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issue 09                       Inner space for women’s
Summer/autumn 2010           mental health & wellbeing
                                (across Surrey and the south east)




                         Digging yourself out of a hole
                          gardening for heart and soul




                     No clean knickers – let alone a toothbrush
                               the indignity of being sectioned

                              Painting yourself into the picture
                             art therapy creates self knowledge
g
                                                                                                                 DepenDing on your political / social                                    provided by frontline professionals like          and the ugly, we also want to continue
                                                                                                                 / economical viewpoint the envisaged                                    counsellors and specialist mental health          to bring you the good and positive in
                                                                                                                 and planned developments in healthcare                                  nurses. All they need to do is ‘skill up’.        mental health and wellbeing. In this issue
                                                                                                                 (being hailed as the biggest change in                                  So, with such variance of views and               we look at the benefits gardening and art
                                                                                                                 the NHS since it began) could be the best                               predictions, here is a ‘call to arms’ to all      therapy can have; how women and men
                                                                                                                 or the worst time in history for mental                                 our readers!                                      from black and minority ethnic groups, are
                                                                                                                 health. What will ‘Equity and Excellence;                               Whether you are someone with direct               being supported to access mental health
                                                                                                                 Liberating the NHS’ mean for mental                                     experience of mental health services,             services; we also cover the Personalisation
                                                                                                                 health? Will it be a welcome sea change,                                as a patient, carer or member of staff,           ‘agenda’ and what it can mean for
                                                                                                                 bringing understanding that there is no                                 or whether you come into contact with             patients / service users wanting more
                                                                                                                 health without mental health, sitting as                                mental health services as part of your work       control about what they do in their lives.
                                                                                                                 it should in public health, or will it be a                             e.g. local authority, voluntary sector etc,       There’s a relaxation technique to help
                                                                                                                 tsunami of utter chaos and devastation?                                 we are asking you to keep a watching brief        you – well – relax! And we hear two stories
                                                                                                                 The view of which direction we are                                      and be Sanctuary’s women – and men –              from two women who both experienced
                                                                                                                 heading in is fuzzy to say the least. Plaudits                          in the field. Report anything you think is        being sectioned under the Mental Health
                                                                                                                 abound in some areas of the mental                                      getting better, or worse, as the changes          Act. One experience led to helping others
                                                                                                                 health field; deep mistrust and criticism                               start to hit where it hurts – or benefits - the   in an acute psychiatric inpatient unit and
                                                                                                                 circle in others. One thing we know for                                 patient. Tell us your news, ideas, stories.       the other to finding a voice for justice.
                                                                                                                 certain: GPs will be commissioning a                                    Together we can build a picture of mental         Just looking at the wealth of experience,
                                                                                                                 wide range of mental health services.                                   health from where it matters – you – and          knowledge and expertise among our
                                                                                                                 Somewhat alarmingly though, and at                                      use it to show politicians, commissioners         contributors and readers who have
                                                                                                                 their own admission, only 31% of GPs                                    and providers how things really are – at          contacted us, makes me think that GPs
                                                                                                                 feel equipped to commission secondary                                   the frontline of mental health. Contact           need look no further: we can skill them up
                                                                                                                 care services for mental health. But                                    details below.                                    in mental health matters…
                                                                                                                 optimists suggest GPs are, nevertheless,                                Meanwhile, at Sanctuary, we know exactly

                                                                                                                                                                                                                                           Megan
                                                                                                                 being provided with great opportunities                                 which direction we’re headed. Whilst



    New website
                                                                                                                 for developing practice-based services                                  we are not afraid to highlight the bad




