From dependence to empowerment
The long-term plan of the NHS stated – around July 2019
Shift from dependency to empowerment + healthy conversations.
We were empowered to modify the freedom of information questions …
We were empowered when our friends at NIHR supported us
Together in research – Spring 2021
We were empowered when WHO quoted us as best practise
The WHO Calls for Radical Change in Global Mental Health
We were empowered when the GRC put us on their website
We were empowered when someone at the ICO wrote to us: -
“For your information, I am not disputing the importance of the matters you raise or the information, but I am confined to considering your complaints within the scope of the FOIA and the exemption at section 12.
There is no public interest test attached to section 12”
We were empowered with this information.
We email MPS to ask for a public interest test to be attached to section 12 of the Freedom of information act.
We were empowered when we looked at the "official" data + saw they also look at age – gender – ethnicity
Public bodies also seems to be unable to get complete data sets
Mental Health Act Statistics, Annual Figures - 2020-21
Restraint, segregation and seclusion review: progress report
Listening + learning
People presented new thoughts + ideas
- based around person centred support
- human rights approaches
- strength-based approaches
- Integrated care
As alternatives to the current coercive system
Sedated, How Modern Capitalism Created our Mental Health Crisis - James Davies +
CRACKED why psychiatry is doing more harm than good - by James Davies
Combatting Structural Racism and Classism in Psychiatry: An Interview with Helena Hansen
How Western Psychology Can Rip Indigenous Families Apart: An Interview with Elisa Lacerda-Vandenborn
Suman Fernando’s book Institutional racism in psychiatry + clinical psychology
Blog by Colin King via NSUN
People deprived of liberty due to misapplication of Mental Health + Capacity Acts
Half of people with a learning disability and autistic people reluctant to provide feedback on care
Women disproportionately affected by soaring Mental Health Act detentions
Report Finds Monitoring of Electroshock Treatment Unsafe
New Study Finds ECT Ineffective for Reducing Suicide Risk
Repeal provisions for Community Treatment Order
Provide Tapering Strips for People Who Want to Withdraw Safely from Psychotropic Drugs
NICE Guideline Update Acknowledges Severe Antidepressant Withdrawal
Government review finds 10% of drugs dispensed in England are pointless
Long-term antipsychotic use linked to breast cancer
Coronavirus and depression in adults, Great Britain: January to March 2021
“Almost 4 in 10 adults earning less than £10,000 a year experienced depressive symptom compared with around 1 in 10 earning £50,000 or more”
The data shows what we know to be true: struggling with your mental health doesn’t happen in a vacuum.
Why not Diagnose Social Conditions Instead of Individual Symptoms?
Was everyone empowered
NO
To quote a friend - empowerment = real choices
Still, we attended Mental health act tribunals that did not listen
Still, we could not move from paternalism to human rights
Still, people suffered within the Mental Health system
Still, Mental Health trusts do not answer our questions or understand the level of abuse within the current system
Still, people suffered with poor expensive housing.
Still, people suffered with the cruelty of the DWP.
Still, people suffered with poverty.
Still, our public money was not used for housing first policies.
Still, there were people begging on the streets.
Still, No universal basic income.
Still, No 3-day week
Still, no wars.
