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Nobby, what IS it with UK social services?Follow

#77 Jan 08 2008 at 3:04 PM Rating: Excellent
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Nobby wrote:

Nexa - Thankfully I only had to submit written evidence about how healthcare information can/should be better shared with social care, but the detailed briefings I attended made me want to weep and vomit in equal measures. Like with the Climbie case, when we start sharing data we find children repeatedly attending different ER's with the same 'mysterious' injuries. Those patterns could've saved Victoria and countless others.


Thread derail, but **** off:

While that's great and all, do you, personally, think it has any effect on whether or not parent's opt to take their children to get medical attention now...seeing as how even going to a different hospital isn't going to let them fly under the radar? Also: does this new system have any new incentives for folks to report anonymously or anything of that nature (perhaps to help offset the people not taking their children to hospitals due to the new system)? Maybe I'm too paranoid, but there's a real stigma attached to reporting over here if you're not a mandated reporter...and even a fear for those that are that they're just going to make things worse.

God I ******* hate the majority of the world.

Happy winter everyone, haha.

Nexa
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#78 Jan 08 2008 at 3:17 PM Rating: Good
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It's not an everyday occurrence, but in most of these cases, the evidence is often dotted around different areas. Rarely do we see children admitted to ERs with multiple cigarette-burns, for example.

But by triangulating data from Nurses seeing recurrent injuries, social workers recording suspicious behaviour ("yes we knew you were coming to check on our 2-year old but she's gone out playing with friends" was one this week) and teachers reporting frequent unexplained bruising, we've found a number of parents systematically torturing and/or sexually abusing small children.

And Smash - most Schizophrenics deemed 'high risk', after being medicated and symptom-free in a secure environment beg not to be released where they know they will harm others and/or themselves. I personally have no problem with precautionary detention where the risk of serious harm is near-certain and the individual concerned is vulnerable.
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#79 Jan 08 2008 at 3:19 PM Rating: Excellent
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Nobby wrote:

And Smash - most Schizophrenics deemed 'high risk', after being medicated and symptom-free in a secure environment beg not to be released where they know they will harm others and/or themselves. I personally have no problem with precautionary detention where the risk of serious harm is near-certain and the individual concerned is vulnerable.


Well wouldn't that really be a case of self-commitment though?

Nexa
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― Neil Gaiman, The Sandman, Vol. 9: The Kindly Ones
#80 Jan 08 2008 at 3:21 PM Rating: Decent
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most Schizophrenics deemed 'high risk', after being medicated and symptom-free in a secure environment beg not to be released where they know they will harm others and/or themselves.


Due respect to your education and vocation, that's simply not true.

Oh wait, after being medicated and institutionalized against their will?

Yes, I imagine they come to discover that they do love Big Brother at that point.

Edited, Jan 8th 2008 6:23pm by Smasharoo
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#81 Jan 08 2008 at 3:31 PM Rating: Good
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Nexa wrote:
Well wouldn't that really be a case of self-commitment though?
I wish.

A common impact of that illness is a tendency for medicated sufferers to believe (once unsupervised), they're cured. The pattern is usually relapse, succumbing to the voices which tell them that medication is the problem, and either commit extremely violent acts or get picked up and taken into protective custody. Self-referral is sadly rare in such cases.

The Zito case in England raised these issues thanks to the widow of a man killed by a Schizophrenic.

Quote:
Christopher Clunis suffered from paranoid schizophrenia. The report into the homicide revealed a catalogue of errors and missed opportunities in his care, stretching back over many years. He had a long history of violence, institutional care and non-compliance with treatment programmes, particularly medication.

On 9 December, just eight days before Jonathan [Zito]'s death, Christopher Clunis punched a stranger in the face and then attempted to stab two schoolboys with a screwdriver. No action was taken. It was later revealed in the inquiry report that Clunis had been seen by 43 different psychiatrists in the past five years, that he had crossed the River Thames from one side of London to the other on four occasions, passing through three out of the four former regional health authorities.