2   for mental wellbeing
                                                                                                                 Editorial                                                                                                                                                               3




    www.letslinkmentalwellbeing.com

    Let’s Link, publishers of Sanctuary are launching a website
    that will provide news and information on mental health and
    wellbeing. Also included will be links to national and local
                                                                     Coming up on the website and
                                                                     in your local area:
                                                                                                                  comment
    organisations plus details of events and consultations with        Service user and carer monitoring         senD your news anD information to megan aspeL, sanCtuary magazine,
    which you can get involved. Whilst its focus will be on Surrey   of the Crisis helpline: in the next few     Let’s Link, PO Box 533, Betchworth RH4 9FL. Text: 07824 364703.
    services and support, the range of information and support       months you will be able to take part in a   Email: info@letslinkmentalwellbeing.com.
    for people who experience mental ill health and for those who    survey to find out what patients/service    www.letslinkmentalwellbeing.com
    care for them will be a resource for many in the south east.     users and carers think about accessing
    You will be able to download issues of Sanctuary magazine,       the mental health Crisis helpline in
    other mental health related publications, the latest national    Surrey. There will be opportunities in
    and local health documents and in due course there will be       various locations – CMHTs for instance
    a forum where you will be able to comment on local mental        – to participate in the survey, a simple
    health services.                                                 questionnaire of around 8-10 questions,
                                                                     and online on the Let’s Link mental
     Setting up the website is underway but it takes time to have    wellbeing website. Details will be
    everything in place. Please visit www.letslinkmentalwellbeing.   posted on the website in due course.        Sanctuary is free to everyone.
                                                                                                                 Managing Editor: Megan Aspel
    com to see our progress and if you have any initial comments,                                                Assistant Editor: Louisa Daniels
    please email us at info@letslinkmentalwellbeing.com                                                          Sanctuary is commissioned by NHS Surrey

