Surveillance Practices and Mental Health: The Impact of CCTV Inside Mental Health Wards

Description

This book examines how CCTV cameras expose the patient body inside the mental health ward, especially the relationship between staff and patients as surveillance subjects. A key aspect of the book is that existing surveillance literature and mental health literature have largely ignored the influence of CCTV cameras on patient and staff experiences inside mental health wards. Research findings for this book suggest that camera use inside mental health wards is based on a perception of the violent nature of the mental health patient. This perception not only influences ethical mental health practice inside the ward but also impacts how patients experience the ward. It is not known how and why CCTV camera use has expanded to its uses inside mental health wards. These not only include communal areas of the ward but also patient bedrooms. The research, therefore, examines how and why camera technology was introduced inside three Psychiatric Intensive Care Units mental health units located in England, UK. Aimed at both undergraduate and postgraduate students this book will appeal to sociology, mental health, and surveillance studies students, as well as practitioners in mental health nursing, caseworkers, and social caregivers. Cover Half Title Series Information Title Page Copyright Page Dedication Table of Contents Tables Acknowledgements Chapter 1 Introduction: Surveillance Practices and Mental Health Background CCTV and the Mental Health Hospital CCTV and Surveillance Methodology Chapters Chapter 2: Theory: Surveillance Practices Inside Mental Health Hospitals Chapter 3: Implementing CCTV Cameras Inside Mental Health Wards Chapter 4: Practice Implications and CCTV Surveillance Chapter 5: Patient and Staff Experiences of CCTV Chapter 6: Conclusion: The Politics of Surveillance and Mental Health Note Bibliography Chapter 2 Theory: Surveillance Practices Inside Mental Health Hospitals Introduction Background What Is Surveillance? Sovereign Power and Panoptic Power Pastoral Power Sovereign Power, Panoptic Power and Pastoral Power Post-Panopticon Surveillant Assemblage Big Brother and Little Sisters Resistance Conclusion Bibliography Chapter 3 Implementing CCTV Cameras Inside Mental Health Wards Introduction Background The Three Research Sites and Location of CCTV Cameras Site 1 Site 2 Site 3 Drivers for CCTV Use Fixing Problems No Limits to Camera Use Societal Expectations Patient and Staff Involvement in the Decision to Implement CCTV CCTV in Communal Areas CCTV in Bedrooms Privacy and Dignity CCTV in Female Ward Areas: Gendered Surveillance CCTV in Communal Areas Blind-spots and Hot-Spots Zero Tolerance CCTV and Patient Justice Conclusion Bibliography Chapter 4 Practice Implications and CCTV Surveillance Introduction Background Surveillance Creep CCTV and Difficult-To-Observe Areas Exposing Blind-Spots Expanding Blind-Spot Areas CCTV and Potential Offences and Allegations CCTV and “True View” Patient Aggression as a Crime CCTV and Difficult Situations Constructing a Narrative Creating a Safe Ward Environment Understanding Patient Behaviour CCTV and Night-Time Observation Using Cameras Inside Bedrooms Doubting the Cameras Overriding Consent Gendered Nature of Camera Use CCTV and Seclusion Monitoring The Embarrassment of Face-To-Face Looking Managing Racial Abuse The Boredom of Seclusion Monitoring Medical Surveillance Depersonalising Patients CCTV and Staying Connected Being Accountable Managing Anxiety and Nurse Observations CCTV as an Extra Member of Staff CCTV as a Helper Using the Cameras for Nurse Observations The Cameras as (An Unreliable) Colleague CCTV and Peer Surveillance CCTV and the Negative Categorisation of Patients Conclusion Bibliography Chapter 5 Patient and Staff Experiences of CCTV Introduction Background Awareness of CCTV Finding Out About the Cameras No Complaints Part of the Territory Ward Surveillance and Normalisation of CCTV “Nothing to Hide” Mental Capacity and Camera Awareness Reason for the Cameras CCTV as Evidence Proof of Innocence Assuming Patients Are “Up to No Good” Accountability Using Cameras to Research Patients Responses to CCTV Surveillance Bedroom Cameras Discharge From the Ward Hidden Cameras Resisting Camera Surveillance Distorting Moves Performing for the Cameras Sexualised Performances Blocking Cameras Breaking Moves Avoidance Moves Conclusion Bibliography Chapter 6 Conclusion: The Politics of Surveillance and Mental Health Introduction Sociological Understanding of CCTV Technology Background Panopticism Sovereign Power, Panoptic Power, Pastoral Power Implications for Practice Background Criminalisation of Patients Gender and Surveillance Ethical Practice Final Word On Theory On Practice Bibliography Index