Showing posts with label hospitals. Show all posts
Showing posts with label hospitals. Show all posts

Thursday, 5 June 2008

Scared nurses' secret evidence of intimidation

THE bullying of nurses by hospital management is so rife that about a third who gave evidence at the State Government's inquiry into hospitals chose to do so in secret, fearing retribution if they publicly revealed their stories.

Some nurses were too afraid even to be seen seated at the Special Commission of Inquiry into Acute Care Services in NSW Public Hospitals, said Bob Whyburn, a lawyer employed by the NSW Nurses Association support nurses who gave evidence.

The nurses union was so concerned about nurses refusing to come forward due to fears of intimidation by management that it employed Mr Whyburn to attend every one of the 34 sitting days.

"Roughly a third gave evidence in closed session and it's likely that a lot of them did because of fear of retribution, because that was expressed by the others in open hearings," Mr Whyburn said.

"In some hospitals we went to the nurses were so concerned about what might occur if they did give evidence that they didn't even come along and listen to any evidence that was given. They were frightened to be even seen near the commission."

Mr Whyburn said at one hearing at Westmead Hospital, three senior managers reserved the front row and stared down witnesses during their evidence.

"The three of them stayed there all day and scowled."

Marguerite Cullen, who has been a nursing unit manager for almost 30 years, told the inquiry at Westmead on April 10 that nurses who spoke up inevitably experienced "payback". Some nurses cried because of the way they were treated by managers and felt "totally demoralised", she told the inquiry. She also told the inquiry some nurses were too afraid to attend.

"They said, 'It's not worth my job. It's not worth it. The repercussions if I went down there would be too much,"' she said. "They are too intimidated. I find that quite distressing."

Besides bullying and poor morale, nurses complained of poor workplace conditions - heavy workloads, double shifts and wards staffed by too many junior nurses. Some cried while giving evidence.

They also complained about a lack of consultation when NSW Health issued directives that affected their work practices.

The Nurses Association's submission to the inquiry reported widespread frustration and fatigue. Nurses described their hospitals like a "war zone" or being "in the trenches".

"When people become nurses they know it is hard work … but they don't know it is unsafe, that you don't get a break and you are not supported," one nurse said. "Some shifts feel out of control."

The submission recommended an overhaul of policies to prevent and resolve bullying and harassment, saying NSW Health had failed to address a "culture of fear and intimidation embedded throughout the public health sector".

The Minister for Health, Reba Meagher, has been forced in Parliament to defend the Health Department's response to bullying, particularly at Royal North Shore Hospital.

A study conducted by the University of Sydney on behalf of unions for the inquiry showed that 60 per cent of nurses said they were exhausted at work and, within the previous 12 months, 60 per cent had seriously considered leaving.

The inquiry has concluded and the commissioner, Peter Garling, SC, is due give his recommendations by July 31.

PARLIAMENT MOTION CONDEMNS LONG BAY PATIENT LOCK IN


Long Bay Prison Hospital Locks up patients in cells for 18 hours a day

“Today Greens spokesperson Sylvia Hale MLC will move for condemnation of the government’s decision to lock Long Bay patients in cells for 18 hours a day to reduce costs” said Justice Action spokesperson Brett Collins.

“The decision contradicts Premier Iemma’s own specific assurances about Long Bay to Parliament in 2004 as Health Minister. He also declared on becoming Premier that mental health was his “light on the hill” by which he would judge himself to have failed” said Justice Action spokesperson Michael Poynder.

“The decision has been condemned by Australia’s leading psychiatrists, NCOSS, SANE Australia, the NSW Nurses Association and The Aboriginal Justice Advisory Council saying that it will cause mental illness.” Mr Poynder said.

“The Coroner in the Scott Simpson Inquest two years ago condemned the callous behaviour of Corrective Services and Justice Health towards patients, which caused a murder and a suicide. The same minister Hatzistergos and commissioner Woodham with Justice Health connivance are attempting to create prison-like conditions in the mental hospital - precisely the point on which the Coroner was so concerned”
said Mr Collins.