                                                                                                                 Design by Aspects: studio@aspectsgd.com www.aspectsgd.com

                                                                                                                 Printed by Reliant Colour Solutions: www.reliantcolour.com
                                                                                                                 No part of this magazine may be reproduced without prior permission of the publishers. Copyright © Aspects 2010.
No clean
    knickers
    –let alone a toothbrush
    Being aDmitteD to an acute                        “I had to ask for soap and stuff, and       probably one of the swiftest ‘done
    psychiatric unit under section of the          worse, sanitary wear – traipsing through       deals’ I’ve ever known. In a matter of            I went to a CPA (care plan) meeting – on my own, I didn’t
    mental Health act – especially for             a ward full of men, going to the office,       half an hour, the trust manager and I             know I could have someone with me, and they told me I had
    the first time – can be a frightening          requesting Tampax and going back               had said we could joint fund a pilot!             to go into hospital straight away. I felt alarmed and horrified.
    and traumatic experience; on top of            through the ward clutching them –              So began a partnership between a                  But they knew best I thought. I asked to go home and pack
    the traumatic experience of finding            hardly dignified to say the least!             patient, a charity and an NHS mental              some things. They said no, I couldn’t do that. I said what
    yourself mentally unwell! and when                Julia was able to transfer to a private     health trust: ‘The Wellbeing & Dignity            about if someone comes with me. No was the answer. So
    you arrive with nothing, just the              clinic however, because of a health            Partnership’ was born.                            they bundled me off to a secure psychiatric unit. I felt very
    clothes you stand up in, maybe                 insurance scheme.One major difference                                                            frightened and so alone. I was in total shock about being
    because you arrived in the back of             stood out for Julia. When she went             it gets better                                    admitted, and to have nothing – no personal belongings –
    a police car, the entire experience            to her room at the private clinic, it            Funding was limited. What could                 made me feel even worse. It was three days before a relative
    can be an affront to your dignity and          was like stepping into a hotel (with a         be provided were ‘hotel style’ packs              could bring anything in for me.”
    self worth. sanctuary’s editor, megan          few exceptions!) and in the en-suite           of essential toiletries – shampoo/
    met a young woman who’s been                   bathroom was a beautiful box of toiletries     conditioner/shower gel/dental kit                 Young woman at a Sanctuary women’s group
4   there, done that, wouldn’t mind the            from the White Company. Everything             etc – with simple, caring messages of                                                                                5
    t-shirt (on the ward as a change of            she needed for a few days or so. Sadly,        hope, for everyone admitted over a 6
    clothes!) but also, passionately, wants        the NHS ward just didn’t compare. Items        month period onto the wards at the
    something else…                                might have been available but not in           Department of Psychiatry in Epsom.
                                                   individual packs for each patient.               A few months down the way of
      I first met Julia after she contacted           But it was how that simple gesture of       organising this though, came some good
    me to say how much she had enjoyed             fresh smelling toiletries made Julia feel      news. Let’s Link has been awarded a
    reading Sanctuary. So much so that she         that was the real eye-opener.                  Comic Relief grant. This will enable us
    was keen to get involved in some way.             “To have something – slightly               to produce leaving hospital information
    We met. In a very short space of time          pampering – and extremely ‘normal’ had a       packs to complement the toiletries packs.
    we had gabbled our way (constructive           profound effect,” Julia told me “Suddenly        Work is now underway to get the pilot
    gabble!) through a myriad of subjects          I felt I was being treated with respect – my   up and running as soon as possible.
    and issues linked to mental health             sense of dignity was intact again. And I         The beauty of this project is that it will
    and wellbeing and other things totally         thought, ‘I wish everyone admitted to a        include people in the community who
    unrelated. I soon discovered that Julia        mental health ward could have this’.”          have ‘been there / done that’ as well.
    is full of ideas. But not just ideas: Julia                                                   Clients of the Joseph Palmer Centre will
    has a real ambition. Two very different        Cutting the long story…                        help assemble the packs. So people in
    experiences of being hospitalized                The work of my organisation Let’s            hospital will have the added benefit of
    in a private and an NHS acute unit             Link, publishers of Sanctuary magazine,        knowing the toiletries packs were put
    highlighted a real need in Julia’s mind.       echoed what Julia was saying;                  together by fellow sufferers / survivors: a
    She thought everyone admitted to               everything we do is about promoting            message of hope in itself.
    NHS units should have the quality of           dignity, privacy and respect for people          For Julia and everyone concerned it is
    experience she had received in the             who suffer mental distress.                    an exciting project based on a gesture
    private unit. She explained:                     Together, we felt the time was right         of kindness, respect, privacy and dignity:
      “I had arrived at a psychiatric unit after   to really see if we could get something        the simple gift with the big heart. Julia’s
    being compulsorily detained under              going. Julia, along with Occupational          next ‘Big Idea’ is to build a retreat in the
    Section of the Mental Health Act. I had        Therapist (OT) Bryonie from the Joseph         Peak District – and possibly Italy: form
    nothing but the clothes I stood up in.         Palmer Centre in Molesey, Surrey set           an orderly queue everyone!
    I was feeling very low anyway, as you          up a meeting with one of Surrey &
    can imagine; being without personal            Borders Partnership NHS Foundation
    belongings or a change of clothes made         Trust’s (SaBPFT) key managers and              See the article starting on page 16 for another
    me feel a lot, lot worse.                      myself from Let’s Link. I think it was         woman’s experience of being sectioned.
Sometimes it’s difficult to ground yourself.
    There is a way though, almost literally, by                                                                                                             butterfly.
                                                                                                                                                ,’ said the
    participating in a little gardening.                                                                            ‘Just livin
                                                                                                                                g is n ot enough d a little flower.’
                                                                                                                                   ine, freed
                                                                                                                                              om, an        ndersen
                                                                                                                        ave sunsh ans Christian A
    The Old Moat Horticultural Services in                                                                 ‘On e must h               H

    Epsom, Surrey helps people with mental
    health problems dig deep for recovery...


