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[â™ªâ™ªâ™ª]
CHARLES: This is not like a psychiatric unit
at a general hospital where you would take your mother.
SHARRON: Listen to me.
JUSTINE: Get out of the room, fuck you!
I'm going to hit you!
You're yelling.I'm angry!
Okay, she's yelling.
Hang on. Justine and Richard.
Won't turn his radio down.
Okay, come with me.But he won't turn his -
Just come with me.[Growls]
That's notgoing to help you.Well I'm fucking mad right now!
Can we leave this?
He's telling me he's going to punch me -
Can we leave this?He's telling me to leave the front room.
What do you want me to do?
Justine?He won't turn it down.
He won't do anything.
You're not listening right now.
You're yelling.
Yes I am yelling 'cause I'm very mad.
You're not using your rational thinking.
I need you to calm down.
Walk with me so the guys can deal with him.
Come with me.
CHARLES: The Brockville Mental Health Centre
is strictly a forensic psychiatry unit,
which means every client here
has some sort of criminal charge.
Well then take it away from him.
Listen, you need to not yell right now.
You're yelling at me.Well take it away from him then.
SHARRON: They've stirred up a lot of emotion
with the male patients
and the particular male believes
and is paranoid that the girls are yelling at him,
problematic with him, they're causing him problems.
So he was very agitated, very angry.
RICHARD: I love the radio.
JUSTINE: It's loud, though.
SHARRON: Justine - no.
RICHARD: It's none ofyour business, you.It's not going to help by yelling, okay?
I've seen lots of violence over the years.
Serious violence.
We've had murders on this floor.
LaFRANCE: Whenever she had asked me to speak to him I did.
And I said, "Richard," in French, I said to him,
"please turn down the radio.
They're trying to watch TV."
And he did.
And still it wasn't good enough for her.
She just - she was fixated on that
and she decided well I'm going to,
I'm going to go for it and she did.
But the thing was, she wasn't expecting
the retaliation he was ready to give her.
And I think he scared her.
He did. She said he scared her.
But I told her, and I've told her many times,
I said,
"You're not on a unit where you
don't think you're going to get hurt."
I said, "That's your first mistake because on this unit
it could happen very, very quickly."
My biggest concern is that she removes herself
from the situation when it escalates like that.
[â™ªâ™ªâ™ª]
DEBBIE: The majority of people who
have a diagnosis of schizophrenia,
they don't have violent tendencies.
But all our patients at some point displayed violence.
They're stable, they're fine,
but the potential for violence
is what got them here in the first place,
not just because they were schizophrenic,
because they were violent.
[â™ªâ™ªâ™ª]
DR. BRADFORD: Michael's a very warm,
intelligent young man,
struggling with a devastating illness
which is schizophrenia.
We have been able get him
quite well but never into recovery.
Essentially what's been going on with Michael
is that he has become
quite sensitive in social situations.
It's not really paranoia in the sense that
you think somebody's going to harm you.
It goes back to he has a feeling
that people know what he did.
MIKE: As a new patient,
generally speaking, they'll put you up.
They'll start you up on the fourth floor.
It's like school.
B3 nor - B4 south is grade 1,
B3 north is B2, or is grade 2,
down here south is 3 and what I'm on is 4
and you want to get out of here.
This is the most secure unit of the four in FTU.
They're pretty caged in for the time being.
They could come in on a serious crime,
the staff wants to know if...
they don't want anything else to happen,
anything else negative.
They're strangers to each other too,
so there's a threat that exists between copatients
just as there's a threat
between the staff and the patients at times.
So it can be a hostile area.
NURSE: Have you got a blanket?
CHARLES: These are our most dangerous,
most unpredictable fellows at this end.
DEBBIE: We'd like some more guys up before we open that door.
LaFRANCE: I don't think he even knows where he is at all.
No, no, I don't think he knows what's even going on.
Most of them are new people that we don't know that well
and they haven't been stabilized on meds.
DEBBIE: He's very unpredictable.
Very, very ill.
LaFRANCE: He's just very sick.
Could be very frightening if you weren't psychotic.
And if you happened to come in,
and you're in for an assessment,
and you aren't horribly psychotic,
I imagine it would be
just a very frightening visit to the circus.
[â™ªâ™ªâ™ª]
MIKE: And then over here we have
the nursing station, the care station.
There are a lot of patients to take care of,
and we have lots of needs.
Things seem to be pretty quiet right now so we're -
I don't know, the patients,
everyone's behaving themselves for the most part.
If someone causes trouble,
the first thing they'll do is they'll close this door here,
thus barricading themselves into the nursing station
if worst comes to worst.
JOHN KASTNER: Tell me about this program group,
what do you take in it?
The one I just finished was called...
Symptom Management.
Do they talk to you about if your voices return?
How to handle that?
Oh yeah, for sure, for sure.
What do they teach you about that?
They ask you, does it sound like
there's a person talking to you
or does it sound like it's in your head?
And you answer, no,
I think it's the person talking to me, or whatever.
They ask you what they say, what the voices say.
You tell them they say,
"I hate you," or "I love you,"
or whatever they say, you know?
SUSAN JANSMAN: Can you tell the difference when
the voices are real and when they're not real?
I know my sister is here.
I can tell.
I know my sister's temper.
You know your sister's here?
And it scares me because
I know she thinks I'm a loser.
Okay, but is your sister here?
No.
She's not?
I don't know. I'm not sure.
Okay, do you see her anywhere around?
No, but I hear her voice.
I recognize her.
So can you tell that those voices aren't real?
No.You can't?
That's when you need to come to staff.
Okay.Okay?
Because if your sister's not around,
any voices that you hear are voices
that you're hearing in your head.
I'm just curious -
This isn't Germany, this is Brockville, eh?
