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4 Nisan 2017 Salı

Don Thomas obituary

My father, Don Thomas, who has died aged 88, was inspired to take up an academic life as a biologist, by his childhood love of the rivers, mountains and wildlife of Ceredigion in Wales.


He was born at Llangeitho, a village near the market town of Tregaron, and attended Tregaron grammar school. He was always very grateful for the way that the school helped him to expand his horizons academically. By 1954 he had been awarded a BSc in zoology and a PhD from the University of Wales at Aberystwyth, where he met his future wife, Joy Robinson. They married the following year.


In 1953 he took up a lecturing post at the University of Ghana, where he remained until 1965, latterly as an associate professor. During his time there he became a committed biologist, researcher and teacher. His field of study was mainly freshwater ecology and parasitology and how the knowledge he gained could be used in combating bilharzia, a disease that affects millions of people across the world and is transmitted via water snails. He also helped many students in Ghana to achieve qualifications in zoology.


In 1965, following a research fellowship at the University of California, Don joined the University of Sussex at Brighton, where he remained for nearly 30 years, living in the nearby village of Kingston. He started as a lecturer, and in 1969 became a reader in ecology, population ecology, freshwater ecology, statistics, comparative physiology and evolution. He continued his interest in human parasitic diseases, visiting countries including China, Brazil and Denmark. He regularly presented his research findings at the World Congresses of Malacologists with his characteristic rigour and attention to detail.


In 1989, he was awarded a doctorate of science from the University of Wales, reflecting his contribution over many years to scientific research. He retired in 1993.


His interests included fishing, tennis and history; one of his great passions was researching the origins of the Welsh language. Although he enjoyed living and working in Sussex, he was at heart a Welshman.


Don is survived by Joy, their four children, Julian, Fiona, Ian and me, and nine grandchildren.



Don Thomas obituary

14 Mart 2017 Salı

"He was really really let down": Thomas Orchard"s family speak out

The ordeal began for Thomas Orchard’s mother, Alison, as she strolled beside a river in Devon in October 2012. She took a call from her son’s social worker saying he had missed an appointment for a mental health assessment.


“I remember thinking: ‘Tom needs my help.’ I ran back home. There was this incredible knock on the door. It was two police officers. Their first words were: ‘We have some worrying news.’ They blue-lightedme into the hospital. I kept asking the police officers: ‘What’s happened?’ I thought he was dead.”


Orchard was not dead but unconscious. At first his family thought he had suffered a heart attack, though he was a physically fit young man. Gradually, as they kept vigil at his bedside over the next seven days, sketchy details emerged. He had been involved in a disturbance in Exeter city centre. He was taken to a police station and from there was rushed to hospital, gravely ill.


“It was very hard to get any information,” said Alison. “We didn’t know what had happened. I don’t think the medical team did either.” Orchard was put into a medically induced coma. “I remember doing things like getting his deodorant to give him a familiar smell,” said Alison. “We were talking to him constantly. But there came a time when it was obvious life was not possible, so the machines were turned off.”


Thomas’s sister, Jo, said they were baffled. “We had a lot of questions about why a 32-year-old healthy man would go into a police cell and come out essentially dead,” she said.


For four-and-a-half years now, the Orchard family – Alison, Thomas’s father, Ken, and his siblings, Jo and Jack – have fought to find out the truth of why he died. Now they believe they have an answer. “I’m completely certain that had it been picked up as a mental health crisis and taken to a place where that was understood, he would be alive,” Alison said.


The family were to discover that Orchard, who was being treated for paranoid schizophrenia, had had a mental breakdown and was arrested after approaching a passerby and beginning an argument. Police were called and he was pinned down in the street and restrained by his hands, legs and ankles.


At Heavitree police station in Exeter an emergency response belt (ERB), a heavy cloth device with handles most often used to secure prisoners around the body so that they can be carried, was held over his face. He was carried in the prone position to a cell, where he was searched while lying on his front, still masked by the ERB. The belt was removed and he was left alone, face down, in the cell. He suffered a cardiac arrest and brain damage. The ERB had been applied to his face for a total of five minutes and two seconds.


Orchard’s family were devastated when they found out what had happened to him. “It wasn’t dealt with appropriately,” said Alison. “I think they made assumptions that Tom was either drunk or on drugs or was an angry man. I know he was very frightened. That’s why he was acting as he was.”