    Digging yourself




                                                                                                                                               All
                                                                                                                                                Ra
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                                                                                                                                                                                  g i edi
                                                                                                                                                                                     s a cin She
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                                                                                                                                                                                              f se d f on
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    run By riCHmonD feLLowsHip,                           administrative work are all available to train                     Unk dirt.
                                                                                                                                 now
    The Old Moat is a garden centre with a                and become expert in.                                                      n
    difference. Many of the people who work                 For the visitor, the Old Moat provides a
    there suffer mental ill health. It is a haven for     wonderful array of all the plants and flowers
    anyone needing some calm, thoughtful, safe            you need: shrubs, ornamental trees, roses
    and supported occupation. Achieving the               from David Austin are all there. Up to 80%
    sowing, growing and maintenance of plants             of the plants are grown in The Old Moat’s
    and flowers is satisfying in itself. What it          own nursery, reducing plant miles, with
    does for lifting the spirit, boosting self worth      bedding plants grown in biodegradable
    and taking away some of the pain of mental            pots, showing further consideration for the
    ill health is immeasurable.                           environment. You will find a wide variety
       But the Old Moat isn’t just about recovery         of vegetable and fruit plants and trees in
    and restitution. It is a not for profit, but          stock, and if you don’t fancy growing your
    nonetheless commercial enterprise and                 own, you can buy seasonal, freshly picked
    offers training in the real world of garden           produce from The Old Moat shop.
    centre work and management. Contract
    gardening, park maintenance, conservation               Find out more about the training The Old
    work, stock growing, propagation,                     Moat offers. It’s a kind of down to earth
    vegetable and fruit production, retailing and         thing to do!




    Contact The Old Moat to enquire about referrals or you can visit the garden centre anytime.

    The Old Moat Garden Centre, Horton Lane, Epsom KT19 8PQ. T. 01372 731971 (office) or
    01372 731970 (retail); email: oldmoatgardencentre@richmondfellowship.org.uk
    Visit the Richmond Fellowship website to learn more about our work
    http://www.richmondfellowship.org.uk
Getting
    itthe BME
    for
        right
    community
8
    Helping people from black and        “The key issues                                        that prevent   engagement of black people with services and vice versa.”         9
    minority ethnic backgrounds          people from African/Caribbean communities – and from
                                         elsewhere such as Asian communities – accessing mental
                                                                                                                 Social risk factors impede engagement with the right health
                                                                                                               and social care services as well. Poverty and homelessness
    (BME), particularly refugees,        health services,” says Lorraine “are stigma, racism and lack of       (many refugees seeking asylum for instance are living destitute

    to access mental health              awareness and knowledge of mental ill health.”
                                            Whilst some of the issues reflect those experienced by a
                                                                                                               in the UK with no recourse to public funds); loneliness and
                                                                                                               isolation or contact with the criminal justice system all put
    services demands a special           white community, such as stigma and even a lack of awareness          people at risk. African Caribbean people for instance are more

    understanding of how mental          around what happens to you when you receive mental health
                                         services, there is far less acceptance of the condition. Mental
                                                                                                               likely to be held under a section of the Mental Health Act.
                                                                                                               They are also over-represented in Special Hospitals, secure
    health is perceived in countries     health simply doesn’t translate properly in other languages
                                         and attracts misconceptions of witchcraft and other negative
                                                                                                               institutions, medium secure units and prisons.
                                                                                                                 For those who do get to see someone, there is hope and
    like Africa. Lorraine is a           attitudes linked with tradition. Put simply, a mental health          enlightenment. However, services don’t always get it right:

    community development worker         problem translates as someone who has ‘lost it’. Mental illness
                                         is associated with shame and stigma and a fear of being
                                                                                                               there is evidence that BME patients are more likely to receive
                                                                                                               medication rather than be offered talking therapies. As
    who knows that building              labelled, isolated or alienated by friends or family members.         mentioned, compulsory admission to hospital is prevalent and

    relationships is the first step to   In addition, it is seen as a sign of failure or something to be
                                         feared. And perhaps pertinently ‘madness’ is thought to be
                                                                                                               families and carers have difficulties accessing help.
                                                                                                                 Lorraine and her colleagues believe the way forward is for
    supporting this community. She       incurable, unlike our view that people can recover from mental
                                         ill health. It is not surprising then that language is the key
                                                                                                               better working relationships with faith leaders to promote
                                                                                                               inter-cultural understanding of race equality in mental health
    explained some of the issues to      contributing factor to misdiagnosis.                                  and better involvement of communities in the planning and

