:00:06. > :00:16.How low, tonight, within the walls of Rampton, and Inside Out
:00:16. > :00:28.
:00:28. > :00:34.Just what happens inside this highly secure or psychiatric
:00:34. > :00:38.hospital has long been the subject of left and rumour. It was an
:00:38. > :00:42.asylum - and it has been portrayed as an asylum, or even a hugely
:00:42. > :00:45.expensive holiday camp where evil criminals are pampered. But what is
:00:45. > :00:49.the truth? For the first time in a generation, a TV crew has been
:00:49. > :00:54.allowed inside to make a film. We were not allowed to identify the
:00:54. > :01:04.patients we met were talk about the exact crimes they committed. John
:01:04. > :01:06.
:01:06. > :01:09.Holmes has been given this Rampton Hospital near the village
:01:09. > :01:17.of Woodbeck in Nottinghamshire is home to some of the most dangerous
:01:17. > :01:24.It is one of only three high- security psychiatric hospitals in
:01:24. > :01:30.the country. Most of the 350 patients have committed very
:01:30. > :01:34.serious crimes. No TV crew has been allowed inside this place for over
:01:34. > :01:44.18 years, but now Inside Out has obtained access to one of the most
:01:44. > :01:47.
:01:47. > :01:51.secretive and almost certainly most There are people here for mass
:01:51. > :01:57.murder. It is scary to think you are going to be in the same places
:01:57. > :02:06.that cannot person. My number one responsibility is to safeguard the
:02:06. > :02:16.public. It is really important to give hope, increasingly we are
:02:16. > :02:26.
:02:26. > :02:34.I came here because it has helped me realise what I was like. Stopped
:02:34. > :02:38.me from getting worse. It is not full of monsters, although people
:02:38. > :02:43.like to think it is. Rampton Hospital was opened nearly 100
:02:43. > :02:47.years ago, but it is now installed with 21st century high security.
:02:47. > :02:56.Because it has a long time since any TV crew was allowed in here and
:02:56. > :03:05.they were taking no chances. This is definitely the most stringent
:03:05. > :03:10.check-in I have experienced. I have filmed in Belize, prisons in
:03:10. > :03:18.America, and German prison, where they held members of the Red Army
:03:18. > :03:25.faction. This is definitely the most cake I have had to take out. -
:03:25. > :03:33.- kicked. I am holding everything up at the moment. Once inside, I
:03:33. > :03:43.asked the head of security about our sound man's confiscated kit.
:03:43. > :03:46.Blu Tac is a prohibited item. Celtic? Sellotape as well. --
:03:46. > :03:50.Sellotape. That patients here may be mentally ill, but highly
:03:50. > :03:54.ingenious. I was told Blu Tac could be used to make key impressions and
:03:54. > :03:57.stretched Sellotape could become a garotte. It is nearly 17 years
:03:57. > :04:00.since someone escaped from here. Two days before Christmas 1994,
:04:00. > :04:10.Paul Marshall, a rapist, used bootlaces to fashion a makeshift
:04:10. > :04:11.
:04:11. > :04:15.ladder. They are determined it won't happen again. The reasons for
:04:15. > :04:19.building a new fence round the hospital and all the new perimeter
:04:19. > :04:22.security is to make sure it doesn't happen. All that cost �25 million
:04:22. > :04:32.and includes a vast network of 900 CCTV cameras that monitor every
:04:32. > :04:34.
:04:34. > :04:40.move the patients make. I notice there are CCTV cameras all along
:04:40. > :04:47.the corridors. CCTV is integral to the safety and security of the
:04:47. > :04:53.wards. But no camera in here? not in the bedrooms. We checked the
:04:53. > :04:58.well-being of patients a minimum of every half are. And the intrusive
:04:58. > :05:01.nature of CCTV in the patients bedrooms means that we made a
:05:01. > :05:04.decision not to put it in the bedrooms. So, what is it like
:05:04. > :05:14.arriving at this grim and rather foreboding place for the first
:05:14. > :05:19.
