Girls on the Edge


Girls on the Edge

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This programme contains some strong language and some scenes which some viewers may find upsetting

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Teenage girls are self-harming more than ever before.

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Admissions to A&E have risen two-thirds in the past decade.

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I don't want people just to know me as "that girl with problems"

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or "the girl who self-harms".

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This is the story of three families

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whose daughters have been sectioned...

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I just thought, I'm your sister.

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You can't leave me behind.

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..away from home,

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as they go through the most crucial stage in their treatment.

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No-one is expecting you to recover overnight.

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It doesn't happen like that.

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-SOBS:

-Yeah, but it's took a year and a half, Mum!

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What's it like to face the reality

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of being unable to keep your child safe?

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It sounds daft as a parent not to know that your own daughter

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wants to hurt herself.

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You're waiting for that phone call to say that she's killed herself.

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Having to hand over responsibility to a secure hospital,

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not knowing when they'll return?

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I'm really hopeful this time that she's going to crack it

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and we're going to get her home.

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"22nd July, 2017. All day yesterday, I was quite emotional.

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"Thoughts are bad at the moment

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"and I'm struggling to just ignore them now."

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"Favourite songs at the moment - Space Oddity, David Bowie.

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"No Surprises, Radiohead."

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Jade is 17.

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She was detained under the Mental Health Act 18 months ago

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to protect her from harming herself.

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Can I have some Special K, please?

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-Thank you.

-That's all right.

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'She's one of 90 patients at Fitzroy House,

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a secure psychiatric hospital

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which treats some of the most unwell children in the country

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with complex mental illness.

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-Do you mind if I join you, Jade?

-No, come join.

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Why are you here?

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Um, it started getting bad when I was about 12.

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Um...

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..and then,

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I don't know, it's always been around.

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But I just thought it was normal.

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When I was in year ten,

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so by the time GCSEs had already started,

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I just looked completely miserable in my eyes.

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Like if you just covered my face, you would see no emotion in my eyes.

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And that's when I actually thought to myself, like, "Crap.

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"I can't keep going on like this."

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With your mental health then, have you been diagnosed?

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Yeah.

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Schizotypal personality disorder.

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It's a bit of a complicated one.

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I don't actually understand it myself.

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For me, it just means...

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..thinking things that may not necessarily be true.

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Like paranoid or delusional thoughts.

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I don't trust my own mind.

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Jade takes a mixture of antidepressants

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and anti-psychotic drugs to help stabilise her mood.

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Her treatment also involves regular group and individual therapy.

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Thank you.

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She's observed 24 hours a day

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and lives on a locked ward with seven others.

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She's not allowed to have access to social media

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and is supervised with risk items

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such as mirrors or glass.

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I guess to anyone else, if they came here for a day,

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it would be difficult, but I think we're just so used to it now,

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we're so used to having observations and knowing where we are

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and having the doors opened for us and having things locked away,

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it just becomes normal now.

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But I know when I first came into hospital, it was...a shock.

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It was a complete shock.

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What does it feel like being here, then?

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Um...

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It's nice that you get to be with other people kind of like you,

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but I kind of miss home and my family.

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I kept blaming myself.

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I went over about 50 different things.

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Is it me? Is it the divorce? Is it the move?

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Is it the change of schools? Is she being bullied?

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Is it self-esteem? Oh, dear.

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There was nothing to indicate, as she was getting older,

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that there was anything like this down the pipeline.

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Took me ages to walk past her room and not go, "Morning, Jade."

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Or knock on the door, going, "Get up."

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You forget that she's not here. She's not here at all.

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It sometimes just makes me choke up and then, if I do that,

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I sometimes just take myself out of the room

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because I feel it's better.

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I don't want to get myself too upset.

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It doesn't stop myself from crying,

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but we're all human and entitled to cry about things.

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I just don't like to show it a lot of the time.

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We've had bad times in here, we've had good times in here.

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We had one of the worst ones when Jade tried to...

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She put a ligature around her neck

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and I walked in on her with it around her neck.

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So then we phoned the unit and told them

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they were bringing her straight back.

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In some ways, is it a relief to have her in hospital?

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It sounds horrible, but yes.

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A big relief, and it's not saying that's shirking responsibility

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as a parent, but you kind of feel...

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..yeah, someone else is looking after her and...

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..they are doing far more than we ever could.

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Just finding photos.

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I think we must've took about a million photographs.

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At the time, they just looked exactly the same, obviously,

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with slightly different colour hair.

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Yes, I did the twin thing, dressing them up in identical clothing.

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What are you doing?

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LAUGHS

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They are completely different.

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Jade....

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Jade!

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Jade will just keep everything to herself and only say things

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if she feels appropriate.

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Hello, bubby.

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Megan's more forthright.

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Megan will say what she thinks

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whether people like her opinion or not.

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I think she just finds it very hard accepting where Jade is.

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Jade was going to be the one that goes to university,

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that goes to college, that gets an amazing job.

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I never thought that we'd be in this place right now

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and her being in hospital.

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Did you have any idea that she was unwell or did you...?

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No, not at all.

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I knew she had been spending...

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a lot of time in her room

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and obviously I thought nothing of it,

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because Jade's a very quiet person

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and obviously she never said anything to anyone.

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She never mentioned anything to anyone.

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She wasn't upset. She didn't look it.

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She didn't look like anything was wrong with her at all,

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but she'd been self-harming for a while.

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We didn't know how long.

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It got worse and worse as the months went on.

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I was heartbroken.

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Don't know, I just thought I was going to lose her.

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And obviously there'd be nights that I'd cry cos I'd think...

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..all these things that we done together...

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It's horrible.

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I don't visit her a lot any more

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because it hurts me looking at her.

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It's a horrible place to be.

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Like, all the people there that, you know,

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have attempted suicide, and I think,

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I don't think that's a good place for my sister.

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To me, it feels like she's in prison.

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# Ground control to Major Tom

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# Ground control to Major Tom... #

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Jade turns 18 next month and will have to move on from Fitzroy.

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Like a third of all patients here,

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her next step will be a secure hospital for adults,

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unless her medical team thinks she's ready to come off her section

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and be discharged.

