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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Original poster

To think sectioning shouldn’t be done lightly

252 replies

User5022 · 09/10/2019 05:55

Eg used because an adult decided they didn’t want to rest of a treatment. I always assumed it had a really high threshold.

OP posts:
Original poster
User5022 · 14/10/2019 19:06

She’s been discharged today. She’s happy but still has to go to the day hospital for a couple of weeks.

OP posts:
Original poster
User5022 · 14/10/2019 19:07

I had to agree basically that she could be discharged if I hadn’t the psychiatrist would have kept here there so I feel very worried

OP posts:
gamerchick · 14/10/2019 19:25

No, they've made sure that she's been discharged into your care and your responsibility. If she attempts again you can't then sue them for discharging her. It's all on you. When they kept discharging my young family member it took a while before I clicked on. When I refused to take responsibility for her they had to keep tabs on her constantly because it was on them.

I think you've made a mistake by agreeing but good luck anyway. It's not a fun place to be in. Make sure you have some RL support.

Original poster
User5022 · 14/10/2019 19:28

So you think he didn’t really feel it was safe to discharge her but did because I said I could look after her?

OP posts:
gamerchick · 14/10/2019 19:43

You've agreed to take on the responsibility and keep her safe. They need the bed if it wasn't wanted.

It took me 5 years to get an inpatient bed after suicide attempts in triple figures. Your daughter might not get another one for a while if she doesn't engage in treatment.

Original poster
User5022 · 14/10/2019 19:45

Oh I thought on a section they wouldn’t discharge her unless she was safe.

OP posts:
x2boys · 14/10/2019 19:58

I.think that's debatable these days unfortunately Op.years ago she would have had several periods of leave building up.to discharge tbf sometimas it felt like the process was too long ,but with the pressure of beds these days ,that's doesn't happen any more and it can feel like it's swung the other way,what is in the discharge plan ,what support will.she get from the CMHT?

georgialondon · 14/10/2019 20:00

From professional experience, it's really not easily done.

x2boys · 14/10/2019 20:01

Sorry I missed the day hospital part ,how often will she be attending?

Original poster
User5022 · 14/10/2019 20:47

These an issue with the day hospital and her at the moment. They went her to go to the one in our town despite her not yet having been transferred teams and despite me being out till five each day. Day hospital is only 9-12 which would mean she would come home and be on her own a significant amount of the day. Which is why I want her to go to the one in town where her team currently is as she could then meet me at my work as I only work a short distance from the cmht.

OP posts:
doublebarrellednurse · 14/10/2019 21:06

Unfortunately there will be a waiting list for her bed, as you've said you'll keep her safe and she's said she wants to go they have to give that bed to someone who doesn't have anyone and does want/need it.

Whether she's clinically safe is not necessarily part of the decision as it's been acknowledged she's not as she was placed on section in the first place.

A section 2 is a temporary section for assessment and sometimes treatment. It's for 28 days max and subject to stringent renewal processes or moving to a 3.

I would highly recommend you find a way to engage her in treatment ASAP. If she declines she's unlikely to be admitted many more times as she's not willing to use the resource available to her.

Also for those angry at the situation, consider it when the GE rolls around...

x2boys · 14/10/2019 21:19

Im.not sure mental.health services would be any better under Labour doublebarrelled,I was redeployed twice in 12 months due to cuts in 2006 ,t the trust I worked in lost the adult day hospital, elderly day hospitsl.,rehab ward all before 2010,and a couple of CMHT,S were " reorganized"whilst it's definitely got a lot worse the rot set.in a long time ago.

gamerchick · 14/10/2019 21:31

Also for those angry at the situation, consider it when the GE rolls around...

And vote for who? No fucker gives a toss about mentall health services.... Until they need to use them themselves. Then it's a shock.

But then it's the same with any other service.. blissfully ignorant and couldn't care less until it's needed.

There isn't a single political party who even has it on their radar, is there?

Original poster
User5022 · 14/10/2019 22:24

I’ve been told once they section someone once it makes them easier to section further times?

