:02:33. > :02:37.We apologise for the lack of subtitles.
:02:37. > :02:45.It is not full of monsters. People like to think it is full of
:02:45. > :02:51.monsters. Rampton Hospital is nearly 100 years old and has high
:02:51. > :02:58.security. Because it is a long time since any TV crew was allowed in,
:02:58. > :03:08.they are taking no chances. This is definitely the most stringent
:03:08. > :03:15.
:03:15. > :03:25.checking but I have experienced. This is definitely the most Ket I
:03:25. > :03:38.
:03:38. > :03:46.have had to take guard. I asked about the sound man's cupboard he
:03:46. > :03:50.did kick. You could Plutarch or false. There is restricted. Some of
:03:50. > :04:00.these patients are highly ingenious. I was told the attack could be told
:04:00. > :04:12.
:04:12. > :04:17.to make key impressions and solitude could become a garotte.
:04:17. > :04:23.This man Newsbeat loses to make a makeshift ladder. The reason for
:04:23. > :04:27.been you fences to make sure this does not happen. All of that cost
:04:27. > :04:36.�25 million and includes a vast network of 900 CCTV cameras that
:04:36. > :04:41.monitor every move the patient has made. I notice there are CCTV
:04:42. > :04:48.cameras along the corridor? They are an integral to the security of
:04:48. > :04:52.the ward. No camera in here? not in bedrooms. It is felt that we
:04:52. > :04:58.check the well-being of patients a minimum of every half-hour and
:04:58. > :05:04.actually, the intrusive nature of CCTV into a bedroom mean we made a
:05:04. > :05:12.decision not to put into bedrooms. What is it like arriving at this
:05:12. > :05:20.grim and daunting place for the first time's --? It is scary
:05:20. > :05:26.because I was only young when I came. You said there and at the
:05:26. > :05:29.start you do not know what to expect. You think you might have to
:05:29. > :05:33.defend yourself and it would cause problems. If you are already
:05:33. > :05:36.suffering from problems, you do not suffering from problems, you do not
:05:37. > :05:41.want that kind of thing on top of it because it will make it worse.
:05:41. > :05:44.Gary was just 18 when he was transferred to run to and from a
:05:44. > :05:50.young offenders' institution. He was a violent road user and
:05:50. > :05:53.initially put in seclusion and carted around the clock. Rampton
:05:53. > :06:02.has housed some of the country's notorious killers including Ian
:06:02. > :06:12.Hartley. Gary found some of these infamous penchant kind and helpful.
:06:12. > :06:20.I came here and some of them took me under their wing. That must have
:06:20. > :06:28.been a surprise? It was, yes. Some people have done nasty crimes and
:06:28. > :06:37.bad things. Mental illness is a funny thing. It can make you do
:06:37. > :06:42.strange things, but you wouldn't normally do. In our short time
:06:42. > :06:50.inside Rampton we saw no at breaks of violence. You certainly feel the
:06:50. > :06:53.threat of it. That is something the start are aware of. -- staff. If
:06:53. > :06:58.they have an argument with someone instead of trying to negotiate,
:06:58. > :07:04.they resort to violence. Here, we tried to show them how to negotiate
:07:04. > :07:08.and use certain skills to deal with certain situations. Sometimes I get
:07:08. > :07:11.letters from patients saying thanks for what we have done. It is very
:07:11. > :07:20.rewarding when you you're such things, knowing that you are part
:07:20. > :07:24.of a system that helps to improve a person's behaviour. There are no
:07:24. > :07:29.longer involved in crime and at some stage, they will go out and
:07:29. > :07:33.contribute to society. That is not the first time you will hear people
:07:33. > :07:36.talking about hope and the prospect of leaving. You have to keep
:07:36. > :07:43.reminding yourself that these patients are here because they pose
:07:43. > :07:49.a danger to others and themselves. No more so than here in the peaks,
:07:49. > :07:52.a unit for men wife personality disorders. The rooms are sparse but
:07:52. > :08:02.designed with fittings and furniture. Everything is the third
:08:02. > :08:07.safe. The beds, tell us about the mattress. The mattress is covered
:08:07. > :08:14.in a material similar to that on a bouncy castle. It is designed to
:08:14. > :08:19.resist tearing, he took. More interesting is the base of the bed.