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# And I think my spaceship knows which way to go... #

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I feel like, at the minute, I'm nearly ready

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to get out into the community

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and if I go to adults,

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I feel like it's just going to put me back a little bit.

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# Ground control to Major Tom

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# Your circuit's dead, there's something wrong... #

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They say that once you go into adults,

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you kind of get a bit stuck in the system.

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You can get institutionalised.

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I kind of want to start afresh and just get on with my life.

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-You can't do that.

-I can.

-You can't.

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You cannot put that on there.

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Jess is also 17

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and another patient at Fitzroy sectioned for her own safety.

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Some days, I'm really good. Some days, I'm really bad.

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There's no really in between.

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Really?

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Yeah. Very up and down.

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One minute, you're fine,

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the next minute, everything's going wrong.

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What do you struggle with, then?

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My emotions.

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Don't deal with them in the best way.

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Jess began self-harming in her first year at secondary school.

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Since then, she's been in and out of psychiatric units.

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You've been to how many different units, Jess?

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About eight or nine, probably.

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All over the country.

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Manchester, Woking, Kent,

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Southampton, Northampton, Torquay.

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So, first of all, we're going to start with

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you guys getting some of this, Post-it notes,

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and what I want you to do is brainstorm

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all the emotions that you can think of.

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Jess was transferred to Fitzroy seven months ago

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and her medical team are treating her

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for mixed disorder of conduct and emotions.

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So this is the first goal of the session,

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to be able to name your emotions.

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The main part of Jess's treatment plan is DBT -

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dialectical behaviour therapy -

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which helps her develop new ways of coping with her emotions

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so they don't become overwhelming.

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I want you to pick what is the one emotion that you find the hardest.

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I want you to pick it up when you find it.

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So we've got over here - "guilty," "ashamed,"

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so we're looking at how we can change our emotion

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once it's started.

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None of the patients know when they will be able to go home.

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Most are on sections which are formally renewed every six months.

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Jess has decided to contest her renewal.

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Her case will be heard by an impartial panel of volunteers

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specially trained in the Mental Health Act.

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How do you feel about being on section, Jessica?

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I don't really want to be.

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You don't want to be on section?

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So that sort of indicates to us that you're contesting the section.

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Is that right?

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You said that you don't want to be on section any more.

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Could you just tell me why not?

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I don't know. I just feel like I'd be able to get a bit further, like,

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outside the hospital, like, going to college.

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Sophie, can you give us an update, please?

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I've known Jess since she was first admitted.

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Initially engaged quite frequently in serious self-harm behaviours

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that we were quite concerned about.

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Now she's made progress but her risk is still there and obviously there

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was the episode of Jess attempting to abscond from St Andrews.

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During that incident, she was quite difficult to manage

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and it took about two-and-a-half hours to get her back to the ward.

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Jessica, our opinion is, from what we've heard,

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the criteria for detention is met and we feel that you are doing well

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here and need to remain, so that you can continue to improve.

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Thank you for coming along. You've done really well, Jessica.

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I wasn't expecting to get taken off my section

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but then there's part of me thinking maybe I would.

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It's easy to get in, hard to get out.

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Jess's parents have only had their daughter home for 14 months in the past five years.

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We've missed so much of her growing up

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and all we get is 48 hours at the weekend.

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With no secure hospital for children in their county,

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they've always had to travel to visit her.

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They currently do a 300-mile round trip to Northampton every weekend.

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When Jessica first went in the unit, she was 13 years old.

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To be that far away from your family...

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Jess is the youngest of four siblings.

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You sign that to say that you haven't got anything on you.

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This is the first time her brothers have been able to visit in three months.

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They've got a couple of, well, they are called meeting rooms off the ward

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and that's as far as you go.

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You don't see what they do all day.

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We haven't actually seen her room.

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We never ever wanted to put her in a unit in the first place

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and we did fight really hard to keep her at home,

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but it just got to the stage where we couldn't keep her safe any more,

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so we had no option.

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We had a meeting with the consultant and they said,

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"What do you want, Jessica?"

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And she said, "I want to go home."

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And he said, "So what will you do when you get home?"

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And she said, "Kill myself."

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And then she was sectioned.

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It was the worst day of my life.

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She started with anorexia. And then she progressed from there.

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Everything was locked away at home and then we had the kind of overdoses,

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anything she could get her hands on really.

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She drank bleach a couple of times.

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Banging her head against the wall.

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She came home one weekend on leave

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and she tried to throw herself out of the car.

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Her imagination for harm is just unbelievable.

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Had you ever felt at risk of her actually following through

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-with some of this?

-Oh, very much so.

-Yeah, very much.

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-I can't... We can't believe that she's still alive today.

-Mmm.

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Who's this?

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I think the one who is most affected is Sam, because he's been

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at home the whole time.

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She was in Woking when he was doing his GCSEs.

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I mean, he did his revision for that in the back of the car on the way to Woking and back.

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Are you all right?

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It's difficult for her and it's difficult for us to understand what she's going through.

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She's just been...

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stuck in a confined space

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for nearly a year now.

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She hasn't had much contact.

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We'd all prefer to have her at home.

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What have I got to do?

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You've got to collect four fours, three threes.

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Got any jacks, Jess?

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-Have I got any jacks?

-Yeah, yeah, jacks.

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I haven't been out in a really long time.

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I get a bit scared.

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I panic.

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Anything could happen.

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One queen.

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Jess is currently not allowed to leave the secure setting of

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the hospital. The last time staff took her out on the grounds,

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she panicked and tried to run away.

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She's terrified of being in the real world.

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Large crowds, she can't do.

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To Jess,

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Joe Bloggs walking down the street is a terrorist, or a murderer.

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It's got a lot worse since she's been in because they are taken out of the real world.

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Do you ever ask yourself, "Why Jess?"

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Oh, why Jess? Yeah. All the time.

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And are there any answers the doctors have been able to give you?

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Nobody knows why.

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I'm hoping that this hospital is the one that sorts her out.

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A lot has happened since the end of last month and it's only been a week.

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I'm losing control again.

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I can't see any sign of hope,

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light or a future with a sense of wellbeing.

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It's just two weeks until Jade turns 18.

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Her medical team have told her that she'll be moving

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to an adult secure unit.