Jo said: “Tom was really, really let down. It was clearly a medical crisis, not a criminal one.” His family believe Orchard’s confusion and fear would been exacerbated by the use of the ERB. “I think the [ERB] being used over the face is barbaric anyway,” said Jo. “If you add mental health crisis into that, it must be so, so scary.”


In their defence the officers made it clear they did not know Orchard had a mental health condition and thought they were dealing with an angry, aggressive man. They believed the force they used was proportional and lawful and pointed out that the ERB had been approved by Devon and Cornwall police for use as a bite or spit hood.


Orchard was raised in rural Devon. “As a child he was very physical,” said Alison. “Small, wiry, fit. He was a very free spirit. He was deeply sensitive.”


He struggled academically and began to suffer mental health problems. “He hit teenage years very badly,” his mother said. “He got into drugs and into petty crime associated with drugs. He was homeless for a while. He never settled in a job.”


On his 21st birthday Orchard was sectioned and, over the next decade, spent lengthy periods in hospital. There he found religion and, when he was judged fit enough to be treated in the community, was discharged. He had digs in Exeter and became a member of St Thomas’s church, where he acted as a part-time caretaker.


“He didn’t have any close friends except God,” said Alison. “He was very devout, very OCD-ish about saying the Lord’s prayer in exactly the same way. He loved crosses and candles.”


By the end of September 2012, his condition began to deteriorate. He stopped taking his medication, heard voices and had hallucinations. On the morning of 3 October, precisely at the time when he should have been arriving for the mental health assessment, he was in the city centre involved in the disturbance.


The officers involved in the arrest and detention clearly saw Orchard as violent. Their explanation for using the ERB was that he was threatening to bite.


Violence is not a trait his family recognise. “I had childhood spats with him but never in adult life have I seen him be violent,” said Jo. “The exact opposite. He would plant seeds and want to save the world.” His mother saw him get angry. “But, at heart, he was incredibly sensitive and gentle,” she said.


It was seven months before Orchard’s family got his body back for a funeral. “That was hugely difficult,” said Alison. “Tom became the property of the state.”


Almost two years after Orchard’s death – August 2014 – the family saw CCTV footage from the police station. “To see how they treated Tom, it was very deeply shocking,” said Alison. The worst part of the video for her is the section in which he is left alone in his cell and remains apparently motionless. “That’s the image that stays with me, that haunts me. It’s a deep, gut-wrenching, sickening feeling. It’s an achingly long time he is lying there and I am willing someone to go in.”


Watching the three officers on trial has been difficult. “I have a range of emotions,” said Alison. “From compassion, to disdain, to loathing.” The family remains angry at Devon and Cornwall police. “I think I have seen an arrogance and I think I’ve seen them not take this death seriously,” said Alison. “None of the officers involved were suspended until they were charged with manslaughter.”


The conclusion of the six-week trial, with three officers cleared of manslaughter, does not spell the end. Through the campaign group Inquest, the Orchards have spoken to other families who have lost loved ones in custody including relatives of Sean Rigg, a musician with schizophrenia who died at Brixton police station in south London after being held for eight minutes in a prone position.


Orchard’s mother and sister are contemplating a life of campaigning. Jo said: “This is a lifelong cause for us now. There are a lot of deaths in custody.” Alison said: “I’ve got to stop thinking it will be all right once this trial is over. I’ve got to accept that this is my purpose in life. It’s not the road I would have chosen in my life but I hope I can be there for anyone else who has to go through this.”



"He was really really let down": Thomas Orchard"s family speak out

Thomas Orchard death: police cleared of manslaughter

Three Devon and Cornwall police staff have been cleared by a jury at Bristol crown court of the manslaughter of a man with mental health issues who collapsed while in custody after a heavy webbing belt was placed around his face.


Thomas Orchard suffered a cardiac arrest and brain damage after the belt was held across his face for more than five minutes.


The Independent Police Complaints Commission (IPCC) has been investigating Devon and Cornwall police and senior management for suspected corporate manslaughter.


The Health and Safety Executive has also been looking into whether the force breached health and safety legislation. The results of those investigations are due to be announced soon.


A number of officers also face disciplinary proceedings over Orchard’s death.


The jury’s decision is a huge relief to the three men on trial, who would have been the first British officers to have been convicted of killing a suspect while in custody.