:05:19. > :05:24.time? It was scary, because I was only a young lad. You sit there,
:05:24. > :05:29.and you do not know what to expect. People take things of you. You
:05:29. > :05:34.might have to defend yourself. If you are already suffering from
:05:34. > :05:37.problems, you do not want more problems on top of that. Gary was
:05:37. > :05:40.just 18 when he was transferred to Rampton from a young offenders'
:05:40. > :05:46.institution. He was an extremely violent drug user and was initially
:05:46. > :05:48.put in seclusion and guarded around the clock. Rampton houses some of
:05:48. > :05:55.the country's most notorious killers, including Beverley Allitt,
:05:55. > :05:58.the nurse who murdered four children in her care. And solemn
:05:58. > :06:02.murder, Ian Handley. But unexpectedly, Gary found some of
:06:02. > :06:11.these infamous patients most kind and helpful. I came here and some
:06:11. > :06:19.of them took us under their wing, kind of thing. That must have been
:06:19. > :06:27.a surprise. It was, yes. Some people have done nasty crimes and
:06:27. > :06:31.bad things. But mental illness is a funny thing, it can make you do and
:06:31. > :06:39.say things that you would not normally do. The people are not
:06:39. > :06:42.nasty in themselves, it is the honest. -- illness. In our short
:06:42. > :06:45.time inside Rampton, we saw no outbreaks of violence. But you
:06:45. > :06:48.certainly feel the threat of late, and that is something the staff,
:06:48. > :06:54.like ward manager Michael Joseph, are aware of. Let us say they have
:06:54. > :07:04.an argument with someone, instead of negotiating, they just resort to
:07:04. > :07:04.
:07:04. > :07:07.violence. To deal with certain situations. I get letters from some
:07:07. > :07:12.patients saying thank you and it is very rewarding when you hear that,
:07:12. > :07:17.that is what keeps me in the job. Knowing you are part of a system
:07:17. > :07:20.that has helped to improve a person's behaviour. A person who
:07:20. > :07:24.was once involved in a life of crime is no longer involved in a
:07:24. > :07:28.life of crime. At some stage they go out and contribute to society
:07:28. > :07:31.once again. That is not the first time you will hear people talk
:07:31. > :07:34.about hope and the prospect of leaving this place. But you have to
:07:34. > :07:39.keep reminding yourself that these patients are here because they pose
:07:39. > :07:43.a real danger to others and themselves. No more so than here in
:07:43. > :07:46.the Peaks ward, the unit for men with severe personality disorders.
:07:46. > :07:56.The rooms are sparse, but carefully designed with fittings and
:07:56. > :07:57.
:07:57. > :08:02.furniture. Everything is suicide safe. Let's have a look round. Tell
:08:02. > :08:06.us about the mattress. The mattress is covered in a material similar to
:08:06. > :08:14.what you might find on a bouncy castle. It is designed to resist
:08:14. > :08:21.ripping or tearing, heat. The bed base itself, specially designed,
:08:21. > :08:27.moulded glass-fibre, designed to withstand damage and attack. But
:08:27. > :08:33.also, important to provide a decent and comfortable might's sleep.
:08:33. > :08:37.even this peg is important. pressure and it would just bend
:08:37. > :08:43.down. Keeping 326 patients takes a lot of staff - nearly 2000 work
:08:43. > :08:46.here. And the clocking on shift in the morning is something to behold.
:08:46. > :08:52.Everyone has to undergo the same rigorous security check, day-in and
:08:52. > :08:56.day-out. The list of prohibited items is long. They will even take
:08:56. > :08:59.the chewing gum out of your mouth. But the work here is highly valued,
:08:59. > :09:09.even by those who thought they would never be seen dead in a place
:09:09. > :09:13.like this. I never envisaged working here. If you have had told
:09:14. > :09:16.me I would be working here, I would have laughed. The prospect of
:09:16. > :09:19.working with what he thought would be "mad monsters" wasn't very
:09:19. > :09:27.attractive, but now, David teaches computer skills on the Peaks ward.
:09:27. > :09:32.And amongst these very dangerous men, he has discovered a poet.
