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Locking down private patients

Locking down private patients

Hi, I am completely new here and hope this question is in the correct place

I am currently a voluntary inpatient in a private psychiatric facility and there is a plan to put swipes in the lifts to restrict after hours access/egress from the unit. As I understand it, to leave our floor after hours we are going to have to find a nurse to swipe the lift to give us access to it so we can descend to the street level exit. I am wondering about the legality of this as to me it constitutes locking us on the ward where we can easily be held against our will if a nurse refuses to swipe the lift. It is my understanding that voluntary patients within a private facility cannot be locked in in any way. (I live in Queensand in case the law differs across states).

Lock down is a major trigger for my anxiety. Last year I spent nine weeks over three admissions as a voluntary patient (I did not know the clinic I am currently in existed at the time neither did I have health insurance) locked in the local Adult Adult Mental Health Inpatient Unit. during two of these admissions the fire alarms souded in the iddleof the night. Instead of being take to the proper assembly area patients were loced into a small courtyard where the only exit was a small gate in the 4-5 mtr fence, and was attached to the building or back through the building itself.

While this turned out to be false alarms the next morning, after my overnight PRN's had completely worn off, I realised the possible, even probable, consequences of this action and since then being locked in in any way is a major trigger for my anxiety

I would welcome some feedback on this issue as my anxiety is high regarding it and I will feel unsafe if it comes into place. In Acute I understand I would be locked in, I dont like it but by admitting there I woud have accept it. However I am a voluntary patient in a private facility and I value my right to be able to enter and leave at will. The unit is secure from the outside, entry can only be regained by pressing an intercom at the front door, however patiets can leave the building simply by opening the same door from the inside.

I have only just readmitted after a three month admission, I was out for only 12 days, and my pdoc is now suggesting a proactive treatment program and I would hate to feel unsafe in this environment due to the placement of locks on exits I have, until now, had the freedom to use at will.

Any comments and suggestions will be very welcome.

6 replies

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In response to: Locking down private patients

Re: Locking down private patients

Hi @12monthsin, it is nice to meet you I don't really have anything helpful to say because I've only ever experienced the public mental health system. However, I just wanted to tell you that I can relate to your anxiety around being in a locked ward. I have had oh-so-many psychiatric admissions as an involuntary patient in the public system and most of my issues now are related to trauma experienced in that system rather than the stuff that brought me into contact with the system in the first place. I'm sorry I don't have anything helpful to say...I just wanted to let you know that I hear your anxiety around this issue. Hopefully someone will have an answer to your question.

In response to: Locking down private patients

Re: Locking down private patients

Hi @12monthsin

I'm unable to answer this question for you as I'm unaware of the legislation in Qld. However as a voluntary patient in the public or private system you should be able to leave at any time day or night unless the staff have a genuine concern for your safety or the safety of others. If this were the case they would need to place you on an emergency order which allows you to be detained for 72 hours.

If a member of staff refuses to swipe the lift so you can go in to the street, I believe you would have grounds for a formal complaint. Nevertheless if you don't have a witness it becomes your word against the staff member. That's a difficult scenario to resolve and not a battle I'd like to undertake.

Mind you, I requested to be discharged at 1am when I was clearly very distressed. I was allowed to leave by the staff knowing that I could only return to living on the streets. I went to the police who cared for me that night having confirmed that the staff had discharged me.

Hope it works out for you. 🎶💕

In response to: Re: Locking down private patients

Re: Locking down private patients

G,day Pheonix_Rising nice to meet you as well. I can fully understand where you are coming from and thank you for your understaandin, Myself and others I know from our wonderful public system feel we all now suffer from a form of PTSD. The first three months I spent where I a were mainly fixing the mess they made of me, because of them playing with my meds, taking me up over safe limits and down again a few days later has caused massive medication reactions to occur with every medication they have given me, hense now we are going to try TMS I was i Acute vountary and the treatment I received was the same as everyone else, virtually none. People look at e as if I am stupid going in there voluntariy but a year ago I didn't know the place I'm in now even existed, and had no health insurance. I came out the last time on 16th August, forfeited many luxuries, obtained health insurance on 23rd and was admitted here on 26th October, dischrged 27th January and readmitted 9th February. I have sworn they will never get me in Acute again, although it is a constant threat from some of the nursing staff here.

I hope you find yourself in a better place well ad that the future bodes well for you.

In response to: Re: Locking down private patients

Re: Locking down private patients

Thank you Kurra. I tried to self discharge from Acute when I was a voluntary patient there, and was refused. Took them two hours to talk me down. I also tried it here on Australia Day and was threatened with Acute if I did, so I lied to my pdoc the next day and was discharged. Only lasted 12 days and am now back, 5th admission in just uder 12 months. Yet strangely, this place has evicted patients at 10.30 at night who had nowhere to go but sleep in their car or on the streets.

All this fuss is being made by management because people go out o/night for a smoke and forget to sign out, something easily done and, with a memory like mine, something I have done quite often. It is due to the trauma I underwent in the public system thats just makes me scared about not being able to go out when I want or need to.

In response to: Locking down private patients

Re: Locking down private patients

I'm sorry to hear you've experienced so much trauma from the public system. I've always been admitted to the public hospital so I'm unable to make any comparison.

I did end up spending over 5 weeks in the solitary cells within the acute care section. It hasn't left me with any trauma but I was profoundly ill and I suspect too sick to register what really happened.

Try asking a sraff member to allow you to go out for a smoke and do sign the book. If necessary chant 'sign the book' repeatedly while you're in the lift so you don't forget.

Thinking of you 💕 🎶

In response to: Locking down private patients

Re: Locking down private patients

@12monthsin

Welcome to the forum- its nice to meet you

Great bunch of caring, compassionate and friendly people here

I would feel anxious about that too and not being able to come and go as you please. Is the clinic in Brisbane or Gold Coast?

Have you started TMS?

How are you going tonight- do you know how long you will be in hospital for?

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