A number of jurors wept as the verdicts of not guilty were delivered. The judge, Mrs Justice Cheema-Grubb, said: “The defendants can be discharged from the dock.
Members of the jury, thank you very much for your attention in this case.”


Speaking outside court, Orchard’s parents, Ken and Alison, said: “Today we join a growing group of people who have lost loved ones in police custody and have found no sense of justice.


“Thomas cannot be brought back, but we want his needless death to bring about change. The change we want most is in the attitude of the police, particularly towards those with mental health vulnerabilities.


“The pain for the past four-and-a-half years has diminished us and today is a setback but, on behalf of those vulnerable people and in memory of our Tom, our fight for truth and transparency continues.”


Thomas Orchard trial: CCTV shows police restraining him

Sgt Jan Kingshott, 45, and civilian detention officers Simon Tansley, 39, and Michael Marsden, 56, had denied manslaughter. They argued the force used on Orchard, 32, was proportional and lawful.


Orchard, who had paranoid schizophrenia, was arrested in October 2012 following a disturbance in Exeter city centre and taken to the city’s Heavitree police station.


The officers insisted the US-made emergency response belt (ERB) had been used to stop Orchard from biting or spitting at them and said it was an approved piece of equipment supplied to them by Devon and Cornwall police for that purpose.


The prosecution said the ERB had been wrapped tightly around Orchard’s face when he was carried in a prone position and then placed face down in a cell and had restricted his ability to breathe.


The case raises important questions about how people with mental health problems are treated in custody. According to the IPCC, about half of all deaths in or following police custody involve detainees with some form of mental health problem.


Orchard family: ‘If police had treated this as a medical crisis, Thomas would be alive’

Orchard’s family expressed deep concern at how he was treated.


“I’m completely certain that, had it been picked up as a mental health crisis and taken to a place where that was understood, he would be alive,” Alison Orchardsaid. His sister, Jo, added: “Tom was really, really let down. It was clearly a medical crisis, not a criminal one.”


They are angry at Devon and Cornwall police. Alison Orchard said: “I think I have seen an arrogance and I think I’ve seen them not take this death seriously.”


Deborah Coles, the director of the campaign group Inquest, said: “Irrespective of the verdict, it has been a matter of significant wider public interest that this prosecution was brought.


“Thomas’s death is amongst the most horrific that Inquest has ever seen. Thomas was in crisis and should have been taken to hospital. Instead he found himself bound and gagged with a restraint belt across his face in what must have been a terrifying ordeal.


“At a time when police are calling for more restraint equipment, including spit hoods and Tasers, we need to question priorities. Surely the first and most urgent need must be to train officers to respond safely and humanly to those in mental health crisis.


“We hope that this trial and the immense courage Thomas’s family have shown will help lead to changes in police culture and practice so urgently needed.”


After the hearing the IPCC said it has submitted a report from an investigator who had included the opinion that the three officers acquitted – together with four other Devon and Cornwall police officers who were involved in the arrest and restraint of Orchard – have cases to answer for gross misconduct. The final decisions on whether whether disciplinary proceedings should be brought are under deliberation.


The IPCC continues to examine Devon and Cornwall police’s corporate decision-making about the ERB. Investigators are conducting detailed analyses to fully understand the force’s policies and processes governing its use. An independent expert with a background in health and safety has also been instructed in relation to this matter.


The watchdog identified a risk in the way the ERB was used on Orchard as a spit hood and wrote to all chief constables in England and Wales in November 2012. The letter expressed concern that such use of an ERB posed a risk to the individuals being restrained.



Thomas Orchard death: police cleared of manslaughter

6 Haziran 2014 Cuma

Good medication is realised as a lot by means of art as science | Peter Thomas and Sam Guglani

Good medicine is about more than a set of technical decisions or interventions involving drugs, operations and tests. It demands identification with another’s suffering, moral deliberation, wisdom and insight.


The arts can illuminate this view of medicine. But it is not enough to expose doctors training in medical schools to the humanities, and there’s more to it than the idea of empathy being “stewarded” by the arts. Art does not simply tick a box within medicine. Good medicine is realised through art as much as it is through science.


The Medicine Unboxed Creative Prize reflects this belief, and looks to champion a less reductive, less consumerist view of illness and medicine, and the human fragility that underlies them both. Our intention is, in the words of Francis Bacon, “to deepen the mystery”, by celebrating an authentic creative connection between art and medicine.


