Sunday Star-Times

Mental health system is in dire straits

Locking someone up for 23 hours a day can only make their mental illness worse.

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If John Key visited a country that locked its most vulnerable citizens away because they were too difficult to deal with, he’d be expected to raise it as a human rights issue.

It’s happening here, and almost nothing is being done about it.

New Zealand’s mental health services are in a mess. People have died and a culture of blame-shifting appears to be the default setting for district health boards.

Waikato DHB is yet to begin investigat­ing the suspected suicide of 21-year-old Nicky Stevens, more than a year after his body was discovered in the Waikato River.

Stevens, who suffered from schizophre­nia, was under a compulsory care order in Hamilton when he failed to return from an unsupervis­ed 15-minute smoke break on March 9, 2015.

The police are investigat­ing and an inquiry into the facility by mental health boss John Crawshaw resulted in the replacemen­t of the centre after the buildings were deemed unsafe.

Meanwhile, the DHB has refrained from investigat­ing its own practises because it’s claimed it might jeopardise the police investigat­ion.

I’d submit, if everyone is telling the truth to authoritie­s then it needn’t.

Some coordinati­on may be required as to the release of the findings, but the quality of any DHB investigat­ion has undoubtedl­y been compromise­d by the length of time that has passed and the ability of staff to remember with enough accuracy, the finer details.

Unless of course, police find an individual or certain individual­s are at fault.

A cynic might argue it would be tempting for the DHB at that point, to say the most robust systems in the world could not account for personal failings.

MidCentral DHB has undergone some reform after the apparent suicides of two patients in as many months in 2014.

At Capital and Coast, the plight of 38-year-old autistic man Ashley Peacock - held in a tiny isolation unit for five years - has drawn outrage.

Crawshaw has said that nationally, seclusion hours are declining.

But sources say the rate of ‘‘night exclusion’’ hours, and the hours vulnerable patients spend in an isolation room with the door unlocked - threatened to behave or it will be - tell a different story. That’s not rehabilita­tive. It’s punitive, and it’s holding someone’s mental illness against them as a means of control.

Perhaps it’s time for a CYF-style inquiry into the way New Zealand looks after its mental health patients.

 ??  ?? Ashley Peacock is held in seclusion for nearly 23 hours a day.
Ashley Peacock is held in seclusion for nearly 23 hours a day.
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