(All references and statements are on the website http://www.justiceaction.org.au).

A news conference will be held at NSW Parliament today.

5 June 2008
NSW Legislative Council


LONG BAY CORRECTIONAL COMPLEX HOSPITAL REGIME

Ms SYLVIA HALE [5.07 p.m.]: The Greens call upon the Minister for Justice to reverse the new arrangements at Long Bay prison hospital under which patients are locked in their cells from 3.30 p.m. until 8.30 the following morning. In effect, they are being held in solitary confinement in bare cells that lack even a television set for 17 hours every day. Until 2 April this year, the evening lock-up time was 9.00 p.m. The 53 prisoners subjected to this new regime suffer from severe mental illness. Their suffering will now be worse. Psychiatrists Professor Paul Mullen, Clinical Director of Forensicare, Victoria's peak government forensic mental health authority, in an email to Justice Action, which has been campaigning strongly on the issue, outlined the impact on mentally ill people of placing them in seclusion for long periods. Professor Mullen said:

The placing of mentally disordered individuals in effective isolation for a large part of the day is likely to be even more potentially distressing and disturbing than it would be to the general prison population.

In people with serious mental illness an important element in coping with their active psychotic symptoms is the interaction both with mental health staff and with other custodial staff and fellow prisoners. Left to themselves, the delusions and the hallucinatory experiences become the sole way in which they understand and experience the world. They lose both the reality checks provided by everyday social interactions and the opportunity to obtain some kind of therapeutic assistance through interactions with trained professionals. The effect of this over any lengthy period is to potentially drive them further and further into their psychotic state.

His disquiet is shared by another forensic psychiatrist, Dr Bruce Westmore.

A letter from a patient in Long Bay Prison Hospital to the Minister described the new regime as "maddening, un-therapeutic, destructive, oppressive, savage, barbaric, depressing and frustrating".

But prisoners and psychiatrists are not the only ones to speak out. Alison Peters, the Director of the New South Wales Council of Social Services wrote to the Attorney General and Justice Minister Hatzistergos on 16 May 2008:

NCOSS believes these changes are in breach of New South Wales and International standards for the treatment of people with a mental illness, including the Charter for Mental Health Care in New South Wales

The New South Wales Council of Social Services' fears are shared by the New South Wales Nurses' Association. The General Secretary, Brett Holmes, in a letter to Minister Hatzistergos, reiterated the association's "opposition to the practice of locking down of 'secluding' mentally ill inmates/patients", which they described as "a cost cutting exercise that imposes such deleterious consequences on the physical and mental health of people in your custody". The policy was "completely unacceptable" and deprived patients "of a basic standard of humane care". The Association's letter noted that "locking and isolating mentally ill patients in a room for such extended periods is in direct conflict with the Department of Health policy on seclusion".

The Aboriginal Justice Advisory Council supported the association's position. It cited Recommendation 150 of the Royal Commission into Aboriginal Deaths in Custody, and Principles 1.1, 8.1, 9.1 and 20 of the United Nations Principles for the Protection of Persons with Mental Illness, as well as Article 5 of the Universal Declaration of Human Rights, which provides that "No one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment". The Aboriginal Justice Advisory Council contended:

…increased lockdown periods may be tantamount to cruel, inhuman or degrading treatment or punishment. Confining vulnerable or ill individuals in their cells from 3.30 p.m. especially during the warmer months, as well as depriving them of health care, is harsh and additional punishment to the sentence imposed.

Has the change come about because the Premier, the Minister and the Department of Corrective Services are callously indifferent to the welfare of prisoners under their control? Undoubtedly when thumping the law and order drum and trumpeting ever-harsher sentencing regimes, the Government is shameless when it comes to ignoring the rights and needs of vulnerable prisoners.

But there is more to this than sheer callous indifference. What we are witnessing is a simple cost-cutting measure. Under a policy ironically named "Way Forward", 28 prison officers have been removed from the Long Bay prison hospital area. Clearly, if one wants deliberately to understaff a facility, the easiest to go about it is to lock up prisoners in solitary confinement for hours on end, regardless of the effect on their already deeply damaged mental health.