Tom de Freston for Medicine Unboxed
Tom de Freston’s entry for the Medicine Unboxed Creative Prize 2013. Copyright: Tom de Freston

Since 2009, the Medicine Unboxed project has been bringing together the public, health professionals, politicians and artists to engage in a discussion about the values, beliefs, language and voices that inform medicine.


The conversations that have followed have been challenging, inspiring, sometimes funny and often moving.


In anticipation of this year’s annual Medicine Unboxed event – Frontiers, on 22-23 November – we launched an arts prize that aims to amplify the resonance between art and medicine. This year the prize, worth £10,000 for the winner, has attracted 80 entries from around the world.


The prize is unusual in that it is open to creative works in any discipline. It is also unusual in that, instead of simply entering their work, we asked artists to send expressions of interest to help our judges understand more about them and how they engage with our theme of the interface between arts and medicine.


Susan Aldworth for Medicine Unboxed
Susan Aldworth’s entry for the Medicine Unboxed Creative Prize 2013. Copyright: Susan Aldworth

In this way we hope to understand, encourage and explore not just the finished creative work but the wellspring of inspiration that links the arts and medicine.


We also opened up the creative process, and the prize process itself, by following shortlisted artists on their path towards their final submitted work. Tom de Freston, one of our judges, will be creating a documentary that tells the story of the prize, the artists and their interpretations of medicine.


You can follow the prize, and the Medicine Unboxed project, at medicineunboxed.org. The shortlist will be published in July and the winner will be announced at our Frontiers event in November.


Dr Sam Guglani is consultant oncologist at Cheltenham General Hospital and curator of Medicine Unboxed. Prof Peter Thomas is COO of the Leasing Foundation and creative director of Medicine Unboxed


Hugh Turvey for Medicine Unboxed
Hugh Turvey’s entry for the Medicine Unboxed Prize 2013. Copyright: Hugh Turvey

Good medication is realised as a lot by means of art as science | Peter Thomas and Sam Guglani

Great medication is realised as considerably via artwork as science | Peter Thomas and Sam Guglani

Good medicine is about more than a set of technical decisions or interventions involving drugs, operations and tests. It demands identification with another’s suffering, moral deliberation, wisdom and insight.


The arts can illuminate this view of medicine. But it is not enough to expose doctors training in medical schools to the humanities, and there’s more to it than the idea of empathy being “stewarded” by the arts. Art does not simply tick a box within medicine. Good medicine is realised through art as much as it is through science.


The Medicine Unboxed Creative Prize reflects this belief, and looks to champion a less reductive, less consumerist view of illness and medicine, and the human fragility that underlies them both. Our intention is, in the words of Francis Bacon, “to deepen the mystery”, by celebrating an authentic creative connection between art and medicine.


Tom de Freston for Medicine Unboxed
Tom de Freston’s entry for the Medicine Unboxed Creative Prize 2013. Copyright: Tom de Freston

Since 2009, the Medicine Unboxed project has been bringing together the public, health professionals, politicians and artists to engage in a discussion about the values, beliefs, language and voices that inform medicine.


The conversations that have followed have been challenging, inspiring, sometimes funny and often moving.


In anticipation of this year’s annual Medicine Unboxed event – Frontiers, on 22-23 November – we launched an arts prize that aims to amplify the resonance between art and medicine. This year the prize, worth £10,000 for the winner, has attracted 80 entries from around the world.


The prize is unusual in that it is open to creative works in any discipline. It is also unusual in that, instead of simply entering their work, we asked artists to send expressions of interest to help our judges understand more about them and how they engage with our theme of the interface between arts and medicine.


Susan Aldworth for Medicine Unboxed
Susan Aldworth’s entry for the Medicine Unboxed Creative Prize 2013. Copyright: Susan Aldworth

In this way we hope to understand, encourage and explore not just the finished creative work but the wellspring of inspiration that links the arts and medicine.


We also opened up the creative process, and the prize process itself, by following shortlisted artists on their path towards their final submitted work. Tom de Freston, one of our judges, will be creating a documentary that tells the story of the prize, the artists and their interpretations of medicine.


You can follow the prize, and the Medicine Unboxed project, at medicineunboxed.org. The shortlist will be published in July and the winner will be announced at our Frontiers event in November.


