
with slightly different colour hair. | 0:06:27 | 0:06:30 | |
Yes, I did the twin thing, dressing them up in identical clothing. | 0:06:30 | 0:06:34 | |
What are you doing? | 0:06:38 | 0:06:40 | |
LAUGHS | 0:06:40 | 0:06:41 | |
They are completely different. | 0:06:41 | 0:06:43 | |
Jade.... | 0:06:43 | 0:06:46 | |
Jade! | 0:06:46 | 0:06:47 | |
Jade will just keep everything to herself and only say things | 0:06:47 | 0:06:50 | |
if she feels appropriate. | 0:06:50 | 0:06:52 | |
Hello, bubby. | 0:06:52 | 0:06:54 | |
Megan's more forthright. | 0:06:54 | 0:06:56 | |
Megan will say what she thinks | 0:06:56 | 0:06:58 | |
whether people like her opinion or not. | 0:06:58 | 0:07:00 | |
I think she just finds it very hard accepting where Jade is. | 0:07:02 | 0:07:05 | |
Jade was going to be the one that goes to university, | 0:07:09 | 0:07:12 | |
that goes to college, that gets an amazing job. | 0:07:12 | 0:07:16 | |
I never thought that we'd be in this place right now | 0:07:17 | 0:07:20 | |
and her being in hospital. | 0:07:20 | 0:07:22 | |
Did you have any idea that she was unwell or did you...? | 0:07:24 | 0:07:27 | |
No, not at all. | 0:07:27 | 0:07:29 | |
I knew she had been spending... | 0:07:29 | 0:07:32 | |
a lot of time in her room | 0:07:32 | 0:07:34 | |
and obviously I thought nothing of it, | 0:07:34 | 0:07:36 | |
because Jade's a very quiet person | 0:07:36 | 0:07:40 | |
and obviously she never said anything to anyone. | 0:07:40 | 0:07:43 | |
She never mentioned anything to anyone. | 0:07:43 | 0:07:46 | |
She wasn't upset. She didn't look it. | 0:07:48 | 0:07:50 | |
She didn't look like anything was wrong with her at all, | 0:07:50 | 0:07:53 | |
but she'd been self-harming for a while. | 0:07:53 | 0:07:55 | |
We didn't know how long. | 0:07:55 | 0:07:57 | |
It got worse and worse as the months went on. | 0:07:57 | 0:07:59 | |
I was heartbroken. | 0:08:02 | 0:08:04 | |
Don't know, I just thought I was going to lose her. | 0:08:04 | 0:08:07 | |
And obviously there'd be nights that I'd cry cos I'd think... | 0:08:09 | 0:08:13 | |
..all these things that we done together... | 0:08:15 | 0:08:17 | |
It's horrible. | 0:08:19 | 0:08:20 | |
I don't visit her a lot any more | 0:08:26 | 0:08:28 | |
because it hurts me looking at her. | 0:08:28 | 0:08:31 | |
It's a horrible place to be. | 0:08:33 | 0:08:35 | |
Like, all the people there that, you know, | 0:08:35 | 0:08:38 | |
have attempted suicide, and I think, | 0:08:38 | 0:08:41 | |
I don't think that's a good place for my sister. | 0:08:41 | 0:08:44 | |
To me, it feels like she's in prison. | 0:08:44 | 0:08:46 | |
# Ground control to Major Tom | 0:08:48 | 0:08:52 | |
# Ground control to Major Tom... # | 0:08:54 | 0:08:57 | |
Jade turns 18 next month and will have to move on from Fitzroy. | 0:08:57 | 0:09:01 | |
Like a third of all patients here, | 0:09:03 | 0:09:05 | |
her next step will be a secure hospital for adults, | 0:09:05 | 0:09:08 | |
unless her medical team thinks she's ready to come off her section | 0:09:08 | 0:09:11 | |
and be discharged. | 0:09:11 | 0:09:13 | |
# And I think my spaceship knows which way to go... # | 0:09:13 | 0:09:18 | |
I feel like, at the minute, I'm nearly ready | 0:09:18 | 0:09:20 | |
to get out into the community | 0:09:20 | 0:09:22 | |
and if I go to adults, | 0:09:22 | 0:09:23 | |
I feel like it's just going to put me back a little bit. | 0:09:23 | 0:09:26 | |
# Ground control to Major Tom | 0:09:26 | 0:09:28 | |
# Your circuit's dead, there's something wrong... # | 0:09:28 | 0:09:31 | |
They say that once you go into adults, | 0:09:31 | 0:09:33 | |
you kind of get a bit stuck in the system. | 0:09:33 | 0:09:35 | |
You can get institutionalised. | 0:09:36 | 0:09:38 | |
I kind of want to start afresh and just get on with my life. | 0:09:38 | 0:09:41 | |
-You can't do that. -I can. -You can't. | 0:09:49 | 0:09:52 | |
You cannot put that on there. | 0:09:52 | 0:09:56 | |
Jess is also 17 | 0:09:56 | 0:09:57 | |
and another patient at Fitzroy sectioned for her own safety. | 0:09:57 | 0:10:01 | |
Some days, I'm really good. Some days, I'm really bad. | 0:10:02 | 0:10:05 | |
There's no really in between. | 0:10:05 | 0:10:06 | |
Really? | 0:10:06 | 0:10:08 | |
Yeah. Very up and down. | 0:10:08 | 0:10:10 | |
One minute, you're fine, | 0:10:10 | 0:10:12 | |
the next minute, everything's going wrong. | 0:10:12 | 0:10:14 | |
What do you struggle with, then? | 0:10:17 | 0:10:19 | |
My emotions. | 0:10:19 | 0:10:20 | |
Don't deal with them in the best way. | 0:10:20 | 0:10:22 | |
Jess began self-harming in her first year at secondary school. | 0:10:24 | 0:10:28 | |
Since then, she's been in and out of psychiatric units. | 0:10:28 | 0:10:31 | |
You've been to how many different units, Jess? | 0:10:33 | 0:10:36 | |
About eight or nine, probably. | 0:10:36 | 0:10:38 | |
All over the country. | 0:10:39 | 0:10:41 | |
Manchester, Woking, Kent, | 0:10:41 | 0:10:43 | |
Southampton, Northampton, Torquay. | 0:10:43 | 0:10:47 | |
So, first of all, we're going to start with | 0:10:49 | 0:10:52 | |
you guys getting some of this, Post-it notes, | 0:10:52 | 0:10:56 | |
and what I want you to do is brainstorm | 0:10:56 | 0:10:59 | |
all the emotions that you can think of. | 0:10:59 | 0:11:01 | |
Jess was transferred to Fitzroy seven months ago | 0:11:01 | 0:11:05 | |
and her medical team are treating her | 0:11:05 | 0:11:06 | |
for mixed disorder of conduct and emotions. | 0:11:06 | 0:11:10 | |
So this is the first goal of the session, | 0:11:10 | 0:11:12 | |
to be able to name your emotions. | 0:11:12 | 0:11:14 | |
The main part of Jess's treatment plan is DBT - | 0:11:14 | 0:11:18 | |
dialectical behaviour therapy - | 0:11:18 | 0:11:20 | |
which helps her develop new ways of coping with her emotions | 0:11:20 | 0:11:23 | |
so they don't become overwhelming. | 0:11:23 | 0:11:24 | |
I want you to pick what is the one emotion that you find the hardest. | 0:11:25 | 0:11:31 | |
I want you to pick it up when you find it. | 0:11:31 | 0:11:34 | |
So we've got over here - "guilty," "ashamed," | 0:11:36 | 0:11:40 | |
so we're looking at how we can change our emotion | 0:11:40 | 0:11:43 | |
once it's started. | 0:11:43 | 0:11:44 | |
None of the patients know when they will be able to go home. | 0:11:54 | 0:11:57 | |
Most are on sections which are formally renewed every six months. | 0:11:59 | 0:12:03 | |
Jess has decided to contest her renewal. | 0:12:03 | 0:12:06 | |
Her case will be heard by an impartial panel of volunteers | 0:12:15 | 0:12:18 | |
specially trained in the Mental Health Act. | 0:12:18 | 0:12:21 | |
How do you feel about being on section, Jessica? | 0:12:23 | 0:12:26 | |
