Tag: Mental Health

02 across a table

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He had been detained on a locked ward;
schizophrenia; complex drug problems.
The day of the assessment
he was heavily medicated,
was experiencing
auditory and visual hallucinations.
He thought he had special powers,
believed he was the Son of God.
His benefits were stopped immediately.
He had been deemed fit for work
on the basis of physical tests: the ability
to pick a pen up off the ground
or move a pint of milk
across a table.

[The Scotsman, 21/01/2012, Just not working: Why government fit-to-work tests are failing]

05 he didn’t know how he was going to live

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No witnesses gave evidence
at the inquest,
only the coroner read out
written statements
from the man’s doctor, the first paramedic
to attend him after he collapsed,
a police sergeant who investigated
his death, the pathologist
who carried out
his post-mortem.
The day he died
he was awaiting the results of an appeal
against being found fit for work.
He visited the jobcentre,
and was asked to climb some stairs.
Heart disease, sarcoidosis,
diabetes, cirrhosis,
depression, anxiety,
agoraphobia and high blood pressure;
he had been referred to a respiratory clinic; had been diagnosed
with Asperger’s syndrome.
He had previously lost his job because of depression;
he was falling asleep at work; serious breathing difficulties.
Despite a ‘fit note’ from his doctor
he had started a new job within a few days;
he wanted to work.
But his employer realised how unwell he was, and was worried.
He lost the job.
He told the jobcentre staff
he would have a heart attack
if he climbed the stairs.
Told he could use the lift,
he asked if someone could accompany him
because of his claustrophobia.
He was told this was not possible.
It was agreed that someone would come down
to speak to him.
After leaving the Jobcentre
he went to see a friend,
who calmed him down.
He was worried about work, about
money.
They weren’t going to give him disability benefits.
He didn’t know how he was going to live.
Hours later
he collapsed in the street
and died.

[Disability News Service, 11/08/2022, Shock after inquest ignores ‘fitness for work’ and jobcentre concerns]

07 the decision-maker

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The coroner concluded
at the end of the inquest:
‘The anxiety and depression
were long term problems
but the intense anxiety
was caused by his recent assessment
by the Department
as being fit for work
and his view
of the likely consequences.’
A former orthopaedic surgeon
employed by the contractor
had carried out the assessment,
concluding that he
was ‘at no significant risk
by working.’
The decision-maker
did not request
any reports or letters
from his doctor
his psychiatrist
or his clinical psychiatrist
had failed to ask him
if he had suicidal thoughts.
Six months later
he took his own life.

[Disability News Service, 02/12/2019, DWP: The Case for the Prosecution]

08 the same company

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She was thrilled when she got work
at a council children’s centre
but a routine health check
by a company contracted by the council
and the Department
found
she was not fit for work.
She was recovering from a five-year battle
with anorexia.
‘It would be inappropriate
to be offered employment
in this role.’
Strapped for cash
she applied for support
only to be judged
fit for work.
‘You do not have
any limited capacity
for work.
It has been decided
we cannot pay you’
The same company
carried out both assessments.

[Daily Mirror, 16/04/2010, Too unfit to work… too fit for benefits]

10 uncontrolled, uncontrollable or life threatening

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He quit his job in 2007
after becoming severely ill:
depression
anxiety.
He rarely left his home, refused
to talk to friends and relatives
or answer the door or phone
often spent days
in the same room.
He lived off his savings for two years
until his money ran out.
In early 2009
he finally began talking again
to his father and step-mother.
They persuaded him to apply for support.
He was assessed by a doctor employed
by a government contractor.
The doctor concluded
there was ‘no evidence
to suggest that the client’s health condition
due to their depression
is uncontrolled,
uncontrollable or life
threatening.’
He asked the Department to reconsider
as this disagreed wildly
with the opinion of his doctor
his psychiatric nurse
and his psychiatrist.
He found out
in January 2010
the Department agreed
with its earlier decision.
Although he began
the next stage of the process –
an independent appeal –
a few days later
his body was found.

