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Why our Human Rights Act me as an ex-inpatient on a CAMHS ward

Six years ago next month, I began to fall into a mental health crisis. I spent November in and out of A&E, begging my community psychiatrist for more support, and with my mum sleeping on a mattress on the floor next to me in my bedroom.

Come December, it was decided that me and my family could no longer cope in the community, and I was admitted to an acute CAMHS (Child and Adolescent Mental Health Services) ward. This is a scary, and often traumatic, experience, particularly because I am an autistic person.

You learn about your rights on the spot. Terms you’d never heard of before become key to your existence, words you hear every single day whether for yourself or your fellow patients, that you need to comprehend to be able to advocate for yourself. From the idea of a “section” or being “informal”, to whether you’re Gillick competent, and colloquial terms like “leave” - there’s so much that suddenly becomes part of your vocabulary.

But even with all of that, I don’t think I knew at the time how much the Human Rights Act truly impacted my life as an inpatient, and I believe that inpatients and unit staff alike need to know more about the rights of those in units. Even now, I learn more every day about what I deserved to have access to, that I didn’t. If I had been properly educated rather than picking it up myself, I could have advocated more and had a less traumatic experience.

A variety of the Articles in the Human Rights Act of 1998 are key to your experience as a mental health inpatient. One you come up against almost immediately when you enter a ward is that of Article 1, Protocol 1 – the Right to Peaceful Enjoyment of Possessions. There are seemingly endless lists of items you are not allowed, some that can’t be on the ward at all, some kept in lockers you need a member of staff to access.

“Blanket bans” are when units do not look at the individual when deciding what items inpatients can have, instead not allowing anyone to have them. For many, the main one of these is mobile phones. I wasn’t allowed a phone. Instead, we had two phones between eighteen of us for a few hours a day, where you would will your family and friends to pick up at the very moment you got hold of it for ten precious minutes; if the signal even held up long enough.

We also have Article 3, the Right to Be Free from Torture and Inhuman and Degrading Treatment. Many inpatients experience restraint, either physical (limiting or obstructing the freedom of a person's bodily movement) or chemical (when a drug is used to restrict the freedom or movement of a patient, or to sedate). This has led to multiple deaths, one of the most notable being that of Oliver McGowan who tragically died after being given antipsychotic medications. Doctors will now receive mandatory training around autism in his name.

The second is that of Seni Lewis, who also tragically died after physical restraint by eleven police officers on a mental health unit. This has led to the Mental Health Units (Use of Force) Bill, meaning units must take steps towards reducing force used, but we know that this is still a massive problem, and particularly impacts autistic people and those from racial and ethnic minorities.

The Human Rights Act means that those on inpatient wards have the right to advocate for themselves, or more commonly, the right to ask someone to advocate for them. The mental health system still has deep-rooted issues, and institutionalisation is still used far more than it should be, but the importance of the Human Rights Act can be found in the ways we see patients and their families protecting themselves and standing up against this problematic system. You can see an example of this from Article 1 on BIHR’s rights explainers.

It is the Human Rights Act that means those who are inpatient are entitled to have more say in their care, to have access to education, to ask for possessions when blanket bans are not proportionate.

It allows us to examine whether the acts of staff, doctors and decision makers are lawful, legitimate, proportionate - necessary. It means there are responsibilities to look at patients as individuals, get them the support they need, empower them.

It is why patients should expect to be respected, expect the adults looking after them to keep them safe.

This is not always the reality at the moment. Stays on CAMHS wards have short-term and long-term impacts; for me, I am still dealing with my trauma and the way it affected me nearly six years later. I still hear the alarms and remember being squashed into corners, petrified; or pacing corridors, my possessions locked in the office.

You end up spending your days surrounded by your rights, possible infringements on them and advocating in any ways you know how.

Because we know that not all staff are educated and the Human Rights Act isn’t always in place, the British Institute of Human Rights is leading on training staff on it, working alongside me and two others with Lived Experience, Hanna and Kirsten, to make sure it reflects our true experiences.

It is a system I am determined to make better, one bit at a time, and the foundations of that lay in the Human Rights Act – and education around it.

Rights Removal Bill Update

In December 2021, the UK Government announced plans to "overhaul" the Human Rights Act. We asked for Charli's thoughts on the reforms and she said:

"The plans to reform the Human Rights Act are concerning to me as an ex-CAMHS inpatient because it could take the pressure off public authorities to enforce the rights of young people who are hospitalised, impacting a range of their rights from possessions, to liberty, to their freedom from degrading treatment. They will have less ability to challenge this treatment, and those responsible for them will be more able to justify such breaches of human rights.”

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