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They say she's not ready, she should still be in a hospital

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but in adult services, and with that,

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because you can't guarantee what age you are going to be put in with.

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bearing in mind she's only 18,

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a lot of time, they don't distinguish between an 18 and an 80-year-old.

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What are you worried about?

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That she could go downhill.

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That we could lose all the hard work that's been put into

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these last few months.

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That she's not going to want to do anything.

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I don't know. Just all manner of feelings.

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It's really difficult.

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Sorry.

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Fitzroy is just half an hour's drive for Clare,

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but when Jade turns 18, she'll be moved to an available bed

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which could be anywhere in the country.

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Hello, sweetheart.

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-Hello, Mum.

-Are you all right?

-Yeah.

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Are you tired?

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Yeah? Me too.

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Shall we go outside?

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I don't know how this is going to go.

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I couldn't eat lunch today because I was just thinking about it.

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I was thinking what the fuck is going to happen?

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I just feel like I've let you down so much because...

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-You haven't let anyone down.

-I was saying to Jane as well,

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I literally feel like I've just let everyone down because I wasn't

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listening to everyone at the start, but I'd got to the point where I was listening,

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and it was too late by that time and now I'm going into adult and I

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-feel like I've let everyone down.

-You haven't let anyone down.

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Look at me. Look at me.

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-Look at me.

-I can't, Mum.

-Jade!

-I can't, I can't.

0:20:480:20:50

Jade! You haven't let anyone down.

0:20:500:20:53

I'm sorry.

0:20:580:21:00

-Why are you sorry?

-I feel like I've let you down.

0:21:000:21:02

Jade! Stop saying that.

0:21:020:21:04

I was only meant to be in here for like, what? Two months?

0:21:040:21:07

No-one's expecting you to recover overnight.

0:21:070:21:10

It doesn't happen like that.

0:21:100:21:12

But it's took a year-and-a-half, Mum.

0:21:120:21:13

It's not your fault. You're doing all you can

0:21:130:21:16

to get yourself off the section.

0:21:160:21:20

Stop saying you've let me down, because you haven't.

0:21:200:21:25

Across the country, adult inpatient beds have been cut.

0:21:290:21:32

The number of patients treated out of their local area

0:21:340:21:36

has gone up by 40% in two years.

0:21:360:21:40

I'm hoping it's going to be within this area,

0:21:400:21:44

but it could be outside of the county, as well.

0:21:440:21:48

There's no definites at the minute.

0:21:480:21:51

The only definite is that I'm going to adult and that's it.

0:21:510:21:55

That's not a particularly great definite.

0:21:570:21:59

PHONE RINGS

0:22:060:22:08

Hello?

0:22:100:22:12

Hello, darling.

0:22:120:22:14

-Hello?

-Are you all right?

-I'm all right.

0:22:140:22:17

We're coming up today but I don't know whether we'll make it before the end of visiting time.

0:22:170:22:22

-That's cool.

-We'll come in tomorrow.

0:22:220:22:24

-That's fine.

-Yeah? OK.

0:22:240:22:26

OK, love you. Bye. Bye.

0:22:260:22:29

OK. Love you too. Bye, bye, bye, bye, bye.

0:22:290:22:32

That's the last picture I've got with her arms like that.

0:22:400:22:44

It was about three months after that was taken that I got a phone call

0:22:460:22:50

from the school to say that she'd self-harmed.

0:22:500:22:53

She started on her belly to start off with and then,

0:22:550:22:59

then she went to her arms.

0:22:590:23:01

Looking back, there were signs, but at the time,

0:23:040:23:07

she'd say she had a migraine so she didn't have to go to school.

0:23:070:23:11

And within an hour or two, she'd be fine.

0:23:110:23:13

Why was she avoiding school?

0:23:130:23:15

Because of the bullies.

0:23:150:23:17

They were calling her fat and chubby and...

0:23:170:23:21

And things like that.

0:23:220:23:24

I think it was more verbal and mental bullying

0:23:240:23:28

than it was physical.

0:23:280:23:30

When I was a kid, you didn't have Facebook.

0:23:320:23:34

We didn't have phones.

0:23:340:23:35

Obviously, now you've got online bullying.

0:23:350:23:38

One thing that sticks in my mind about Jess,

0:23:400:23:42

in her bedroom, she had a desk clock-radio kind of thing

0:23:420:23:45

and she had the Sugababes song Ugly on repeat.

0:23:450:23:48

She was probably about nine, ten, 11 - that kind of age.

0:23:480:23:52

And it was constantly on, all the time.

0:23:520:23:54

You listen to the words and you think,

0:23:540:23:57

she was worried about the way she looked and the way she felt then.

0:23:570:24:00

It started off with the anorexia but what I can't get my head around is

0:24:020:24:06

how we went from an eating disorder

0:24:060:24:08

to suicide attempts.

0:24:080:24:11

I had a phone call from the police to stay that she was on the multistorey car park.

0:24:130:24:19

They managed to talk her down.

0:24:190:24:21

How old was Jess then?

0:24:240:24:26

12.

0:24:260:24:27

It's heartbreaking for her, really.

0:24:320:24:33

One, that I didn't pick up on it

0:24:360:24:37

and two, that she, you know, was that unhappy

0:24:390:24:43

and couldn't say.

0:24:430:24:45

I'm updating your social circumstance report

0:24:530:24:56

in light of your sectioning.

0:24:560:24:58

When Jess came to Fitzroy,

0:24:580:25:00

her parents handed over responsibility for her care,

0:25:000:25:04

from decisions about treatment to whether she's safe enough to go out.

0:25:040:25:08

-Hello.

-Hi.

-Sorry I was a bit late.

0:25:080:25:12

It's OK.

0:25:120:25:13

Jess's parents have fortnightly meetings with her psychiatrist, Ennis.

0:25:160:25:20

He will decide when she's ready to go home.

0:25:200:25:23

-We really do want to help her.

-Yeah, sure.

0:25:240:25:26

I don't understand it 100%,

0:25:260:25:28

but you have got to try and do the best for your child.

0:25:280:25:30

I've spent many years trying to understand the complexities of

0:25:300:25:34

these types of problems and I think, ultimately,

0:25:340:25:37

some of it is just incomprehensible.