[Disability News Service, 02/12/2019, DWP: The Case for the Prosecution]

11 she was an artist. she dreamed

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Because of her paranoia
she had no television, rarely
used her computer, would often
throw away her mobile phone
and change her number;
she thought it was being bugged.
She had accused her mother
and female neighbours
of being witches, once
accused a woman
walking her dog
of sending messages to the police.
She was unable to shop or cook.
Shopping online was difficult – she did not like
to use the computer, was scared
to open the door.
She would turn up outside her mother’s house
7am
screaming
threatening to burn the house down.
At one stage
she tried to climb the telegraph pole
outside the house.
On several occasions she had run away –
to local woodland, where she had lived for several months;
to Siberia in the middle of winter;
to Israel –
to escape those she believed
were conspiring against her.
She was an artist. She dreamed
of buying
a rundown bungalow
in Cornwall.
She had attempted suicide several times when she was younger;
a demon
in her head
was telling her to take her own life.
For the last year of her life
she had been complaining of extreme fatigue.
She had lived with her mother and step-father for many years,
then for two years in sheltered accommodation nearby,
but was moved into a housing association flat.
The flat was very dirty. No working
appliances, full
of rubbish and filth,
huge holes in the floor,
the dual carriageway
in front of the windows.
All her benefits
had been removed by the Department,
which wrote to tell her
her support was ending
because she had failed to return a form on time.
The Housing Association
sent letters
threatening to evict her.
The Council sent a summons
for unpaid tax.
Her electricity had been
cut off.
During the summer, she visited her mother regularly,
and told her she was surviving
on a sandwich and a cup of coffee a day.
In September, she had a psychotic episode
and again cut off
contact with her mother.
In October, her mother messaged her
that her grandmother had died.
There was no reply.
She was being given injections of flupenthixol
a powerful anti-psychotic
every two weeks.
Later in October,
her non-appearance
for the scheduled injection
failed to be noticed –
the Trust had been significantly under-staffed –
until a new co-ordinator
tried unsuccessfully to contact her,
and alerted the police
a week later.
In March, the Department wrote to her mother
to tell her it would be making a back-payment
from April to the day in November
when the police discovered her body.

[Disability News Service, 08/09/2022, DWP hounded disabled woman for years before her ‘starvation’ death, papers show]

16 one evening in August

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He has a mental health problem.
He takes triple medication.
He reports self harm in the past.’
He was assessed in May.
‘He attempted an overdose six weeks ago
but he would not say what he took.’
In June, the Department told him
he was fit to work,
and that his support was being
withdrawn.
‘The evidence overall suggests
that he is not at substantial risk.’
In an appeal letter, he wrote:
‘I disagree with your decision.’
He had worked cleaning buses
for three years
but he could not cope.
‘I have serious mental health problems
that prevent me from doing everyday tasks
which means I cannot work at this moment in time.’
He was placed on strong medication
but his mental health had worsened:
sleeplessness, memory loss, paranoia.
He would claim people were trying to poison him.
He thought the police were following him.
‘I did try and explain this
to the medical examiner.’
He was informed in July of the Department’s final say.
They backed the decision.
One evening in August
he got a bus to the Forth Road Bridge
walked to the middle
and jumped.
He was recovered from the water
but that night in hospital
he died.
His father believes
he may have been a schizophrenic.
Since his death
his mother had been in hospital,
not eating.
The Department sent their sympathies to the family.

[Daily Record, 22/09/2013, Heartbroken dad blames benefits axemen for driving his ill son to commit suicide]

