Every component part of the window came under scrutiny. The frame and glazing itself was an important issue but so to were the more secondary elements like the glazing gasket.
It was important we designed a system that had wraparound glazing so it could not be removed by the occupant. We also designed the gasket so it was perforated to ensure it broke into harmless pieces if there was an attempt to remove it. The clinical team were also instrumental in devising test procedures.
“We always said the window had to withstand attacks with any items a patient could reasonably be expected to get hold of so as well as the cutlery, that included pieces of furniture, a fire extinguisher, pool cues, and a snooker ball in a sock,” said Mr Ord. Continue reading “More about mental health”
Crucially, with self-harm and suicide an ever-present risk, the window had to be free of any features which could be used to attach a ligature. This automatically ruled out a casement or vertical sliding sash design, and we quickly decided on a horizontal sliding sash window.
Projecting handles, locks, hinges or vents were also ruled out. But it didn’t stop there. Input from the trust’s clinical experts revealed that the most determined patients will employ an astonishing degree of ingenuity and will find and exploit any weaknesses in a design to achieve their goals. Continue reading “Mental health features”
Mental illness covers a group of conditions which make it very difficult for those affected to cope with everyday life.
The most common examples are depression and anxiety; schizophrenia; bipolar affective disorder (manic depression) and dementia.
Causes are complex and often unclear. Research indicates major risk factors include: poverty; poor education; unemployment; social isolation stemming from discrimination due to physical disabilities; major life events such as bereavement, redundancy, debt and crime; drug and alcohol misuse; poor parenting; genetic predisposition and foetal damage.
Direct age-standardised mortality rates (DASRs) are used here to compare the mortality experience of different populations: firstly because they facilitate more meaningful comparisons between populations differing in terms of age/sex structure and secondly because they facilitate monitoring of changes over time in the same population.
Additionally there are a number of self-reported questions on health in the census, these include asking people to rate their general health, whether they are suffering from a limiting long-term illness and also recorded the number of people, between the ages of 16 to 74 years, who reported that they were economically inactive due to permanent disability or sickness.
This is extremely useful since there is a considerable amount of information on what people die from and why they are admitted to hospital, but there is remarkably little information about other measures of ill health in the general population.
Mental ill-health is a growing problem in Wales. One in seven of the adult population of Wales reported being treated for mental ill-health in 1998, compared with one in nine in 1995.
In a 1996 World Health Organisation survey, one in five young people in Wales reported feeling ‘low or depressed’ once a week or more, rising to two in five for fifteen year old girls. Continue reading “Mental Health”