0:25:370:25:39

You know, when you see your son or daughter, you know,

0:25:390:25:41

trying to severely harm themselves,

0:25:410:25:42

it's very hard to get your head around why that's happening,

0:25:420:25:45

but ultimately, the crucial bit is how you manage it.

0:25:450:25:48

-Can I go and get Jess, then? Is that all right?

-Yes.

-Yes.

0:25:480:25:51

Right. I'll be two seconds.

0:25:510:25:53

Hello, Missus.

0:25:540:25:56

-How are things?

-Not too bad.

0:25:570:25:59

I understand there's been some ups and downs, sometimes,

0:25:590:26:02

when things have been challenging,

0:26:020:26:04

sometimes when things have been really positive,

0:26:040:26:06

and general mood control at the moment. How's that been?

0:26:060:26:08

-It's not been too bad.

-It's not been too bad.

0:26:080:26:11

How do you feel that your mum and dad are coping with your mental state at the moment?

0:26:110:26:15

-I know they're in the room.

-All right.

0:26:150:26:18

Do you think you've changed as a person?

0:26:180:26:20

Do you think your brain's maturing or you're developing new coping strategies? Or...

0:26:200:26:24

-Something's changed.

-Something's changed?

-Mmm.

0:26:240:26:27

She's definitely through that very severe turmoil

0:26:270:26:30

sort of stage when she first arrived.

0:26:300:26:33

I've seen some of the strengths you've got

0:26:330:26:34

and I've seen the areas of challenge that you've got too.

0:26:340:26:37

We will have to give you leave again at some point.

0:26:370:26:39

We can't postpone it forever.

0:26:390:26:41

What would be the challenges for you going out on leave?

0:26:410:26:44

I don't know. Just getting back into socialising

0:26:440:26:47

with like big groups of people, crowds, yeah.

0:26:470:26:51

We don't expect that you're always going to feel great.

0:26:510:26:54

There will be times when your mood will be quite low and you will be

0:26:540:26:56

struggling, but it's how you manage them that's the crucial bit of it.

0:26:560:27:00

All right. Nice to see you all.

0:27:000:27:01

-OK.

-All right?

-Thank you.

0:27:010:27:03

-I shall see you later.

-Thank you, Ennis. Thank you very much.

0:27:030:27:06

-All the best.

-Thank you.

0:27:060:27:08

Today, I see quite a positive Jess.

0:27:080:27:10

Over the last few weeks,

0:27:100:27:11

she seems to have really come on and is working really hard,

0:27:110:27:16

and she's engaging with DBT, which seems to be helping.

0:27:160:27:21

But, then, Jess changes so quickly

0:27:210:27:23

that you can't get too complacent, really.

0:27:230:27:27

Right, girlies. Who is doing nails?

0:27:290:27:31

Me.

0:27:310:27:33

-What colour are your dresses, girls?

-Black.

0:27:330:27:36

Are you excited?

0:27:390:27:41

-Yeah.

-Is everyone going from your ward?

0:27:410:27:44

-Pretty much.

-Yeah.

0:27:440:27:46

Jess has decided to go to the hospital's prom.

0:27:460:27:49

Do you want me to pin this all up?

0:27:490:27:51

It's a chance to see how she'll cope with a large group of people.

0:27:510:27:54

Are you going for the whole two hours?

0:27:540:27:57

I dunno.

0:27:570:28:00

Makes you feel better when you've had your hair done, especially going to prom.

0:28:000:28:03

It's such a big thing.

0:28:030:28:04

I don't know. I never got a prom at school.

0:28:040:28:07

LOUD MUSIC AND CHATTER

0:28:110:28:14

Jess, can you hear me, love.

0:28:570:28:59

Jess, it's OK. Jess, it's OK.

0:28:590:29:02

Listen, I know it's really hard...

0:29:020:29:05

OK? But it's people that you know.

0:29:060:29:08

It's me and Tim. Nadine and Tim.

0:29:080:29:10

Just try and slow that breathing down for me.

0:29:100:29:12

Nice and slowly. OK.

0:29:120:29:15

Nice and slow.

0:29:150:29:17

It's OK.

0:29:170:29:19

No, Jess, no kicking.

0:29:190:29:21

Come on.

0:29:210:29:22

Let's get you standing up.

0:29:220:29:25

No, Jess. Come on.

0:29:250:29:27

Are you all right, Tim?

0:29:270:29:28

Jess, I'm going to put some ice in this hand.

0:29:280:29:31

Right, and I'm going to put a little bit on the back of your neck.

0:29:310:29:36

OK. Are you ready?

0:29:360:29:38

What do you reckon? Get up? That's it! Well done, mate.

0:29:410:29:44

-You're OK.

-Are you OK?

0:29:440:29:46

-Well done.

-Right, we're going to still help you, OK?

0:29:460:29:49

Well done, that's it.

0:29:520:29:54

It was really hot, really crowded, really loud.

0:30:050:30:07

I tried to keep pushing it all out of my head, all my worries, and stuff,

0:30:080:30:12

but then it just got too much.

0:30:120:30:14

I just panicked.

0:30:140:30:16

I just...

0:30:160:30:18

..went out of control.

0:30:180:30:20

Does that happen quite a lot?

0:30:200:30:22

Not as much as it used to.

0:30:220:30:24

You're going to go into the bathroom.

0:30:250:30:27

You're going to brush your teeth.

0:30:270:30:29

You've worked so hard. You finally think you're getting somewhere,

0:30:290:30:31

like you'll be able to get out of here soon.

0:30:310:30:34

And it all comes crashing back down.

0:30:340:30:36

The average stay for patients at Fitzroy is just over a year.

0:30:440:30:48

It's been horrible, like, being away from home,

0:30:490:30:52

being away from all my friends, like,

0:30:520:30:54

just being away from kind of real life.

0:30:540:30:56

Erin is 16.

0:30:570:30:59

She's being treated for depression,

0:30:590:31:01

anxiety and mixed disorder of conduct and emotions.

0:31:010:31:04

ALARM RINGS

0:31:040:31:06

It's always hard when the ward's unsettled because a lot of the issues people are

0:31:230:31:27

having, like, you've been in that situation before.

0:31:270:31:30

Sometimes you do kind of think of having incidents again.