I don't really want to be. | 0:12:26 | 0:12:29 | |
You don't want to be on section? | 0:12:29 | 0:12:31 | |
So that sort of indicates to us that you're contesting the section. | 0:12:31 | 0:12:36 | |
Is that right? | 0:12:36 | 0:12:37 | |
You said that you don't want to be on section any more. | 0:12:39 | 0:12:42 | |
Could you just tell me why not? | 0:12:42 | 0:12:43 | |
I don't know. I just feel like I'd be able to get a bit further, like, | 0:12:43 | 0:12:49 | |
outside the hospital, like, going to college. | 0:12:49 | 0:12:53 | |
Sophie, can you give us an update, please? | 0:12:53 | 0:12:57 | |
I've known Jess since she was first admitted. | 0:12:57 | 0:12:59 | |
Initially engaged quite frequently in serious self-harm behaviours | 0:12:59 | 0:13:04 | |
that we were quite concerned about. | 0:13:04 | 0:13:06 | |
Now she's made progress but her risk is still there and obviously there | 0:13:06 | 0:13:11 | |
was the episode of Jess attempting to abscond from St Andrews. | 0:13:11 | 0:13:15 | |
During that incident, she was quite difficult to manage | 0:13:15 | 0:13:18 | |
and it took about two-and-a-half hours to get her back to the ward. | 0:13:18 | 0:13:22 | |
Jessica, our opinion is, from what we've heard, | 0:13:23 | 0:13:27 | |
the criteria for detention is met and we feel that you are doing well | 0:13:27 | 0:13:33 | |
here and need to remain, so that you can continue to improve. | 0:13:33 | 0:13:38 | |
Thank you for coming along. You've done really well, Jessica. | 0:13:38 | 0:13:41 | |
I wasn't expecting to get taken off my section | 0:13:50 | 0:13:53 | |
but then there's part of me thinking maybe I would. | 0:13:53 | 0:13:56 | |
It's easy to get in, hard to get out. | 0:13:57 | 0:14:00 | |
Jess's parents have only had their daughter home for 14 months in the past five years. | 0:14:09 | 0:14:14 | |
We've missed so much of her growing up | 0:14:17 | 0:14:20 | |
and all we get is 48 hours at the weekend. | 0:14:20 | 0:14:24 | |
With no secure hospital for children in their county, | 0:14:24 | 0:14:27 | |
they've always had to travel to visit her. | 0:14:27 | 0:14:29 | |
They currently do a 300-mile round trip to Northampton every weekend. | 0:14:31 | 0:14:36 | |
When Jessica first went in the unit, she was 13 years old. | 0:14:36 | 0:14:40 | |
To be that far away from your family... | 0:14:40 | 0:14:42 | |
Jess is the youngest of four siblings. | 0:14:49 | 0:14:51 | |
You sign that to say that you haven't got anything on you. | 0:14:51 | 0:14:54 | |
This is the first time her brothers have been able to visit in three months. | 0:14:54 | 0:14:59 | |
They've got a couple of, well, they are called meeting rooms off the ward | 0:15:01 | 0:15:05 | |
and that's as far as you go. | 0:15:05 | 0:15:07 | |
You don't see what they do all day. | 0:15:08 | 0:15:11 | |
We haven't actually seen her room. | 0:15:12 | 0:15:14 | |
We never ever wanted to put her in a unit in the first place | 0:15:17 | 0:15:20 | |
and we did fight really hard to keep her at home, | 0:15:20 | 0:15:25 | |
but it just got to the stage where we couldn't keep her safe any more, | 0:15:25 | 0:15:28 | |
so we had no option. | 0:15:28 | 0:15:30 | |
We had a meeting with the consultant and they said, | 0:15:33 | 0:15:37 | |
"What do you want, Jessica?" | 0:15:37 | 0:15:40 | |
And she said, "I want to go home." | 0:15:40 | 0:15:42 | |
And he said, "So what will you do when you get home?" | 0:15:42 | 0:15:45 | |
And she said, "Kill myself." | 0:15:45 | 0:15:46 | |
And then she was sectioned. | 0:15:48 | 0:15:50 | |
It was the worst day of my life. | 0:15:51 | 0:15:53 | |
She started with anorexia. And then she progressed from there. | 0:15:57 | 0:16:00 | |
Everything was locked away at home and then we had the kind of overdoses, | 0:16:00 | 0:16:04 | |
anything she could get her hands on really. | 0:16:04 | 0:16:07 | |
She drank bleach a couple of times. | 0:16:07 | 0:16:09 | |
Banging her head against the wall. | 0:16:09 | 0:16:11 | |
She came home one weekend on leave | 0:16:11 | 0:16:13 | |
and she tried to throw herself out of the car. | 0:16:13 | 0:16:16 | |
Her imagination for harm is just unbelievable. | 0:16:16 | 0:16:18 | |
Had you ever felt at risk of her actually following through | 0:16:18 | 0:16:22 | |
-with some of this? -Oh, very much so. -Yeah, very much. | 0:16:22 | 0:16:25 | |
-I can't... We can't believe that she's still alive today. -Mmm. | 0:16:25 | 0:16:28 | |
Who's this? | 0:16:31 | 0:16:33 | |
I think the one who is most affected is Sam, because he's been | 0:16:40 | 0:16:44 | |
at home the whole time. | 0:16:44 | 0:16:46 | |
She was in Woking when he was doing his GCSEs. | 0:16:46 | 0:16:50 | |
I mean, he did his revision for that in the back of the car on the way to Woking and back. | 0:16:50 | 0:16:55 | |
Are you all right? | 0:16:55 | 0:16:58 | |
It's difficult for her and it's difficult for us to understand what she's going through. | 0:16:58 | 0:17:02 | |
She's just been... | 0:17:02 | 0:17:04 | |
stuck in a confined space | 0:17:04 | 0:17:06 | |
for nearly a year now. | 0:17:06 | 0:17:09 | |
She hasn't had much contact. | 0:17:09 | 0:17:11 | |
We'd all prefer to have her at home. | 0:17:12 | 0:17:14 | |
What have I got to do? | 0:17:17 | 0:17:18 | |
You've got to collect four fours, three threes. | 0:17:18 | 0:17:21 | |
Got any jacks, Jess? | 0:17:21 | 0:17:23 | |
-Have I got any jacks? -Yeah, yeah, jacks. | 0:17:23 | 0:17:27 | |
I haven't been out in a really long time. | 0:17:27 | 0:17:29 | |
I get a bit scared. | 0:17:30 | 0:17:32 | |
I panic. | 0:17:32 | 0:17:34 | |
Anything could happen. | 0:17:34 | 0:17:35 | |
One queen. | 0:17:44 | 0:17:46 | |
Jess is currently not allowed to leave the secure setting of | 0:17:46 | 0:17:49 | |
the hospital. The last time staff took her out on the grounds, | 0:17:49 | 0:17:53 | |
she panicked and tried to run away. | 0:17:53 | 0:17:55 | |
She's terrified of being in the real world. | 0:17:56 | 0:17:59 | |
Large crowds, she can't do. | 0:17:59 | 0:18:03 | |
To Jess, | 0:18:03 | 0:18:05 | |
Joe Bloggs walking down the street is a terrorist, or a murderer. | 0:18:05 | 0:18:09 | |
It's got a lot worse since she's been in because they are taken out of the real world. | 0:18:09 | 0:18:14 | |
Do you ever ask yourself, "Why Jess?" | 0:18:14 | 0:18:17 | |
Oh, why Jess? Yeah. All the time. | 0:18:17 | 0:18:20 | |
And are there any answers the doctors have been able to give you? | 0:18:20 | 0:18:24 | |
Nobody knows why. | 0:18:24 | 0:18:26 | |
I'm hoping that this hospital is the one that sorts her out. | 0:18:29 | 0:18:32 | |
A lot has happened since the end of last month and it's only been a week. | 0:18:41 | 0:18:45 | |