Yes, it's Brockville, Ontario, Canada.
People keep telling me it's Germany
and I never studied and...
What people?
My sister.
But your sister's not here.
It feels like she's here.
I know my sister's temper, my sister...
my sister would get really, really angry at me.
It's all part of the voices that tell you things?
Yeah.
KASTNER: Those are not what they
call command hallucinations.
Command hallucinations are something different?
Yes.What are they?
Command hallucinations, from what I gather,
are things that say...
"Jump off this bridge. It's right there,
look, look, there's the railing.
Jump off this bridge."
There's a bridge there
and it's quite elevated over the highway.
And on the highway there's huge vehicles passing, right?
So you're walking across the bridge
and the voice will say, "Now's a good time..."
So that's what a command hallucination is, I think.
Aside from harming yourself,
as you understand it,
do command hallucinations
ever tell you to hurt somebody else?
I'm certain they do.
DR. GRAY: Mr. Beninato was diagnosed
with schizophrenia in 1996
and this followed a series of violent outbursts
against his family and reports of hearing voices.
This leads up to the 2003 incident.
On that particular day he came home,
his father was watching television
and he asked his mother for a cigarette.
She said she didn't have one.
He escalated and became very, very angry
and grabbed her by the hair and was shaking her around.
As a result of that she became unconscious.
He called an ambulance and said
that he had a temper tantrum, as he put it.
And she was brought to the hospital.
She was in the intensive care unit
because she was in a coma for weeks.
And suffered irreversible
neurological damage, walks with a cane.
Sometimes patients feel
that the more honest they are about symptoms,
the less privileges they'll get,
because then people will think they're sicker
and they're more of a risk.
So in Mr. Beninato's case in particular,
he sometimes downplays that
because to say that he experiences them all the time
and especially if he says,
"Well, they tell me to do bad things,"
probably he wouldn't get out of the hospital
as quick as he would like.
SAL: I don't hear voices.
I don't even know why I'm on medication.
But they tell me I got schizophrenia,
I'm mentally ill, I'm sick.
So I just listen to them, you know?
KASTNER: And have you ever heard voices?
Um, no.
Not really, no.
I don't really hear voices.
Sometimes I think they're my thoughts and stuff.
Sometimes I do hear voices, though, yeah.
I don't really, like, hear them too much.
I think, like the voices are
like voices saying, "Oh, who cares?
Buy crack cocaine, buy marijuana,
drink beer, liquor, whatever."
And then my thoughts say,
"Hey, you don't want to do that."
And even the voices that say,
"Buy crack cocaine." You know what they say?
They say, "We're sorry we bother you
and we bothered you in the past."
And then they start to say things like...
Well, the thoughts say things like, "Don't," like,
"Listen, don't go buying the drugs."
And even the voices say,
"We don't want to pressure you into doing that either."
You know, sometimes,
I'm not saying right now, but in the past,
the staff heard you yelling in your room
and there's no-one else there.
Yeah, yeah.
So how would you explain that?
Well, it's sort of like I hear voices bugging me,
like putting me down.
So you yell back at them?
Is that what you're doing?
It's like I'm not trying to put the voices down, you know?
Instead of saying, "Hey, like leave me alone,"
I tell them,
"Why don't you get with the program?
You're falling behind." You know?"
PA: Lunch is now on the ward for the south side.
Lunch is now on the ward.
[â™ªâ™ªâ™ª]
Hey.Hey, Mike.
Hey, Peter.How are you?
Not too bad, you?Good to see you.
You look good.You too, thanks.
John.
Looks like you got some sun.
More than me.Maybe.
Shall we go?
NANCY: The name of this person is Michael Roland Stewart.
His date of birth is December 14, 1978.
His date of admission was March 22, 2005.
His index offence is second degree murder.
Legal status is
not criminally responsible - NCR.
[â™ªâ™ªâ™ª]
PETER: Mike belonged to what would normally
be considered the popular crowd.
He was extremely self-assured,
extremely confident,
and top marks in the class.
Lots of friends, girls and guys.
JOHN: He was probably among the funnier people in the room.
But he was very -
just so sharp, such a good way with words.
Supremely confident.
And this was certainly into the time
where Mike had become sick.
Spring of 1997.
There seemed to be a difference in him right away
and I thought that he kind of became quite recluse.
He thought mom had awoken him
so she could read his mind
a few hours before he went to school.
KASTNER: Do you see a big change in him today?
He's not the same guy at all.
NANCY: From a nursing perspective,
Mike is making slow, steady improvement
but some negative symptoms remain.
His overall mood is good but quiet.
He spends a lot of his leisure time in the TV lounge
but does not socialize much with copatients.
He usually maintains a quiet demeanour about the ward.
Yeah, I just got four.
NURSE: Okay, see you later.
Okay, guys, come on aboard.
Okay, here's the deal.
I think my knee can take it, I'm going to bowl with you.
What do you think, Mike? Could you help me?
I don't know if I can help you but you'll do fine.
Are you going to beat your best score today?
That's the g - 110.110?
MIKE WHELAN: He's always struggled
with the social aspect of the hospital.
So he seems to do better with staff.
To hang around with his peers
I don't think he's ever been very good at that.
[â™ªâ™ªâ™ª]
DR. BRADFORD: He has become quite sensitive
in social situations.
He, for example, has turned down the opportunity
to go into the community on his own,
even though he's probably well enough to do that.
By being sensitive to people around him,
that they may know what he did ten years or so ago.
So that type of hypersensitivity,
hypervigilance is what's been bothering him.
NANCY: The next person we're going to
conference today is Carole.
CAROLE: And this is a string.
NANCY: Carole is a 39-year-old female.