0:31:300:31:34

We start by looking at what expectations are for skills training.

0:31:370:31:40

Who'd like to read the first one?

0:31:400:31:42

-I'll read the first one?

-Go on, then.

0:31:420:31:44

Each member must be attending ongoing, individual therapy.

0:31:440:31:47

Members should not discuss past suicidal behaviours

0:31:470:31:51

with other members outside of the session.

0:31:510:31:53

Like Jess, Erin is being helped to cope when she is distressed,

0:31:530:31:58

so she doesn't self-harm when her feelings become unmanageable.

0:31:580:32:01

Has anybody got any examples of when they've been in one of these mind states?

0:32:010:32:05

I've got one when I was in reasonable mind.

0:32:050:32:08

-Yeah?

-So, the ward's been quiet and settled at the minute, and, like,

0:32:080:32:12

I've been thinking through, like, whether or not, like,

0:32:120:32:16

to join in and stuff, so, I'm thinking of all the reasons why I shouldn't.

0:32:160:32:22

-Like, the logic?

-Yeah.

0:32:220:32:25

How did you end up being someone who needed hospital treatment?

0:32:250:32:28

Er, well, I don't really know

0:32:290:32:32

how to like start with it, really, because,

0:32:320:32:36

like, it built up over time.

0:32:360:32:38

Things kept happening. So I got bullied at my school,

0:32:380:32:41

so I had to move schools. Then after I moved schools,

0:32:410:32:44

my mum and dad split up and it was all like that.

0:32:440:32:48

It was, like, all had a domino effect.

0:32:480:32:49

Everything just kept getting worse and then it built up over time.

0:32:490:32:53

Then, I did just crack.

0:32:530:32:56

Erin hid her mental illness until she had a mental breakdown at her friend's party.

0:32:570:33:01

She was taken to A&E and was sectioned four weeks later.

0:33:050:33:08

It feels so much different to how I felt then, like,

0:33:080:33:13

that was the first time at that party that anybody had any idea that

0:33:130:33:17

I was actually struggling, myself.

0:33:170:33:20

Like, I'd never...

0:33:200:33:21

Nobody had ever seen me like that, or anything.

0:33:210:33:24

I just felt very alone.

0:33:250:33:28

It's a bit deep.

0:33:280:33:30

But I didn't want to be alive any more.

0:33:300:33:33

Hello. Can we have two phones, please?

0:33:380:33:41

Thank you.

0:33:430:33:44

Take your pick.

0:33:440:33:46

Right.

0:33:460:33:48

Are you ready?

0:33:480:33:50

Erin hasn't self-harmed in over two months.

0:33:500:33:53

I've had a lot of support, so,

0:33:530:33:54

talking to staff has been the main thing for me.

0:33:540:33:58

I'm definitely being more open.

0:33:580:34:00

Like, I can talk about how I'm feeling.

0:34:000:34:02

Now her medical team and parents agree she's ready to start working

0:34:030:34:07

towards going home.

0:34:070:34:08

-Do you want me to just leave you here?

-What? Yeah.

-Sure?

-Yeah.

0:34:080:34:11

-OK. I'm going to walk down this way.

-OK.

-Have a good time.

-Yeah, will do.

0:34:110:34:15

Her first step is a trip out with staff.

0:34:150:34:17

And today, for the first time in a year,

0:34:180:34:20

she's having half an hour on her own.

0:34:200:34:22

To help me cope through things,

0:34:240:34:26

I always just think of what effect it will have on me in the future.

0:34:260:34:30

I'm desperate to go home.

0:34:310:34:33

They're so nice. They'd sell them at Kinghead.

0:34:380:34:41

Oh, they do milkshake.

0:34:410:34:43

-Can't we have an Indian?

-No!

0:34:430:34:45

"Can we have an Indian!"

0:34:450:34:47

From what we've learned,

0:34:470:34:50

Erin was feeling like there was no future for her.

0:34:500:34:53

You get angry with yourself

0:34:530:34:55

and think, "How did I not know?"

0:34:550:34:57

"How could I not see this?"

0:34:570:34:59

But, she just hid it.

0:35:000:35:03

You know, I think the effect it's had on the family, as a whole,

0:35:030:35:06

has been huge.

0:35:060:35:08

Her younger sister. She's autistic.

0:35:080:35:10

She doesn't cope particularly well with change.

0:35:100:35:13

She's seen some things that have been awful.

0:35:130:35:15

It happened in one. It wasn't like gradual to me.

0:35:170:35:20

Like, one minute she was Erin

0:35:200:35:21

and then she was this.

0:35:210:35:23

She as....

0:35:230:35:25

Someone else.

0:35:250:35:26

She was pulling her hair out, screaming,

0:35:280:35:31

like, saying, "She's behind me."

0:35:320:35:34

"She's behind me. She's following me."

0:35:340:35:37

And then she just started saying, "She sits on the end of my bed,"

0:35:370:35:40

talking about this girl with black hair who follows her around,

0:35:400:35:43

who makes herself self-harm

0:35:430:35:47

and she said that she tried to

0:35:470:35:51

end her life. She tried to hang herself

0:35:510:35:54

and she was crying and I just didn't know what to do.

0:35:540:35:57

And it was a horrible night.

0:35:570:36:00

What's it been like without Erin here, then?

0:36:000:36:03

I've been struggling a lot more.

0:36:030:36:04

I went through a phase of not going to school for two months because I

0:36:060:36:08

just couldn't get up in the mornings.

0:36:080:36:11

I feel like bad for telling Mum and Dad when things are wrong,

0:36:120:36:16

because they've already got a lot on.

0:36:160:36:18

Erin needed more help and needed the support more than I did.

0:36:180:36:22

# Happy birthday to you.

0:36:320:36:35

# Happy birthday to you

0:36:350:36:37

# Happy birthday dear Megan.

0:36:370:36:40

# Happy birthday to you. #

0:36:400:36:43

Blow 'em out.

0:36:430:36:45

One, two, three, blow.

0:36:450:36:48

Yay!

0:36:480:36:50

Well done.

0:36:500:36:52

What did Jade say?

0:36:520:36:54

'To Megan, on our 18th,

0:36:540:36:56

'thank you for always being yourself.