OP posts:
gamerchick · 14/10/2019 22:51

Told by who?

gamerchick · 14/10/2019 22:53

Have you actually read this thread OP?

Original poster
User5022 · 14/10/2019 23:05

The AMHP told me that once they have sectioned people once it’s easier to section them again.

OP posts:
vintagesewingmachine · 14/10/2019 23:26

In my long experience, many people who really should be sectioned, either for their own safety or the safety of others, are not.

turnaroundbrighteyes · 14/10/2019 23:55

I came in here to say yab utterly u. I've known 2 women die, needlessly, because its so fucking hard to section somebody nowadays. Then read its your daughter.

Unmumsnetty hugs op I can't even begin to imagine what you're going through x

Beveren · 15/10/2019 00:12

Have you actually read OP's posts, @gamerchick? They make the answer to your question perfectly obvious.

NoSquirrels · 15/10/2019 00:21

I’m so sorry, OP - I know it must be extremely stressful.

I’m wondering- do you yourself have any support in this? From an autism charity, a mental health charity, from anyone professional who can advise you IRL? It sounds to me as if you’re struggling (absolutely understandably) with what all these decisions mean.

Your DD is autistic and has suicidal ideation she has acted on multiple times. She is 18 (although she may not act it) and is coming out of child services and into adult. You moved areas.

I think there is a lot you need to be able to understand to effectively help your DD.

Original poster
User5022 · 15/10/2019 06:40

She’s 19 so has been with adult services a year and a bit now. For the replies I’m wondering now if I made the right decision.

OP posts:
OhTheRoses · 15/10/2019 07:40

From your posts op it sounds as though the ward environment was not particularly favoyrable for or sympathetic to her. I think she is oribably better at home but if you are not able to be there with her when she is not at the day hospital/centre then I think, at least for this week you need to be and to make sure you are.

You know your dd best and what will help her and you must be her greatest advocate. May I suggest that you spend the time this week revieeing the MH Act, The Capacity Act, Dols legislation and the Mind and Young Minds websites. It may also be helpful to get advice from yoyr local Healthwatch. Scrutinise too the MH Trust's website and request for yoyrself a carer's assessment.

Write to the Trust aboyt why you wanted her discharged, ie, the fact that the envuronment was not cognizant if her autism and ask for a meeting about her transfer of teams and care plan miving forward. Send it recorded so they can't lise it - in fact record everything they say they will do after meetings/apts and affrm with them - ime goalpists change.

For all that's been said on here, if she had been 17 still she'd have gone up to paeds for the night and would have been assessed the following day by camhs when she'd calmed down a bit and there'd have been no question of her refusing the nac CAMHS would havecsent her home with an oral care plan, possibly a bit of therapy delivered late, might have called her a few times and she would probably have said I'm fine to get them off the phone and that would have been that.

Get Healthwatch to help you with the care plan/transfer. It sounds as though she needs tailored support to help her manage her autism which shd impact the depression/anxiety/hopelessness.

I'm not an expert op but my dd was ill due to undiagnosed adhd - diagnosed at 17. NHS services were totally unacceptable and it wasn't all about funding, much of it was about competence and poor management. If you can't pay then you must learn to deal with the system and fight her corner.

You are her mum. You know when an environment is not helping her but you will have to be her squeaky whee and fight for her because nothing within the system will. You have her best interests at heart Good luck.Flowers

gamerchick · 15/10/2019 07:41

It's done now, she might engage with treatment and be fine.

The tricky part is having to work. Do you have anyone who can keep an eye on her?

doublebarrellednurse · 15/10/2019 08:13

@x2boys I wouldn't vote labour either. I'm not thinking nationally but who your local candidates are and their impact on local services. Ours is shit and a Tory and now a whip so I campaign direct to the CCG just don't vote for her!

@gamerchick the Lib Dem's have been very outspoken on MH. I guess I trust more left leaning parties to at least try and fund services more reasonably than currently. We are struggling massively to deliver any kind of service right now.

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