CAROLE: This is what I call my imaginary friend.
NANCY: Carole was found NCR on account of mental disorder
on two charges of assaulting a police officer
and four charges of assault on September 20, 2010.
CAROLE: Cat.
NANCY: Carole has been estranged from her family.
There are no next of kin noted in her clinical chart.
She became a ward of the Children's Aid Society
at the age of 11 years.
When you workyou've got to get up early,
get showered.
You have to lookappropriate for your job,
get dressed in your best.
DR. JAMES: From what I understand from her past,
she would become very upset, she'd run into traffic.
She was admitted to the hospital.
She was discharged back to her apartment.
An acting worker came to visit.
She didn't want the acting worker to leave.
And she threatened to commit suicide,
is my understanding.
And as the acting worker was leaving,
she jumped off the balcony.
And that's how she got a lot of the orthopedic injuries
that you see when she walks.
CAROLE: The stickers are for good behaviour.
And it tells you that if you
get 14 stickers in a row without missing one,
you get to order out,
or you could save your money
for whatever you wish to buy.
And if you don't -
I missed one sticker here, so I don't get one.
But here I had a perfect month -
and over here I had a perfect month.
But that's about it out of all of them.
This is April, that's May...
KASTNER: So when you say bad behaviour,
what do you mean by that?
Yelling at staff, or refusing to take my pills,
or refusing to go to my room when I'm upset,
or getting into a fight with people,
getting into an argument,
I don't get a sticker.
And are you a bad girl often?
Yeah.
It's hard for me to actually
get a whole month of stickers.
Bad behaviour gets me in trouble.
I find it hard to be good.
You find it hard to be good?Yeah.
And how are you doing so far this month?
Uh, well I'm off to a rocky start.
KASTNER: Can you give me a sense of
how many of the patients here
are capable of serious violence?
Absolutely all of them.
CHARLES: Every one.Every single one.
Every single one of them.
KASTNER: Carole Seguin?
Oh yes.Oh, absolutely!
Carole is one of those people that there is no question -
Once she started to be a problem,
you had to get out the five point restraints,
because if she couldn't get at you to hurt you,
she would start smashing her skull on the wall.
DEBBIE: And you know within a few minutes of locking her,
she's going to start whacking her head off the toilet
or usually the cement walls.
You couldn't listen to that. It was just awful.
Awful females. They're the worst.
I'm sorry, they are.
CHARLES: I didn't say that.Of course you didn't!
I jumped on it.
[Laughs]
CHARLES: Women make the worst patients.
Oh absolutely. I agree completely.
There is no explaining how or why,
it's just that way.
[Justine laughing]
59 patients here at the Forensic Treatment Unit
and about five female patients is quite a difference.
The men tend to cause more violent crimes on the outside,
in the outside world.
And the women tend
to cause more violence on the inside.
I mean, I'm not used to wrestling with people.
I never thought in my lifetime that I would be in this field
where I'm wrestling with some female on the floor
because she's just taken a swing at me,
or tried to kick me in the stomach,
or did kick me,
and now we're into a whole different ball of wax.
I've wrestled with probably more women here
than I ever will with men.
I do believe that some of it
can be attributed to their illness.
They're extremely vulnerable.
I know Angela, but I don't know if it's fixed. Eh?
Yeah.
Historically women coming in
have some sort of mood disorder.
So they're bipolar or they're schizoaffective,
which is all related to mood fluctuations.
So yeah, something that simple
causes chaos on the unit.
[Justine laughing]
Just another day in the neighbourhood.
How are you doing?Not bad.
Hey Michael.
Looking good.
How are you doing?
Doing okay.
Yeah.
Do you want to dip in?
Go for it.
When's the last time you had mussels, Michael?
The last time I had mussels?
Jeez, I don't...
I don't remember.
Really?
Two RCMP pulled up and asked us,
"Is one of you Rebecca Stewart?"
I thought that Michael had killed himself,
because again, that was always the concern.
And he just said to call your dad.
Dad picked up and said, "Hello."
I said, "Hello. What's going on?"
He said, "Something very bad has happened."
And I said, "Michael's killed himself?"
And he said, "No, Michael has killed your mother."
And then I was caught off guard
and I said, "No." And he said, "Yes."
And I think I said no again. And I was worked up,
so I asked if I could call him back in a few minutes,
get off the phone and call him back.
He said I could do so, and then we hung up,
and then I just started smashing
the phone receiver into the phone.
And kind of realized that I was in a public spot.
So I went outside and just went for a little walk.
And that was it.
It's always good.
Either way I'm happy.
NANCY: He apparently arrived at his parents' home
in the early afternoon and waited in the house
until his mother, the victim,
arrived home between 3:30 and 3:45 PM.
He was reported to have confronted his mother
and then an altercation developed between the two.
She eventually died
from severe blunt trauma to the head.
[â™ªâ™ªâ™ª]
She was a nurse who
loved her profession,
and community member who loved her community,
and a mother who loved her family.
[â™ªâ™ªâ™ª]
JUNE: Good morning.
Here we are on Tommy Donohue's farm
up in Douglas, Ontario, as you can see.
It's Friday morning,
September the 7th, the year 2001.
And the sun has just come up,
and you can see the mist through the rail fencing,
and of course the cattle.
So what a perfect day.
[â™ªâ™ªâ™ª]
Thank you for doing it.
[â™ªâ™ªâ™ª]
JOHN: You both look pretty pleased in that picture.
REBECCA: It's a cute photo.
DAVID: That's June and me.
We're going out somewheres because we're -
June's - we're dressed for an evening out.
JOHN: Pretty loud outfit.
DAVID: On Mom's part.
REBECCA: Which was typical.
JOHN: Fairly standard.
REBECCA: She was a fashionista in her own right, I think.