I'm losing control again. | 0:18:45 | 0:18:47 | |
I can't see any sign of hope, | 0:18:47 | 0:18:49 | |
light or a future with a sense of wellbeing. | 0:18:49 | 0:18:51 | |
It's just two weeks until Jade turns 18. | 0:18:55 | 0:18:58 | |
Her medical team have told her that she'll be moving | 0:19:01 | 0:19:04 | |
to an adult secure unit. | 0:19:04 | 0:19:06 | |
They say she's not ready, she should still be in a hospital | 0:19:11 | 0:19:14 | |
but in adult services, and with that, | 0:19:14 | 0:19:17 | |
because you can't guarantee what age you are going to be put in with. | 0:19:17 | 0:19:20 | |
bearing in mind she's only 18, | 0:19:20 | 0:19:22 | |
a lot of time, they don't distinguish between an 18 and an 80-year-old. | 0:19:22 | 0:19:25 | |
What are you worried about? | 0:19:25 | 0:19:27 | |
That she could go downhill. | 0:19:28 | 0:19:30 | |
That we could lose all the hard work that's been put into | 0:19:32 | 0:19:35 | |
these last few months. | 0:19:35 | 0:19:37 | |
That she's not going to want to do anything. | 0:19:38 | 0:19:40 | |
I don't know. Just all manner of feelings. | 0:19:43 | 0:19:46 | |
It's really difficult. | 0:19:46 | 0:19:47 | |
Sorry. | 0:19:48 | 0:19:50 | |
Fitzroy is just half an hour's drive for Clare, | 0:20:02 | 0:20:06 | |
but when Jade turns 18, she'll be moved to an available bed | 0:20:06 | 0:20:09 | |
which could be anywhere in the country. | 0:20:09 | 0:20:12 | |
Hello, sweetheart. | 0:20:12 | 0:20:13 | |
-Hello, Mum. -Are you all right? -Yeah. | 0:20:13 | 0:20:16 | |
Are you tired? | 0:20:16 | 0:20:18 | |
Yeah? Me too. | 0:20:18 | 0:20:20 | |
Shall we go outside? | 0:20:20 | 0:20:22 | |
I don't know how this is going to go. | 0:20:23 | 0:20:25 | |
I couldn't eat lunch today because I was just thinking about it. | 0:20:25 | 0:20:27 | |
I was thinking what the fuck is going to happen? | 0:20:27 | 0:20:29 | |
I just feel like I've let you down so much because... | 0:20:29 | 0:20:32 | |
-You haven't let anyone down. -I was saying to Jane as well, | 0:20:32 | 0:20:34 | |
I literally feel like I've just let everyone down because I wasn't | 0:20:34 | 0:20:37 | |
listening to everyone at the start, but I'd got to the point where I was listening, | 0:20:37 | 0:20:40 | |
and it was too late by that time and now I'm going into adult and I | 0:20:40 | 0:20:43 | |
-feel like I've let everyone down. -You haven't let anyone down. | 0:20:43 | 0:20:46 | |
Look at me. Look at me. | 0:20:46 | 0:20:48 | |
-Look at me. -I can't, Mum. -Jade! -I can't, I can't. | 0:20:48 | 0:20:50 | |
Jade! You haven't let anyone down. | 0:20:50 | 0:20:53 | |
I'm sorry. | 0:20:58 | 0:21:00 | |
-Why are you sorry? -I feel like I've let you down. | 0:21:00 | 0:21:02 | |
Jade! Stop saying that. | 0:21:02 | 0:21:04 | |
I was only meant to be in here for like, what? Two months? | 0:21:04 | 0:21:07 | |
No-one's expecting you to recover overnight. | 0:21:07 | 0:21:10 | |
It doesn't happen like that. | 0:21:10 | 0:21:12 | |
But it's took a year-and-a-half, Mum. | 0:21:12 | 0:21:13 | |
It's not your fault. You're doing all you can | 0:21:13 | 0:21:16 | |
to get yourself off the section. | 0:21:16 | 0:21:20 | |
Stop saying you've let me down, because you haven't. | 0:21:20 | 0:21:25 | |
Across the country, adult inpatient beds have been cut. | 0:21:29 | 0:21:32 | |
The number of patients treated out of their local area | 0:21:34 | 0:21:36 | |
has gone up by 40% in two years. | 0:21:36 | 0:21:40 | |
I'm hoping it's going to be within this area, | 0:21:40 | 0:21:44 | |
but it could be outside of the county, as well. | 0:21:44 | 0:21:48 | |
There's no definites at the minute. | 0:21:48 | 0:21:51 | |
The only definite is that I'm going to adult and that's it. | 0:21:51 | 0:21:55 | |
That's not a particularly great definite. | 0:21:57 | 0:21:59 | |
PHONE RINGS | 0:22:06 | 0:22:08 | |
Hello? | 0:22:10 | 0:22:12 | |
Hello, darling. | 0:22:12 | 0:22:14 | |
-Hello? -Are you all right? -I'm all right. | 0:22:14 | 0:22:17 | |
We're coming up today but I don't know whether we'll make it before the end of visiting time. | 0:22:17 | 0:22:22 | |
-That's cool. -We'll come in tomorrow. | 0:22:22 | 0:22:24 | |
-That's fine. -Yeah? OK. | 0:22:24 | 0:22:26 | |
OK, love you. Bye. Bye. | 0:22:26 | 0:22:29 | |
OK. Love you too. Bye, bye, bye, bye, bye. | 0:22:29 | 0:22:32 | |
That's the last picture I've got with her arms like that. | 0:22:40 | 0:22:44 | |
It was about three months after that was taken that I got a phone call | 0:22:46 | 0:22:50 | |
from the school to say that she'd self-harmed. | 0:22:50 | 0:22:53 | |
She started on her belly to start off with and then, | 0:22:55 | 0:22:59 | |
then she went to her arms. | 0:22:59 | 0:23:01 | |
Looking back, there were signs, but at the time, | 0:23:04 | 0:23:07 | |
she'd say she had a migraine so she didn't have to go to school. | 0:23:07 | 0:23:11 | |
And within an hour or two, she'd be fine. | 0:23:11 | 0:23:13 | |
Why was she avoiding school? | 0:23:13 | 0:23:15 | |
Because of the bullies. | 0:23:15 | 0:23:17 | |
They were calling her fat and chubby and... | 0:23:17 | 0:23:21 | |
And things like that. | 0:23:22 | 0:23:24 | |
I think it was more verbal and mental bullying | 0:23:24 | 0:23:28 | |
than it was physical. | 0:23:28 | 0:23:30 | |
When I was a kid, you didn't have Facebook. | 0:23:32 | 0:23:34 | |
We didn't have phones. | 0:23:34 | 0:23:35 | |
Obviously, now you've got online bullying. | 0:23:35 | 0:23:38 | |
One thing that sticks in my mind about Jess, | 0:23:40 | 0:23:42 | |
in her bedroom, she had a desk clock-radio kind of thing | 0:23:42 | 0:23:45 | |
and she had the Sugababes song Ugly on repeat. | 0:23:45 | 0:23:48 | |
She was probably about nine, ten, 11 - that kind of age. | 0:23:48 | 0:23:52 | |
And it was constantly on, all the time. | 0:23:52 | 0:23:54 | |
You listen to the words and you think, | 0:23:54 | 0:23:57 | |
she was worried about the way she looked and the way she felt then. | 0:23:57 | 0:24:00 | |
It started off with the anorexia but what I can't get my head around is | 0:24:02 | 0:24:06 | |
how we went from an eating disorder | 0:24:06 | 0:24:08 | |
to suicide attempts. | 0:24:08 | 0:24:11 | |
I had a phone call from the police to stay that she was on the multistorey car park. | 0:24:13 | 0:24:19 | |
They managed to talk her down. | 0:24:19 | 0:24:21 | |
How old was Jess then? | 0:24:24 | 0:24:26 | |
12. | 0:24:26 | 0:24:27 | |
It's heartbreaking for her, really. | 0:24:32 | 0:24:33 | |
One, that I didn't pick up on it | 0:24:36 | 0:24:37 | |
and two, that she, you know, was that unhappy | 0:24:39 | 0:24:43 | |
and couldn't say. | 0:24:43 | 0:24:45 | |
