Allegations of Abuse in Institutions


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The Press
June 29 2007

Psychiatric-care report
by Colin Espiner

The Government is considering compensation for nearly 500 former patients in mental health institutions after a damning report detailing physical, mental and sexual abuse during their confinement.

The report of a confidential forum for former patients of New Zealand's psychiatric hospitals, released yesterday, details the experiences of 493 people held in institutions from Dunedin to Auckland between 1940 and 1992, including five Christchurch psychiatric hospitals. Many have since closed.

Some former patients have already started civil proceedings against the Crown, but forum chairman Judge Patrick Mahoney said yesterday that most simply wanted an apology from the Crown for experiences "that were deeply humiliating and demeaning, often taking a lifelong toll".

Neither an offer of compensation nor an apology was forthcoming yesterday.

The Government said it was still weighing its response to the report.

Former patients told of being held in dirty, overcrowded and smoky hospital rooms; being subjected to physical and sexual violence; of fear and humiliation; use of electroconvulsive therapy (ECT); over- medication; and lack of privacy.

Patients described care by staff as "ranging from indifference and lack of respect to callous, threatening, abusive and/or violent treatment", the forum's report says.

"Participants described a culture of threats, verbal abuse, taunting, goading and bullying. They described beatings and patients being dragged by their hair to seclusion rooms," it says.

Some participants alleged rape and other sexual misconduct by staff and other patients, including forming sexual relationships with staff, sexual taunting and sexual violation. "Participants almost universally used the words `sexual abuse' when speaking of what they had experienced."

Treatment practices at the hospitals came in for heavy criticism in the report, including the use of solitary confinement in dark and dirty rooms with no toilet.

Some participants alleged ECT had been used on pregnant women and without medication as a punishment.

"They spoke of waiting with others for ECT and building levels of fear as their turn approached; of hearing the screams of others as they received ECT," the report says.

Participants said their medication was heavy, frequent and changed often, leaving them "zombies", and led in some cases to long-term physical and psychological damage.

Patients felt they were being experimented on and were given little explanation of what they were given.

The report makes no recommendations and does not test the evidence provided by participants, and does not identify patients or link events with specific hospitals.

But it lists 53 psychiatric units mentioned by former patients, including Christchurch's Hillmorton, Princess Margaret, Sunnyside, Templeton and Calvary hospitals.

Mahoney said the forum was not designed as an inquiry, to hear and evaluate evidence, or a substitute for legal remedies such as compensation.

While he was not apportioning blame, "I think it was part and parcel of a system dealing with very large numbers of people with few trained staff and few tools by way of medication," he said.

Health Minister Pete Hodgson said the Government was still weighing its response to the report and whether to issue a formal apology.

"We are looking at whether we can invent a reasonably robust system that is not an adversarial court system," he said. "If we ask ourselves how are we best to offer repair to these people, then compensation may or may not be part of it." Hodgson said litigation through the courts would be immensely costly for both the Crown and litigants.

The Green Party said the former patients' tales made harrowing reading and they should receive an apology and compensation similar to that awarded to former Lake Alice patients who suffered abuse.