She liked to dress up.
PETER: I don't think I've ever seen that picture.
REBECCA: I've never seen it either.
It's beautiful.
It's a photograph of Mom
I've not seen before and it's nice.
It's a great picture.
Looks pretty pensive.
KASTNER: What had Mike's relationship with her
been like before?
PETER: She loved him very much
and he loved her very much, too,
and I think that where he needed
very occasional emotional support,
he got it in spades from her.
A mother who for years after Michael became sick
would cry herself to sleep out of concern for him,
and he knew that when
he was well enough to know that.
What kind of thoughts are you having right now?
That I want to kill myself, that I want to hang myself.
Okay. Carole?
You know us?Yeah, I know you.
And we know you.Yeah, I know.
And we know that you're a good person, right?
Right.Okay.
And we're here to take care of you.
Right.
And we're here to keep you safe.
I know that but I don't feel loved.
Well, we're going to keep you safe, okay?
What we're going to do -Yeah?
What I want to do is
I'd like to help you with those thoughts
'cause you're having really bad thoughts right now.
And those thoughts right now are telling you
that you're a bad person,
that you've done things, okay?Right.
Which you haven't, right?
They're talking about me on the TV.
Those are the -
but that's your delusional thinking, right?
Right.
Those are those thoughts that you have in your mind
that you know aren't real
but that are so overwhelming to you
that you can't deal with them.
They're very, very frustrating
and anxiety-provoking for you, right?
Right.
I feel that people are talking behind my back and all that.
Yeah.
And it's over...
That they hate me.Yeah.
But people don't hate you here.
You know we've treated you well
and that you've done well and that -
I'm trying my best,
but it's been like a month since I've had any sleep.
Carole?
You're just having a bad day, right?
Everybody's...
Listen, everybody's allowed to have a bad day, it's okay.
I know but only one.
It's okay.
[â™ªâ™ªâ™ª]
MIKE: Stewart is my last name.
Mike is my first name.
And my room is - I'll let you see my room here.
It's not in great order but it's in order.
Okay, you need to do a walkabout?
I need to do a walkabout.Okay, let's go.
Alrighty.
[â™ªâ™ªâ™ª]
I have this thing here -
is my privacy curtain.
It's mainly to be used at night time
because they can walk by.
"Oh, he's in his bed, that's great." You know?
But any time any passing person can take a peek in,
so you just have to understand that the privacy,
it's pretty good but,
you know, be decent.
[â™ªâ™ªâ™ª]
CHARLES: What we're supposed to do now is mark down on here
what each individual was doing,
where they were,
and what they were doing at that specific time.
DR. GRAY: My impression is that the family
still is somewhat fearful about him
because of the past.
And he has a history of violence against his parents,
so it's not just the parents -
There are siblings, too,
and I really don't think they'd want him,
at any point, living back in their house.
A lot of people want to be with their family
and they don't want to hear that they don't want you back,
or they're fearful of you.
SAL: On the street I have friends, you know?
Friend, you know what I mean?
Like, I just miss that.
Nobody, like no - not anybody talks to me,
the staff doesn't talk to me, the patients don't talk to me.
Nobody talks to me, you know?
I wonder, why aren't these people talking to me?
And I don't know,
I just don't know what to do, you know?
I go out and talk to them, you know?
You want to have a coffee?
You want this and that,
go for a coffee in the community,
or do you want to go for a smoke or something?
I'm not going out.
SAL: Before, I would have this friend here,
and we would always talk and go for a smoke,
or I lent him money and we'd walk around
and go to the benches and smoke.
And lately he hasn't been coming out and talking to me.
Greg! Where are you going, Greg?
So you going to talk, stand out here and talk,
or are you going to go in there?
Fuck.
I can't go in there, man.
He would always tell me, ever since I got here,
"You're my best friend, you're my best friend."
And now I don't know what to do, you know?
I worry - He never just comes and sits down,
has a smoke and talk to me no more.
But other people I talk to,
like I talk to them for a little bit,
then all of a sudden they start staying alone, right?
I want to get a necklace too.
I don't got a necklace.
I got a watch.
SAL: What am I supposed to do?
I don't know.
GREG: Later man.
SAL: I was a little bit depressed at first,
but when I started going to the gym.
I felt better because, you know,
it made me feel better about myself.
So I guess that was a big help,
or it is a big help, still going now, so...
â™ª Oh, give me a home
â™ª where the deer and the antelope roam. â™ª
â™ª Where seldom is heard a discouraging word â™ª
â™ª and skies are not cloudy all day. â™ª
â™ª Oh give me a home where
â™ª the deer and the antelope play. â™ª
â™ª Where seldom is heard a discouraging word â™ª
â™ª and the skies are all cloudy all day. â™ª
I'm listening to the radio.
Because it's loud, I can't concentrate on the TV.
I can't concentrate on the TV when that is playing.
It's hard for me.
SHARRON: Did Xavier come down and talk about this earlier?
Yes, and he turns it back up when the staff leaves.
That's not fair.
SHARRON: If we don't deal with the situation
the way that she feels we should,
it gets ramped up to the next degree.
I know, but I'm not -
Am I doing something wrong?SHARRON: No.
Get those two girls the fuck out of here.
I mean, put them downstairs and get 'em out of there.
They're not my type.
That's what he said this morning too.
So just stay away from them for now
and then we'll see how -
Tell them not to come near me.
It made me cry.
I'm going mad.
Fuck, you know?
Going fuckin' mad.
Fuckin' mad.
What was going on?
Dr.Gray and Sharry came to talk to us about Al
because he's upset that there's females on the unit.
Those girls are sick.
Somebody else's fuckin' problem.
I don't want this fuckin' problem.
