Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...
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
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
6. of Art
mes, ciation nable a
est of ti t. It Britis h Asso is ‘to e
t the b to the herapy h
ing rt T throug
ssible a st too difficul er. al level
Accord im of A
ggles. main a person
r impo
tru nt’.
ing s AT) the wth on
a ironme
u t
n be nea is sometimes j us feel any bet re
ed dur ists (BA nd gro ing env
ddress Therap ange a facilitat her
otion s ca rds ake the co vered a
nd a
n ism. In
a
client to effec
t ch
in a safe
and
sit ive cha
nges to
uld
lising em e feel into wo lp, let alone m be the answer, m art
ma dis erfectio aterials ade po she wo
that Em aring p ade a of art m y has m ws that
Ve rba ww
r aspect
sense o
f overbe
hat wh
e n she m t he use Art Therap
for art s
he kno
ot cure
d from
’t he not ho Anothe a said t of sked if
tting ho e talking won therapies may someone for w herself.
as her feeling When a wasn’t she is n r
erapy w ay, Emm to the that if it lthough elps he
pu lik g to ith
her th and qu
iet w
t more
used
hat it w
as ok
, Emma
says
now, an
da
life and
art h
life for
can feel er, when talkin Daniels spoke her in touch w
ernal go y, t life e is er
very int slowly raduall ated b
y ell as sh unders
tands h way of
in her art she lised, g cre be as w r ec ome a I
and rea s were not a bette rt has b h, when
Howev erapy. Louisa py helped put
mistake wrong, t thing ia, Emm very, ‘A intbrus
g going the bes Anorex er reco up a pa e t how
someth
in ome of tion going in
h
w, I pic
k
en I forg
h thera takes. ‘S hically.
is Arts T
munica to keep eling lo and wh
ake mis sp hilosop l of com , when
I am fe a pencil,
to m she say channe rt. me now pick up I smile.’
takes’, ating a ce of a can’t, I gs, and
my mis s by cre the pie ry and paintin
niels
ork d e of c y
rapy w pist an ry mod want to ok at m
a
Art The e thera e prima me, I lo
ouisa D
n
lient, th mes th y hidde have co
n the c edia be
co ccess a
n far I
L
betwee e art m lps to a g
this, th cess he ve rcomin
Throug
h the pro g and o
n, and dressin
comm unicatio e y to ad
re the k
s that a
feeling
py,
rt Thera
ip lines: A a
ain disc erapy is
three m , Art Th
rapy are e finition n of a
rts The py. By d creatio
ea of A ic Thera with the nd
tHe ar py a nd Mus ycho therapy cons cious a
10 witHin a Thera ines ps art that red. 11
Dram mb on of th
e
re explo
that co
therapy th e creati d fe elings a . She
logical through ghts an herapy
psycho and it is us thou ed art t
f art, un con
scio xperien
c rds and
piece o o has e sing wo
per son wh kw ithout u isorder.
to one d her t
o spea ating d
I spoke ble fro m an e entity)
t it ena covery t her id
told me tha er in her re to protec Emma
elped h hanged psom.
that it has h s been c ou se in E Art
ame ha ughta H scribed
Emm a (her n y at Lo she de
ed Art
Therap xia, and n asked
access r Anore n.’ Whe
at ment fo su ffocatio he said
,
iving tre om my rently s
w as rece ein g me fr el diffe r apy
y as ‘fre er to fe art the
Therap elped h ge, and t,
ow it has h , em pty frid g in .’ In fac
about h ea locked ut o ne thin sn’t
I felt lik r and p she wa
‘Before pen t he doo u nd that t
me to o mma fo uite a lo
helped y that E tually q
art therap re was ac s, a way
hrough t; ‘The motion
it was t though hose e lf.’
pty as she o re lease t rvin g myse
quit e so em d a way t min g or sta estion
d I foun lve har r to qu
goin g on an n’t invo for ced he ional Fo r mo r
that did gently s emot e info r ma
herapy c ess wa ti
ma, Ar
tT the pro when it o n co nta
rogress
Art Ther
For Em hough apy, Dram ct:
lly and alt to make p ly locke
d available
from Surr a Therapy and M
interna id start evious 01372 20 ey and B usic Ther
things ult , she d e had pr h ich 4113 for
general en
orders N
HS Partn
apy are
ry diffic that sh tions, w quiries a ership Tru
and ve things se emo nd detail st: apy
What other ar t ther :
g with kle tho ee from British A s about re
n ac fr ferral
ve said
o deali an to t uld be
ssociatio
clients ha
came t she co
n of Art
ma beg ee that
from T: 020 76 Therapis
ay. Em overing
86 E: info ts
aw to s rec @baat.or
help ed her ow ork on th e hurt The Briti g Art therapy has:
order t
sh Associ
in turn r from ation of
recove
T: 01242
that in had to inside
her. 235 515 Dramath
l when times were des
perate
ia and E: enquir erapists
“kept me out of hospita
Anorex isorder
she
s bottled
up Associati
ies@badth
.org.uk and helped me move
on”
ing d that wa
on of Pro
the eat T: 020 78
37 6100
fessiona
l Music T hard to verbalise”
E: APMT herapists h the issues that are
office@aol
.com “helped me to deal wit
e stayed
would otherwise hav
things inside me which
“helped me express myself and my life situ
ation and
insights into
suppressed. I’ve gained n’t know were inside
me”
highlighted issues I did
mirror
(my work) became a
face my feelings …..
“helped me learn to It has helped me face reality”
image of my feelings.