I'm updating your social circumstance report | 0:24:53 | 0:24:56 | |
in light of your sectioning. | 0:24:56 | 0:24:58 | |
When Jess came to Fitzroy, | 0:24:58 | 0:25:00 | |
her parents handed over responsibility for her care, | 0:25:00 | 0:25:04 | |
from decisions about treatment to whether she's safe enough to go out. | 0:25:04 | 0:25:08 | |
-Hello. -Hi. -Sorry I was a bit late. | 0:25:08 | 0:25:12 | |
It's OK. | 0:25:12 | 0:25:13 | |
Jess's parents have fortnightly meetings with her psychiatrist, Ennis. | 0:25:16 | 0:25:20 | |
He will decide when she's ready to go home. | 0:25:20 | 0:25:23 | |
-We really do want to help her. -Yeah, sure. | 0:25:24 | 0:25:26 | |
I don't understand it 100%, | 0:25:26 | 0:25:28 | |
but you have got to try and do the best for your child. | 0:25:28 | 0:25:30 | |
I've spent many years trying to understand the complexities of | 0:25:30 | 0:25:34 | |
these types of problems and I think, ultimately, | 0:25:34 | 0:25:37 | |
some of it is just incomprehensible. | 0:25:37 | 0:25:39 | |
You know, when you see your son or daughter, you know, | 0:25:39 | 0:25:41 | |
trying to severely harm themselves, | 0:25:41 | 0:25:42 | |
it's very hard to get your head around why that's happening, | 0:25:42 | 0:25:45 | |
but ultimately, the crucial bit is how you manage it. | 0:25:45 | 0:25:48 | |
-Can I go and get Jess, then? Is that all right? -Yes. -Yes. | 0:25:48 | 0:25:51 | |
Right. I'll be two seconds. | 0:25:51 | 0:25:53 | |
Hello, Missus. | 0:25:54 | 0:25:56 | |
-How are things? -Not too bad. | 0:25:57 | 0:25:59 | |
I understand there's been some ups and downs, sometimes, | 0:25:59 | 0:26:02 | |
when things have been challenging, | 0:26:02 | 0:26:04 | |
sometimes when things have been really positive, | 0:26:04 | 0:26:06 | |
and general mood control at the moment. How's that been? | 0:26:06 | 0:26:08 | |
-It's not been too bad. -It's not been too bad. | 0:26:08 | 0:26:11 | |
How do you feel that your mum and dad are coping with your mental state at the moment? | 0:26:11 | 0:26:15 | |
-I know they're in the room. -All right. | 0:26:15 | 0:26:18 | |
Do you think you've changed as a person? | 0:26:18 | 0:26:20 | |
Do you think your brain's maturing or you're developing new coping strategies? Or... | 0:26:20 | 0:26:24 | |
-Something's changed. -Something's changed? -Mmm. | 0:26:24 | 0:26:27 | |
She's definitely through that very severe turmoil | 0:26:27 | 0:26:30 | |
sort of stage when she first arrived. | 0:26:30 | 0:26:33 | |
I've seen some of the strengths you've got | 0:26:33 | 0:26:34 | |
and I've seen the areas of challenge that you've got too. | 0:26:34 | 0:26:37 | |
We will have to give you leave again at some point. | 0:26:37 | 0:26:39 | |
We can't postpone it forever. | 0:26:39 | 0:26:41 | |
What would be the challenges for you going out on leave? | 0:26:41 | 0:26:44 | |
I don't know. Just getting back into socialising | 0:26:44 | 0:26:47 | |
with like big groups of people, crowds, yeah. | 0:26:47 | 0:26:51 | |
We don't expect that you're always going to feel great. | 0:26:51 | 0:26:54 | |
There will be times when your mood will be quite low and you will be | 0:26:54 | 0:26:56 | |
struggling, but it's how you manage them that's the crucial bit of it. | 0:26:56 | 0:27:00 | |
All right. Nice to see you all. | 0:27:00 | 0:27:01 | |
-OK. -All right? -Thank you. | 0:27:01 | 0:27:03 | |
-I shall see you later. -Thank you, Ennis. Thank you very much. | 0:27:03 | 0:27:06 | |
-All the best. -Thank you. | 0:27:06 | 0:27:08 | |
Today, I see quite a positive Jess. | 0:27:08 | 0:27:10 | |
Over the last few weeks, | 0:27:10 | 0:27:11 | |
she seems to have really come on and is working really hard, | 0:27:11 | 0:27:16 | |
and she's engaging with DBT, which seems to be helping. | 0:27:16 | 0:27:21 | |
But, then, Jess changes so quickly | 0:27:21 | 0:27:23 | |
that you can't get too complacent, really. | 0:27:23 | 0:27:27 | |
Right, girlies. Who is doing nails? | 0:27:29 | 0:27:31 | |
Me. | 0:27:31 | 0:27:33 | |
-What colour are your dresses, girls? -Black. | 0:27:33 | 0:27:36 | |
Are you excited? | 0:27:39 | 0:27:41 | |
-Yeah. -Is everyone going from your ward? | 0:27:41 | 0:27:44 | |
-Pretty much. -Yeah. | 0:27:44 | 0:27:46 | |
Jess has decided to go to the hospital's prom. | 0:27:46 | 0:27:49 | |
Do you want me to pin this all up? | 0:27:49 | 0:27:51 | |
It's a chance to see how she'll cope with a large group of people. | 0:27:51 | 0:27:54 | |
Are you going for the whole two hours? | 0:27:54 | 0:27:57 | |
I dunno. | 0:27:57 | 0:28:00 | |
Makes you feel better when you've had your hair done, especially going to prom. | 0:28:00 | 0:28:03 | |
It's such a big thing. | 0:28:03 | 0:28:04 | |
I don't know. I never got a prom at school. | 0:28:04 | 0:28:07 | |
LOUD MUSIC AND CHATTER | 0:28:11 | 0:28:14 | |
Jess, can you hear me, love. | 0:28:57 | 0:28:59 | |
Jess, it's OK. Jess, it's OK. | 0:28:59 | 0:29:02 | |
Listen, I know it's really hard... | 0:29:02 | 0:29:05 | |
OK? But it's people that you know. | 0:29:06 | 0:29:08 | |
It's me and Tim. Nadine and Tim. | 0:29:08 | 0:29:10 | |
Just try and slow that breathing down for me. | 0:29:10 | 0:29:12 | |
Nice and slowly. OK. | 0:29:12 | 0:29:15 | |
Nice and slow. | 0:29:15 | 0:29:17 | |
It's OK. | 0:29:17 | 0:29:19 | |
No, Jess, no kicking. | 0:29:19 | 0:29:21 | |
Come on. | 0:29:21 | 0:29:22 | |
Let's get you standing up. | 0:29:22 | 0:29:25 | |
No, Jess. Come on. | 0:29:25 | 0:29:27 | |
Are you all right, Tim? | 0:29:27 | 0:29:28 | |
Jess, I'm going to put some ice in this hand. | 0:29:28 | 0:29:31 | |
Right, and I'm going to put a little bit on the back of your neck. | 0:29:31 | 0:29:36 | |
OK. Are you ready? | 0:29:36 | 0:29:38 | |
What do you reckon? Get up? That's it! Well done, mate. | 0:29:41 | 0:29:44 | |
-You're OK. -Are you OK? | 0:29:44 | 0:29:46 | |
-Well done. -Right, we're going to still help you, OK? | 0:29:46 | 0:29:49 | |
Well done, that's it. | 0:29:52 | 0:29:54 | |
It was really hot, really crowded, really loud. | 0:30:05 | 0:30:07 | |
I tried to keep pushing it all out of my head, all my worries, and stuff, | 0:30:08 | 0:30:12 | |
but then it just got too much. | 0:30:12 | 0:30:14 | |
I just panicked. | 0:30:14 | 0:30:16 | |
I just... | 0:30:16 | 0:30:18 | |
..went out of control. | 0:30:18 | 0:30:20 | |
Does that happen quite a lot? | 0:30:20 | 0:30:22 | |
Not as much as it used to. | 0:30:22 | 0:30:24 | |
You're going to go into the bathroom. | 0:30:25 | 0:30:27 | |
You're going to brush your teeth. | 0:30:27 | 0:30:29 | |
You've worked so hard. You finally think you're getting somewhere, | 0:30:29 | 0:30:31 | |
like you'll be able to get out of here soon. | 0:30:31 | 0:30:34 | |