:09:32. > :09:35.is the latest one you have done? This is through the window. It is
:09:35. > :09:42.about searching for identity in someone else that replicates your
:09:42. > :09:51.own so you don't feel alone. Life is one of uncertainty. Lost souls
:09:51. > :10:01.on research. Behind the glass is curiosity. Patients are waiting for
:10:01. > :10:03.
:10:03. > :10:07.an image. An emotional FIFA. -- thief. When you build working
:10:07. > :10:14.relationships with these people, you get to see some snippets,
:10:14. > :10:18.little moments, of their struggle. And it puts things into context, it
:10:18. > :10:25.is very easy to blame the individual for something. But when
:10:25. > :10:29.you look far beyond that, there is usually other moments in their life,
:10:29. > :10:33.opportunities to stop that developing, which society has
:10:33. > :10:36.missed. As you navigate the labyrinth of locked doors and
:10:36. > :10:43.corridors in this place, you get used to the sight of single
:10:43. > :10:47.patients being escorted by groups of staff. Most prison inmates are
:10:47. > :10:54.not guarded this closely. In fact, there are six times more staff to
:10:54. > :10:58.patients in Rampton than your average jail. But this is not a
:10:58. > :11:07.prison, as they keep telling you, and have been doing so for a long
:11:07. > :11:12.time. This is Rampton. Target of intense criticism, the famous
:11:12. > :11:18.mental hospital invited us to make a full report. So that the world
:11:18. > :11:24.might see for itself. Rampton is not a prison, it is a mental
:11:24. > :11:27.hospital. It struck me when I saw it how much what he was talking
:11:27. > :11:33.about, I see as problems I have today in terms of how people
:11:33. > :11:36.perceive us. But the misconception that this is a prison where the mad
:11:36. > :11:39.and bad are banished still persists. Helped, no doubt, by the fact that
:11:39. > :11:43.some people have never forgotten a shocking TV expose made more than
:11:43. > :11:53.30 years ago. The Secret Hospital revealed brutal treatment of
:11:53. > :11:53.
:11:53. > :12:01.patients by staff. We used to kick him between the legs would boots on.
:12:01. > :12:04.It was survival. One bloke was literally stamping on his head.
:12:04. > :12:11.twisted one side underneath his here and they kept on twisting
:12:11. > :12:18.until the patient's face went purple. The film caused a big stir
:12:18. > :12:22.and triggered huge changes inside Rampton. It led to a whole change
:12:22. > :12:28.in the culture of the way we manage systems of high-security hospitals.
:12:28. > :12:32.That is what has led to the real change in the culture and Binnie
:12:32. > :12:36.into the 20th and now the 21st century, of the treatment that has
:12:36. > :12:39.happened. The hospital has been thoroughly modernised. It now costs
:12:39. > :12:46.�100 million a year to run this place, that means over �1,000 a
:12:46. > :12:50.week to care for each patient. it was my child in this hospital, I
:12:50. > :12:54.would want them to have the very best to treatment and appropriate
:12:54. > :13:02.accommodation. And that is the standard I have set myself and set
:13:02. > :13:10.And that is what this mother expects too. Every three weeks, she
:13:10. > :13:14.makes the long journey from home to visit her son. I have been coming
:13:14. > :13:20.here for more than 10 years. It takes three hours to come and go
:13:20. > :13:26.home. A very long day. It is a hospital, not a prison. But it is
:13:26. > :13:30.daunting to see people walking about with walkie-talkies wherever
:13:30. > :13:34.you go and whatever Dot you get into. It has to be unlocked and
:13:34. > :13:41.locked. It is frightening and I have not been in situations like
:13:41. > :13:47.that at all. For Mary, it all began with a police dawn raid on her home.
:13:47. > :13:53.I can still hear the noise of the police breaking down my front door.