The policy of locking mentally ill prisoners in their cells at 4.00 p.m. rather than 9.00 p.m., as was customary, came into effect on 2 April 2008. It is clearly the intention of Corrective Services that it continue for six months, until October, when a new forensic facility is completed at Long Bay. That is bad enough, but there is a deep unease shared by many that the real intention is for the change to be permanent. It is intolerable that anyone should countenance the existence, let alone the continuation, of this draconian and inhumane regime. The Greens call upon the Minister to end it immediately.

Contact: Brett Collins 0438 705003
Sylvia Hale 02 9230 3030

JUSTICE ACTION
Trades Hall, Suite 204, 4 Goulburn St, Sydney
NSW 2000 Australia.
PO Box 386, Broadway NSW 2007
T 612 9283 0123 | F 612 9283 0112
E ja@justiceaction.org.au
http://www.justiceaction.org.au

BREAKOUT DESIGNPRINTWEB
proudly sponsors Justice Action

Related:

LINE IN SAND ON MENTAL HEALTH
The patients at Long Bay Hospital are now locked up at 3.30pm instead of 9pm, to cut costs, although all professional advice is that seclusion of these people will cause mental illness.

We owe prisoners more than jail
Prisons are too important to be left to jailers, for the simple reason that the standard prison magnifies social problems. It is a congregation of people with an accumu–lation of risk factors for crime.

Madness causing madness in prison hospital
“Fifty mental health patients held at the Long Bay Prison Hospital have from yesterday been locked in cells from 3.30 in the afternoon rather than the normal 9pm” said JA spokesperson Brett Collins.

Prison hospital lock-down: mental patients madness

“Prison authorities have ordered the removal of 28 officers from the prison hospital area as part of their ironically named “Way Forward”. This will lock patients into cells at 3.30pm instead of the current 9pm from April 2nd” said Justice Action Coordinator Brett Collins.

Judges depart Red Mass
Bishop Peter Ingham reminded the Judges about locking up the mentally ill in prison and that they should not be dishing out double punishment to them.

International Conference on Penal Abolition


The full agenda for ICOPA is now online, and pending any further changes, the line-up is looking like we're going to have a fascinating conference. With speakers coming to present papers from Brazil, Trinidad, Canada, Australia, USA, Belgium, Argentina, South Africa plus many more including the UK, we are really looking at a truly international conference.

Monday, 12 May 2008

LINE IN SAND ON MENTAL HEALTH


“Mental health consumers have drawn a line in the sand after recent government attacks on their quality of life” said JA spokesperson Brett Collins.

“Patients under state control have had their social interaction reduced, and right to smoke removed. These vulnerable and isolated citizens, to whom the state owes a special obligation, are extremely distressed and have asked for community assistance,” said JA spokesperson Michael Poynder.

The patients at Long Bay Hospital are now locked up at 3.30pm instead of 9pm, to cut costs, although all professional advice is that seclusion of these people will cause mental illness.

Additionally, all mental patients under the Health Department will lose access to the legal drug tobacco. Eighty percent smoke - a pleasure they have controlled since European settlement.

“This is a disgusting example to the rest of the community of bullying of dependent people. It is like the removal of all-day visits from the mothers of Emu Plains. They need to have their arses kicked” said Mr Collins.

“The ultimate hypocrisy is that the Federal government nominated mental health as a top priority with an increase of $1.8 billion over 5 years,” said Mr Collins. Premier Iemma said on his appointment (8/05) that mental health was a “light on the hill.” “If I am in this job for a reasonable time and I can’t point to progress in these areas I will judge myself to have failed”.

“Mental health service providers, psychiatrists and nurses across Australia have joined the defence of these most vulnerable citizens. The Public Interest Advocacy Centre has been briefed for legal action. The patients call on the media to enter the institutions with Justice Action, and talk with them” said Mr Poynder.