:08:19. > :08:28.It is designed moulded glass fibre, designed to withstand damage and
:08:28. > :08:33.attack but also, important to ride a decent and cuttable might's sleep.
:08:33. > :08:39.Even Miss Peggy is important? Designed to be entirely nature. Any
:08:39. > :08:44.pressure and it will bend. Keeping 326 patients save takes a lot of
:08:44. > :08:49.staff. Nearly 2000 work here. The clocking on in the morning is
:08:49. > :08:54.something to behold. Everyone has to undergo the same rigorous
:08:54. > :08:58.security checks day-in and day-out. The list of prohibited items is
:08:58. > :09:01.long. They will even take your chewing-gum. The work is highly
:09:01. > :09:08.valued, even by those they thought they would never be seen dead in a
:09:08. > :09:13.place like this. I never envisaged working here. If you had told me I
:09:13. > :09:17.would be working here eight years ago I would have laughed at you.
:09:17. > :09:23.The prospect of working with what he thought would be monsters was
:09:23. > :09:30.not attractive but now, David teaches computer skills. Amongst
:09:30. > :09:40.these danger -- dangerous men, he has discovered a poet. What is your
:09:40. > :10:03.
:10:04. > :10:07.latest 1? It is about searching for 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. It puts things into context. It is
:10:18. > :10:24.very, very easy to blame an individual for something but when
:10:24. > :10:27.you look far beyond that aspect, there are usually other moments in
:10:27. > :10:34.their life. There have been opportunities to stop that
:10:34. > :10:38.developing, which society has missed. As you navigate the
:10:38. > :10:45.labyrinth of locked doors and corridors, you get used to decide a
:10:45. > :10:51.single patients being escorted by groups of staff. Both prison
:10:51. > :10:55.inmates -- most inmates are not guarded this closely. There are six
:10:55. > :11:00.times more patience -- staff to patients in Rampton a man in your
:11:00. > :11:05.average jail. This is not a prison. They keep telling us this and have
:11:05. > :11:10.been doing so for a long time. is a Rampton, target of intense
:11:10. > :11:15.criticism. They invited us to make a film report so that all of the
:11:15. > :11:24.world might see for itself. There is a conception that Ranson is a
:11:24. > :11:32.prison. It is not, it is a mental hospital. It struck me when I saw
:11:32. > :11:35.it, I see as problems today of how people perceive us. The
:11:35. > :11:45.misperception that this is a prison where the bad and mad are banished
:11:45. > :11:46.
:11:46. > :11:50.still persists. No doubt helped by a TV expose 30 years ago. It
:11:50. > :11:54.revealed brutal treatment of patients by staff. He used to kick
:11:54. > :12:01.came between the legs of hobnail boots. There were five of them got
:12:01. > :12:05.stuck into him and one man was standing on his head. They twisted
:12:05. > :12:13.the tie on one side underneath his ear and they kept twisting until
:12:13. > :12:20.the patient's face went purple. film caused a big stir and
:12:20. > :12:26.triggered use changes inside Rampton. It led to a change of the
:12:26. > :12:30.culture of the management systems in high security hospital. That has
:12:31. > :12:36.led to an improvement into the culture going into the 21st century
:12:36. > :12:43.of the trip and that has happened. The hospital has been thoroughly
:12:43. > :12:53.modernised. It costs �100 million a year to run this place. It is
:12:53. > :12:56.�200,000 -- �2,000 a week to care for each patient. I would want each
:12:56. > :13:02.person to have the best treatment and accommodation and that is the
:13:02. > :13:06.standard that I said. That is what his mother expects as well. Every
:13:07. > :13:14.three weeks, she makes the long journey to visit her son. I have
:13:14. > :13:20.been coming here for well over 10 years. It takes me three hours
:13:20. > :13:24.there and three hours, a long day. It is a hospital, not a prison. It
:13:24. > :13:34.is very daunting to see people walking about with walkie-talkies
:13:34. > :13:40.