And it all comes crashing back down. | 0:30:34 | 0:30:36 | |
The average stay for patients at Fitzroy is just over a year. | 0:30:44 | 0:30:48 | |
It's been horrible, like, being away from home, | 0:30:49 | 0:30:52 | |
being away from all my friends, like, | 0:30:52 | 0:30:54 | |
just being away from kind of real life. | 0:30:54 | 0:30:56 | |
Erin is 16. | 0:30:57 | 0:30:59 | |
She's being treated for depression, | 0:30:59 | 0:31:01 | |
anxiety and mixed disorder of conduct and emotions. | 0:31:01 | 0:31:04 | |
ALARM RINGS | 0:31:04 | 0:31:06 | |
It's always hard when the ward's unsettled because a lot of the issues people are | 0:31:23 | 0:31:27 | |
having, like, you've been in that situation before. | 0:31:27 | 0:31:30 | |
Sometimes you do kind of think of having incidents again. | 0:31:30 | 0:31:34 | |
We start by looking at what expectations are for skills training. | 0:31:37 | 0:31:40 | |
Who'd like to read the first one? | 0:31:40 | 0:31:42 | |
-I'll read the first one? -Go on, then. | 0:31:42 | 0:31:44 | |
Each member must be attending ongoing, individual therapy. | 0:31:44 | 0:31:47 | |
Members should not discuss past suicidal behaviours | 0:31:47 | 0:31:51 | |
with other members outside of the session. | 0:31:51 | 0:31:53 | |
Like Jess, Erin is being helped to cope when she is distressed, | 0:31:53 | 0:31:58 | |
so she doesn't self-harm when her feelings become unmanageable. | 0:31:58 | 0:32:01 | |
Has anybody got any examples of when they've been in one of these mind states? | 0:32:01 | 0:32:05 | |
I've got one when I was in reasonable mind. | 0:32:05 | 0:32:08 | |
-Yeah? -So, the ward's been quiet and settled at the minute, and, like, | 0:32:08 | 0:32:12 | |
I've been thinking through, like, whether or not, like, | 0:32:12 | 0:32:16 | |
to join in and stuff, so, I'm thinking of all the reasons why I shouldn't. | 0:32:16 | 0:32:22 | |
-Like, the logic? -Yeah. | 0:32:22 | 0:32:25 | |
How did you end up being someone who needed hospital treatment? | 0:32:25 | 0:32:28 | |
Er, well, I don't really know | 0:32:29 | 0:32:32 | |
how to like start with it, really, because, | 0:32:32 | 0:32:36 | |
like, it built up over time. | 0:32:36 | 0:32:38 | |
Things kept happening. So I got bullied at my school, | 0:32:38 | 0:32:41 | |
so I had to move schools. Then after I moved schools, | 0:32:41 | 0:32:44 | |
my mum and dad split up and it was all like that. | 0:32:44 | 0:32:48 | |
It was, like, all had a domino effect. | 0:32:48 | 0:32:49 | |
Everything just kept getting worse and then it built up over time. | 0:32:49 | 0:32:53 | |
Then, I did just crack. | 0:32:53 | 0:32:56 | |
Erin hid her mental illness until she had a mental breakdown at her friend's party. | 0:32:57 | 0:33:01 | |
She was taken to A&E and was sectioned four weeks later. | 0:33:05 | 0:33:08 | |
It feels so much different to how I felt then, like, | 0:33:08 | 0:33:13 | |
that was the first time at that party that anybody had any idea that | 0:33:13 | 0:33:17 | |
I was actually struggling, myself. | 0:33:17 | 0:33:20 | |
Like, I'd never... | 0:33:20 | 0:33:21 | |
Nobody had ever seen me like that, or anything. | 0:33:21 | 0:33:24 | |
I just felt very alone. | 0:33:25 | 0:33:28 | |
It's a bit deep. | 0:33:28 | 0:33:30 | |
But I didn't want to be alive any more. | 0:33:30 | 0:33:33 | |
Hello. Can we have two phones, please? | 0:33:38 | 0:33:41 | |
Thank you. | 0:33:43 | 0:33:44 | |
Take your pick. | 0:33:44 | 0:33:46 | |
Right. | 0:33:46 | 0:33:48 | |
Are you ready? | 0:33:48 | 0:33:50 | |
Erin hasn't self-harmed in over two months. | 0:33:50 | 0:33:53 | |
I've had a lot of support, so, | 0:33:53 | 0:33:54 | |
talking to staff has been the main thing for me. | 0:33:54 | 0:33:58 | |
I'm definitely being more open. | 0:33:58 | 0:34:00 | |
Like, I can talk about how I'm feeling. | 0:34:00 | 0:34:02 | |
Now her medical team and parents agree she's ready to start working | 0:34:03 | 0:34:07 | |
towards going home. | 0:34:07 | 0:34:08 | |
-Do you want me to just leave you here? -What? Yeah. -Sure? -Yeah. | 0:34:08 | 0:34:11 | |
-OK. I'm going to walk down this way. -OK. -Have a good time. -Yeah, will do. | 0:34:11 | 0:34:15 | |
Her first step is a trip out with staff. | 0:34:15 | 0:34:17 | |
And today, for the first time in a year, | 0:34:18 | 0:34:20 | |
she's having half an hour on her own. | 0:34:20 | 0:34:22 | |
To help me cope through things, | 0:34:24 | 0:34:26 | |
I always just think of what effect it will have on me in the future. | 0:34:26 | 0:34:30 | |
I'm desperate to go home. | 0:34:31 | 0:34:33 | |
They're so nice. They'd sell them at Kinghead. | 0:34:38 | 0:34:41 | |
Oh, they do milkshake. | 0:34:41 | 0:34:43 | |
-Can't we have an Indian? -No! | 0:34:43 | 0:34:45 | |
"Can we have an Indian!" | 0:34:45 | 0:34:47 | |
From what we've learned, | 0:34:47 | 0:34:50 | |
Erin was feeling like there was no future for her. | 0:34:50 | 0:34:53 | |
You get angry with yourself | 0:34:53 | 0:34:55 | |
and think, "How did I not know?" | 0:34:55 | 0:34:57 | |
"How could I not see this?" | 0:34:57 | 0:34:59 | |
But, she just hid it. | 0:35:00 | 0:35:03 | |
You know, I think the effect it's had on the family, as a whole, | 0:35:03 | 0:35:06 | |
has been huge. | 0:35:06 | 0:35:08 | |
Her younger sister. She's autistic. | 0:35:08 | 0:35:10 | |
She doesn't cope particularly well with change. | 0:35:10 | 0:35:13 | |
She's seen some things that have been awful. | 0:35:13 | 0:35:15 | |
It happened in one. It wasn't like gradual to me. | 0:35:17 | 0:35:20 | |
Like, one minute she was Erin | 0:35:20 | 0:35:21 | |
and then she was this. | 0:35:21 | 0:35:23 | |
She as.... | 0:35:23 | 0:35:25 | |
Someone else. | 0:35:25 | 0:35:26 | |
She was pulling her hair out, screaming, | 0:35:28 | 0:35:31 | |
like, saying, "She's behind me." | 0:35:32 | 0:35:34 | |
"She's behind me. She's following me." | 0:35:34 | 0:35:37 | |
And then she just started saying, "She sits on the end of my bed," | 0:35:37 | 0:35:40 | |
talking about this girl with black hair who follows her around, | 0:35:40 | 0:35:43 | |
who makes herself self-harm | 0:35:43 | 0:35:47 | |
and she said that she tried to | 0:35:47 | 0:35:51 | |
end her life. She tried to hang herself | 0:35:51 | 0:35:54 | |
and she was crying and I just didn't know what to do. | 0:35:54 | 0:35:57 | |
And it was a horrible night. | 0:35:57 | 0:36:00 | |
What's it been like without Erin here, then? | 0:36:00 | 0:36:03 | |
I've been struggling a lot more. | 0:36:03 | 0:36:04 | |
I went through a phase of not going to school for two months because I | 0:36:06 | 0:36:08 | |
just couldn't get up in the mornings. | 0:36:08 | 0:36:11 | |
I feel like bad for telling Mum and Dad when things are wrong, | 0:36:12 | 0:36:16 | |