0:36:560:36:58

'I'm sorry for not being able to spend this birthday with you.

0:36:580:37:01

'Endless amount of love, Jade.

0:37:010:37:03

'PS - try not to get too hammered.'

0:37:030:37:05

And I did get too hammered!

0:37:050:37:08

Megan, you said you were not going to get to the stage where you were off your trolley.

0:37:080:37:12

I had Malibu and Coke last night.

0:37:120:37:14

No, Malibu and lemonade.

0:37:140:37:16

I had a double Malibu and lemonade, then a single Malibu,

0:37:160:37:19

-then a double vodka, two double vodkas and Coke...

-Megan. Megan.

0:37:190:37:22

Then two double vodkas and a Monster.

0:37:220:37:24

MUSIC FROM PHONE

0:37:240:37:26

Was that you on the left-hand side?

0:37:270:37:29

I don't know.

0:37:290:37:30

I don't even remember that.

0:37:320:37:33

Did you not think about forks?

0:37:350:37:37

No, I just thought you could shove it in your mouth!

0:37:370:37:40

I love icing.

0:37:420:37:44

If you want to come, it would be really nice.

0:37:470:37:49

Because this is Jade's very last weekend on the unit,

0:37:510:37:55

because officially she's an adult.

0:37:550:37:56

I'll probably stay here.

0:37:560:37:58

Oh, Megs!

0:37:580:38:00

-No, I will.

-No.

0:38:000:38:02

-But...

-But, what.

0:38:020:38:05

-I'm hanging.

-..a raging hangover.

0:38:050:38:06

I know you're hanging but that's your own fault, isn't it?

0:38:060:38:10

Me and Megan are so different and you wouldn't even think that we were sisters.

0:38:130:38:17

She is my...

0:38:190:38:21

I know it sounds cheesy, but like my main reason to recover.

0:38:210:38:25

But I know that she doesn't like coming into the hospital.

0:38:250:38:29

-Are you all right?

-Yeah.

0:38:290:38:32

Megan was going to come but she's a bit hanging and she said,

0:38:350:38:38

thank you very much for her card.

0:38:380:38:40

We're going to call her later when we get out.

0:38:400:38:43

-That's fine.

-Sure?

-I knew she would be anyway.

0:38:430:38:45

I wasn't expecting her to come.

0:38:470:38:49

I can't imagine myself in her position.

0:38:490:38:52

I know when my friend was in hospital,

0:38:530:38:56

with me it was really difficult.

0:38:560:38:58

I found it really hard every time I found out she'd had an incident,

0:38:580:39:02

it really got to me and affected me and it properly put me down,

0:39:020:39:06

and I just hope that that's not the same for Megan.

0:39:070:39:10

I hope that that's not how she's feeling.

0:39:100:39:13

Now Jade's 18,

0:39:200:39:22

she's on a waiting list to be transferred to an adult hospital.

0:39:220:39:26

Do you think you're going to be moving tomorrow?

0:39:260:39:28

Maybe. Maybe not.

0:39:280:39:30

I could be moving tomorrow, could be moving Tuesday or Wednesday.

0:39:310:39:34

I don't know.

0:39:360:39:38

I'm feeling OK about it.

0:39:380:39:40

I don't know how OK I'm going to be about it tomorrow, but...

0:39:400:39:43

I don't know.

0:39:440:39:46

DOOR OPENS

0:39:510:39:53

Reception's down there.

0:39:530:39:57

It's six weeks since Erin's first trip out of hospital.

0:40:020:40:05

Hello.

0:40:050:40:07

Hi. I like your top. I have a black one.

0:40:070:40:10

Everyone feels she's ready for the next step -

0:40:110:40:14

a night back home.

0:40:140:40:15

All right. Front or back? Can we do rock, paper, scissors?

0:40:160:40:19

Rock, paper, scissors, shake.

0:40:190:40:21

Get in the back.

0:40:210:40:24

# She works the night, by the water...

0:40:240:40:27

# She's gonna stress

0:40:270:40:29

Stop it!

0:40:290:40:30

# So far away from her father's daughter... #

0:40:300:40:33

Erin's going for it. Look, Mum!

0:40:330:40:34

# She just wants a life for her baby

0:40:340:40:37

# All on her own, no-one will come

0:40:370:40:40

# She's got to save him

0:40:400:40:43

# She tells him, oh, love

0:40:430:40:45

# No-one's ever gonna hurt you, love...

0:40:450:40:47

Oh, you don't like it? Why are you singing it?

0:40:470:40:50

-You can't stop yourself.

-It's catchy.

0:40:500:40:52

'I'm honestly like just so excited about being at home.

0:40:540:40:58

'I've not been home in over a year.

0:40:590:41:01

'Like, there's a massive part of me that's just so anxious about it.

0:41:020:41:06

'I'm just worried I'm going to mess things up.'

0:41:090:41:11

Don't make me look stupid.

0:41:200:41:22

It just feels like things are starting to fall into place now and,

0:41:280:41:33

yeah, I'm actually starting to believe that this is it this time,

0:41:330:41:36

that she will come home.

0:41:360:41:38

Look around.

0:41:400:41:42

'In the first unit that Erin was in, we were building up to Erin being

0:41:420:41:46

'discharged and she'd had a couple of overnight stays,

0:41:460:41:50

'and she was staying overnight at her dad's

0:41:500:41:53

'and I got a phone call in the middle of the night saying,

0:41:530:41:55

"Can you come? Erin's taken an overdose."

0:41:550:41:58

'She'd managed to find some tablets.'

0:41:580:42:02

This is great.

0:42:020:42:04

I think it will be a long time before I can actually either

0:42:040:42:07

be out with her, or her out on her own

0:42:070:42:10

without me worrying really what's going on.

0:42:100:42:14

What's that like as her mum?

0:42:150:42:17

Terrifying.

0:42:210:42:23

Yeah, I'm terrified.

0:42:270:42:29

But she'll do it...

0:42:330:42:35

..because she's a fighter and she's strong.

0:42:360:42:39

Reasons to recover.

0:42:420:42:44

Babies.

0:42:440:42:46

YouTube, shopping, have a home, fall in love,

0:42:460:42:51

travel, Lush, first pet,

0:42:510:42:54

first caravan holiday.