:13:40. > :13:47.where you go. Every door has to be unlocked and locked. It began with
:13:47. > :13:51.a police dawn raid on her home. can still hear them breaking down
:13:51. > :13:56.the front door. What seemed like on 100 people dressed in white suits,
:13:56. > :14:02.wandering around every conceivable place in my house, looking for what
:14:02. > :14:07.I believe with evidence. My son was not aware of what he had done. He
:14:07. > :14:17.was in the midst of a psychotic episode. In that one psychotic
:14:17. > :14:22.episode, Mary's some cost three generations of family terrible loss.
:14:22. > :14:29.My son was betrayed as a monster, a maniac, who needed to go to prison
:14:29. > :14:35.with the key thrown away. He was my flesh and blood. My life was
:14:35. > :14:39.threatened, my house was broken into, my car was damaged. I had to
:14:39. > :14:45.leave my home for six months. I did not live there. My nearest
:14:45. > :14:51.neighbour took care of my house for me. I had to rely on friends and
:14:51. > :14:57.there are some who do not know where my son is. Today, we are
:14:57. > :15:01.going to talk about communication and self-esteem cycles. Of course,
:15:01. > :15:06.the families of victims endure a life sentence of suffering and may
:15:06. > :15:16.well struggle to accept treatment given to those who cost so much
:15:16. > :15:21.hurt. Had a wee bit Robert FE this? Frustrated. Are all patients
:15:21. > :15:25.treated? -- treatable? It may be that they have to live with some
:15:25. > :15:29.aspects of their enormous that cannot be changed as much as other
:15:29. > :15:32.parts but the challenge is to try and make sure that carers and
:15:32. > :15:37.relatives as well as the individual feel that someone is making
:15:37. > :15:41.progress and that there is light at the end of the tunnel. I was
:15:41. > :15:50.depressed. I was crying and hitting myself and other people. I did not
:15:50. > :15:56.want to lead. Now, I have gone through all of the rough to get to
:15:56. > :16:00.this move. I have come on massively with the clinical team. I would not
:16:00. > :16:07.be at this stage now if I stayed in prison. I want to get out and live
:16:07. > :16:15.my life. I am only 23. I have been locked up since about 14, in and
:16:15. > :16:21.out. One of the psychiatrists who assessed my son said to me, one day,
:16:21. > :16:30.you will get your son back. One day, you will see your son and that day
:16:30. > :16:35.is really coming and I live in hope for that day. I think it is really
:16:35. > :16:39.important to give hope. Increasingly, we are offering a
:16:39. > :16:47.message about recovery. That is not just in terms of symptoms from
:16:47. > :16:51.illness but in terms of getting their life back. Many of the
:16:51. > :16:57.patients are brilliant artists. They are skilled in would work but
:16:57. > :17:03.have never had opportunities to do it. It is wonderful to see they can
:17:03. > :17:08.produce these items and they are so pleased with themselves as well. It
:17:08. > :17:12.is something that they have probably never, ever done before.
:17:13. > :17:17.Chris has been inside Rampton for 20 years. He feared it could be a
:17:17. > :17:22.lot longer but man, art has held with his recovery and chances of
:17:22. > :17:28.moving to a less secure hospital. When you are doing a picture and
:17:28. > :17:33.look at it and think, you've done that, the sense of achievement you
:17:33. > :17:40.feel boosts your confidence. It makes you want to do more.
:17:40. > :17:46.critics of Rampton say it has gone too soft. More like a holiday camp.
:17:46. > :17:51.There is even a swimming pool, a gym, playing fields and Sky TV
:17:51. > :17:55.would of the sports channels. certainly not a holiday camp. How
:17:55. > :17:59.would you like to live on a ward full of people who have committed
:17:59. > :18:06.via -- violent offences? That is not holiday. It is not my idea of a
:18:06. > :18:14.holiday camp. I think people have to come and see it themselves. It
:18:14. > :18:20.is not my fault lines or Florida or whatever. There are a lot of people
:18:20. > :18:25.kicking off. The patients have their own shop. Something else
:18:25. > :18:30.which infuriates those who like him Rampton to Butlins. It is hardly
:18:30. > :18:40.sumptuous. What do you sell? Confectionery, clothing, poetry,
:18:40. > :18:41.