I got my own fuckin' problems.
Al, if I talk to them
and keep talking to them to stay away from you,
can you guarantee me you're not going to hit one of them?
I didn't hit them.I know you didn't.
You didn't - you did really well.
But I don't want to see you hit one of them.
SHARRON: She's very attention seeking, very -
If she doesn't get the attention she wants,
she can be very self-abusive.
Hey Nancy?
Yeah?
These have been in for a week.
Do you think you can take 'em out?
Which one's that one?
These ones.
They've been in for eight days.
They're only supposed to be in for a week.
Sometimes I do things to get an adrenaline rush...
like cut myself.
NANCY: Well, frankly we're quite concerned about her
and her recent self-harm attempts.
She would come to us
and say she really doesn't feel well.
We'd ask her in what way you don't feel well?
She feels like cutting herself.
She's told us she craves this -
it's like an addiction and she just has to satisfy this.
And she'll keep wanting to do it
until she actually does it.
And then she's -
We've had four different cutting episodes,
quite deep gashes on her arm.
KASTNER: Boy, you sure hurt yourself, eh?
I didn't do it as deep this time.
That one was a bad one.
KASTNER: Wow.
Lots of stitches there.
So deep, in fact,
that it's way below the skin layer
and below the fat layer,
and down to the muscle layer.
KASTNER: And is that serious-serious?
Is that a serious attempt or - I mean, some people I know -
Just hurt myself.
And why do you think you do that?
Mm...
Feels good sometimes.
I have borderline personality disorder and hypochondriac.
I don't know what the proper term is for it.
KASTNER: What is borderline personality disorder exactly?
It's behavioural difficulties.
They take a lot of risks and stuff like that and...
DR. JAMES: Some people say that every
branch of medicine has its fatal disease.
And for psychiatry, some people figure
that borderline personality is the fatal disease.
KASTNER: What does that mean?Untreatable.
I lit fire downstairs.
Um...
'cause I was mad at a staff so that was pretty impulsive.
Lit fire to my pillow.
PA: Please come to the med room for your meds.
Meds at the medicine room.
CAROL: Step right up, sir.
NURSE: There's Catherine. Can I do you, Catherine?
MIKE: Generally there will be -
four times a day - they will dispense medication.
One of the things I take is Clozapine,
and it's an anti-psychotic.
If I stop taking it,
there's a very good chance
that some of the big problems
that I used to have coping with -
my illness could very well return.
And they tell me that each relapse you suffer
does additional damage...
to your brain.
The thing about medications are
we have a legal right to refuse.
If you decide that the medication
isn't working for you
or that it's harming you, perhaps,
you are legally entitled to do that.
Also there are people that will take the pills
and just keep them under their tongue.
They swallow the water,
and then they'll turn and they'll spit the pills away.
If patients are refusing medication,
and they start to decline in
their functioning and in their wellness,
then some of the older methods
of coping with mental patients comes into play.
â™ª Old McDonald had a farm, E, I, E, I, O. â™ª
â™ª And on that farm he had a pig, E, I, E, I, O. â™ª
â™ª With an oink oink here and an oink oink there, â™ª
â™ª here an oink, everywhere an oink oink, â™ª
â™ª Old McDonald had a farm, E, I, E, I, O. â™ª
EARLE: I remember when she came here in 2005,
she was like a wild animal.
And she was in five point restraints
because she was so wild and out of control.
And in two years she was stabilized
and she was the best that we could possibly do with her.
Her risk was low enough
to get her back out in the community.
And we had high hopes for her.
I really missed you. What happened to you?
Oh, how are you?
EARLE: I'll tell you, I've seen Carole at her best.
And if she's encouraged, it's very encouraging
for me and the other staff to see how she does.
I'm good.
Are you okay?I'm good.
Hey, Carole.
EARLE: She can be kind.
She can come up and give you compliments.
Yeah, that was fun.
EARLE: But on the flip side of that,
ten minutes later she'll come up
and call you a cocksucker,
and say she hopes that your kids die
and she hopes that you crash your car on the way home.
I remember one morning she came up to me -
it was about 5:00 in the morning -
and she called me a cocksucker and hated me,
and she was kicking out the door
and punching at the door.
And as she walked away she said,
"You raped me, you raped me!
You came into my room at night and raped me!"
So I reported that, documented it.
And I thought that it might not go any further than that.
But it did.
She talked to Dr. James,
and it was investigated further.
What I heard is
you went running down the hallways yelling,
"Rape, rape! He raped me!"
And -I said that?
That's what I heard.
EARLE: It has to be investigated
because these people are vulnerable
and things like that sometimes do happen,
and they've happened in the past.
I didn't say that though.
DR. JAMES: Okay, well, that's what I had heard.
And with the way things are in society,
it can really put staff, especially male staff,
in a really difficult position.
No, I never said that.
I think he heard wrong.
Maybe I said something different,
but I didn't say that.
Okay. I'll look back in the chart as well,
but that's what I -
Or he could have heard somebody else's voice
that sounded like me, I don't know.
I never said he raped me.
Okay.
Never, I swear to God.
Honest to God, I'll shake your hand on it.
Okay...
Do you ever come down here aside from visits, Mike?
Um, not really.
NANCY: Following this attack on the mother,
Mr. Stewart then called 911 at about 4:05 PM.
[â™ªâ™ªâ™ª]
He was found in the house when the police arrived.
He was then arrested, escorted out of the house,
and transported to the Renfrew OPP office.
He remains reluctant to discuss this in detail
as he reports that he finds the whole incident
difficult to discuss at this time.
KASTNER: Do you ever talk with family about what happened?
We talk about other things.
It's the hypersensitivity to social situations.
So he stays with staff.
He's worried about going into the community
because he thinks people know
who he is and what happened.