Still, profit not need
The data
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2020 Freedom of information request
Click on the Trust name (left column) to access detailed responses
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Trust |
ECT |
SECLUSION |
RESTRAINTS |
SERIOUS INCIDENTS |
MEDS |
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2gether NHS Foundation Trust - Gloucestershire Health and Care NHS Foundation Trust |
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5 Boroughs Partnership NHS Foundation Trust - North West Boroughs Healthcare NHS Foundation Trust |
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Avon and Wiltshire Mental Health Partnership NHS Trust |
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Barnet, Enfield and Haringey Mental Health NHS Trust |
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190 - 19 people |
239 |
977 |
80 |
1025 |
|
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Bexley Health Limited |
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440 |
733 |
3953 |
87 |
354 |
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Black Country Healthcare NHS Foundation trust |
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Bradford District NHS Foundation Trust |
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Cambridgeshire and Peterborough NHS Foundation Trust |
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179 |
26 |
319 |
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Care UK |
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Central and North West London NHS Foundation Trust |
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Cheshire and Wirral Partnership NHS Foundation Trust |
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City Health Care Partnership Cic |
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224 |
112 |
1116 |
81 |
1263 |
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| 44 people 497 "treatments" | 312 | 1524 | 80 | 296 | |
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Cumbria Partnership NHS Foundation Trust |
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Cumbria Northumberland Tyne and Wear NHS Foundation Trust |
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Cygnet Health Care Limited |
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Derbyshire Healthcare NHS Foundation Trust |
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710 |
253 |
1545 |
95 |
1233 |
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Dorking Healthcare Limited |
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22 people |
81 |
1571 |
Over 39? |
708 |
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Dudley and Walsall Mental Health Partnership NHS Trust now merged Black Country Healthcare NHS Foundation Trust |
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East London NHS Foundation Trust |
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Greater Manchester West Mental Health NHS Foundation Trust |
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10 people |
2179 |
46 |
615 |
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Hertfordshire Partnership University NHS Foundation Trust - Hertfordshire + Worcestershire Health + Care NHS trust |
16 people – 132 “treatments” |
DOES NOT SECLUDE |
682 |
57 |
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Humber NHS Foundation Trust |
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287 sessions – 29 people |
357 |
1593 |
160 |
538 |
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Lancashire Care |
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Lancashire & South Cumbria NHS Foundation Trust |
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37 people - 420 sessions |
103 |
2323 |
18 |
595 |
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74? |
772 |
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Lincolnshire Partnership NHS Foundation Trust |
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Manchester Mental Health and Social Care Trust |
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Mersey Care NHS Trust |
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Navigo |
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Norfolk and Suffolk NHS Foundation Trust |
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North East London NHS Foundation Trust |
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North Essex Partnership University NHS Foundation Trust |
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North Staffordshire Combined Healthcare NHS Trust |
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176 sessions – 14 people |
263 |
1175 |
29 |
962 |
|
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Northumberland, Tyne and Wear NHS Foundation Trust |
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Nottinghamshire Healthcare NHS Foundation Trust |
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Oxford Health NHS Foundation Trust |
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19 people |
23 |
582 |
66 |
77 |
|
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Partnerships In Care Ltd |
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Pennine Care NHS Foundation Trust |
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Plymouth Community Healthcare (Cic) - NOW LIVEWELL SOUTH WEST |
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Priory Group Limited |
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Rotherham Doncaster and South Humber NHS Foundation Trust |
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Sheffield Health and Social Care NHS Foundation Trust |
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Does not do ECT |
90 |
302 |
16 |
787 |
|
|
19 people 196 sessions |
not provided |
369 |
79 |
56 |
|
|
550 sessions – 56 people? |
409 |
2331 |
85 |
1020 |
|
|
341 |
654 |
119 |
2301 |
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South Staffordshire and Shropshire Healthcare NHS Foundation Trust now MIDLANDS PARTNERSHIP NHS FOUNDATION TRUST |
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353 sessions – 32 people |
302 |
1383 |
77 |
506 |
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South West Yorkshire Partnership NHS Foundation Trust |
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Southern Health NHS Foundation Trust |
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Staffordshire and Stoke On Trent Partnership NHS Trust - Midlands Partnership foundation trust |
245 |
67 |
1306 |
108 |
516 |
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Surrey and Borders Partnership NHS Foundation Trust |
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119 - 1635 sessions |
327 |
1384 |
101 |
807 |
|
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Tavistock and Portman NHS Foundation Trust |
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Tees, Esk and Wear Valleys NHS Foundation Trust |
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The Huntercombe Group |
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The Retreat Hospital |
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4 |
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| 21 people | 1600 | 119 | 466 | ||
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Worcestershire Health and Care NHS Trust NOW PART OF HEREFORDSHIRE |
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The big questions
"no one is free until we are all free."
To quote Andy Burnham ...
If we wait for the "powers that be" we will wait forever?
so best if we just do it ourselves?
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Citizen control |
Degree of citizen power |
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Delegated power |
|
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Partnership |
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Placation |
Degree of tokenism |
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Consultation |
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Informing |
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Therapy |
Non participation |
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manipulation |
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Old power |
New power |
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Currency |
Current |
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Held by few |
Made by many |
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Pushed down |
Pulled in |
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Commanded |
Shared |
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Closed |
Open |
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transaction |
relationships |