18 Dirge 1: for when you think you will be well again

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The dispatcher noted on the call log that the patient wanted to die,
but this particular piece of information was not conveyed.
The information which the crew were given was:
Psychiatric/Abnormal behaviour/
Suicide attempt;
trying to slit wrists; Armed with a weapon –
glass.
Therefore
the crew were given adequate information
of the patient’s intent.
She was due to attend the Jobcentre on the fourth
to make her declaration of unemployment
in order to remain eligible for her benefit payment.
However, she contacted the centre that day
to say she was sick.
She subsequently attended on the seventh
where she explained that she had not come in on the fourth
because she was ill.
She was asked to complete a form
to formally declare her sickness.
She completed and returned the form,
then immediately left.
This meant that the Work Coach
was unable to discuss
the details of the statement she had made:
‘I was busy trying to kill myself,
drinking non-stop.’
There is a space on the form
for the date when you started being unwell
(she put the fourth)
and another
for when you think you will be well again
(she put the seventh).
The coach discussed his concerns with his line manager, and
recorded the incident
in accordance with Department procedures.
Policies state
that employees are empowered
to take any reasonable steps,
including contacting the emergency services,
if they feel the customer
faces clear and significant risks to their welfare
or safety. In this case,
based on the information he had,
the Work Coach made a judgement
that there was no immediate risk to the customer’s safety.
She died later that same day.
On the morning of the sixth,
she reported that a man had attempted to rape her in her home.
One of the first-responding officers,
on encountering her outside her address,
noticed blood on her clothing, and,
quite properly,
attempted to persuade her
to allow police to seize the clothing
for forensic examination,
and to dissuade her from immediately returning to her home,
the apparent crime scene.
A third party witness
expressed surprise at the intrusiveness of the questioning,
conducted by a male officer
in a public area;
a less than ideal situation.
The witness added that,
although the officers’ questions were not in any way inappropriate,
and they had explained why they needed to ask them,
she would herself have felt
uncomfortable
answering such questions
in such a way.
The second attending officer sought advice
from the Team Detective Sergeant
regarding how best to proceed with the agitated woman
who informed the officers that she had been
drinking throughout the preceding night. In line with best practice
a female Sexual Offences Investigation Trained (SOIT) officer
was tasked to attend.
Despite difficulties,
officers obtained
sufficient detail
to circulate a description of the suspect,
who was promptly arrested nearby.
(He was later released.)
It was clear that there was some tension
between the desire on the part of the initial attending officers
to achieve best evidence
and the manner and location of the communication
between the woman and those officers,
necessitated by the character of contact
between the parties.
She walked off towards her flat;
an officer followed
trying to prevent her from entering.
Once outside the address he and another officer
tried to explain to her
why the scene needed to be preserved
but she continued to be obstructive.
She continued to demand that she be allowed to enter her flat
and threatened
to kick her own door down. Eventually
she used her keys to enter the address
and closed the door.
Research indicated she was capable
of being volatile and violent
when intoxicated.
Reports for example
indicated she had assaulted police in her home
five months earlier
when they attended there
to check on her welfare.
The Detective Sergeant
decided that
in her present state of mind
she was no longer suitable
for an immediate SOIT officer deployment,
and instead arranged for an officer
to re-attend the address
with a colleague
the following day,
which was the seventh.
On arrival
the front door was closed.
The officer knocked several times
before a female voice from within said ‘Who
is it?’
It’s the police. Can you open the door please?
The voice
replied ‘Everything
is fine. There is
no crime here.’
Can you open the door?
I don’t want to force it open.
We just need to speak to you
that’s all.
The door was opened.
She said
‘I don’t need
you lot. You can
fuck off.’
The officer explained
they were asked to attend
on behalf of the ambulance service
as they had been contacted
by someone threatening
to harm themselves
with a piece of broken glass.
‘Well it’s not me. I don’t need
you lot here. I
never asked you
to come so can
you please fuck
off.’
Have you hurt yourself with some glass?
She replied
‘No.’
What’s your name?
‘You don’t need
to know my
name it’s all
on your systems.’
The officer stated he saw a letter
and a bank card
on the sofa
which confirmed her name.
He said
Have you called for an ambulance?
She replied
‘No. I don’t need
an ambulance and I don’t know
why
you are here.’
Could anybody else
have called an ambulance for you?
Have you phoned a friend or
anybody to say
you were going to hurt yourself
with some glass?
She replied
‘No. Look
I never
called
you lot
please
fuck
off.’
The ambulance crew arrived,
and took over the lead in continuing attempts
to rapport-build,
only to experience
similar difficulties.
It was during this period that the SOIT officer and a colleague arrived
having postponed their initial visit
from the previous day, the sixth.
No officer present briefed the ambulance crew
regarding the alleged sexual assault.
On this occasion too, having been briefed by the first officer
on the woman’s state of mind
and volatility,
and by the ambulance crew
regarding her
nevertheless
evident mental capacity
and lack of immediate welfare concerns,
all parties decided
once again
to leave.
About forty minutes later, she left her home.
She is seen on CCTV entering the station.
The train was not driver-operated.
It was travelling at only 15 miles per hour.
It happened so quickly, commuters
continued reading their papers.
They had no idea
what she was doing.
The proximate cause of death was injuries sustained
when she stepped in front of the train.