    Sanctuary...                            Lorraine also sees a circle of fear surrounding mental health.
                                         “If you combine the different layers of fear – fear of mental
                                                                                                               implementation of services from the outset.
                                                                                                                 In this way people will begin to benefit in a very real way
                                         illness and fear of mental health services, you witness a vicious     from being supported and cared for, and respected for their
                                         circle,” she explains “A circle that impacts negatively on the        culture and race rather than misunderstood and abandoned.

                                                                                                               Contact the team:
                                                                                                               Lorraine yates – CDw, african/Caribbean,
                                                                                                               refugee & asylum seekers; 01483 459292, ext. 214
                                                                                                               Charmaine Valler – CDw, gypsies & travellers;
                                                                                                               01483 459292, ext. 235
                                                                                                               kate Johnson – CDw, asian, Chinese & nepalese;
                                                                                                               01483 459292, ext. 203
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Digging Yourself Out of a Hole: Gardening for Heart and Soul
Digging Yourself Out of a Hole: Gardening for Heart and Soul
Digging Yourself Out of a Hole: Gardening for Heart and Soul
Digging Yourself Out of a Hole: Gardening for Heart and Soul
Digging Yourself Out of a Hole: Gardening for Heart and Soul
Digging Yourself Out of a Hole: Gardening for Heart and Soul
Digging Yourself Out of a Hole: Gardening for Heart and Soul

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Digging Yourself Out of a Hole: Gardening for Heart and Soul

