I agree with you Earl- the folk we send to hospital in the UK are also in acute and flagrant crisis and directly or indirectly at risk of harming themselves and others...
at least, they are on paper...
The problem here, in the UK, seems to be related to perception... I have a guy here on the sex offenders register... he assaulted a female member of staff. There are no details on the offence in his file, just his sex offenders papers.
The guy has learning difficulties, and a low IQ. I have watched him on the unit- he's shy, nervous, scared of being bullied and assaulted, and he doesn't look capable of attacking anybody. Last week a patient bought him a pair of trainers... the patient actually stole the trainers, from outside the store, and stole two right feet- the left being boxed, inside the store... our sex offender here has tried to get the patient to take the shoes back, but the patient is refusing. The supposed offender doesn't have the skills to force the issue, and is now down 50 pounds. He has now been ID'ed as a soft target, and the rate at which he gets played will escalate. Nobody will interfere, as the patient who ripped him of has anti-social personality disorder, and they are concerned that a situation will arise...
...
Last week a man was admitted. He's currently homeless, and has been an injecting drug user for 15 years. Visibly, he does not appear psychotic or suicidal- a member of the team suggests he's swinging the lead, he seems depressed due to his drug use, and the treatment he currently receives, which makes him sleepy.
A few days later the man attempted to kill himself by swallowing razorblades... Unfortunately he wasn't under close observation, as the staff team have already pegged him as a druggie looking for money or a bed, and low risk, and nobody has bothered to really talk to him, as they have already judged him to just be a junkie, and they're overstretched, and have other things to deal with...
when you read his file you discover that actually, he's trying really hard to come off drugs, and has been clean on his last few drug tests... he's been regularly admitted to the psych ward every two years for the past fifteen, and he has a history of suicide attempts...
yet, because he's a junkie, and an informal patient, he was written off as a patient nobody needed to care about...
In both situations, our negative perceptions have coloured the care we supposedly give people in crisis...
These cases are not rareties- this kind of thing happens all the time. We admit people who don't really need admitting, and the people who do then often have to suffer the effects of overcrowded wards, etc..
the observer newspaper had a piece today on mental health care- the link is here...
Psychiatric patients 'feel lost and unsafe' | Society | The Observer
A veteran of the mental health system describes the trauma of being an in-patient | Society | The Observer
Marjorie Wallace: People need a feeling of safety in their place of refuge | Society | The Observer