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Psychiatric wards 'neglect' duty to parents | Psychiatric wards 'neglect' duty to parents |
(about 3 hours later) | |
By Eleanor Bradford BBC Scotland Health Correspondent | By Eleanor Bradford BBC Scotland Health Correspondent |
Psychiatric hospitals must consider the children of those who are given compulsory mental health treatment, according to a health watchdog. | Psychiatric hospitals must consider the children of those who are given compulsory mental health treatment, according to a health watchdog. |
The Mental Welfare Commission says most healthcare staff are unaware of their responsibilities to help parents to maintain contact with their children. | The Mental Welfare Commission says most healthcare staff are unaware of their responsibilities to help parents to maintain contact with their children. |
It has recommended that hospitals provide child-friendly spaces. | It has recommended that hospitals provide child-friendly spaces. |
And it urges providing information that can explain mental illness to children in a way they understand. | And it urges providing information that can explain mental illness to children in a way they understand. |
It also recommends that the family circumstances of patients is properly assessed. | It also recommends that the family circumstances of patients is properly assessed. |
George Kappler, chief social work officer at the MWC, said: "When the state intervenes to disrupt the normal parent-child relationship, there is a duty placed on the state to try to mitigate the impact of that as much as possible." | George Kappler, chief social work officer at the MWC, said: "When the state intervenes to disrupt the normal parent-child relationship, there is a duty placed on the state to try to mitigate the impact of that as much as possible." |
This duty was enshrined in a new Mental Health (Scotland) Act in 2003. | This duty was enshrined in a new Mental Health (Scotland) Act in 2003. |
Not recorded | Not recorded |
Mr Kappler said. "Section 278 is buried deep in an act which is 330 pages long. | Mr Kappler said. "Section 278 is buried deep in an act which is 330 pages long. |
"It's a pretty progressive piece of legislation, but we feel a lot of people still aren't aware of it." | "It's a pretty progressive piece of legislation, but we feel a lot of people still aren't aware of it." |
When the MWC looked at a sample of paperwork, it found at least a quarter of patients had children under the age of 18, but this had not been recorded. | When the MWC looked at a sample of paperwork, it found at least a quarter of patients had children under the age of 18, but this had not been recorded. |
"Sometimes it comes down to leadership on a ward, or the training people had received," Mr Kappler added. | "Sometimes it comes down to leadership on a ward, or the training people had received," Mr Kappler added. |
"There were some pockets of good practice perhaps because people were parents themselves. | "There were some pockets of good practice perhaps because people were parents themselves. |
"It was inconsistent across the country, although everyone recognised it was good practice." | "It was inconsistent across the country, although everyone recognised it was good practice." |
Susan Clelland spent long periods in psychiatric hospital throughout her daughter's life, being treated for bipolar disorder. Like many wards, hers had no child-friendly area for visitors. | Susan Clelland spent long periods in psychiatric hospital throughout her daughter's life, being treated for bipolar disorder. Like many wards, hers had no child-friendly area for visitors. |
She said: "It would have been nice if there had been a room where we could have sat and talked. | She said: "It would have been nice if there had been a room where we could have sat and talked. |
"We had to sit in a general room where you had people who were very, very ill. | "We had to sit in a general room where you had people who were very, very ill. |
Bedtime stories | Bedtime stories |
"They would upset her because they would come up and talk to her, clearly not very well at all." | "They would upset her because they would come up and talk to her, clearly not very well at all." |
Mrs Clelland found her own solution. "I recorded quite a few bedtime stories and she played that tape at night so she could hear my voice," she recalled. | Mrs Clelland found her own solution. "I recorded quite a few bedtime stories and she played that tape at night so she could hear my voice," she recalled. |
"It meant she had that regularity of my voice reading to her, even though I wasn't there." | "It meant she had that regularity of my voice reading to her, even though I wasn't there." |
Mrs Clelland managed to maintain a good relationship with her daughter. | |
"I think people with a mental illness have to work harder to be good parents," she added. | "I think people with a mental illness have to work harder to be good parents," she added. |
"We try harder because we know there is so much against us. | "We try harder because we know there is so much against us. |
"When I was well we had a lot of fun and I think that stood us in good stead for the bad times." | "When I was well we had a lot of fun and I think that stood us in good stead for the bad times." |