It’s 2am at Constance Way, where Claire lives, and I’m on call. The ambulance arrives but Claire refuses to go with them. She becomes violent and lashes out.
Eventually, Claire calms down. I leave the other staff to look after the home and go with her to Accident and Emergency. Claire is referred to a duty psychiatrist who, after assessing her, decides to discharge her back into the care of SignHealth. He says a social worker and a member of the out-of-hours crisis team will see Claire within the hour.
So we return to the project and I wait with her. I try to help her stay calm, but one hour becomes three and she becomes increasingly agitated.
“She says she wants to return to her flat and hang herself.”
The crisis team arrive and, as I’m deaf myself, I help them communicate with Claire in BSL as no interpreter is booked. They decide to admit her to hospital, but she refuses. She says she wants to return to her flat and hang herself.
The team say they cannot help Claire without her consent, so she must stay at Constance Way. I keep watch over her to prevent further self-harm but she won’t allow me to stay with her in her flat. I ask the other member of staff on sleepover duty to check her every 15 minutes and return home at about 9am.
At 10.30 am the alarm is raised again. Claire is having breathing difficulties and I go with her by ambulance back to Accident and Emergency. She is put on a nebuliser and
I stay with her until 12pm, when the hospital says she is stable.
I return to Constance Way tired but satisfied that I’ve supported Claire.