  • 1. issue 09 Inner space for women’s Summer/autumn 2010 mental health & wellbeing (across Surrey and the south east) Digging yourself out of a hole gardening for heart and soul No clean knickers – let alone a toothbrush the indignity of being sectioned Painting yourself into the picture art therapy creates self knowledge
  • 2. g DepenDing on your political / social provided by frontline professionals like and the ugly, we also want to continue / economical viewpoint the envisaged counsellors and specialist mental health to bring you the good and positive in and planned developments in healthcare nurses. All they need to do is ‘skill up’. mental health and wellbeing. In this issue (being hailed as the biggest change in So, with such variance of views and we look at the benefits gardening and art the NHS since it began) could be the best predictions, here is a ‘call to arms’ to all therapy can have; how women and men or the worst time in history for mental our readers! from black and minority ethnic groups, are health. What will ‘Equity and Excellence; Whether you are someone with direct being supported to access mental health Liberating the NHS’ mean for mental experience of mental health services, services; we also cover the Personalisation health? Will it be a welcome sea change, as a patient, carer or member of staff, ‘agenda’ and what it can mean for bringing understanding that there is no or whether you come into contact with patients / service users wanting more health without mental health, sitting as mental health services as part of your work control about what they do in their lives. it should in public health, or will it be a e.g. local authority, voluntary sector etc, There’s a relaxation technique to help tsunami of utter chaos and devastation? we are asking you to keep a watching brief you – well – relax! And we hear two stories The view of which direction we are and be Sanctuary’s women – and men – from two women who both experienced heading in is fuzzy to say the least. Plaudits in the field. Report anything you think is being sectioned under the Mental Health abound in some areas of the mental getting better, or worse, as the changes Act. One experience led to helping others health field; deep mistrust and criticism start to hit where it hurts – or benefits - the in an acute psychiatric inpatient unit and circle in others. One thing we know for patient. Tell us your news, ideas, stories. the other to finding a voice for justice. certain: GPs will be commissioning a Together we can build a picture of mental Just looking at the wealth of experience, wide range of mental health services. health from where it matters – you – and knowledge and expertise among our Somewhat alarmingly though, and at use it to show politicians, commissioners contributors and readers who have their own admission, only 31% of GPs and providers how things really are – at contacted us, makes me think that GPs feel equipped to commission secondary the frontline of mental health. Contact need look no further: we can skill them up care services for mental health. But details below. in mental health matters… optimists suggest GPs are, nevertheless, Meanwhile, at Sanctuary, we know exactly Megan being provided with great opportunities which direction we’re headed. Whilst New website for developing practice-based services we are not afraid to highlight the bad 2 for mental wellbeing Editorial 3 www.letslinkmentalwellbeing.com Let’s Link, publishers of Sanctuary are launching a website that will provide news and information on mental health and wellbeing. Also included will be links to national and local Coming up on the website and in your local area: comment organisations plus details of events and consultations with Service user and carer monitoring senD your news anD information to megan aspeL, sanCtuary magazine, which you can get involved. Whilst its focus will be on Surrey of the Crisis helpline: in the next few Let’s Link, PO Box 533, Betchworth RH4 9FL. Text: 07824 364703. services and support, the range of information and support months you will be able to take part in a Email: info@letslinkmentalwellbeing.com. for people who experience mental ill health and for those who survey to find out what patients/service www.letslinkmentalwellbeing.com care for them will be a resource for many in the south east. users and carers think about accessing You will be able to download issues of Sanctuary magazine, the mental health Crisis helpline in other mental health related publications, the latest national Surrey. There will be opportunities in and local health documents and in due course there will be various locations – CMHTs for instance a forum where you will be able to comment on local mental – to participate in the survey, a simple health services. questionnaire of around 8-10 questions, and online on the Let’s Link mental Setting up the website is underway but it takes time to have wellbeing website. Details will be everything in place. Please visit www.letslinkmentalwellbeing. posted on the website in due course. Sanctuary is free to everyone. Managing Editor: Megan Aspel com to see our progress and if you have any initial comments, Assistant Editor: Louisa Daniels please email us at info@letslinkmentalwellbeing.com Sanctuary is commissioned by NHS Surrey Design by Aspects: studio@aspectsgd.com www.aspectsgd.com Printed by Reliant Colour Solutions: www.reliantcolour.com No part of this magazine may be reproduced without prior permission of the publishers. Copyright © Aspects 2010.