[Responses from the Metropolitan Police (17/03/2016), London Ambulance Service (11/03/2016) and the DWP (undated) to the Prevention of Future Deaths report made by Coroner ME Hassell, 20/1/2016; added details from The Guardian, 06/02/2016, Faiza Ahmed: how one woman’s cries for help were missed by every authority]

20 and her coat and purse

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She walked out of the home she shared with her boyfriend
some time after midnight.
She had battled depression for a number of years,
had taken a turn for the worse
after receiving a letter
telling her she had to be assessed
to see if she was fit
to return to work.
Her mobile phone
was found discarded
on a bench in the park.
And her coat and purse
in the river.

[Chronicle Live, 26/02/2013, Body found in River Wear is Leanne Chambers]

31 when this also failed, she walked

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One of the first officers to arrive at the scene
noted evidence of a poor attempt
to clean up the mess;
watered-down blood in the kitchen.
Officers noted how her husband had blood on his clothes.
His brother, who received a call at work
urging him to rush round to the house,
had dirt on his hands.
Both men were arrested
but cleared of any involvement;
close examinations of the pattern of blood
ruled out foul play.
Her husband had woken up to find her missing.
He discovered an empty packets of painkillers,
blood,
a note.
She had been worrying about a meeting she was due to have
to discuss her entitlement to disability benefits.
Her health problems meant she had to give up
her job at the bakery. She was described
as cheerful, hardworking and trusted.
Her husband’s model shop had recently collapsed,
plunging the couple into financial difficulties.
They were forced to sell her childhood home.
It was likely
she had walked to the shed to fetch craft knives
in order to cut herself
after finding a serrated kitchen knife
was not sharp enough.
When this also failed, she walked to the Drain –
fifteen minutes from the couple’s home –
where her body was found.
She had died of drowning,
more than ten self-inflicted cuts
on her wrists.

[Hull Daily Mail (via Black Triangle Campaign), 12/07/2011, Woman who drowned in drain was upset about health check]

39 starting from zero again

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A note was discovered on his computer
by his parents,
detailing exactly
how and when
he planned
to take his own life.
He was 28,
autistic,
diagnosed with depression.
The Department ordered him
to attend a work capability assessment.
He refused.
The Department decided
to terminate his benefits,
his only source of income.
Six years ago
he told his social workers
he did not wish to have contact
with his family.
His parents had battled to see him since
but were forbidden from knowing
where he lived.
He had previously gone
voluntarily
to the acute inpatient mental health unit
in the town where he lived
after being told about the assessment.
He was reluctant to ask for help again.
‘If I am accepted,
I will have to stay up to 28 days
or six months
in a boring and cramped environment
surrounded
by very damaged people. After which
it will be determined
that I no longer need treatment
and will be allowed to leave.
I will likely be homeless,
starting from zero again,
and the vicious cycle
will begin anew.’
Social services closed his case
after he failed to respond to letters.
The note revealed
he made three separate attempts
to hang himself
between 2016 and 2018.
He wrote:
‘Each time I failed with panic.’
He wrote:
‘I cannot be bothered to fight this
any more. I am
out of energy. I only exist
to do what I want to do.
Dealing with paperwork,
making phone calls, feeling
anxious
every day
about whether I am going to be homeless
are things I do not want to do.’
His body was discovered
in an advanced state of decomposition
nine months later
when housing association officials
called to evict.

[Milton Keynes Citizen, 16/09/2019, Autistic Milton Keynes man left suicide note on computer explaining tragic reasons he took his own life; Milton Keynes Citizen, 02/12/2020, ‘Our son’s tragic loss of life could have been avoided’, say parents of autistic Milton Keynes man whose death went unnoticed for nine months]

50 you probably won’t have heard

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You probably won’t have heard much about the case.
A 33-year-old woman in the West Country
living with her parents.
She very poorly:
bipolar disorder;
she has been sectioned on numerous occasions
after harming herself.
In February she received a letter
from the outsourcing company
which told her she was about to lose her support
and would have to undergo an assessment.
She was found by her mother
and taken to hospital.
She’d slashed her throat in the bath.
Her psychiatric nurse
and a forensic psychologist contacted
the company, and told them
not to contact her directly again.
The company agreed.
The morning after she was released from hospital
she returned home
to find another letter.
She was readmitted to hospital
having slashed her throat again.
Her mother contacted a local benefit advice charity.
They managed to restore her benefits
without the need for further tribunals.
Last week,
another letter.
The charity again took up her case.
The company told them the letter
was computer-generated
and could not be stopped.

