What Then and Where Now?

Sometimes as I prepare to write my blog I start to wonder if there’s anything left to say. But then some little thing will happen that makes me realise that there is nearly always something to say.

This week, two questions have come to mind: (1) ‘What then?’ and (2) ‘Where now?’ I’ll deal with the ‘What then?’ first.

Thanks to the wonders of social networking, I received a message this week from one of my old school classmates from the mid-1970s. This was someone I knew immediately before I experienced the events that ‘inspired’ my novel Delivered Unto Lions. She told me that, as far as she knew, I had just ‘disappeared’ from school with no explanation. Having become aware of my book, she now realised what had happened – that I’d been taken away from school (and home) and placed in a psychiatric unit because I was depressed.

This made me think of three other children who went to that same school who were also (at different times) ‘spirited away’ to the very same psychiatric institution. I didn’t know any of them while I was at that school, but I got to know them at the institution. This makes me wonder whether their sudden absences went unexplained in the same way that mine did. After all, I certainly hadn’t been aware of anyone ‘disappearing’ like that, but at least one of those ‘disappearances’ had happened before mine.

It is a horrible thought that, on certain (comparatively rare) occasions, children could simply be plucked out of their schools almost unnoticed. Their friends would wonder what had happened to them, of course, and no doubt some vague words of non-explanation would have been offered. But unless a child eventually returned to his or her school (some children did, some didn’t), life for everyone else would just go on, and that child would be gone and (in the end) virtually forgotten.

And that brings me to the ‘Where now?’

I have been greatly encouraged by the shift towards Care in the Community which began in the late 1980s, and which by the mid-’90s had seen many of these old children’s units closed. Care in the Community has its critics, of course – and often for good reason – but I tend to focus on the idea that a child with depression, anxiety, or some other similar condition, is far better off in as normal environment as possible, rather than being ‘incarcerated’ in a clinical and often hostile mental unit.

The hope is that things are far better these days, and that far fewer troubled children get institutionalised. But how can we be sure of this? The fact is that, prior to the rise of Care in the Community, very few people were aware that it happened anyway. So, if it was still happening today, would we notice?

This may sound like I’m being a little alarmist. Perhaps I am. But what prompts this is what I've found (which isn't much) from my attempts to discover exactly what does happen today. Unless you are a mental health professional, your are unlikely ever to have come across the Royal College of Psychiatrists' directory of children's units. This, however, lists all the child and adolescent mental health in-patient units in Britain and Ireland – and there are actually quite a lot of them!

I'm not going to start flinging wild accusations about. My hope (and my belief) is that these present-day units are far more compassionate and empathetic places than the ones that used to exist. But they are still well-hidden. Unless you go looking for these places, you'll never know anything about them.

My book is about exposing a hidden world from the recent past (and Wikipedia helps too!). But there remains a hidden world in the present. What I would like to see is more transparency, so that society as a whole – as well as healthcare providers – can scrutinise current practice and ensure that it is just and caring.

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Delivered Unto Lions by David Austin is published by CheckPoint Press

ISBN 978-1-906628-21-5

For more information visit www.davidaustin.eu