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is this treatment suitable?
yes 50%  50%  [ 5 ]
no 50%  50%  [ 5 ]
Total votes : 10
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 Post subject: Mental Health Act for 18yr old ana
PostPosted: Fri Dec 04, 2009 8:28 am 
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This is a New Zeland news section about an 18yr old girl being denied her rights to choose appropriate treatment, due to being put under the Mental Health Act because of a dangerously low weight.This shows footage of the girl and mentions weights.


http://tvnz.co.nz/close-up/fight-save-t ... id=3225695


Your oppinions? Is this a suitable treatment for anorexics? I am interested because this has happened to me twice and public locked psych wards are not helpful to anorexics, specialized units are much more appropriate.


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PostPosted: Fri Dec 04, 2009 11:40 am 
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Sorry, I voted without reading the story on the basis that sometimes it's just about keeping you alive long enough to go into a specialised unit.

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PostPosted: Fri Dec 04, 2009 1:28 pm 
I really agree with Spender. Plus once you get down to those sort of weights you really are unable to make the correct decisions for your health and recovery and the fact you got there in the first place is a pretty good sign you're not managing to make healthy choices. The mental health act isn't only for those that believe in aliens or think they're Elvis. People often seem to think that unless you're dangerous or so obviously "mad" that it's inappropraite but it's really about keeping the person safe and taking over when they can't do it anymore. I really hope that if I ever got to an extreme situation where my life was in danger that someone'd realise that I was no longer able to choose the right decisions for my recovery. No matter how much I would hate the treatment or how much it'd frighten me, to die, wouldn't be what I truely wanted.

P.S I also didn't watch the video. Didn't fancy seeing her at her weight but that's my opinion on the mental health act.


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PostPosted: Sat Dec 05, 2009 7:59 am 
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I can see what you are both saying, but she has re-lapsed to again critical stage, after being released from this locked facility. So it's re-feeding and release, triggering a relapse. And so the cycle goes on.

I guess they don't have much other choice, like you said. However, after how many admissions should they let someone like her just die?


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PostPosted: Sat Dec 05, 2009 1:01 pm 
missteek wrote:
I guess they don't have much other choice, like you said. However, after how many admissions should they let someone like her just die?


In my opinion- never. This is a mental illness not a terminal one and never should the treatment be a hospice style letting somone kill themseleves.
I think they should really try differing forms of therapy though.. and once they've got her back up to a healthy weight they need to do some therapy with her then else she will just keep cycling. The aftercare is as important as the IP I think.


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PostPosted: Sat Dec 05, 2009 5:39 pm 
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The aftercare is as important as the IP I think.


Exactly.

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 Post subject:
PostPosted: Sat Dec 05, 2009 7:42 pm 
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I'm from New Zealand. Ashburn Hall is pretty well regarded here, not so much for anorexia treatment. I would say though that usually anorexia is coupled with other things, in particular depression.
The mental health act is designed for anyone who is putting his/her life in danger. I think it was used with good reason in this case, I mean the photos and the weight mentioned tell a story. She could die from standing up. There are very few clinicians who will actually attempt to violate a person's rights.
There is a specialised eating disorder residence here, Central Region Eating Disorder Services in Wellington. Many people with anorexia do go to Australia though because there are only about six beds.
I was put under the mental health act and put in ward 27, treatment for anorexia will only work if you want it to work. I started eating again in ward 27 and it definitely wasn't due to my surroundings, it was due to the fact that I was sick of not being allowed to go outside and scared by the other girls in wheelchairs around me.

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PostPosted: Sat Dec 05, 2009 7:44 pm 
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She should also have a lawyer to contest her case under the Mental Health Act.
I was lucky because my doctor worked with my family to sort out appropriate treatment.

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PostPosted: Sun Dec 06, 2009 5:05 am 
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as cara/catrats best friend i spent a lot of time with her/worrying about her/desperate to help her last year when she was sectioned to hospital. as scary as it all is losing your rights etc under the mental health act, i do sincerely feel that we could well have lost cara if she wasnt sectioned...

my point is, if someone gets to the point where they are sectioned and put under the mental health act... its is because they need to be, and that they are at serious risk of serious harm to themselves or death...

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PostPosted: Sun Dec 06, 2009 5:35 am 
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I think that the problem in this particular situation is that under the mental health act, she is being sent to a facility that is not appropriate. I dont think she should be given the choice weather or not to go, but a choice of where she goes.


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PostPosted: Sun Dec 06, 2009 6:50 am 
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So true, follow up is asif not more important than IP treatment!

I guess the question is whay did she not go into an IP facility when she had the chance? If she truly thought thisother clinic could help her, then why didn't she make arrangements to go before she got to this stage where professionalshad to intervene?

It's such a multi-facited issue and one I often debate. I agree she should get a lawyer, she deserves appropriate treatment. However that implies that she is willing to participate activly in recovery.

Whatever happens, thanks for your input on this topic!


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PostPosted: Sun Dec 06, 2009 7:01 am 
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missteek wrote:
I guess the question is whay did she not go into an IP facility when she had the chance?


good point.


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 Post subject:
PostPosted: Mon Dec 07, 2009 2:05 am 
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there arent IP facilities just for EDs here... if you are as sick as her they wont take you into residential treatment until you are medically stable

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PostPosted: Tue Dec 08, 2009 12:32 pm 
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ashleigh wrote:
I think that the problem in this particular situation is that under the mental health act, she is being sent to a facility that is not appropriate. I dont think she should be given the choice weather or not to go, but a choice of where she goes.


Exactly. That's what I see, too. The mental health act should place her in a program designed for her. In the video, she says that the place they've put her in doesn't supervise her eating and it's easy for her to hide things or fling them across the room. She LOST WEIGHT the last time she was there. Doesn't that seem dangerous for an anorexic? This is why NZ needs some specialized ED recovery clinics (or larger ones) and then they should send those people under the mental health act THERE.


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PostPosted: Tue Dec 08, 2009 8:08 pm 
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It is clear that there are huge gaps in services all over the world for people with eating disorders. What is starting to happen here, however, is that available beds in the dedicated unit are being taken up by people who have been certified and are often medically fragile, leaving people who voluntarily want to work on their EDs on insanely long waitlists. To put it bluntly, the specialised beds are being occupied by people who don't want to be there while people who do want to do programs are either waiting until they themselves become medically or psychologically unstable or being shipped to the other side of this very large country at huge public expense to receive treatment elsewhere. To an extent, given the limited choices and funding, I wonder if the main obligation of the medical system to certified patients is to keep them alive until they reach a place where they are willing to pursue that themselves so that people who want recovery can access service?

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