Monday, 2 November 2009

G is for...

Not much, actually, so this may be brief. This is probably a good thing, as I have tons of other stuff I should be doing; revision for a pharmacology exam, an assignment on a topic of my own choosing (which is sadly exciting - yes I'm easily pleased), a fanfic to finish and a dissertation topic to find. Some of them are much more appealing than others, but it makes me tired just thinking about it all. And given that I've been surrounded by people coughing and spluttering inconsiderately in my direction, I think it's safe to say that my sniffles and headache are the beginning of an impending cold. Bah.


Anyway, onwards with G. I really couldn't think up much for it, so am open to adding a few extras if people want to make suggestions.


Gardens


Our unit has a few courtyards which are mostly used for smoking, hiding contraband in and, in the case of one patient, locating insects for use as a nutritious snack. Some of the courtyards have bits of grass and some plants. One of them has been turned into an allotment, thus we grow our own veg for patient cooking sessions and to sell to staff at christmas (big bag of mixed veg for a quid, bargain*). We also have ducks, chickens and a variety of small furry creatures which get used as a kind of 'pet therapy' and way of encouraging responsibility in people. I should probably add, maintenence of the allotment is on a voluntary basis; we don't make patients work the fields anymore. Maybe when the Tories get back in, who knows.



*Money goes back into buying stuff for the allotment, despite the staff's sneaky efforts to take a cut; patients may not be out there in all weather compulsorily, but the staff pretty much are. The unit did buy us some one-size-fits-none all waterproof jackets though, so now I am expected to try and supervise the collection of eggs whilst fighting to see out from underneath my massive, massive hood.


Guilt


Is a strange thing in secure services. We spend half our time helping some patients to feel less guilty about what they did, and the other half trying to make the rest feel any guilt at all. Some patients will never feel guilty about their actions, and so are very unlikely to ever get out given that an absence of empathy for their victims is a pretty good indicator of recidivism. If they're clever, they'll learn to fake it. Those are the scary ones.


Ground Leave

What you have when you are allowed out of the building but have to stay in the hospital grounds. It's about as exciting as it sounds. There is a map stuck on the office wall with the perimeter marked and the suggested route for walking round it. It takes about 15 minutes, so you can usually do two laps in your half-hour leave, which some people do. Others just head straight to the rec hall to get a cup of scalding yet watery 'tea'; at least , when it's open, as it's staffed by volunteers so the actual opening hours are incredibly variable. If you fancy a gentle introduction to mental health services, see if your local hospital needs volunteers in the patients cafe*; you will quickly find out if you are cut out for working with mentals and will meet some very interesting people. You will also see lots of staff hanging around; usually all sitting at a table with staff from other wards, trying to hide their radios** and look unobtrusive whilst they watch to make sure their patients don't do a runner/buy any drugs/hurl their tea-flavoured water at anyone. You will also see them turn a blind eye when said patients sneak outside for a cigarette (banned on hospital grounds)....until a known 'grass' walks in and they suddenly wrestle the fag out of their hands and start pretending they'd only just noticed they were smoking. Letting your patient smoke in the grounds is a disciplinary offence. Which personally, I think is pathetic. But I'll save that rant for when I get to 'S is for smoking'.

*Patients cafe= cheaper than staff cafe. It's not a segregartion thing; if patients fancy paying extortionate prices for the same food they get served on the ward then they are welcome in the staff cafe.

**Staff escorting patients in the grounds take walkie-talkies. Each ward has a security call sign and staff have to 'radio in' periodically to let control know they are alive and unmolested. If they radio that they need help, control will gather a respose team and send them out to assist. That is, if they can find you. And if it's not raining. Or snowing. Or a bit windy.



7 comments:

astridvanwoerkom said...

I know ground leave, although on my former ward leaves were based on timespan, not location. So the equivaletn of "ground leave" was "privilege 3", ie. 15 minutes off ward time. Because I am blind and hav ehorrible orientation this meant I would never get farther than 50 metres from the ward. Probably the reason I wasn't granted this privilege till three months into my hospital stay, was not what the docs thought I could do with that time (although theoretically I could get towards a road where one car an hour drove by, that road was the official reason I wasn't granted the privilege), but fearing I'd wander off and have to be picked up by security. That happened a few times when I had "privilege 5" (leave for up to four hours with usually nurses being able to grant you extended leave), and by then suddenly it wasn't punishable anymore.

What about adding "garbage"? I'm not sure if it works that way in secure services, too, but here the patients are supposed to do chores. Half of them do them obidiently and hte other half don't do them. Our kitchen is a garbage yard because of that second half. If you get to H, in this respect, I'd like to suggest "hygiene": officially regulated strictly, but I still remembe rhte last time I someone (a patient, cause staff sayit's our responsibility to watch out) found moldy bread in the cupboard and the last time I ate it before anyone found it.

margerydaw said...

i am definitely a fan of this series CD :)
have you swapped to the degree now then?? i have finally decided on my topic. i'm doing the treatment of psychopatic sex offenders..i didn't want anything too heavy for my last year ;)
i might pick your brains at some stage x

cellar_door said...

Astrid - I think hygiene will definitely need including :o) Am finding it interesting hearing about your experiences of the system over there too, sounds like there are a lot of unfortunate similarities...

Marge - I have been offered and accepted the swap, but not had written confirmation yet. Not expecting any before the end of the course tbh! I like your topic, my kinda thing :o) I'm doing a 4k word essay on female sex offenders right now (isn't enough info on them for a dissertation). Feel free to email if you need anything, can't guarantee I'll be any use though! x

margerydaw said...

CD,
If you haven't already seen these, these books are pretty good.They both have sections on female sex offending:
"Comprehensive Mental Health Practice with sex offenders and their families" by Carolyn Hilarski & John Wodarski...and "Assessment and Treatment of sex offenders: a handbook" by Anthony Beech, Leam Craig and Kevin Browne.

cellar_door said...

Thanks Marge! Have got the second one, maybe santa will bring me the first one if I'm good :o) Is that a bit of a macabre xmas pressie...? Am printing journal articles like noones business...

margerydaw said...

hahaha i know what you mean, i am beginning to wonder whether i am troubled seeing as i am finding reading about sex offending really facinating. my life is being taken over by psychopaths and their deeds

cellar_door said...

Yup, I'm getting very odd looks off people when I witter on excitedly about what I've been reading. Some of the more graphic stuff gets to me though...so I'm reassured that I'm not completely wrong in the head :o)