More Here

It's not an easy subject, and whether the issue is protective custody for children at risk from parents/carers, or the dangerously mentally ill, gbaji & Smash's statements avoid the reality of entirely avoidable tragedies being allowed to happen in the name of some limp-wristed idealistic 'human rights' or 'small gubberment' *********
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#82 Jan 08 2008 at 3:33 PM Rating: Good
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Smasharoo wrote:
Yes, I imagine they come to discover that they do love Big Brother at that point.
You're at risk of a gbaji-esque demonstration of infantile ignorance on the subject here pilgrim.
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#83 Jan 08 2008 at 3:37 PM Rating: Good
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The other thing is that in the United States, you can commit someone involuntarily for a short-period of time if you have reasonable grounds to think that that would kill someone else or themselves. In fact, in Massachusetts, I'm obligated to hospitalize them with a 72 hour pink paper or I'd lose my license so I suggest you start protesting now if you have an issue b/c it's already happening. To medicate them against their will, you have to go back into court and have a Rogers hearing.

And I'm not sure if Smasharoo has that much experience with people who have had psychotic breaks to suppose what they would or would not like. Like I'm just saying, I'm not sure what you base your assertions on.

Edited, Jan 8th 2008 6:40pm by Annabella
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Seriously, what the f*ck nature?
#84 Jan 08 2008 at 3:41 PM Rating: Decent
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It's not an easy subject


Yes, it is.

[b]
and whether the issue is protective custody for children at risk from parents/carers, or the dangerously mentally ill, gbaji & Smash's statements avoid the reality of entirely avoidable tragedies being allowed to happen in the name of some limp-wristed idealistic 'human rights' or 'small gubberment' *************

I'm not avoiding it at all. What you're avoiding is the undeniable fact that it is impossible not to act punitively against people who *will not harm anyone* in the name of protecting people from "avoidable tragedies". You're not avoiding them. You're replacing them with state mandated tragedies of innocent people being punished based on the label chosen for them

That's not ok. That's what totalitarian states do. I understand people will die because we don't pro actively lock up people we consider dangerous. I'm not pretending it's not the case or avoiding it at all. I'm stating that it's a price worth paying for freedom, just as allowing people to say abortion doctors should be killed is a price worth paying for free speech even though it may, and has, led to just that happening.

I think you'd agree that it's rare that schizophrenics suddenly explode in psychotic bouts of lethal violence without any precursor of violent behaviour that *would be against the law and grounds for taking action". This idea that the mentally ill who have disorders prone to violent ideation are ticking time bombs who just suddenly kill people is absurd as you well know. You may be willing to trade the rights of a group of people you'll never be part of for your safety, but I'm not.

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#85 Jan 08 2008 at 3:42 PM Rating: Decent
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You're at risk of a gbaji-esque demonstration of infantile ignorance on the subject here pilgrim.


I daresay an objective observer comparing our respective CVs would conclude otherwise.

Let me add, that while I don't take this personally (at all), the tactic of arguing that anyone who disagrees with you is uninformed is only effective when they are.



Edited, Jan 8th 2008 6:46pm by Smasharoo
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Disclaimer:

To make a long story short, I don't take any responsibility for anything I post here. It's not news, it's not truth, it's not serious. It's parody. It's satire. It's bitter. It's angsty. Your mother's a *****. You like to jack off dogs. That's right, you heard me. You like to grab that dog by the bone and rub it like a ski pole. Your dad? Gay. Your priest? Straight. **** off and let me post. It's not true, it's all in good fun. Now go away.

#86 Jan 08 2008 at 3:46 PM Rating: Good
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The Honorable Annabella wrote:
The other thing is that in the United States, you can commit someone involuntarily for a short-period of time if you have reasonable grounds to think that that would kill someone else or themselves. In fact, in Massachusetts, I'm obligated to hospitalize them with a 72 hour pink paper. To medicate them against their will, you have to go back into court and have a Rogers hearing.