:13:53. > :13:57.What seemed like 100 people dressed in white suits wandering around
:13:57. > :14:03.every conceivable place in at my house looking for what I thought
:14:03. > :14:10.was evidence. My son was not aware what he had done. He was in the
:14:10. > :14:18.middle of a psychotic episode. that one psychotic episode, Mary's
:14:18. > :14:24.son caused terrible loss to three generations of one family. My son
:14:24. > :14:30.was portrayed as a monster, a maniac who needed to go to prison
:14:30. > :14:36.with the key thrown away. He was my son, my flesh and blood. My life
:14:36. > :14:41.was threatened. My house was broken into and my car was damaged. I had
:14:41. > :14:47.to leave my house for six months. My neighbour took care of my house
:14:47. > :14:53.for me. I had to rely on friends and stare our friends that to this
:14:53. > :14:59.day do not know where my son is. are going to talk about
:14:59. > :15:02.communication and self-esteem. course, the families of victims
:15:02. > :15:07.endure a life sentence of suffering and may well struggle to accept the
:15:07. > :15:13.treatment now being offered to those who caused so much hurt.
:15:13. > :15:19.do we think Robert feels about himself? A bit frustrated.
:15:19. > :15:24.putting his point across very well. Are all patients treated like that?
:15:24. > :15:28.I think they are. They might have to live with some aspect of illness
:15:28. > :15:32.which cannot be treated like other parts but the challenge is to try
:15:32. > :15:38.and make carers and relatives and the individual feel somebody is
:15:38. > :15:44.making progress. Light at the end of the tunnel. I was just depressed.
:15:44. > :15:50.I could not talk. I was crying and hitting myself. I did not want to
:15:50. > :15:55.leave my room. But with psychology and stuff, I have gone through the
:15:55. > :16:01.rough to get to the smooth. I have come on massively and my team think
:16:01. > :16:11.I have as well. I would not be here without the team. I want to go out
:16:11. > :16:11.
:16:11. > :16:16.and live my life. I am a young lad, 23. I have been like this since 14.
:16:16. > :16:21.One of the psychiatrists who assessed by son is said to me, one
:16:21. > :16:30.a day, you will get your son back. One day, you will see your son
:16:30. > :16:36.Hands that day is nearly coming. I love and hope for that date. It is
:16:36. > :16:41.important to give hope. Increasingly, we are offering
:16:41. > :16:49.messages about recovery, not just in terms of symptoms of illness but
:16:49. > :16:53.in terms of getting better life back. Many of the patients are
:16:53. > :16:57.brilliant artists. They are skilled in areas where they have not had
:16:57. > :17:04.opportunities to work. It is wonderful to see they can produce
:17:04. > :17:14.these items. They are pleased with themselves as well. It is something
:17:14. > :17:16.
:17:16. > :17:19.Chris has been inside Rampton for over 20 years. He feared it could
:17:19. > :17:23.be a lot longer but now art has helped with his recovery and
:17:23. > :17:27.chances of moving to a less secure hospital. When are you do a picture
:17:27. > :17:30.and you look at it and you think, you have done that. The sense of
:17:30. > :17:37.achievement you feel inside of yourself gives a boost to your
:17:37. > :17:42.confidence and makes you want to do it more. But the critics of Rampton
:17:42. > :17:44.say it's all gone too soft, more like a holiday camp. There's even a
:17:44. > :17:52.twenty-metre swimming pool, gym, playing fields and Sky TV with all
:17:52. > :17:56.the sports channels. It is certainly not a holiday camp. How
:17:56. > :18:00.would you like to live in a ward full of people that have committed
:18:00. > :18:08.violent attentive? That is not being on holiday? Not my idea of
:18:08. > :18:14.holidays. He would have to come and see it yourself. It is not like
:18:14. > :18:22.Butlin's or whatever, like that. There are a lot of people kicking
:18:22. > :18:25.off all the time, hurting themselves and start. -- staff.
:18:25. > :18:27.patients have their own shop something else that infuriates
:18:27. > :18:32.those who liken Rampton to Butlins. But it's hardly a sumptuous
:18:32. > :18:39.emporium. What have you got? Confection, clothing, toiletries,
:18:39. > :18:44.get so. Magazines and CDs, stationery? Yes. What is the most
:18:45. > :18:54.popular? Probably chocolate. used to have cigarettes? But not
:18:55. > :18:55.