because they've already got a lot on. | 0:36:16 | 0:36:18 | |
Erin needed more help and needed the support more than I did. | 0:36:18 | 0:36:22 | |
# Happy birthday to you. | 0:36:32 | 0:36:35 | |
# Happy birthday to you | 0:36:35 | 0:36:37 | |
# Happy birthday dear Megan. | 0:36:37 | 0:36:40 | |
# Happy birthday to you. # | 0:36:40 | 0:36:43 | |
Blow 'em out. | 0:36:43 | 0:36:45 | |
One, two, three, blow. | 0:36:45 | 0:36:48 | |
Yay! | 0:36:48 | 0:36:50 | |
Well done. | 0:36:50 | 0:36:52 | |
What did Jade say? | 0:36:52 | 0:36:54 | |
'To Megan, on our 18th, | 0:36:54 | 0:36:56 | |
'thank you for always being yourself. | 0:36:56 | 0:36:58 | |
'I'm sorry for not being able to spend this birthday with you. | 0:36:58 | 0:37:01 | |
'Endless amount of love, Jade. | 0:37:01 | 0:37:03 | |
'PS - try not to get too hammered.' | 0:37:03 | 0:37:05 | |
And I did get too hammered! | 0:37:05 | 0:37:08 | |
Megan, you said you were not going to get to the stage where you were off your trolley. | 0:37:08 | 0:37:12 | |
I had Malibu and Coke last night. | 0:37:12 | 0:37:14 | |
No, Malibu and lemonade. | 0:37:14 | 0:37:16 | |
I had a double Malibu and lemonade, then a single Malibu, | 0:37:16 | 0:37:19 | |
-then a double vodka, two double vodkas and Coke... -Megan. Megan. | 0:37:19 | 0:37:22 | |
Then two double vodkas and a Monster. | 0:37:22 | 0:37:24 | |
MUSIC FROM PHONE | 0:37:24 | 0:37:26 | |
Was that you on the left-hand side? | 0:37:27 | 0:37:29 | |
I don't know. | 0:37:29 | 0:37:30 | |
I don't even remember that. | 0:37:32 | 0:37:33 | |
Did you not think about forks? | 0:37:35 | 0:37:37 | |
No, I just thought you could shove it in your mouth! | 0:37:37 | 0:37:40 | |
I love icing. | 0:37:42 | 0:37:44 | |
If you want to come, it would be really nice. | 0:37:47 | 0:37:49 | |
Because this is Jade's very last weekend on the unit, | 0:37:51 | 0:37:55 | |
because officially she's an adult. | 0:37:55 | 0:37:56 | |
I'll probably stay here. | 0:37:56 | 0:37:58 | |
Oh, Megs! | 0:37:58 | 0:38:00 | |
-No, I will. -No. | 0:38:00 | 0:38:02 | |
-But... -But, what. | 0:38:02 | 0:38:05 | |
-I'm hanging. -..a raging hangover. | 0:38:05 | 0:38:06 | |
I know you're hanging but that's your own fault, isn't it? | 0:38:06 | 0:38:10 | |
Me and Megan are so different and you wouldn't even think that we were sisters. | 0:38:13 | 0:38:17 | |
She is my... | 0:38:19 | 0:38:21 | |
I know it sounds cheesy, but like my main reason to recover. | 0:38:21 | 0:38:25 | |
But I know that she doesn't like coming into the hospital. | 0:38:25 | 0:38:29 | |
-Are you all right? -Yeah. | 0:38:29 | 0:38:32 | |
Megan was going to come but she's a bit hanging and she said, | 0:38:35 | 0:38:38 | |
thank you very much for her card. | 0:38:38 | 0:38:40 | |
We're going to call her later when we get out. | 0:38:40 | 0:38:43 | |
-That's fine. -Sure? -I knew she would be anyway. | 0:38:43 | 0:38:45 | |
I wasn't expecting her to come. | 0:38:47 | 0:38:49 | |
I can't imagine myself in her position. | 0:38:49 | 0:38:52 | |
I know when my friend was in hospital, | 0:38:53 | 0:38:56 | |
with me it was really difficult. | 0:38:56 | 0:38:58 | |
I found it really hard every time I found out she'd had an incident, | 0:38:58 | 0:39:02 | |
it really got to me and affected me and it properly put me down, | 0:39:02 | 0:39:06 | |
and I just hope that that's not the same for Megan. | 0:39:07 | 0:39:10 | |
I hope that that's not how she's feeling. | 0:39:10 | 0:39:13 | |
Now Jade's 18, | 0:39:20 | 0:39:22 | |
she's on a waiting list to be transferred to an adult hospital. | 0:39:22 | 0:39:26 | |
Do you think you're going to be moving tomorrow? | 0:39:26 | 0:39:28 | |
Maybe. Maybe not. | 0:39:28 | 0:39:30 | |
I could be moving tomorrow, could be moving Tuesday or Wednesday. | 0:39:31 | 0:39:34 | |
I don't know. | 0:39:36 | 0:39:38 | |
I'm feeling OK about it. | 0:39:38 | 0:39:40 | |
I don't know how OK I'm going to be about it tomorrow, but... | 0:39:40 | 0:39:43 | |
I don't know. | 0:39:44 | 0:39:46 | |
DOOR OPENS | 0:39:51 | 0:39:53 | |
Reception's down there. | 0:39:53 | 0:39:57 | |
It's six weeks since Erin's first trip out of hospital. | 0:40:02 | 0:40:05 | |
Hello. | 0:40:05 | 0:40:07 | |
Hi. I like your top. I have a black one. | 0:40:07 | 0:40:10 | |
Everyone feels she's ready for the next step - | 0:40:11 | 0:40:14 | |
a night back home. | 0:40:14 | 0:40:15 | |
All right. Front or back? Can we do rock, paper, scissors? | 0:40:16 | 0:40:19 | |
Rock, paper, scissors, shake. | 0:40:19 | 0:40:21 | |
Get in the back. | 0:40:21 | 0:40:24 | |
# She works the night, by the water... | 0:40:24 | 0:40:27 | |
# She's gonna stress | 0:40:27 | 0:40:29 | |
Stop it! | 0:40:29 | 0:40:30 | |
# So far away from her father's daughter... # | 0:40:30 | 0:40:33 | |
Erin's going for it. Look, Mum! | 0:40:33 | 0:40:34 | |
# She just wants a life for her baby | 0:40:34 | 0:40:37 | |
# All on her own, no-one will come | 0:40:37 | 0:40:40 | |
# She's got to save him | 0:40:40 | 0:40:43 | |
# She tells him, oh, love | 0:40:43 | 0:40:45 | |
# No-one's ever gonna hurt you, love... | 0:40:45 | 0:40:47 | |
Oh, you don't like it? Why are you singing it? | 0:40:47 | 0:40:50 | |
-You can't stop yourself. -It's catchy. | 0:40:50 | 0:40:52 | |
'I'm honestly like just so excited about being at home. | 0:40:54 | 0:40:58 | |
'I've not been home in over a year. | 0:40:59 | 0:41:01 | |
'Like, there's a massive part of me that's just so anxious about it. | 0:41:02 | 0:41:06 | |
'I'm just worried I'm going to mess things up.' | 0:41:09 | 0:41:11 | |
Don't make me look stupid. | 0:41:20 | 0:41:22 | |
It just feels like things are starting to fall into place now and, | 0:41:28 | 0:41:33 | |
yeah, I'm actually starting to believe that this is it this time, | 0:41:33 | 0:41:36 | |
that she will come home. | 0:41:36 | 0:41:38 | |
Look around. | 0:41:40 | 0:41:42 | |
'In the first unit that Erin was in, we were building up to Erin being | 0:41:42 | 0:41:46 | |
'discharged and she'd had a couple of overnight stays, | 0:41:46 | 0:41:50 | |
'and she was staying overnight at her dad's | 0:41:50 | 0:41:53 | |
'and I got a phone call in the middle of the night saying, | 0:41:53 | 0:41:55 | |
"Can you come? Erin's taken an overdose." | 0:41:55 | 0:41:58 | |
'She'd managed to find some tablets.' | 0:41:58 | 0:42:02 | |
This is great. | 0:42:02 | 0:42:04 | |
I think it will be a long time before I can actually either | 0:42:04 | 0:42:07 | |
be out with her, or her out on her own | 0:42:07 | 0:42:10 | |
without me worrying really what's going on. | 0:42:10 | 0:42:14 | |
What's that like as her mum? | 0:42:15 | 0:42:17 | |
Terrifying. | 0:42:21 | 0:42:23 | |