[New Statesman, 05/03/2013, The tragedy of Alice]

53 it’s not as if nobody knew

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They kept food in plastic bags
in the shed;
the cold night air.
They couldn’t afford a fridge,
couldn’t afford to heat their house.
They lived in one room.
Every Sunday they walked
six miles each way
to a soup kitchen
to have something to eat
and pick up food bags,
free vegetables
to cook into a broth
on a camping stove.
It’s not as if nobody knew.
 
A year ago,
they appeared in a film
about living below
the breadline.
She had learning difficulties
and needed support from her husband,
an army veteran.
He was her full-time carer.
The Jobcentre decided she couldn’t sign on;
she wasn’t fit
for work.
Her benefits were stopped.
He worked in the army
as a PE instructor,
but fell on hard times
after the service.
Struggled to cope with
civvy street.
Their 12-year-old daughter
was taken into care.
He fought to get a carer’s allowance
but they wouldn’t recognise his wife’s disabilities.
He was told he could not claim
until she had been fully diagnosed:
month after
month after
month of specialists, living
hand
to mouth.
They were terrified she was about to be sectioned.
They stayed with relatives and friends
to avoid the authorities.
They walked everywhere
hand-in-hand
like young lovers.
Neighbours raised the alarm.
They had not been seen for several weeks.
This is where despair ends.
They were found
lying side by side
on the settee.
A police spokesman said
post-mortem examinations
had been carried out.
The deaths are being treated
as unexplained.

[The Daily Mirror, 11/11/2011, The tragic story of suicides Mark and Helen Mullins is a tale our politicians should pay attention to; Coventry Telegraph, 08/11/2011, Bedworth ‘suicide pact’ couple found lying side-by-side; Coventry Telegraph, 11/05/2021, Death of Warwickshire couple included in review into serious harms of people claiming benefits; Channel 4 News, 09/11/2011, Police investigate death of couple; BBC News, 09/11/2011, Inquiry call over Mark and Helen Mullins deaths; Metro, 08/11/2011, Married couple driven to commit suicide by utter poverty; Mail Online, 09/11/2011, Army veteran and his wife die in tragic ‘suicide pact’ after becoming ‘too poor to live through the winter’]

55 not compatible

Posted on
After a half-hour interview at his home
he was assessed as capable to return to work.
 
He was very distressed.
(Rising rent arrears,
warnings from the electricity company.)
He was reluctant to ask relatives for help;
they were unaware his benefits had been removed.
Concerned about his patient’s condition,
his doctor wrote a letter
in support of his application:
‘extremely unwell
and absolutely unfit
for any work
whatsoever.
Please do not stop
or reduce his benefits.
He simply is not well enough to cope
with this extra stress.
His mental and medical condition
is extremely serious.’
It is not clear whether the letter
reached the Jobcentre.
He was diagnosed with Asperger syndrome
and obsessive compulsive disorder
in his late 20s.
He had an eating disorder
and cognitive behavioural problems.
He was sacked from his first job
because he was unable to follow instructions.
The Department’s assessment concluded
his mental state
was normal.
This triggered a decision
by the jobcentre
to stop his sickness benefits.
His housing benefits were stopped around the same time.
He was not told.
He struggled to survive
on his disability allowance.
Forty pounds a week
to live on.
His sister said
‘He would have wanted to be seen as normal.
He was desperate to get by
as normal.’
A body mass index
of between eighteen point five
and twenty-four point nine
is considered healthy
for a man.
Between April and August his
dropped
from fourteen point one
to eleven point five;
he weighed five stone eight pounds
(thirty-five kilos)
when he died.
The doctor told the inquest
his body mass index
was not compatible
with life.