SUSAN JANSMAN: How do we get him past that?
How do we get him -
Who do we have in our team that can get him...
I don't think he wants to talk about it.
I mean...
I don't want to stir up something
that's not going to...
I mean, I think for the moment -
Let's leave it and see where he goes with it.
Okay, I'm ready to make a confession.
And my confession is that I, ah...
I kind of lied when I said that Mark -
that I didn't say that Mark raped me,
because I did say that Mark raped me.
But I didn't remember having said that.
INTERVIEWER: Did Mr. Earle ever touch you
inappropriately or rape you?
No. It was all in my mind. It was voices.
NANCY: I do believe that the female patients here
do cause more turmoil.
They can be quite aggressive in their acting out.
Banging on walls,
actually putting holes in walls, too.
It's incredible to imagine
that a female patient could do that,
but it really does happen.
KASTNER: Who did that?That would be Carole.
I used the palm of my...
the ball of my hand tosmuck right into the wall.
And I went like that
with force until I
punched a holeabout that deep.
And then I turned to the wall
and people were alittle bit scared of me.
This is hole number one.
Hole number two.
And hole number threeand hole number four.
KASTNER:And did you injure yourself?
No.
Your hand didn't hurtafter punching four holes?
It stung a bitbut I didn't hurt myself.
I didn't cut myselfor anything.
NANCY: But Carole, she's outstanding
for putting holes through walls.
We don't quite know how she had the strength to do it,
but somehow she did.
KASTNER: Have you everseriously injured anybody?
Not seriously, no.
What's the worst thatyou've done in a fight?
Give them a black eye.
That's the worst physical injury
you've inflicted on anybody?
Yes. Absolutely.
Oh, they're cans?
I ordered bottles.
NANCY: She was the most challenging patient by far,
considered by all the staff.
[Justine giggling]
Me and Ashley Smith liked
to tie strings around our neck.
Mostly to probably catch the attention of staff.
NANCY: We were also really concerned
about a recent incident
where she'd torn up a facecloth
and tied it together to make herself a ligature.
Tied it tightly around her neck,
and tried to strangle herself.
She was -
When staff found her on the floor in the shower room,
she was blue and not responding
to our verbal commands.
So we called a code blue,
as we call it here in the hospital,
and staff ran
and we brought a noose-cutter to that area,
and they used it to cut the ligature off her neck.
After that was removed,
the colour started to return to her face
and she started to respond.
We thought it was a close call
and we're always watching for the next time.
It was mostly because when you tie
a string around your neck you get really dizzy,
and the feeling of
being passed out feels good.
It's like almost like a high.
And that's what I was looking for -
that feeling that you get when you almost die.
I like that feeling.
We did save her life.
Yeah.
And we know that it's all a matter of time
with these strangulation attempts and so on.
Sometimes it's just in a matter of time
if we save them or not.
[â™ªâ™ªâ™ª]
KASTNER:You're the fastest smoker
I've ever seen in my life.
I saw one in Montreala lot faster than me.
John, one of my friends, eh?
Used to smoke like that!
At least you don't waste a cigarette that way, eh?
KASTNER: How did it start with you and Sal?
CAROLE: I was attracted to him at first.
That he was a good-looking, handsome guy
and that he was a gentleman.
I didn't know him very well but he would go like that,
put my hair over my ear like that.
He'd go like that, sort of mess up my hair.
And then he asked me if I wanted to go out with him.
KASTNER: What about girls?
You had a relationship with a young lady here?
I have had a relationship with her.
KASTNER: That's Carole.
SAL: Carole...
KASTNER: It's an open secret that there is sexual activity
between some of the patients.
The patients are not allowed in each other's rooms?
No.Where does this activity happen?
[Laughs]
We both had the same reaction!
Everywhere else.
Everywhere and anywhere and unbeknownst to us.
We try not to catch them.
We can't allow it on the ward.
ANGELA: When's your birthday?
SAL: November.
November?Yeah.
Shaved your head.Yeah, you like it?
Yeah, it looks good.
DR. BRADFORD: We don't encourage it,
but we realize it's going to happen.
I mean, once people have access
to the community and have freedom -
or even freedom to go on the grounds
indirectly supervised, you know,
there's lots of opportunities
for some kind of sexual engagement.
Well, are they behind a hedge or something?
DEBBIE: Or in the middle of the lawn.
Behind a hedge is considered discrete here.
Oh, yeah.
We've had patients do it on the ward
that we didn't know about till the bed broke.
[Laughs]
Honest to God, it's like, Bang! "Uh-oh."
â™ª Sun's shining today.
My baby is looking at me.
â™ª And I'm a-lookin' at him right now, â™ª
â™ª making him smile, making him laugh and giggle. â™ª
â™ª Just like a jigsaw puzzle.
â™ª This song I made up, so don't get me wrong, â™ª
â™ª I know my own song, if you know what I mean. â™ª
â™ª You're the one for me, oh yeah, for sure. â™ª
â™ª He knows who I'm talking about. â™ª
[Giggles]
Yeah, music is a wonderful thing.
You know, it's a form of expression.
Anyways, I'm going in, it's too cold.
DR. BRADFORD: It's not unusual in schizophrenia
for people to have ambivalence.
So what happens,
people have a certain level of comfort.
They're willing to do something,
and then they become ambivalent
and they withdraw again.
WHALEN: We were talking, Mike, about,
you know, not right now,
but looking down the road maybe in a few months or that,
possible community placement options.
Now, we're lucky, with your disposition,
that we have all options open.
You know, anywhere from group home
to independent living to co-op.
Is that something you'd be ready for
in the next couple of months, do you think?
Well I don't...
I'd...
I'd just like to...