  • 3. No clean knickers –let alone a toothbrush Being aDmitteD to an acute “I had to ask for soap and stuff, and probably one of the swiftest ‘done psychiatric unit under section of the worse, sanitary wear – traipsing through deals’ I’ve ever known. In a matter of I went to a CPA (care plan) meeting – on my own, I didn’t mental Health act – especially for a ward full of men, going to the office, half an hour, the trust manager and I know I could have someone with me, and they told me I had the first time – can be a frightening requesting Tampax and going back had said we could joint fund a pilot! to go into hospital straight away. I felt alarmed and horrified. and traumatic experience; on top of through the ward clutching them – So began a partnership between a But they knew best I thought. I asked to go home and pack the traumatic experience of finding hardly dignified to say the least! patient, a charity and an NHS mental some things. They said no, I couldn’t do that. I said what yourself mentally unwell! and when Julia was able to transfer to a private health trust: ‘The Wellbeing & Dignity about if someone comes with me. No was the answer. So you arrive with nothing, just the clinic however, because of a health Partnership’ was born. they bundled me off to a secure psychiatric unit. I felt very clothes you stand up in, maybe insurance scheme.One major difference frightened and so alone. I was in total shock about being because you arrived in the back of stood out for Julia. When she went it gets better admitted, and to have nothing – no personal belongings – a police car, the entire experience to her room at the private clinic, it Funding was limited. What could made me feel even worse. It was three days before a relative can be an affront to your dignity and was like stepping into a hotel (with a be provided were ‘hotel style’ packs could bring anything in for me.” self worth. sanctuary’s editor, megan few exceptions!) and in the en-suite of essential toiletries – shampoo/ met a young woman who’s been bathroom was a beautiful box of toiletries conditioner/shower gel/dental kit Young woman at a Sanctuary women’s group 4 there, done that, wouldn’t mind the from the White Company. Everything etc – with simple, caring messages of 5 t-shirt (on the ward as a change of she needed for a few days or so. Sadly, hope, for everyone admitted over a 6 clothes!) but also, passionately, wants the NHS ward just didn’t compare. Items month period onto the wards at the something else… might have been available but not in Department of Psychiatry in Epsom. individual packs for each patient. A few months down the way of I first met Julia after she contacted But it was how that simple gesture of organising this though, came some good me to say how much she had enjoyed fresh smelling toiletries made Julia feel news. Let’s Link has been awarded a reading Sanctuary. So much so that she that was the real eye-opener. Comic Relief grant. This will enable us was keen to get involved in some way. “To have something – slightly to produce leaving hospital information We met. In a very short space of time pampering – and extremely ‘normal’ had a packs to complement the toiletries packs. we had gabbled our way (constructive profound effect,” Julia told me “Suddenly Work is now underway to get the pilot gabble!) through a myriad of subjects I felt I was being treated with respect – my up and running as soon as possible. and issues linked to mental health sense of dignity was intact again. And I The beauty of this project is that it will and wellbeing and other things totally thought, ‘I wish everyone admitted to a include people in the community who unrelated. I soon discovered that Julia mental health ward could have this’.” have ‘been there / done that’ as well. is full of ideas. But not just ideas: Julia Clients of the Joseph Palmer Centre will has a real ambition. Two very different Cutting the long story… help assemble the packs. So people in experiences of being hospitalized The work of my organisation Let’s hospital will have the added benefit of in a private and an NHS acute unit Link, publishers of Sanctuary magazine, knowing the toiletries packs were put highlighted a real need in Julia’s mind. echoed what Julia was saying; together by fellow sufferers / survivors: a She thought everyone admitted to everything we do is about promoting message of hope in itself. NHS units should have the quality of dignity, privacy and respect for people For Julia and everyone concerned it is experience she had received in the who suffer mental distress. an exciting project based on a gesture private unit. She explained: Together, we felt the time was right of kindness, respect, privacy and dignity: “I had arrived at a psychiatric unit after to really see if we could get something the simple gift with the big heart. Julia’s being compulsorily detained under going. Julia, along with Occupational next ‘Big Idea’ is to build a retreat in the Section of the Mental Health Act. I had Therapist (OT) Bryonie from the Joseph Peak District – and possibly Italy: form nothing but the clothes I stood up in. Palmer Centre in Molesey, Surrey set an orderly queue everyone! I was feeling very low anyway, as you up a meeting with one of Surrey & can imagine; being without personal Borders Partnership NHS Foundation belongings or a change of clothes made Trust’s (SaBPFT) key managers and See the article starting on page 16 for another me feel a lot, lot worse. myself from Let’s Link. I think it was woman’s experience of being sectioned.