:18:41. > :18:44.gifts. Everything, really. Magazines, CDs, stationery. What
:18:44. > :18:51.other most popular lines? Chocolate and crisps. The use to sell
:18:51. > :18:55.cigarettes? And we did, not any more. They had to ban protein
:18:55. > :19:02.milkshakes because some patients were bobbing up their muscles to
:19:02. > :19:12.effectively. We cannot send up anything sharp. Any chains are
:19:12. > :19:12.
:19:12. > :19:53.Apology for the loss of subtitles for 40 seconds
:19:53. > :19:56.behind the council -- any tens are We have some problems around
:19:57. > :20:00.obesity. Some patients, you have to wonder what they will spend money
:20:00. > :20:06.on, and they will spend it on sweets. That was not have the
:20:06. > :20:11.obesity problem. They would be -- we would be much more comfortable
:20:11. > :20:14.if they did not receive disability living allowance. After a few days
:20:14. > :20:22.I thought I had met some really good natured men. Gary, who came
:20:22. > :20:27.here as a teenager, Paul, the poet, and Chris, the artist. Then you
:20:27. > :20:35.remind yourself that they probably carried out a despicable act of
:20:36. > :20:38.violent crime. You wonder how the staff code. The often deal with the
:20:39. > :20:43.offence charged towards the end of the treatment. What you are aware
:20:43. > :20:47.of it all the time? Yes. One of the things about forensic Mental Health
:20:48. > :20:54.is that you need to know as much about someone before they sit down
:20:54. > :20:58.with them rather than starting with a blank sheet. It is always there
:20:58. > :21:05.in the background. Be easy -- is it hard to divorce yourself from that
:21:05. > :21:09.terrible things they have done? question of the terrible things
:21:09. > :21:13.they have done is an assumption. Sometimes, terrible things have
:21:13. > :21:21.been done to them. Some of the women have had massive amounts of
:21:21. > :21:26.from in their life. We have to be very professional and say, my job
:21:26. > :21:32.is to help this one moved on. help with the distress and our aim
:21:32. > :21:35.is to help them deal with deftly with it. We met Tina, who has been
:21:35. > :21:39.here eight months. Live with an alcoholic partner pushed her over
:21:39. > :21:48.the edge and she turned very violent. She told us how they had
:21:48. > :21:53.helped her. They have listened to me. They made me have medication
:21:53. > :22:02.that I needed. It stopped my disorder. I am pleased that I came
:22:02. > :22:11.here because it has held me realise what I was like. It stopped me from
:22:11. > :22:21.getting worse. It is building me up to be a complete person without
:22:21. > :22:24.
:22:24. > :22:28.problems that I had. Just a few miles from the hospital is the
:22:28. > :22:33.village of Rampton and at the back of the churchyard is a collection
:22:33. > :22:40.of simple tombstones. They belonged to the patients who lived and died
:22:40. > :22:46.at the hospital, unvarnished and forgotten. Now the average patient
:22:47. > :22:51.is dated eight years and some start a new life. -- stays eight years.
:22:51. > :22:55.Outside the perimeter fence with me is Bill. He excelled at painting
:22:55. > :23:05.and is now studying fine art at university. Incredible, considering
:23:05. > :23:06.
:23:06. > :23:12.what he was like when he first came here. I got arrested for stabbing
:23:13. > :23:22.somebody. It was quite horrific, really. I stabbed him a number of
:23:23. > :23:25.
:23:25. > :23:29.times and/Thame head-butted him and bit him. -- slashed him. Bill first
:23:29. > :23:37.put up violence but then responded well to treatment. I came here with
:23:37. > :23:42.a violent past. Yeah were a monster? I would not say a monster.
