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Autistic woman, interests include autism, dyspraxia, neurodiversity and mental health.
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As people are locked away out of sight out of mind in hospitals, care homes, and now flats they are very vulnerable to abuse or neglect
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Or will St. Andrews and other similar new commmnity providers have poorly paid and untrained staff restraining and abusing people in their own flats
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I noticed St. Andrews is now closing mh wards and opening community services. Will their plan be to buy some flats, lock distressed people in them and have poorly trained and underpaid staff waiting outside
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The report does not mention institutional racism against black people which has led to deaths of black people in mh custody during restraint
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Finally the CQC report does not cover the experiences of women with eating disorders, suicidal children, people with suspected bipolar or psychosis who make up a significant proportion of those in psychiatric care
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Replying to @alphabe51230500
I see in the community care section an example of one persons water supply being cut off
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For me living in the community should not mean living in a locked flat alone apart from occasional visits from carers.
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But the report is still an indictment of the terrible way the uk treats those who can not meet society’s behavioural expectations due to autism, ADHD, a learning disability or a mental health condition
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For me this CQC report is inadequate because with a few rare exceptions the CQC have not actually spoken to or interviewed those in care, custody or solitary confinement. They are relying on second hand accounts eg from staff
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The report does not really cover the experiences of black and ethnic minority people although they are at greater risk of being sectioned and restrained
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But the destination for many children in secure children’s homes will be the youth custody or psychiatric systems
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Secure children’s homes do provide better care than ATUs or young offender centres as they are better staffed, children have more one to one care, therapy and education
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Very many autistic, adhd or traumatised young people will be transferred from secure children’s homes to young offenders centres where they will be held in a cell for most of the day
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The report praises these children’s prisons for their good and person informed care but the question should be why are so many children being imprisoned at a young age
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The CQC mentions secure children’s centres otherwise known as children’s prisons for kids age 10-15. The question needs to be why are so many autistic and ADHD kids being crimalised and imprisoned at such a young age
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I can only imagine that the risk assessment process meant it was difficult for inspectors to speak much to those detained in segregation
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The CQC out of sight report mainly contains the views of staff or family/carers of patients or residents rather than the autistic people or people with mental health problems or learning disabilities
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Community providers using a lot of restraint too according to the report. So just because the situation in community services is less cruel and dire than in mental health units does not mean it is ok
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How is it a good solution for a vulnerable person to be locked in a flat alone with the care staff outside the flat, unable to help them
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Conditions in the community for autistic, learning disabled people and those with mental health conditions did not sound very good either. People locked in their flats, lack of furniture. What if there was a fire ?
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