Well, it's hard to say.
I, uh, I...
WHALEN: How about - You know what -
In a couple of weeks we go out and look at the co-ops?
A couple of weeks?
Yeah.
Just look, not to move in, nothing like that.
Or if you want, we could do it next month.
I'll get a car...
I don't know why we're going so quick.
There was another girl I wanted to be my girlfriend -
Justine. Do you know who Justine is?
She wanted to be my girlfriend too.
KASTNER: You dated Sal for awhile.
Me?
We didn't really date, we just kind of -
It was just kind of a fling.
KASTNER: Did Carole find out about it?
JUSTINE: I don't think so, no.
I didn't get it at 11, I'm telling you.
I didn't get it at 11.
SAL: I don't want a girlfriend.
It's just girls ask me if I want them to be my girlfriends.
I say okay, but I didn't do anything, you know?
Yeah, I don't like her.
Do you?
I don't know, I don't really care about her.
But I like her a little bit, yeah.
I used to buy coffees off her, dollar a coffee.
She'd give me cream, sugar and coffee.
Remember Judy punched Justine in the head?
Judy punched me in the head three times
and then got put upstairs.
I did call the police on her when she punched me.
And they said she's here for life.
There's nothing really we can do.
[Judy laughing]
It's like her, you know.
She's a rat-fink.
She called the cops.
You're good, you know that.
I like you.
Thanks.
And you're one of the best boyfriends I've ever had.
That's cool, thanks.
Go for a smoke?Wanna go for a smoke?
It was Carole who was jealous because I was saying hi to Sal.
And she's like, "You know that's my boyfriend, right?
And you need to keep your hands and your mouth
and your face away from him or I'll punch you."
"Oh, okay. Didn't know you owned him."
Give me a kiss?
Thank you.
Almost fell on my ass.
And if I understand,
you were worried about going home.
You felt sort of sensitive so you made a choice
not to go home this Christmas, is that right?
Yeah, that's pretty much it.
Okay.
The visit, I just - it would...
It would be troublesome and somewhat, uh...
Like I just...
Right.
DAVID: I think he suffers every day
from the loss of his life.
The life that he could have had.
He doesn't speak of it much,
but he has spoken of it from time to time.
So I've made strides,
but I want to make it so I can hold down -
Start with, hold down some kind of a job
and then see if I can
try to salvage something here of my life.
Because I'm a little old
for college or university.
KASTNER: How old are you?
I'm 33 years old.
So that leaves me with another option, right?
I can get work.
Now, I think for someone
with my limited qualifications,
it might have to be
in something like retail to start.
DAVID: I know that it's there with him.
He would like to have a life.
Carole, you've been here quite awhile.Yeah.
And you get along well
with the females that are on the unit, all the women?
Well, sometimes I get jealous,
because there's one person we all know
who tried to steal my boyfriend.
That was a no-no.
I was ready to push her down the stairs.
Oh dear.
Okay.
[Both laugh]
That's quite extreme, isn't it?Yeah.
CAROLE: And that person said, "What's your problem?"
And I went like that and I almost punched her,
and she got up and tried to punch me.
She flipped a table
and got me right in the mid-section.
Oh, okay.
And that's why that table is kind of wobbly.
You know which one I mean.
Yeah.
Is it harder for a woman here?
Yes, it's much harder for a woman.
Why is that?
Because there's so many guys, our hormones are racing.
Whenever I'm close to my due date for my injection,
my hormones have already gotten the get-go.
Yeah, yeah.
So in general you got along well with all the females?
Except for one, yeah.Yeah?
DR. BRADFORD: One day he just said,
"I'm ready and I want to go out into the community."
And that then gave us the reason to go ahead.
MIKE: I have recently got the privilege
where I can go into the community unescorted,
but I have to fill out an itinerary.
There you are.Okay, thank you.
Detailing where I'm going,
what streets I'm taking,
and the different times I'll be at the different landmarks.
It's supposed to be almost down to the minute.
There you go, bud.Thanks, Bob.
We'll see you in a bit.Yeah.
DAVID: Doesn't have to have any supervision,
doesn't have to report to anyone,
doesn't have to maintain his medication,
doesn't have to...
Free as you or I.
KASTNER: And what do you think of that?
Well, I'm speaking of Michael now
when I say that I don't think he should ever
have an absolute discharge.
I think he should have lots and lots of liberty,
but almost all sufferers go off their medication.
He gets ill quite quickly.
So in his case, at least,
I don't think that an absolute discharge
should ever be available to him.
DEBBIE: The female patients here,
all of them just want to be an ordinary woman.
They still want to get married,
and have children, and have a house,
and they have the same dreams and aspirations.
And for some reason
they're all of a sudden put into
this position where everything stops.
Their whole life and their dreams change.
JUSTINE: I have two girls.
One's nine and one's seven -
Jasmine and Angelique.
I had them when I was younger
and I was in an abusive relationship,
so they took my kids from me.
KASTNER: And you had a third child?
Yes, but he died of Zellweger's -
but that's a different father.
I had a cross that had Alex's ashes in it.
And it was a necklace,
and it was always kept close to my heart
so that he would always be with me.
I would show it to you,
but I got into a fight the other day
and she just ripped it off my neck
and said, "There, bitch, now you can suffer."
It's my favourite bear.
His name is Sam.
I named him that.
So I always wanted a boy
and my boydied at birth.
So I thought they gaveme a large teddy bear
and maybe he wouldtake the pain away.
So he's been -
even though he's not real,he still helps me.
I still snuggle him,hug him and kiss him
like he was an actual boy.
It's like thePinocchio story -
the boy becomes real.
The wooden doll becomesa real little boy
because he learnsto stop lying.
And the boy thathad Pinocchio...