:18:55. > :18:58.any more. They've just banned protein shakes because some
:18:58. > :19:03.patients were bulking up their muscles a little too effectively.
:19:03. > :19:11.We can't sell anything shop. Any tins behind the counter with twin-
:19:12. > :19:20.cam polls. They cannot pick them up of the shop themselves. Pop history,
:19:20. > :19:27.glass, we used to have a glass jars but not any more. -- obviously.
:19:27. > :19:30.Behind the counter, it gets handed Most patients get a small allowance
:19:30. > :19:34.to spend here, but controversially some get almost a �100 a week
:19:34. > :19:43.disability living allowance. One patient at Rampton accumulated more
:19:43. > :19:48.than �12,000. I think it would be helpful to the patient to have it
:19:48. > :19:54.changed. Some people have too much money. We have problems around
:19:54. > :19:58.obesity. Particularly since we stopped smoking in the hospital,
:19:58. > :20:03.you have to wonder what money will be spent on. Some people spend it
:20:03. > :20:10.on sweets and that does not help the obesity problem. We would be
:20:10. > :20:14.much more comfortable if they did Strangely, after a few days here I
:20:14. > :20:24.felt I'd met some really good natured men... Gary came here as a
:20:24. > :20:25.
:20:25. > :20:28.teenager. Paul the poet and Chris the artist. Then you remind
:20:28. > :20:34.yourself that they probably carried out some despicable act of violent
:20:34. > :20:38.crime. And I wondered how the staff coped with that. We often deal with
:20:38. > :20:44.the offence part towards the end of the treatment process. But you are
:20:44. > :20:47.aware? Yes and in fact one of the unusual things about mental health,
:20:47. > :20:53.is he must know as much as you can about somebody before sitting down
:20:53. > :20:58.with them. It is easier to start without preconceptions most times
:20:58. > :21:04.but it is here in the background. Is it hard to divorce yourself
:21:04. > :21:08.about the terrible things they might have done? Again, that
:21:08. > :21:14.question about terrible things is an assumption. Sometimes terrible
:21:14. > :21:17.things have been done to the people that end up with us. Some people
:21:17. > :21:23.have had massive trauma and you have to be very professional and
:21:23. > :21:33.think, my job is to help this woman to move further romp. We work with
:21:33. > :21:36.the distress and we deal different At the women's unit we met Tina
:21:36. > :21:39.who's been here eight months. Life with an alcoholic partner pushed
:21:39. > :21:47.her over the edge and she turned very violent. She told us how
:21:47. > :21:54.they'd helped her. They have listened to me. They have made me
:21:54. > :22:02.have medication that I did need to stop my disorder. I am pleased that
:22:02. > :22:11.I came here. It has helped me realise what I was like. It has
:22:11. > :22:21.stopped me from getting worse. It is building be up to be a complete
:22:21. > :22:25.
:22:25. > :22:28.Just a few miles from the hospital is the village of Rampton. And
:22:28. > :22:33.tucked away at the back of the churchyard is a collection of
:22:33. > :22:39.simple tombstones. They belong to the patients that lived and died at
:22:39. > :22:45.the hospital, banished and forgotten. Now the average patient
:22:46. > :22:50.stays just eight years and some start a new life. Strolling with me
:22:50. > :22:54.outside the perimeter fence is Bill. He excelled at painting and he's
:22:54. > :23:04.now studying fine art at university. This is incredible, considering
:23:04. > :23:11.what he was like when he first set foot in Rampton. I got arrested for
:23:11. > :23:16.stabbing somebody. It was quite a horrific offence. I stabbed him
:23:17. > :23:22.quite a number of times and slashed him and head-butted him and hit him
:23:22. > :23:28.and put his head through a window. Bill eventually responded well to
:23:28. > :23:33.treatment, but at first put up violent resistance. Yes, I am a
:23:33. > :23:38.success. Given that I came here with a violent past. You were a
:23:38. > :23:46.monster, come on. I would not say a monster. I was angry, but not a
:23:46. > :23:51.monster. I was not the best behaved patient that they have ever had.