Yeah, I'm terrified. | 0:42:27 | 0:42:29 | |
But she'll do it... | 0:42:33 | 0:42:35 | |
..because she's a fighter and she's strong. | 0:42:36 | 0:42:39 | |
Reasons to recover. | 0:42:42 | 0:42:44 | |
Babies. | 0:42:44 | 0:42:46 | |
YouTube, shopping, have a home, fall in love, | 0:42:46 | 0:42:51 | |
travel, Lush, first pet, | 0:42:51 | 0:42:54 | |
first caravan holiday. | 0:42:54 | 0:42:56 | |
My 18th. | 0:42:56 | 0:42:58 | |
I think Grace made this for me. | 0:42:59 | 0:43:01 | |
God, don't. | 0:43:01 | 0:43:02 | |
What's it say? | 0:43:02 | 0:43:04 | |
Through thick and thin. | 0:43:04 | 0:43:06 | |
My teacher said think of something that, | 0:43:06 | 0:43:08 | |
someone or something that inspires you. | 0:43:08 | 0:43:10 | |
She gave it me on my birthday. | 0:43:10 | 0:43:12 | |
Because I spent my birthday in hospital. | 0:43:12 | 0:43:15 | |
Grace, what does it feel like to have Erin back? | 0:43:15 | 0:43:18 | |
It's much better because actually waking up in the morning seeing her | 0:43:18 | 0:43:22 | |
snore her head off is much better than waking up | 0:43:22 | 0:43:25 | |
and seeing an empty bed. | 0:43:25 | 0:43:27 | |
And it's my sister, so it's like having, | 0:43:27 | 0:43:30 | |
like having my partner in crime back | 0:43:30 | 0:43:33 | |
and we can do things we used to do when we were little. | 0:43:33 | 0:43:37 | |
It Erin proves she can cope with more time at home, | 0:43:40 | 0:43:42 | |
she'll be allowed to leave hospital for good. | 0:43:42 | 0:43:46 | |
Hi, sweetheart. How're you doing? | 0:43:56 | 0:43:59 | |
It's two weeks since the prom. | 0:43:59 | 0:44:01 | |
Jess is seeing her parents at another get-together for patients. | 0:44:01 | 0:44:05 | |
The hospital's annual educational achievement day. | 0:44:05 | 0:44:08 | |
You don't have to go up. | 0:44:08 | 0:44:09 | |
Nobody has to go up. | 0:44:09 | 0:44:11 | |
People only go up if they want to. | 0:44:11 | 0:44:13 | |
All right? Don't get stressed about it. | 0:44:13 | 0:44:15 | |
Does that feel better? Yeah? | 0:44:15 | 0:44:17 | |
DRUMMING | 0:44:19 | 0:44:21 | |
DRUMMING GETS LOUDER | 0:44:34 | 0:44:36 | |
-Are you all right there? -Yeah. | 0:44:48 | 0:44:51 | |
I'm going to ask you to come up now and we're going to present some certificates. | 0:44:51 | 0:44:56 | |
All right? | 0:45:05 | 0:45:07 | |
Jess? | 0:45:07 | 0:45:09 | |
Do you want to go outside? | 0:45:12 | 0:45:15 | |
She's been struggling all the way through. | 0:45:43 | 0:45:45 | |
I think it's crowds. She doesn't like being in lots and lots of crowds and noise. | 0:45:45 | 0:45:49 | |
I think she tried her best to stay there, but she couldn't do it. | 0:45:49 | 0:45:53 | |
She's come so far - but yet, seeing this, she hasn't. | 0:45:53 | 0:45:58 | |
This is reality. | 0:45:58 | 0:46:00 | |
-Yeah, it is. -And that is hard. | 0:46:00 | 0:46:02 | |
She's got a long way to go. | 0:46:02 | 0:46:04 | |
I thought I'd come and speak to you guys, | 0:47:01 | 0:47:04 | |
just to reassure you that she's absolutely fine. | 0:47:04 | 0:47:06 | |
And actually, what she's done today is a significant stepping stone for | 0:47:06 | 0:47:11 | |
her in the future. She's made a choice this is too much. | 0:47:11 | 0:47:14 | |
She's left, she's kept herself safe and that is all we want from her, | 0:47:14 | 0:47:19 | |
to be able to manage her emotions. | 0:47:19 | 0:47:22 | |
I think maybe if we | 0:47:22 | 0:47:25 | |
don't focus any conversations on it. | 0:47:25 | 0:47:28 | |
But if you're OK, I can go and get Jessica. | 0:47:28 | 0:47:32 | |
Yeah. Right. | 0:47:32 | 0:47:34 | |
You've done brilliantly, OK? | 0:47:36 | 0:47:38 | |
Cool beans. I'll see you later. | 0:47:38 | 0:47:42 | |
Hello. I've got a present for you. | 0:47:42 | 0:47:45 | |
I've got a present for you. | 0:47:45 | 0:47:47 | |
Come here. | 0:47:47 | 0:47:49 | |
Fine. | 0:47:49 | 0:47:52 | |
-Oh! -How's that neck? -You've still got a bad neck, have you? | 0:47:52 | 0:47:56 | |
Yeah. It really hurts. | 0:47:56 | 0:47:58 | |
When she's having a good day, you wouldn't know she was ill. | 0:48:03 | 0:48:06 | |
On a good day. But when you see her now, | 0:48:06 | 0:48:08 | |
you can see she is genuinely a very, very poorly child. | 0:48:08 | 0:48:12 | |
And unless you can see crutches, or plasters or stitches, | 0:48:12 | 0:48:15 | |
people don't think they are ill, and she really is poorly. | 0:48:15 | 0:48:18 | |
It's frustrating because you know she does try her best, but, | 0:48:18 | 0:48:22 | |
for whatever reason, what goes in her head is stronger than what... | 0:48:22 | 0:48:25 | |
It's stronger than she is. | 0:48:25 | 0:48:27 | |
'Mood has varied today. | 0:48:37 | 0:48:38 | |
'I'm trying to cut down sugar from my diet, not only to lose some weight, | 0:48:40 | 0:48:43 | |
'but also for less chance of destabilising my mood. | 0:48:43 | 0:48:46 | |
'They are just waiting for a bed to become free.' | 0:48:49 | 0:48:51 | |
It's two days since Jade turned 18. | 0:48:53 | 0:48:55 | |
Jade's social worker, Tim, | 0:48:57 | 0:48:59 | |
is still waiting to be told if a bed will become available in an adult | 0:48:59 | 0:49:02 | |
unit, so she can moved. | 0:49:02 | 0:49:04 | |
Hi, Jade. Just had a phone call with the bed manager. | 0:49:07 | 0:49:10 | |
So we're still on hold. | 0:49:10 | 0:49:12 | |
As soon as I know something, I'll let you know. | 0:49:12 | 0:49:15 | |
OK? | 0:49:15 | 0:49:17 | |
I'm literally having to put my life on hold at the minute. | 0:49:17 | 0:49:20 | |
Can't make any plans. | 0:49:20 | 0:49:21 | |
It's all down to beds, discharges, emergency admissions. | 0:49:21 | 0:49:26 | |
How are you feeling? | 0:49:28 | 0:49:30 | |
A bit frustrated. | 0:49:31 | 0:49:33 | |
A bit worried. Still apprehensive. | 0:49:33 | 0:49:36 | |
Just longing out the process. | 0:49:36 | 0:49:38 | |
I'm glad I get to stay here a bit longer, | 0:49:40 | 0:49:42 | |
but it's still a bit annoying that I don't know when I'm going, | 0:49:42 | 0:49:45 | |
I don't know where I'm going. | 0:49:45 | 0:49:47 | |
-So, going to just use an ordinary bowl, is that OK? -Yeah. | 0:49:50 | 0:49:54 | |
Thank you. | 0:49:54 | 0:49:55 | |
150. | 0:49:55 | 0:49:58 | |
Put that into there. | 0:50:00 | 0:50:02 | |
-Jade, I've just had a call from a unit... -Yeah. | 0:50:04 | 0:50:09 | |
..and they have a bed available this afternoon. | 0:50:09 | 0:50:11 | |
Transport is going to be available around about half two, | 0:50:11 | 0:50:15 | |
OK? So, all a bit quick. | 0:50:15 | 0:50:17 | |
-Half-past two? -Yeah. -OK. | 0:50:17 | 0:50:20 | |
Thanks. | 0:50:20 | 0:50:22 | |
There's a bed free at two o'clock. | 0:50:22 | 0:50:25 | |