0:42:540:42:56

My 18th.

0:42:560:42:58

I think Grace made this for me.

0:42:590:43:01

God, don't.

0:43:010:43:02

What's it say?

0:43:020:43:04

Through thick and thin.

0:43:040:43:06

My teacher said think of something that,

0:43:060:43:08

someone or something that inspires you.

0:43:080:43:10

She gave it me on my birthday.

0:43:100:43:12

Because I spent my birthday in hospital.

0:43:120:43:15

Grace, what does it feel like to have Erin back?

0:43:150:43:18

It's much better because actually waking up in the morning seeing her

0:43:180:43:22

snore her head off is much better than waking up

0:43:220:43:25

and seeing an empty bed.

0:43:250:43:27

And it's my sister, so it's like having,

0:43:270:43:30

like having my partner in crime back

0:43:300:43:33

and we can do things we used to do when we were little.

0:43:330:43:37

It Erin proves she can cope with more time at home,

0:43:400:43:42

she'll be allowed to leave hospital for good.

0:43:420:43:46

Hi, sweetheart. How're you doing?

0:43:560:43:59

It's two weeks since the prom.

0:43:590:44:01

Jess is seeing her parents at another get-together for patients.

0:44:010:44:05

The hospital's annual educational achievement day.

0:44:050:44:08

You don't have to go up.

0:44:080:44:09

Nobody has to go up.

0:44:090:44:11

People only go up if they want to.

0:44:110:44:13

All right? Don't get stressed about it.

0:44:130:44:15

Does that feel better? Yeah?

0:44:150:44:17

DRUMMING

0:44:190:44:21

DRUMMING GETS LOUDER

0:44:340:44:36

-Are you all right there?

-Yeah.

0:44:480:44:51

I'm going to ask you to come up now and we're going to present some certificates.

0:44:510:44:56

All right?

0:45:050:45:07

Jess?

0:45:070:45:09

Do you want to go outside?

0:45:120:45:15

She's been struggling all the way through.

0:45:430:45:45

I think it's crowds. She doesn't like being in lots and lots of crowds and noise.

0:45:450:45:49

I think she tried her best to stay there, but she couldn't do it.

0:45:490:45:53

She's come so far - but yet, seeing this, she hasn't.

0:45:530:45:58

This is reality.

0:45:580:46:00

-Yeah, it is.

-And that is hard.

0:46:000:46:02

She's got a long way to go.

0:46:020:46:04

I thought I'd come and speak to you guys,

0:47:010:47:04

just to reassure you that she's absolutely fine.

0:47:040:47:06

And actually, what she's done today is a significant stepping stone for

0:47:060:47:11

her in the future. She's made a choice this is too much.

0:47:110:47:14

She's left, she's kept herself safe and that is all we want from her,

0:47:140:47:19

to be able to manage her emotions.

0:47:190:47:22

I think maybe if we

0:47:220:47:25

don't focus any conversations on it.

0:47:250:47:28

But if you're OK, I can go and get Jessica.

0:47:280:47:32

Yeah. Right.

0:47:320:47:34

You've done brilliantly, OK?

0:47:360:47:38

Cool beans. I'll see you later.

0:47:380:47:42

Hello. I've got a present for you.

0:47:420:47:45

I've got a present for you.

0:47:450:47:47

Come here.

0:47:470:47:49

Fine.

0:47:490:47:52

-Oh!

-How's that neck?

-You've still got a bad neck, have you?

0:47:520:47:56

Yeah. It really hurts.

0:47:560:47:58

When she's having a good day, you wouldn't know she was ill.

0:48:030:48:06

On a good day. But when you see her now,

0:48:060:48:08

you can see she is genuinely a very, very poorly child.

0:48:080:48:12

And unless you can see crutches, or plasters or stitches,

0:48:120:48:15

people don't think they are ill, and she really is poorly.

0:48:150:48:18

It's frustrating because you know she does try her best, but,

0:48:180:48:22

for whatever reason, what goes in her head is stronger than what...

0:48:220:48:25

It's stronger than she is.

0:48:250:48:27

'Mood has varied today.

0:48:370:48:38

'I'm trying to cut down sugar from my diet, not only to lose some weight,

0:48:400:48:43

'but also for less chance of destabilising my mood.

0:48:430:48:46

'They are just waiting for a bed to become free.'

0:48:490:48:51

It's two days since Jade turned 18.

0:48:530:48:55

Jade's social worker, Tim,

0:48:570:48:59

is still waiting to be told if a bed will become available in an adult

0:48:590:49:02

unit, so she can moved.

0:49:020:49:04

Hi, Jade. Just had a phone call with the bed manager.

0:49:070:49:10

So we're still on hold.

0:49:100:49:12

As soon as I know something, I'll let you know.

0:49:120:49:15

OK?

0:49:150:49:17

I'm literally having to put my life on hold at the minute.

0:49:170:49:20

Can't make any plans.

0:49:200:49:21

It's all down to beds, discharges, emergency admissions.

0:49:210:49:26

How are you feeling?

0:49:280:49:30

A bit frustrated.

0:49:310:49:33

A bit worried. Still apprehensive.

0:49:330:49:36

Just longing out the process.

0:49:360:49:38

I'm glad I get to stay here a bit longer,

0:49:400:49:42

but it's still a bit annoying that I don't know when I'm going,

0:49:420:49:45

I don't know where I'm going.

0:49:450:49:47

-So, going to just use an ordinary bowl, is that OK?

-Yeah.

0:49:500:49:54

Thank you.

0:49:540:49:55

150.

0:49:550:49:58

Put that into there.

0:50:000:50:02

-Jade, I've just had a call from a unit...

-Yeah.

0:50:040:50:09

..and they have a bed available this afternoon.

0:50:090:50:11

Transport is going to be available around about half two,

0:50:110:50:15

OK? So, all a bit quick.

0:50:150:50:17

-Half-past two?

-Yeah.

-OK.

0:50:170:50:20

Thanks.

0:50:200:50:22

There's a bed free at two o'clock.

0:50:220:50:25

Well, there's a bed free now and transport's booked for two,

0:50:250:50:30

so I think that's it.

0:50:300:50:33

I don't know. That's all I really heard, to be honest.