It was like a doll friend.
Always believedthat he was real.
And he did becomereal in the end.
I know he'll never become realbut he's still my baby.
[â™ªâ™ªâ™ª]
People suffering from schizophrenia
and major depression with psychosis
kill family members.
Once they recover,
they then realize that they've
done this terrible, terrible thing.
He still hasn't forgiven himself.
I mean, I see him every week or two,
I struggle with...
He knows intellectually
that he was mentally ill at the time.
He has never, ever forgiven himself.
PETER: It compounds his sorrow when he knows that
we've lost our mom at his hands as well.
One could only imagine the horror
in those moments
when he allows himself to recall that day.
And I don't know what would be worse -
whether the days when he's perfectly lucid
are more painful for him to endure,
or the days when he's not well.
But I can only imagine
that it's a living hell
every single day,
and some days are worse than others.
KASTNER: Let me just ask you before we continue.
Are you okay?
Um, I think I'm fine, yeah.
Okay. you'll say so.
If you want to stop it, it's okay.
It's cool, man.Okay.
Okay?Okay.
This is amazing.
I didn't expect you to go this far,
so if it's troubling to you, if it's upsetting to you,
you can say that's enough for today type of thing.
We can proceed.Okay, alright.
Thank you.
It was foggy in the beginning.
Um, I uh...
I had trouble accepting my...
diagnosis.
And uh...
I...
there was a time...
when I had...
things were all well with basically anyone that I knew.
I didn't really have enemies.
And then...
I didn't have any enemies.
So why would I...
do something like this
to someone that...
I - it's...
It's...
Like right after,
like we're talking days,
I was calling them and asking for forgiveness.
Days.
Like, it would be weird because I would,
if I was feeling particularly bad,
I would call my dad or my sister,
something like that,
and I would just say, "I'm feeling horrible."
There'd be no...
sense to the conversation.
It would be just me saying, "I'm sorry," you know?
Forgiveness and trust
are such slow things to earn
that it's...
I wanted to make sure...
I just wanted to call them
and make sure that they would...
Well, I was fearful that
I would be abandoned, you know? So...
KASTNER: You all love and support Michael?
Unreservedly.
Definitely.
Mmhm.
Now it's turned to the fact that I've come to realize
that my immediate family
are my -
For some unknown reason,
they've stuck by me, so...
The question of how we could
forgive someone like Michael
is a classic example of blaming the victim.
JOHN: Seems like such an obvious analogy,
but you don't forgive someone
for contracting their cancer.
Mom unfortunately lost her life.
But it's important to keep in mind
that there are two victims in this story,
and one of them happens to still be suffering.
Michael survived the terrible event
but he continues to suffer.
It seemed like the positive memories
and the negative memories both cause me pain.
Because...
look what I've done.
I...
I've impacted so many...
I've impacted this network of people.
I think that, with the loss of a loved one,
with an act of unthinkable violence such as this,
our instinct is to look for the fault,
look for the cause of it.
But we make a terrible mistake to think that
that cause rests with Michael himself.
The cause of this tragedy is a mental disease.
It's a mistake to say
that Michael was himself her killer.
I mean, her killer was schizophrenia.
The cause of her death was this disease.
I'm not able to grieve the way I'd like to...
I have some grief,
but it's not...
It's not...
A feel-good grief, which I imagine...
'Cause...
from what I know,
some people grieve
loved ones with fond memories,
whereas I'm not -
I'll just say this - I'm grieving.
It's like if I grieve,
I kind -
unless...
There are odd moments that contradict this -
Or not odd, but spare,
occasional moments that contradict this.
But for the most part I grieve alone.
[â™ªâ™ªâ™ª]
JUSTINE: I'm not in Brockville Mental Health Centre anymore.
And being out of a hospital
and being out of an institution
when you've been institutionalized
is actually pretty difficult
because you're always used to having somebody around.
So when you're alone,
you're like, "Where is everybody?"
There's lots of upsides.
There's friends, family, being free.
You know, I can have a drink if I want,
I can smoke a joint.
I can do what I want.
KASTNER: Carole, I understand you have
a big surprise for us today.
I've got new teeth.
Tops and bottoms.
KASTNER: Wow...
That looks really great.
Thank you.Congratulations.
I feel like a million bucks.
Oh, what big teeth you have!
NURSE: Okay? Very good.
KASTNER: Have people noticed?
Oh yeah, everyone's noticed.
What do they say to you?
They're saying I look great.
Look at Sal blush.
Eh?
Sal blushes on camera.
That's 'cause you're cute.
You're blushing 'cause I'm cute?
Oh!
Don't start that in here.
Might never stop.
Huh, yeah.
MIKE: I guess the bottom line is I'm out of the hospital,
so I'm quite happy that I've got this far.
And this is my apartment.
I'm living here with another guy
and it's -
I'm still getting used to it,
but that's where I'm standing now.
From two or three days after I got here,
I'm happy I made this step.
[â™ªâ™ªâ™ª]
ROGER: So you've made strides, then,
initial strides to, you know,
to get out here in the community
and make a life here in Brockville.
MIKE: For sure, it's...
I try to keep busy.
ROGER: Well what's -
your diagnosis is schizophrenia, eh?
Or just plain nuts?
MIKE: No, no.
And now that I'm here,
it's like at some points I'm starting to get optimistic
about maybe at one point
making further steps.
But the idea is to kind of take it somewhat slowly.
ROGER: What medication do you take?
MIKE: Yeah, twice a day I take medication, right?
ROGER: Yeah, and you find it helps?
MIKE: Oh yeah, yeah, definitely.
ROGER: Otherwise you'd be pretty goofy, I suppose.
[Both laugh]
MIKE: Right.
Yeah, yeah, that's cool.