:23:42. > :23:51.I was not a monster. I wasn't the best behaved patient that Ranson
:23:51. > :23:56.has ever had. -- Rampton. I took that was on a plate for me. What
:23:56. > :24:00.does it feel like to be on the outside of the fence? Much better
:24:00. > :24:06.on this side. It is the satisfaction that I can stand here
:24:06. > :24:13.on the outside looking in. This place meant a lot to me. It worked
:24:13. > :24:16.for me. There are some very good stuff here. For those on the brink
:24:16. > :24:26.of leaving, it can be traumatic. You have been here 20 years, what
:24:26. > :24:30.
:24:30. > :24:35.It will be scary but these are the challenges I look forward to now.
:24:35. > :24:40.Before the pain was too strong. That fear of leaving is even harder
:24:40. > :24:45.to express if you are deaf. I have brought some of these pictures and
:24:45. > :24:49.I wondered if you wanted to tell me about him. There are nine patients
:24:49. > :24:59.on the death Ward. Learning to sign has given them a voice and help to
:24:59. > :25:04.ease their anger. -- death. Paul is about to move on. It is about
:25:04. > :25:08.working creatively it to help them move on and learn more about him.
:25:08. > :25:16.Hopefully, because he has been here a long time, we're at hoping to
:25:16. > :25:22.move him on. I am walking up to the edge. A man has come up behind me
:25:22. > :25:25.and is saying no, do not do that. There is something in Paul's
:25:26. > :25:34.process about wanting to stay, wanting to leave, of what will it
:25:34. > :25:38.be like out there, will he get support? All the mixed emotions.
:25:38. > :25:44.is the end of the day and me begins her up long journey back home, full
:25:44. > :25:51.of hope that one day her son will move on. The emotional strain and
:25:51. > :25:57.the travelling, after 10 years I do feel it is taking its toll. I am
:25:58. > :26:05.tiring of the journey. But I just keep the vision of knowing that one
:26:05. > :26:11.day I am going to get my son back. We sometimes say, hate the sin and
:26:11. > :26:17.forgive the Senna. I only hope and pray that society can forgive. --
:26:17. > :26:21.Senna. Unsurprised and they, they're pretty big on forgiveness -
:26:21. > :26:31.- forgiveness at the hospital chapel, where all faiths are
:26:31. > :26:31.
:26:31. > :26:35.welcome. I believe that got is able and willing to forgive. And I
:26:35. > :26:41.appreciate the sentiment of what that mother said, but I do
:26:41. > :26:46.recognise that for people who have been wronged against and four who
:26:46. > :26:56.forgiveness is very difficult, it is often hard to separate the
:26:56. > :26:56.
:26:56. > :27:02.person and the action. After just a few days here, you can believe
:27:02. > :27:08.everything here is rose. Even the patient's Festival patch is
:27:08. > :27:14.enjoying a good crop this year. This is our horticultural area. It
:27:14. > :27:18.is a really popular activity as you might imagine. So, before we left,
:27:18. > :27:25.this seemed like a good time and place to finally question the man
:27:25. > :27:29.who runs the place. For all the top of forgiveness, cheaper and
:27:29. > :27:38.recovery, do not the public simply want his patients locked up with
:27:38. > :27:41.the key thrown away? I think it is a very interesting question. It is
:27:41. > :27:45.ultimately a philosophical question, of whether you want to treat people
:27:45. > :27:53.humanely. I believe that the vast majority of our patients have had
:27:53. > :27:57.really poor deal -- poor deals in life. One in four of the population
:27:57. > :28:01.has a mental health problem at some point, and the people who are in
:28:01. > :28:06.these hospitals are someone so children, or parents, or brothers
:28:06. > :28:10.or sisters, I do not know what causes people to end up in
:28:10. > :28:13.hospitals like this but it could happen to anyone and I think that
:28:13. > :28:17.is why you do not lock them up and throw away the key. I believe that
:28:17. > :28:25.by treating them humanely, you'll get them to behave in different
:28:25. > :28:31.ways. John Holmes with that exclusive look behind the scenes at
:28:31. > :28:36.Rampton. If you want to contact us about the story, you can on the
:28:36. > :28:42.details below. That is it all for this week's Inside Out, thank you