And I'm not sure if Smasharoo has that much experience with people who have had psychotic breaks to suppose what they would or would not like. Like I'm just saying, I'm not sure what you base your assertions on.
Very similar here.

Initial detention is usually 48 to 72 hours - enough time to sort out the chemical imbalances. At that stage, once free of the psychosis and lucid, (hardly 'institutionalised) most ask to be kept in an environment where their demons can be held at bay. I've heard many screaming their fears of carrying out the appalling instructions they hear when in crisis.

Smash - if you've dealt 1st hand with people raging against voices in their head, you'll know that concepts of free will and self-determination are negated by pathology; not by any state/medical intervention or principles that apply to people in control of themselves.
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#87 Jan 08 2008 at 3:48 PM Rating: Decent
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At that stage, once free of the psychosis and lucid, (hardly 'institutionalised) most ask to be kept in an environment where their demons can be held at bay.


Just. Statistically. False.

Unless there is some enormous difference in pathology in the UK that magically causes people to self commit, you're substituting anecdotal experience for fact. Come on, you're smarter than that.

Edited, Jan 8th 2008 6:49pm by Smasharoo
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Disclaimer:

To make a long story short, I don't take any responsibility for anything I post here. It's not news, it's not truth, it's not serious. It's parody. It's satire. It's bitter. It's angsty. Your mother's a *****. You like to jack off dogs. That's right, you heard me. You like to grab that dog by the bone and rub it like a ski pole. Your dad? Gay. Your priest? Straight. **** off and let me post. It's not true, it's all in good fun. Now go away.

#88 Jan 08 2008 at 3:53 PM Rating: Excellent
Nexa
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Mom...dad...don't fight...it makes me sad.

Nexa
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― Neil Gaiman, The Sandman, Vol. 9: The Kindly Ones
#89 Jan 08 2008 at 3:53 PM Rating: Good
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Smasharoo wrote:
That's what totalitarian states do.
They also have postal systems and railroads. Your point?


Smasharoo wrote:
I think you'd agree that it's rare that schizophrenics suddenly explode in psychotic bouts of lethal violence without any precursor of violent behaviour that *would be against the law and grounds for taking action".
And there's the qualification. I didn't say 'all' schizophrenics; I was referring to those with specific pathology.

Some diseases, once diagnosed, have inevitable consequences. All the evidence shows that a defined set of symptoms can indicate an extremely high probability of inflicting serious harm.

So no, it's not simple or easy. Encountering someone whose diagnosis indicates near certainty of major harm to others is rare, but regardless of law, there's a social obligation to protect the sufferer and potential victims when the alternative is to passively facilitate harm or murder.
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#90 Jan 08 2008 at 3:56 PM Rating: Good
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Smasharoo wrote:

At that stage, once free of the psychosis and lucid, (hardly 'institutionalised) most ask to be kept in an environment where their demons can be held at bay.


Just. Statistically. False.
For the cohort I'm referring to; Just. Statistically. True.

I enjoy trading opinions and political perspectives with you, but on this one, facts is facts.

Recess. All rise.

eta - links to a little light reading

Edited, Jan 8th 2008 6:58pm by Nobby
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#91 Jan 08 2008 at 3:58 PM Rating: Decent
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Smash - if you've dealt 1st hand with people raging against voices in their head, you'll know that concepts of free will and self-determination are negated by pathology; not by any state/medical intervention or principles that apply to people in control of themselves.


I have. Let me say again, or for the first time, if I've been unclear:

I DO NOT THINK IT IS BETTER FOR FOR MENTALLY ILL PEOPLE NOT TO BE TREATED.

I do not think it is better for schizophrenics to go undedicated.

I do not think mentally ill people are better without clinical support.

I do not think there is some conspiracy to falsely commit non ill people.

