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review: institutional life

       Institutional life opened up




       A light was shone on the stories and legacies of institutions at
       an exhibition about Calderstones and brockhall hospitals.
       david O’driscoll viewed some service history                                                  Brockhall, 1993



       “You’d Hear Them Jingle.” Views of                                         However, another, who worked there in
       Institutional Life. Voices from Brockhall                                the 1960s, said: “They were rough tough
    Gill Cott: Dorimitory; barbara Perry: launch; Lancashire County Council museums Service: brockhall; melanie Sims: Doreen Jones
       and Calderstones, Clitheroe Castle                                       places, institutions. I can’t hand on heart
       Museum, Lancashire                                                       say I’ve ever seen any extreme cruelty –
                                                                                which I think is a tribute to the place given
          ew of my colleagues working in                                        the times – but it was hard. It was a hard,
          learning disabilities today have                                      hard place, and it sort of made you a bit
      Fexperience of the long-stay hospitals                                    hard as well, as time went by.
       that once dominated our services.                                          “You recognised how [staff] became
        As a Hertfordshire NHS history project                                  institutionalised themselves … they fit into
       worker, I once made an unsuccessful                                      this very cosy and pleasant place to work.”
       attempt to develop an exhibition on the   Herbert Carter, a Calderstones ex-resident, talks   On resident said: “They used to give you
       history of three local institutions (CL 30:3   to Tom McLean, a former divisional nursing   Largactil [chlorpromazine] syrup … to
       2017). So when I heard about an     officer at Calderstones at the exhibition launch   quieten and calm you down. It had a nasty,
       exhibition on long-stay hospitals – You’d                                sweet taste. You got it for shouting and
       Hear Them Jingle – I knew I had to see it.   two long-stay hospitals, brockhall and   arguing. It made you go to sleep – dopey.”
        The title refers to a remark made by a   Calderstones, which were a few miles apart.   Dr Nigel Ingham developed the exhibition
       former patient about staff coming down   both opened after the First World War   with the help of Professor Duncan Mitchell.
       the corridor with their keys.       and closed in the 1990s. both were major   It was part of a project by Pathways
        The exhibition examined the history of   institutions holding up to 2,000 patients.   Associates,
                                             The exhibition featured oral history by   supported by the
                                           family members, patients and staff.   Heritage Lottery
                                           Memorabilia included nurses’ uniforms,   Fund, to develop a
                                           patient menus and, of course, keys. There   digital archive:
                                           was also a short film, made in 1968, about   www.lancs
                                           brockhall patient bill Howe (view it at www.  learning disability
                                           youtube.com/watch?v=LRFskr_5vHI).    institutions.org.uk/
                                             Views on the hospitals contrasted. One   ● See pages 16-17
                                           nurse recalled: “I think the staff, the
                                           artisan staff, and the drivers and the   Former Calderstones
                                           laundry, they all cared about … staff and   resident Doreen Jones
       Dormitory at Calderstones, 1971     patients alike. everybody cared somehow.”   as a girl, circa 1931


       £1,019 per person). Relatively speaking,   experience of doing any therapy work,   problems much more widely available. n
       both ways of helping people were not costly   were providing each therapy to a high   This project was led by Andrew Jahoda at
       given that people were on average using   standard.                      the University of Glasgow.
       health and social care support costing well
       over £20,000 per year per person.   conclusions                          National Institute for Health and Care
        views gathered through in-depth    The types of therapies or psychological   Excellence. NICE Guideline NG54: Mental
       interviews with some of the participants   interventions that are helpful for   Health Problems In People with Learning
       with learning disabilities, their supporters   depressed people generally can be   Disabilities: Prevention, Assessment and
       and the therapists showed that almost   adapted to work just as well for people   Management. London: NICE. www.nice.org.
                                                                                uk/ng54
       everyone found the adapted therapies   with learning disabilities.
       engaging and helpful.                 They can make a difference to both                      Chris Hatton is
        Supporters were generally felt to be   people’s depression and to their lives                professor of
       useful both in and between the therapy   more generally.                                      public health
       sessions, although social isolation made it   The therapy is not expensive, and can           and disability
       hard for some people to find a consistent,   be delivered and done well by community          at Lancaster
       reliable supporter.                 learning disability nurses as long as they                University
        Audio recordings of a selection of   are trained and supervised.
       therapy sessions showed that those    There is every reason to make these
       delivering the therapies, mainly learning   and similar ways of helping people with
       disability nurses with little or no   learning disabilities and mental health

       www.cl-initiatives.co.uk                                            Community Living  Vol 31 No 4  |  Summer 2018  21
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