0:50:330:50:35

-Are you in a bit of shock?

-Yeah.

0:50:370:50:40

I guess it's kind of, like, I knew I was going,

0:50:420:50:44

but I didn't know I was actually going until...

0:50:440:50:46

I was actually going.

0:50:470:50:50

How long have you got?

0:50:500:50:52

An hour?

0:50:520:50:54

I don't feel like I'm prepared...

0:50:540:50:55

..for anything.

0:50:580:50:59

This needs to go home to my mum, all of that needs to go home,

0:51:100:51:13

so I need a bin bag, preferably.

0:51:130:51:15

-Kiri.

-Hello.

0:51:210:51:23

Can you put that in the trolley whilst I get my stuff together?

0:51:230:51:25

Thank you.

0:51:250:51:27

Careful. Have you lost it?

0:51:270:51:29

I don't know how it can get lost but it was here.

0:51:300:51:33

Jesus Christ!

0:51:330:51:35

Come on, then, ladies, let's go.

0:51:360:51:39

Just the next step to where you need to be, yeah?

0:51:390:51:42

Take care, Jade.

0:51:420:51:45

Pretty much that.

0:51:470:51:49

It's going to be very different because you've got to get used to

0:52:000:52:03

different nurses,

0:52:030:52:06

a different system.

0:52:060:52:08

It's the fear of not knowing what's around the corner.

0:52:080:52:11

I want her to just lead a normal life,

0:52:130:52:17

go to college, go out with her friends,

0:52:170:52:20

do what everyone else her age is doing.

0:52:200:52:22

She should be happy,

0:52:220:52:26

and where she will be independent,

0:52:260:52:28

and whilst she's going to a hospital,

0:52:280:52:30

and I find that very hard.

0:52:300:52:33

It's a sad but happy day.

0:52:440:52:46

I've relied on hospital for a year of my life.

0:52:520:52:55

-Morning.

-Are you excited?

0:52:570:52:59

-Yeah.

-What time are you actually going?

-12.

0:52:590:53:02

People will probably be thinking, like, "Oh, you're going home,

0:53:020:53:06

"it's not that big of a deal,"

0:53:060:53:08

when, for me, it's like the biggest deal.

0:53:080:53:12

It's several banners, you cut it up.

0:53:150:53:17

You're an idiot.

0:53:170:53:18

Oh, sorry. Grace, go and get me some scissors.

0:53:190:53:22

-Please.

-She's been waiting for this day

0:53:220:53:24

and, now it's here, it's just a whole big ball of different emotions.

0:53:240:53:30

I just couldn't sleep.

0:53:300:53:31

I am going to be worried about Erin being on her own,

0:53:340:53:37

having access to all the things she had access to before.

0:53:370:53:41

She's still on her way to recovery.

0:53:410:53:44

Leaving hospital is just part of that recovery.

0:53:440:53:48

-Good luck, dude.

-Thank you.

0:53:480:53:49

-All the best, all right.

-Cheers.

-Good luck, Erin.

0:53:490:53:53

You've been amazing. You should be really proud of yourself.

0:53:530:53:56

Nearly there, Gracie.

0:53:570:53:58

The fact that Erin's coming home, like,

0:54:000:54:02

she's getting better, so it's making me feel better.

0:54:020:54:06

I desperately hope it goes well

0:54:060:54:08

because I can't cope another few months, it's already been a year.

0:54:080:54:13

It will have a major effect, I know it will on Mum,

0:54:130:54:15

I know it will on Dad, and it will definitely have a major effect on me.

0:54:150:54:18

I'm sorry, I can't keep it in!

0:54:530:54:57

Thank you.

0:55:120:55:14

See you.

0:55:240:55:27

Bye...

0:55:310:55:33

My face looks really fat in this.

0:55:450:55:47

-Yeah, so does mine, go for it.

-No, it doesn't!

0:55:470:55:49

Quick, before I lose my pout.

0:55:550:55:58

Recovery isn't perfect and I didn't want to recover for a long time.

0:55:580:56:02

But right now...

0:56:030:56:04

You know, I'm OK.

0:56:050:56:07

Will you always have a mental illness, Jade?

0:56:070:56:11

I feel like I will.

0:56:110:56:12

I hope that I won't,

0:56:120:56:14

but I'm probably going to be having psychology for the rest of my life,

0:56:140:56:18

and I'm OK with that.

0:56:180:56:21

I'm going to have moments when I'm not well and I relapse, but...

0:56:210:56:26

I've just got to pick myself up again, and that is my hope,

0:56:260:56:29

that I do that, that I keep picking myself back up and just

0:56:290:56:32

don't give up.

0:56:320:56:34

I know, put your notebook inside your folder.

0:56:360:56:38

-OK.

-That way, you won't need the extra...

0:56:400:56:43

Now I can be open and honest with my parents, I can tell them anything,

0:56:470:56:50

if I'm struggling.

0:56:500:56:52

I think if I hadn't gone into hospital...

0:56:530:56:55

..there's a possible chance

0:56:570:56:59

I may have taken my own life.

0:56:590:57:01

Which is...

0:57:050:57:07

..scary.

0:57:070:57:09

And you don't feel like that any more?

0:57:140:57:16

No, I feel completely different now.

0:57:160:57:20

What's changed?

0:57:350:57:37

I don't know.

0:57:370:57:39

Just...turned round.

0:57:390:57:41

I guess I'm just using the skills more,

0:57:430:57:45

rather than going to self-harm.

0:57:450:57:48

But you're still going to have these bad emotions,

0:57:480:57:50

but you've kind of got to let them pass,

0:57:500:57:52

they're not going to be there forever.

0:57:520:57:56

People need to realise that there's a lot of people like Jessica around.

0:57:560:58:01

Jessica's been quite extreme with her illness,

0:58:010:58:03

but there are a lot of children there suffering and struggling.

0:58:030:58:06

There seems a lot of pressure on particularly teenage girls these days,

0:58:060:58:09

the way they should look and the way they should behave

0:58:090:58:11

and the way they should be.

0:58:110:58:12

I don't know whether it's down to pressures of life or social media.

0:58:120:58:15

I think that's to the detriment of society, really, I think.

0:58:150:58:19

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