However, accepting that it may be worse for society, the mentally ill, me, you, nuns, midgets, and Galapagos Tortoises, I do not find that the potential, likely, harm is sufficient to involuntarily commit those not *actually acting out violently* regardless of the ascribed pathology.

I recognize this is a non standard position that, again, may be detrimental to society. I it is my belief, however, that the long term harm to society posed by the prospect of restraining people for their potential future acts is greater.

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Disclaimer:

To make a long story short, I don't take any responsibility for anything I post here. It's not news, it's not truth, it's not serious. It's parody. It's satire. It's bitter. It's angsty. Your mother's a *****. You like to jack off dogs. That's right, you heard me. You like to grab that dog by the bone and rub it like a ski pole. Your dad? Gay. Your priest? Straight. **** off and let me post. It's not true, it's all in good fun. Now go away.

#92 Jan 08 2008 at 4:01 PM Rating: Good
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Smasharoo wrote:

Smash - if you've dealt 1st hand with people raging against voices in their head, you'll know that concepts of free will and self-determination are negated by pathology; not by any state/medical intervention or principles that apply to people in control of themselves.


I have. Let me say again, or for the first time, if I've been unclear:

I DO NOT THINK IT IS BETTER FOR FOR MENTALLY ILL PEOPLE NOT TO BE TREATED.

I do not think it is better for schizophrenics to go undedicated.

I do not think mentally ill people are better without clinical support.

I do not think there is some conspiracy to falsely commit non ill people.

However, accepting that it may be worse for society, the mentally ill, me, you, nuns, midgets, and Galapagos Tortoises, I do not find that the potential, likely, harm is sufficient to involuntarily commit those not *actually acting out violently* regardless of the ascribed pathology.

I recognize this is a non standard position that, again, may be detrimental to society. I it is my belief, however, that the long term harm to society posed by the prospect of restraining people for their potential future acts is greater.

I share those views in general terms, but as with most issues, I believe there are exceptions.

This is one where sufferers and victims alike are campaigning for preventive restraint under the circumstances I've described.
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#93 Jan 08 2008 at 4:03 PM Rating: Excellent
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Quote:
On 9 December, just eight days before Jonathan [Zito]'s death, Christopher Clunis punched a stranger in the face and then attempted to stab two schoolboys with a screwdriver. No action was taken.


Sorry to interrupt with a rational thought, but isn't this the problem?

There were warning signs. There was an assault. No action was taken, when intervention was most needed.

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#94 Jan 08 2008 at 4:06 PM Rating: Good
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Samira wrote:
Quote:
On 9 December, just eight days before Jonathan [Zito]'s death, Christopher Clunis punched a stranger in the face and then attempted to stab two schoolboys with a screwdriver. No action was taken.


Sorry to interrupt with a rational thought, but isn't this the problem?

There were warning signs. There was an assault. No action was taken, when intervention was most needed.

Pretty much, but there were dozens of previous actions and signs that also went ignored.

There usually are.
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#95 Jan 08 2008 at 4:06 PM Rating: Decent
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I enjoy trading opinions and political perspectives with you, but on this one, facts is facts.


I'll happily read those, but before I go through the effort, correct my initial reaction to skimming them that they don't speak to self commitment prior to violent acts all. If they do, which is more than possible as I haven't read any of them too deeply, I'll take a look.

If they instead, speak to the efficacy of committing people being an effective measure to prevent violence, I'm not arguing that it isn't and I'd rather save myself the time.





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To make a long story short, I don't take any responsibility for anything I post here. It's not news, it's not truth, it's not serious. It's parody. It's satire. It's bitter. It's angsty. Your mother's a *****. You like to jack off dogs. That's right, you heard me. You like to grab that dog by the bone and rub it like a ski pole. Your dad? Gay. Your priest? Straight. **** off and let me post. It's not true, it's all in good fun. Now go away.