Dr Sam Guglani is consultant oncologist at Cheltenham General Hospital and curator of Medicine Unboxed. Prof Peter Thomas is COO of the Leasing Foundation and creative director of Medicine Unboxed


Hugh Turvey for Medicine Unboxed
Hugh Turvey’s entry for the Medicine Unboxed Prize 2013. Copyright: Hugh Turvey

Great medication is realised as considerably via artwork as science | Peter Thomas and Sam Guglani

28 Mayıs 2014 Çarşamba

American jails have become the new psychological asylums and you"re paying the bill | Sheriff Thomas J Dart

The guy working the greatest psychological wellness institution in the United States is not a doctor. He did not significant in psychiatry, nor did he spend his formative years studying bipolar disorder or operating with schizophrenics.


That guy is me, a history significant turned attorney who went on to turn out to be the sheriff right here. As sheriff, I run the Cook County Jail, the largest jail on a single website in the nation with around ten,000 inmates on any offered day – and roughly thirty% of them struggling from a serious mental illness.


With dramatic and continued cuts to mental overall health funding on the federal and neighborhood degree, county jails and state prisons are where the bulk of our mental wellness care is being administered right now. According to the Treatment method Advocacy Center, the greatest psychological well being institutions in 44 of our 50 states are jails or prisons. And 10 times as numerous mentally unwell people reside in jails and prisons than in state mental health hospitals, in which they should.


The conclusion is heartbreaking but no longer undeniable: we have criminalized mental illness in America, and you are having to pay for it.


It is shameful. Deplorable. Immoral. Merely put, the mentally ill belong in treatment method – not in jail. It would be less expensive that way, too.


inmates cook county jail
Inmates harvest crops in the Cook Nation Jail vegetable backyard. Photograph: Ramon Gonzalez / Unique to the Guardian

Even though some of the mentally sick population in our jail has been charged with violent crimes, the bulk has been charged with non-violent, lesser offenses such as retail theft, trespassing and drug possession. These inmates finish up staying simply because they can’t afford to post bail – or because they have nowhere to go. Eventually, a lot of of them are sentenced to probation. Typically, their situations are dropped. Then they’re launched into the local community, and the vicious and predictable cycle repeats.


There are workarounds to break the cycle:



  • we have experimented with to re-route new inmates to remedy ahead of they arrive

  • we’ve launched discharge programs to area inmates in therapy when they leave

  • we remain obtainable to former inmates going through psychological overall health crises or going off their medicine

  • more than four,000 individuals who started out an application in Cook County Jail for Medicaid coverage under the Affordable Care Act are now carrying an insurance card

  • and even though they’re in the jail, numerous inmates note that it really is in which they get their ideal – or only – treatment, which is simply unhappy.


But the priority requirements to be funding psychological well being care, not throwing mentally unwell patients-in-waiting behind bars. It really is not only the moral factor to do – it truly is the most value-effective answer.


From 2009 to 2012, states cut mental wellness funding by $ 1.6bn (virtually ten%), according to the Nationwide Alliance on Mental Illness. The current math right here in Chicago now adds up like this:


cook county jail taxpayer expenses

But this is about more than cash. The reply to treating psychological sickness is not incarceration – it truly is case management. Dedicated situation managers could ensure that the mentally ill remain medicated, could support them via crisis, and ought to give them the very best achievable likelihood at a sustained and productive existence in the community. This is the humane point to do, and it truly is far much less high-priced than housing them in jails and prisons.


Much more needs to be carried out. In the American criminal justice technique, the jail is the final automobile on a extended train. At every phase before a particular person ends up in jail, there is discretion – discretion to arrest, to charge, to set bond. When none of the entities with that discretion bother to take psychological illness into account, what ensues is this almost irreparable mess of a program.


Righting these wrongs calls for the help of numerous automobiles on that train – including individuals operating in the criminal justice program, in the mental wellness field, and state and federal legislators to assistance this vulnerable population.


With just a modest measure of essential thought and a manageable economic investment, we can close the revolving door in between American streets and jails. The time is prolonged previous due for the mentally sick to get the treatment method they so deserve – so that sheriffs like me can get back to worrying about the true criminals.


Thomas J Dart is the Cook County Sheriff in Illinois, and a former prosecutor and state legislator.


Interactive report, part two: The struggle to find housing for America’s mentally sick patients



American jails have become the new psychological asylums and you"re paying the bill | Sheriff Thomas J Dart