  • 4. Sometimes it’s difficult to ground yourself. There is a way though, almost literally, by butterfly. ,’ said the participating in a little gardening. ‘Just livin g is n ot enough d a little flower.’ ine, freed om, an ndersen ave sunsh ans Christian A The Old Moat Horticultural Services in ‘On e must h H Epsom, Surrey helps people with mental health problems dig deep for recovery... Digging yourself All Ra hole my spa o Eme lp out f a hW hu de c rs rts al my an he n d gar al. Ga enta pre rde tiv den v nin e m o g i edi s a cin She kin e, g ryl d o oo , L f se d f on lf-p or a don res ll il cri ls. be d 6 trou Y 7 bles ou can dig bur y Aut ging in a lot o hor the f run By riCHmonD feLLowsHip, administrative work are all available to train Unk dirt. now The Old Moat is a garden centre with a and become expert in. n difference. Many of the people who work For the visitor, the Old Moat provides a there suffer mental ill health. It is a haven for wonderful array of all the plants and flowers anyone needing some calm, thoughtful, safe you need: shrubs, ornamental trees, roses and supported occupation. Achieving the from David Austin are all there. Up to 80% sowing, growing and maintenance of plants of the plants are grown in The Old Moat’s and flowers is satisfying in itself. What it own nursery, reducing plant miles, with does for lifting the spirit, boosting self worth bedding plants grown in biodegradable and taking away some of the pain of mental pots, showing further consideration for the ill health is immeasurable. environment. You will find a wide variety But the Old Moat isn’t just about recovery of vegetable and fruit plants and trees in and restitution. It is a not for profit, but stock, and if you don’t fancy growing your nonetheless commercial enterprise and own, you can buy seasonal, freshly picked offers training in the real world of garden produce from The Old Moat shop. centre work and management. Contract gardening, park maintenance, conservation Find out more about the training The Old work, stock growing, propagation, Moat offers. It’s a kind of down to earth vegetable and fruit production, retailing and thing to do! Contact The Old Moat to enquire about referrals or you can visit the garden centre anytime. The Old Moat Garden Centre, Horton Lane, Epsom KT19 8PQ. T. 01372 731971 (office) or 01372 731970 (retail); email: oldmoatgardencentre@richmondfellowship.org.uk Visit the Richmond Fellowship website to learn more about our work http://www.richmondfellowship.org.uk
  • 5. Getting itthe BME for right community 8 Helping people from black and “The key issues that prevent engagement of black people with services and vice versa.” 9 minority ethnic backgrounds people from African/Caribbean communities – and from elsewhere such as Asian communities – accessing mental Social risk factors impede engagement with the right health and social care services as well. Poverty and homelessness (BME), particularly refugees, health services,” says Lorraine “are stigma, racism and lack of (many refugees seeking asylum for instance are living destitute to access mental health awareness and knowledge of mental ill health.” Whilst some of the issues reflect those experienced by a in the UK with no recourse to public funds); loneliness and isolation or contact with the criminal justice system all put services demands a special white community, such as stigma and even a lack of awareness people at risk. African Caribbean people for instance are more understanding of how mental around what happens to you when you receive mental health services, there is far less acceptance of the condition. Mental likely to be held under a section of the Mental Health Act. They are also over-represented in Special Hospitals, secure health is perceived in countries health simply doesn’t translate properly in other languages and attracts misconceptions of witchcraft and other negative institutions, medium secure units and prisons. For those who do get to see someone, there is hope and like Africa. Lorraine is a attitudes linked with tradition. Put simply, a mental health enlightenment. However, services don’t always get it right: community development worker problem translates as someone who has ‘lost it’. Mental illness is associated with shame and stigma and a fear of being there is evidence that BME patients are more likely to receive medication rather than be offered talking therapies. As who knows that building labelled, isolated or alienated by friends or family members. mentioned, compulsory admission to hospital is prevalent and relationships is the first step to In addition, it is seen as a sign of failure or something to be feared. And perhaps pertinently ‘madness’ is thought to be families and carers have difficulties accessing help. Lorraine and her colleagues believe the way forward is for supporting this community. She incurable, unlike our view that people can recover from mental ill health. It is not surprising then that language is the key better working relationships with faith leaders to promote inter-cultural understanding of race equality in mental health explained some of the issues to contributing factor to misdiagnosis. and better involvement of communities in the planning and Sanctuary... Lorraine also sees a circle of fear surrounding mental health. “If you combine the different layers of fear – fear of mental implementation of services from the outset. In this way people will begin to benefit in a very real way illness and fear of mental health services, you witness a vicious from being supported and cared for, and respected for their circle,” she explains “A circle that impacts negatively on the culture and race rather than misunderstood and abandoned. Contact the team: Lorraine yates – CDw, african/Caribbean, refugee & asylum seekers; 01483 459292, ext. 214 Charmaine Valler – CDw, gypsies & travellers; 01483 459292, ext. 235 kate Johnson – CDw, asian, Chinese & nepalese; 01483 459292, ext. 203
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