Well, there's a bed free now and transport's booked for two, | 0:50:25 | 0:50:30 | |
so I think that's it. | 0:50:30 | 0:50:33 | |
I don't know. That's all I really heard, to be honest. | 0:50:33 | 0:50:35 | |
-Are you in a bit of shock? -Yeah. | 0:50:37 | 0:50:40 | |
I guess it's kind of, like, I knew I was going, | 0:50:42 | 0:50:44 | |
but I didn't know I was actually going until... | 0:50:44 | 0:50:46 | |
I was actually going. | 0:50:47 | 0:50:50 | |
How long have you got? | 0:50:50 | 0:50:52 | |
An hour? | 0:50:52 | 0:50:54 | |
I don't feel like I'm prepared... | 0:50:54 | 0:50:55 | |
..for anything. | 0:50:58 | 0:50:59 | |
This needs to go home to my mum, all of that needs to go home, | 0:51:10 | 0:51:13 | |
so I need a bin bag, preferably. | 0:51:13 | 0:51:15 | |
-Kiri. -Hello. | 0:51:21 | 0:51:23 | |
Can you put that in the trolley whilst I get my stuff together? | 0:51:23 | 0:51:25 | |
Thank you. | 0:51:25 | 0:51:27 | |
Careful. Have you lost it? | 0:51:27 | 0:51:29 | |
I don't know how it can get lost but it was here. | 0:51:30 | 0:51:33 | |
Jesus Christ! | 0:51:33 | 0:51:35 | |
Come on, then, ladies, let's go. | 0:51:36 | 0:51:39 | |
Just the next step to where you need to be, yeah? | 0:51:39 | 0:51:42 | |
Take care, Jade. | 0:51:42 | 0:51:45 | |
Pretty much that. | 0:51:47 | 0:51:49 | |
It's going to be very different because you've got to get used to | 0:52:00 | 0:52:03 | |
different nurses, | 0:52:03 | 0:52:06 | |
a different system. | 0:52:06 | 0:52:08 | |
It's the fear of not knowing what's around the corner. | 0:52:08 | 0:52:11 | |
I want her to just lead a normal life, | 0:52:13 | 0:52:17 | |
go to college, go out with her friends, | 0:52:17 | 0:52:20 | |
do what everyone else her age is doing. | 0:52:20 | 0:52:22 | |
She should be happy, | 0:52:22 | 0:52:26 | |
and where she will be independent, | 0:52:26 | 0:52:28 | |
and whilst she's going to a hospital, | 0:52:28 | 0:52:30 | |
and I find that very hard. | 0:52:30 | 0:52:33 | |
It's a sad but happy day. | 0:52:44 | 0:52:46 | |
I've relied on hospital for a year of my life. | 0:52:52 | 0:52:55 | |
-Morning. -Are you excited? | 0:52:57 | 0:52:59 | |
-Yeah. -What time are you actually going? -12. | 0:52:59 | 0:53:02 | |
People will probably be thinking, like, "Oh, you're going home, | 0:53:02 | 0:53:06 | |
"it's not that big of a deal," | 0:53:06 | 0:53:08 | |
when, for me, it's like the biggest deal. | 0:53:08 | 0:53:12 | |
It's several banners, you cut it up. | 0:53:15 | 0:53:17 | |
You're an idiot. | 0:53:17 | 0:53:18 | |
Oh, sorry. Grace, go and get me some scissors. | 0:53:19 | 0:53:22 | |
-Please. -She's been waiting for this day | 0:53:22 | 0:53:24 | |
and, now it's here, it's just a whole big ball of different emotions. | 0:53:24 | 0:53:30 | |
I just couldn't sleep. | 0:53:30 | 0:53:31 | |
I am going to be worried about Erin being on her own, | 0:53:34 | 0:53:37 | |
having access to all the things she had access to before. | 0:53:37 | 0:53:41 | |
She's still on her way to recovery. | 0:53:41 | 0:53:44 | |
Leaving hospital is just part of that recovery. | 0:53:44 | 0:53:48 | |
-Good luck, dude. -Thank you. | 0:53:48 | 0:53:49 | |
-All the best, all right. -Cheers. -Good luck, Erin. | 0:53:49 | 0:53:53 | |
You've been amazing. You should be really proud of yourself. | 0:53:53 | 0:53:56 | |
Nearly there, Gracie. | 0:53:57 | 0:53:58 | |
The fact that Erin's coming home, like, | 0:54:00 | 0:54:02 | |
she's getting better, so it's making me feel better. | 0:54:02 | 0:54:06 | |
I desperately hope it goes well | 0:54:06 | 0:54:08 | |
because I can't cope another few months, it's already been a year. | 0:54:08 | 0:54:13 | |
It will have a major effect, I know it will on Mum, | 0:54:13 | 0:54:15 | |
I know it will on Dad, and it will definitely have a major effect on me. | 0:54:15 | 0:54:18 | |
I'm sorry, I can't keep it in! | 0:54:53 | 0:54:57 | |
Thank you. | 0:55:12 | 0:55:14 | |
See you. | 0:55:24 | 0:55:27 | |
Bye... | 0:55:31 | 0:55:33 | |
My face looks really fat in this. | 0:55:45 | 0:55:47 | |
-Yeah, so does mine, go for it. -No, it doesn't! | 0:55:47 | 0:55:49 | |
Quick, before I lose my pout. | 0:55:55 | 0:55:58 | |
Recovery isn't perfect and I didn't want to recover for a long time. | 0:55:58 | 0:56:02 | |
But right now... | 0:56:03 | 0:56:04 | |
You know, I'm OK. | 0:56:05 | 0:56:07 | |
Will you always have a mental illness, Jade? | 0:56:07 | 0:56:11 | |
I feel like I will. | 0:56:11 | 0:56:12 | |
I hope that I won't, | 0:56:12 | 0:56:14 | |
but I'm probably going to be having psychology for the rest of my life, | 0:56:14 | 0:56:18 | |
and I'm OK with that. | 0:56:18 | 0:56:21 | |
I'm going to have moments when I'm not well and I relapse, but... | 0:56:21 | 0:56:26 | |
I've just got to pick myself up again, and that is my hope, | 0:56:26 | 0:56:29 | |
that I do that, that I keep picking myself back up and just | 0:56:29 | 0:56:32 | |
don't give up. | 0:56:32 | 0:56:34 | |
I know, put your notebook inside your folder. | 0:56:36 | 0:56:38 | |
-OK. -That way, you won't need the extra... | 0:56:40 | 0:56:43 | |
Now I can be open and honest with my parents, I can tell them anything, | 0:56:47 | 0:56:50 | |
if I'm struggling. | 0:56:50 | 0:56:52 | |
I think if I hadn't gone into hospital... | 0:56:53 | 0:56:55 | |
..there's a possible chance | 0:56:57 | 0:56:59 | |
I may have taken my own life. | 0:56:59 | 0:57:01 | |
Which is... | 0:57:05 | 0:57:07 | |
..scary. | 0:57:07 | 0:57:09 | |
And you don't feel like that any more? | 0:57:14 | 0:57:16 | |
No, I feel completely different now. | 0:57:16 | 0:57:20 | |
What's changed? | 0:57:35 | 0:57:37 | |
I don't know. | 0:57:37 | 0:57:39 | |
Just...turned round. | 0:57:39 | 0:57:41 | |
I guess I'm just using the skills more, | 0:57:43 | 0:57:45 | |
rather than going to self-harm. | 0:57:45 | 0:57:48 | |
But you're still going to have these bad emotions, | 0:57:48 | 0:57:50 | |
but you've kind of got to let them pass, | 0:57:50 | 0:57:52 | |
they're not going to be there forever. | 0:57:52 | 0:57:56 | |
People need to realise that there's a lot of people like Jessica around. | 0:57:56 | 0:58:01 | |
Jessica's been quite extreme with her illness, | 0:58:01 | 0:58:03 | |
but there are a lot of children there suffering and struggling. | 0:58:03 | 0:58:06 | |
There seems a lot of pressure on particularly teenage girls these days, | 0:58:06 | 0:58:09 | |
the way they should look and the way they should behave | 0:58:09 | 0:58:11 | |
and the way they should be. | 0:58:11 | 0:58:12 | |
I don't know whether it's down to pressures of life or social media. | 0:58:12 | 0:58:15 | |
I think that's to the detriment of society, really, I think. | 0:58:15 | 0:58:19 |