The Guardian, 28/02/2014, Vulnerable man starved to death after benefits were cut]

56 until the money ran out

Posted on
His family only pieced together his predicament
after discovering a repossession order
in the bin.
He had lived in the house all his life.
The order,
dated 13 September 2013,
gave him ten days to leave.
He suffered from mental health problems
including agoraphobia.
He had worked
as an assistant sales manager
in the 80s but
after leaving
he failed to find further employment.
Depression
and a suicide attempt
followed;
1989, an overdose
which damaged his vision.
(He was registered as partially blind
in 1994.)
After this he never worked again.
‘He was never extravagant,
didn’t go on holiday,
never had a car,’
his sister said.
His benefits were stopped in December 2012
after an assessment
found him fit for work.
‘He couldn’t ask for help.
He didn’t want to be a burden on anyone.’
Relatives believe he lived off his savings
until the money ran out.
It was his sister who found his body,
two days before the eviction date,
hanging in his hallway.

[Stourbridge News, 26/12/2013, Disabled Kinver man killed himself after being left “almost destitute” when his state benefits were axed]

62 stop worrying

Posted on
You are a fucking bitch”: a man’s voice.
Then the sound of violent banging,
a woman’s sobs.
Officers were on the way;
sobbing and breathing heavily,
she said the man had retreated.
Police arrived and arrested him.
She had opened her window.
If the man had succeeded in getting through the door
she was prepared to jump two floors to escape.
The woman was calling from her bedroom.
She had been placed in ‘exempt’ supported housing
after leaving prison –
a five-year term for serious fraud and deception.
She had a history of mental illness:
suicide attempts, spells in psychiatric hospitals.
She had been the victim of violent abuse
at the hands of a former partner:
twice he had fractured her skull;
marks on her arms; burn scars
snaking across her chest,
where he had set her on fire
while she slept.
The man hammering on her door that night
was a troubled alcoholic with demons of his own.
He was under
a suspended prison sentence
for making threats with a machete.
Police ultimately did not bring charges against him –
a result of conflicting versions of events that night.
“Officers attended the address just after midnight
and arrested a man.
It was alleged he had
been verbally aggressive to the woman,
made threats, and
damaged the door to her room.
The woman was not injured.
The man was later released without charge;
the property owner said
the damage to the door
was already there.
He would not support
a prosecution.”
A Probation Service spokesperson said
“Prisoners released without somewhere to live
are 50 per cent more likely to reoffend.
Providing basic accommodation on release
helps cut crime and make
our streets safer.”
The man was moved to another property.
Exempt accommodation: supported housing
funded through a higher rate of housing benefit, exempt
from caps applied to normal housing.
Prison leavers, rough sleeper, refugees and migrants,
substance abusers, people with mental health issues,
disabilities, people at risk of homelessness:
strangers
housed together, mostly left
to their own devices, with arms-length help
amounting to an hour or so of dedicated support a week;
a support worker
at the end of a mobile phone.
She has lost weight and become more ill;
thefts were so common
she now stored her kitchen pans and cutlery in her bedroom.
She described a fellow resident:
he had not been out of his pyjamas or had a wash
for five weeks; he kept her awake all night.
Access is via a steel staircase.
Inside, the corridors and shared kitchen and common room
are monitored by CCTV with audio mics;
private conversations may be listened to.
Bedrooms are small.
A hole burnt in the kitchen top,
rusted hobs. The common area and kitchen
are full of the belongings of one of the tenants;
crudely written notices in felt tip
on stereo, tv, kitchen gear:
‘hands off’.
Heating comes from plugged in storage heaters.
In the night it’s freezing.
“I eat two sausages and vegetables every night,
cereal in the morning.
I don’t drink, don’t take drugs, yet
it’s all around.
Nobody seems to do anything much about it.”
At her lowest point she tried to jump in front of a train.
She was pulled back at the last minute;
another spell in psychiatic hospital.
“While living here
suicide is the only thing
that goes through my head,
day in,
day out.
The owners say I am too much hard work for them,
they said
they didn’t have problems
before I moved in.
It’s not a great place to be.
The landlord told me
‘just ignore it’, stop worrying
about other people.”

[Birmingham Live, 25/09/2021, Chaos, fear and suicide attempts – life inside ‘exempt’ housing in Birmingham]