#96 Jan 08 2008 at 4:07 PM Rating: Decent
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Pretty much, but there were dozens of previous actions and signs that also went ignored.

There usually are.


Exactly.

This would be why it's not required to pro actively restrain people when there aren't prior acts.

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Disclaimer:

To make a long story short, I don't take any responsibility for anything I post here. It's not news, it's not truth, it's not serious. It's parody. It's satire. It's bitter. It's angsty. Your mother's a *****. You like to jack off dogs. That's right, you heard me. You like to grab that dog by the bone and rub it like a ski pole. Your dad? Gay. Your priest? Straight. **** off and let me post. It's not true, it's all in good fun. Now go away.

#97 Jan 08 2008 at 4:16 PM Rating: Good
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Smasharoo wrote:
correct my initial reaction to skimming them that they don't speak to self commitment prior to violent acts all. If they do, which is more than possible as I haven't read any of them too deeply, I'll take a look.
From memory - I doubt you'll find support in those.

Smasharoo wrote:
If they instead, speak to the efficacy of committing people being an effective measure to prevent violence, I'm not arguing that it isn't and I'd rather save myself the time.
Enjoy a game of Hold 'em, rub one out, watch CSI, play CoD4 or sumfink.

These are almost all cases where 'after' murders or serious assaults, healthcare professionals wrung their hands at not having sectioned them (UK term for detention under the Mental Health Act) when the offences were predicted with more than just a hunch.

We have a law that (heavily influenced by the Zito case) sets out rigourous criteria for identifying when harm is nigh-on certain and taking precautionary measures.

That said, yes, there's a 'slippery slope' about arresting people who criticise anti-terrorism measures, and the risks you point out are very real. I just happen to think the probability in these cases is too high to risk.
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#98 Jan 08 2008 at 4:19 PM Rating: Decent
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That said, yes, there's a 'slippery slope' about arresting people who criticise anti-terrorism measures, and the risks you point out are very real. I just happen to think the probability in these cases is too high to risk.


I think we'd probably agree on risk assessment. I think we'll just have to agree to disagree on the ethics of the state acting on that assessment in a way that would be punitive in any other circumstance.
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Disclaimer:

To make a long story short, I don't take any responsibility for anything I post here. It's not news, it's not truth, it's not serious. It's parody. It's satire. It's bitter. It's angsty. Your mother's a *****. You like to jack off dogs. That's right, you heard me. You like to grab that dog by the bone and rub it like a ski pole. Your dad? Gay. Your priest? Straight. **** off and let me post. It's not true, it's all in good fun. Now go away.

#99 Jan 08 2008 at 4:22 PM Rating: Good
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Smasharoo wrote:
I think we'll just have to agree to disagree on the ethics of the state acting on that assessment in a way that would be punitive in any other circumstance.
Shit Smiley: frown

OK.

Here goes.

Obama is not very good at politics and poker is an game for gurls, environmentals and homosexualists.

Hah! (I do bite my thumb at you sir)
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#100 Jan 08 2008 at 4:24 PM Rating: Decent
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Hah! (I do bite my thumb at you sir)


Really? Here I thought you didn't bite your thumb at me, but that you did bite your thumb.

Revisionist *******. You'll be doing that tired old Richard 3rd as Hitler thing any second now, I just know it.

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Disclaimer:

To make a long story short, I don't take any responsibility for anything I post here. It's not news, it's not truth, it's not serious. It's parody. It's satire. It's bitter. It's angsty. Your mother's a *****. You like to jack off dogs. That's right, you heard me. You like to grab that dog by the bone and rub it like a ski pole. Your dad? Gay. Your priest? Straight. **** off and let me post. It's not true, it's all in good fun. Now go away.

#101 Jan 08 2008 at 4:26 PM Rating: Good
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Smasharoo wrote:
You'll be doing that tired old Richard 3rd as Hitler thing any second now, I just know it.
Hump? What hump?
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