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"More suicidal after admission than before"

About: Bentley Adolescent Unit

(as the patient),

In my opinion, the psychiatrist was rude, condescending and refused to listen. When I expressed concern for my safety if I was sent home overnight, I was told that I was low risk because I had been getting suicidal thoughts for years.

I believe they ignored previous diagnoses from other professionals, with no explanation. I was told that I only thought I was depressed (perhaps this is why, in my opinion, they couldn't be bothered ensuring they had a supply of my antidepressants). I asked for a second opinion from a different psychologist/ psychiatrist. I didn't get one.

I was asked invasive questions about my physical disability from almost every nurse I spoke to, none of which, I believe were related to my treatment. I feel that all questions seemed to be only to satisfy the nurses' personal curiosity. 

Due to trauma at that hospital under its old management, I was unable to stay in the therapy room for more than a few seconds without having a panic attack.

When I spoke to the OT about alternative arrangements for therapy, I was told it would not be possible. I was unable to attend any DBT or other therapy sessions.

I believe the hospital did not ensure they had an adequate supply of my anti-depressants or a way of accessing more. They declined my parents' offer to bring more of my medication to the hospital to ensure they had enough, so on the last night of my stay, I was not given my anti-depressant. While this was not the first time they missed my medication, it was definitely the worst.

The next morning I was discharged. This happened without my knowledge, and by the time I was told to pack my bags they had already completed the paperwork.

When I asked about a second opinion, I was told I'd already been discharged. When I asked to contact an advocate, I was told it was too late and I'd already been discharged. 

When I started crying (I was being discharged after making no progress, being given no treatment and having been forced to miss my anti-depressants), one of the nurses sat down beside me and quietly said that doing so is not appropriate behaviour. I felt that did not improve the situation or my state of mind.

I spent the next week in bed crying. I was discharged with no referrals to other mental health services, so I had nowhere else to go.

For the next month, I was more suicidal than I had been before my admission.

My parents had to be ready to leave work at a moment's notice so that I didn't die.

I am not exaggerating when I say that in my opinion, being at this hospital nearly killed me.

In my opinion, I am probably alive today, a year after, because I found a mental health service that would take me. I believe if the hospital had referred me, it would have saved so much angst, but I had to find them myself.

Instead of focusing on the issues that brought me to Bentley in the first place, we are having to focus on the almost complete lack of trust in anyone or anything, feelings I feel that largely resulted from my stay in Bentley.

I did not enjoy writing this. I did not want to write this.

But I'm scared that if no one says anything, I believe someone will end up dead.

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Responses

Response from Lesley Bennett, Chief Executive, East Metropolitan Health Service 3 years ago
Lesley Bennett
Chief Executive,
East Metropolitan Health Service
Submitted on 1/10/2020 at 1:20 PM
Published on Care Opinion at 1:23 PM


picture of Lesley Bennett

Dear Scared,

I am deeply saddened to hear of your experience regarding the care and treatment you received at Bentley Health Service during what must have been a very difficult time for you and your family. Without further details, however, I am unable to comment on your specific situation other to confirm this was not the positive experience we hope to provide for patients.

The usual practice is to ensure there are no issues around the supply of medications and it is unacceptable for medications to have been missed. Similarly, discharge arrangements should be clearly communicated with patients and their family and I am sorry this was not your experience.

Thank you for taking the time to share your story. I would encourage you to contact our Consumer Engagement Unit on (08) 9224 1637, 8 am to 4 pm Monday to Friday or email RPBG.feedback@health.wa.gov.au so that we can address the issues you raised.

I hope we are able to be of assistance in resolving your concerns and hope your mental health well-being is improving.

Kind Regards

Dr Lesley Bennett

Executive Director

Royal Perth Bentley Group

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful

Update posted by Scared (the patient)

Thank you for your reply, however it is not comforting or useful to me.

What will be done to ensure that safe and usual practices, especially around discharge and medication, will be followed, when I believe they were clearly not followed during my stay?

Will nurses and psychiatrists receive any training on interacting with people with physical disabilities in a respectful and non-invasive manner?

Will procedures be updated to ensure patients can receive the second opinion I believe they are entitled to?

Will additional training around trauma be provided?

What will happen to ensure that patients receive necessary accommodations for physical, sensory, psycho-social and developmental disabilities?

I do not think my experiences were unusual. I definitely do not think they were unique. What will be done to ensure it is safe for people to access this service in future?

Response from Lesley Bennett, Chief Executive, East Metropolitan Health Service 3 years ago
Lesley Bennett
Chief Executive,
East Metropolitan Health Service
Submitted on 9/10/2020 at 5:06 PM
Published on Care Opinion at 5:18 PM


picture of Lesley Bennett

Dear Scared,

I am truly sorry to hear that you did not find our response comforting or useful for you. The Royal Perth Bentley Group (RPBG) is committed to the principles of Trauma-Informed Care (TIC) along with observing the rights of all consumers with respect to seeking further clinical opinions. TIC recognises and acknowledges the impact trauma may play in an individual's life and I regret if the principles of safety, trustworthiness, choice, collaboration and empowerment as well as respect for diversity were not always evident during your admission.

In order to address the issues you have raised, I would encourage you to contact the RPBG Consumer Engagement Unit on 9224 1636, 8 am to 4 pm Monday to Friday or email RPBG.Feedback@health.wa.gov.au. Contacting the Consumer Engagement Unit will allow RPBG the opportunity to resolve and respond to your outstanding concerns.

I extend my sincere apologies again that your experience was not a positive one.

Kind Regards,

Dr Lesley Bennett

Executive Director

Royal Perth Bentley Group

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
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