:23:51. > :23:58.But I took what was on the plate for me. What does it feel like to
:23:58. > :24:02.be on the outside of this offence? A lot better than inside. It is me
:24:02. > :24:12.satisfaction that I can stand here on the outside looking in this
:24:12. > :24:16.place. His placement a lot to me. We have got good staff here. --
:24:16. > :24:21.this place meant. But for those on the brink of leaving it can be
:24:21. > :24:31.traumatic. You have been here 20 years. What does it feel like to
:24:31. > :24:33.
:24:33. > :24:38.read? It will be a bit scary. -- depart? But the pain was strong.
:24:38. > :24:42.That fear of leaving is even harder to express if you're deaf. I have
:24:42. > :24:52.brought a couple of these pictures and wondered if you could tell me a
:24:52. > :24:57.
:24:57. > :25:02.bit about them. There are nine patients on the deaf ward. Paul is
:25:02. > :25:07.about to move on after 20 years. is about working together and
:25:07. > :25:14.knowing a bit more about him and we hope, he has been here a long time,
:25:14. > :25:22.we can move things forward. I am walking up to the edge. I am coming
:25:22. > :25:25.up here and somebody says, do not do that and polls be back. There is
:25:25. > :25:35.something in the process about wanting to stay, wanting to leave,
:25:35. > :25:35.
:25:35. > :25:38.what will it be like? Will he get It is the end of the day and Mary
:25:38. > :25:47.begins her long journey back home full of hope that one day her son
:25:47. > :25:55.will move on. The emotional strain and the travelling, yes, after 10
:25:55. > :26:00.years I do feel it is taking its toll. I am tiring of the journey.
:26:00. > :26:07.But I just keep the vision of knowing that one day I am going to
:26:07. > :26:15.get my son back. We sometimes say, hate the sin and forget the Senate.
:26:15. > :26:18.I hope and pray society can forget. -- sinner. Not surprisingly they're
:26:18. > :26:28.pretty big on forgiveness at the hospital chapel, where all faiths
:26:28. > :26:31.
:26:31. > :26:38.are welcome. I believe that God is able and willing to forgive. I
:26:38. > :26:42.appreciate the sentiment of what the mother said. But I recognise
:26:42. > :26:52.people that have been wronged against an for them, forgiveness is
:26:52. > :26:55.
:26:55. > :26:58.difficult. It is often hard to After just a few days here, you
:26:58. > :27:05.could believe everything in Rampton's garden is rosy. Even the
:27:05. > :27:10.patient's vegetable patch is enjoying a good crop this year.
:27:10. > :27:18.This is our horticulture hairier for men. It is a really popular
:27:18. > :27:22.activity, as you can imagine. -- area. So before we left this seemed
:27:22. > :27:31.like a good place and time to finally question the man who runs
:27:31. > :27:34.Rampton, Mike Harris. For all the talk of forgiveness, treatment,
:27:34. > :27:37.recovery and moving on, don't the public simply want his patients
:27:37. > :27:43.locked up with the key thrown away? It is an interesting question. It
:27:43. > :27:49.is ultimately philosophical. Do we want to treat people due mainly? I
:27:49. > :27:57.think the vast majority here have had a bad deal in life. -- with
:27:58. > :28:03.humanity? It is terribly common. People in hospitals like this are
:28:03. > :28:07.somebody's children, parents, brothers and sisters. I do not know
:28:07. > :28:12.what causes people necessarily to end up here but it could actually
:28:12. > :28:17.happen to any of us and our families. That is why we do not
:28:17. > :28:27.lock them up and throw away a key. By treating them with humanity, you
:28:27. > :28:30.will get them to behave in Really makes you think, doesn't it?
:28:31. > :28:35.Our thanks to all those at Rampton for helping us open the door on a
:28:35. > :28:39.world that's hardly ever been seen. Good night. Next week we have a
:28:39. > :28:47.police special. How can they cut crime when their budget is being