Today the Right to Choose Alliance, comprising organisations across Australia has launched its website with the statement of the NSW Nurses Association attached to the Justice Action website.

For comments: Brett Collins 0438 705003
Michael Poynder 0401 371077

JUSTICE ACTION
Trades Hall, Suite 204, 4 Goulburn St, Sydney
NSW 2000 Australia.
PO Box 386, Broadway NSW 2007
T 612 9283 0123 | F 612 9283 0112
E ja@justiceaction.org.au
W Justice Action

BREAKOUT DESIGNPRINTWEB
Proudly sponsors Justice Action

Related:

We owe prisoners more than jail
Prisons are too important to be left to jailers, for the simple reason that the standard prison magnifies social problems. It is a congregation of people with an accumu–lation of risk factors for crime.

Madness causing madness in prison hospital
“Fifty mental health patients held at the Long Bay Prison Hospital have from yesterday been locked in cells from 3.30 in the afternoon rather than the normal 9pm” said JA spokesperson Brett Collins.

Prison hospital lock-down: mental patients madness

“Prison authorities have ordered the removal of 28 officers from the prison hospital area as part of their ironically named “Way Forward”. This will lock patients into cells at 3.30pm instead of the current 9pm from April 2nd” said Justice Action Coordinator Brett Collins.

Judges depart Red Mass
Bishop Peter Ingham reminded the Judges about locking up the mentally ill in prison and that they should not be dishing out double punishment to them.

International Conference on Penal Abolition


The full agenda for ICOPA is now online, and pending any further changes, the line-up is looking like we're going to have a fascinating conference. With speakers coming to present papers from Brazil, Trinidad, Canada, Australia, USA, Belgium, Argentina, South Africa plus many more including the UK, we are really looking at a truly international conference.

Thursday, 3 April 2008

Madness causing madness in prison hospital


“Fifty mental health patients held at the Long Bay Prison Hospital have from yesterday been locked in cells from 3.30 in the afternoon rather than the normal 9pm” said JA spokesperson Brett Collins.

“The nurses and prison officers have expressed their extreme concern to Justice Minister Hatzistergos on the effect of solitary confinement and loss of access to therapeutic support for these most vulnerable patients with severe mental illnesses and medical/surgical needs. He fobbed them off on April 1st.” said Mr Collins.

“The patients will self harm, and become sicker as a consequence. They will be drugged to tolerate the conditions although they have said they will refuse medication as a protest. The patients now call for the media and Justice Action to inspect the hospital and speak with their representatives.” said Mr Collins.

“This is part of a new regime negotiated with private companies in a PPP that relieves the government of the cost of the new hospital. Twenty-eight prison officer positions have been withdrawn.” said JA spokesperson Brett Collins.

“Health in NSW has reached a new low. This is despite Premier Iemma and the Federal government nominating mental health as its top priority concern. Minister Hatzistergos is the ultimate bully, who against the advice of the experts, imposes the authority of the state on sick citizens who are totally dependent. While he describes the plan as “The Way Forward” he presides over the worst recidivist rate in the country with the victims bearing the cost, and a budget of $1 billion” said Mr Collins.

“Court intervention to compel the government to maintain their duty of care is unlikely to be successful. The NSW Supreme Court this week affirmed its unpreparedness to overturn wrong prison discretionary decisions, when it refused to compel the entry of the prisoner newspaper JUST US. However in Victoria, Supreme Court Justice Bongiorno stopped the “terrorism” trial due to prison conditions” said Mr Collins.

For comments: Brett Collins 0438 705003

Related:

Prison hospital lock-down: mental patients madness
“Prison authorities have ordered the removal of 28 officers from the prison hospital area as part of their ironically named “Way Forward”. This will lock patients into cells at 3.30pm instead of the current 9pm from April 2nd” said Justice Action Coordinator Brett Collins.

Judges depart Red Mass
Bishop Peter Ingham reminded the Judges about locking up the mentally ill in prison and that they should not be dishing out double punishment to them.