Finding a way saying goodbye losing my brother to a preventable suicide

I lost my brother to a preventable suicide he fell through the cracks systemic failures by the trust an social care team under and the supported housing team were he lived. It’s the worst way to lose someone you can never prepare for, comprehend an understand why. I lost a baby born still born in 2002 I knew she was to be born stillborn due to severe spina bifida an hydrocephalus I knew as she took her last breath I’d hold her in my arms I’d kiss her on the head and I’d say goodbye, I lost my Grandad back in February 2017 I called in on the Morning of the Day he died to the hospital the Doctor told me that day when my Nanna came in they’d be stopping his medicine, taking his oxygen away he was getting put on an end of life Pathway, I went up to my mums saw my nanna an held her told her prepare for worst, I went to lighthouse academy my friends held me up, prayed with me I was preparing say goodbye. That night I went back to the hospital treatment had been stopped, as many family members as could were contacted, notified mad dashes to the hospital, he was surrounded by family held he was not in pain nor alone I got to say goodbye even though I wasn’t ready. Nothing can prepare you when you lose a loved one to Suicide because you can’t see it coming, you don’t expect if you knew or had a chance you’ld do everything in your power to stop from happening. This week I read in our legal teams argument for Article 2 systemic failings led to the events of my brother’s preventable suicide , I read that my brother had already passed when the paramedics got too him and probably had been a no of hours it breaks my heart to know he was lost, alone an in his final hours an until found had died that way. I wasn’t their to hold him, my mum didn’t get hold him even though an adult was her baby she did didn’t get that chance like I did with my baby somehow prepare an be their and like with grandad we knew we all surrounded wrapped round him he’ll have felt an known was loved I hate the feeling that losing my brother to a preventable suicide has done I hate knowing he may have felt unloved, unworthy, uncared for because he was. Losing a loved one to suicide is not only their lives lost but also part of you, your family dies too it feels strange, unnatural, not right, it’s broken, fractured, damaged your heart, the heart of your family dies too you get swamped into a dark hole, dark skies descend over all you know, life, joy gets zapped from you. I hate that I didn’t know, didn’t get chance stop, didnt get hold my hand out pull him back, I hate that I didn’t get say goodbye I hate that I don’t get angry at him, I hate that I can’t ask him why, I hate that I can’t bring myself to hate those who failed him, I hate I don’t have an axe to grind I hate that I want to give them a chance to learn lessons from his death I hate it’s been me, my family who held out that olive branch and I hate that they’re reluctant too take I hate that I can’t hate them want give them a chance I don’t understand why because they robbed me of my brother, my best friend , I want scream, yell call them murderers because of their systemic failings but I can’t because I know he deserves more, I know I’ve to give those a chance who failed him, I’ve to fight the legal system for article 2 to make his life matter, his memory, his life be remembered, he be remembered as someone who deserved help, be supported, cared for, a life worth saving and him not be just another life sadly lost to suicide, him not be a statitistic because he was worth more than that. Losing a loved one sadly to a preventable suicide flips your world upside down an know all can do is try make sense off and fit the jigsaw puzzle pieces together that led to that day to understand why and then with that completed puzzle find a way grieve, mourn say goodbye an try prevent someone else from sadly taking their live, give those that failed ideas to come up with pathways, measures to build safety nets to try ensure dosent happen again, I don’t have anyone can go to that can talk to about so I share my feelings here in my blog I know people struggle to talk to you about, ask how help, I know because I struggle with too. I hope that people reading who are in same place my brother was would contact me so I can help you so you don’t do what my brother did as you are worth more than that, for those that have lost a loved one to suicide to feel free contact me you are not alone it may feel it but I know the pain you feeling I feel it too, to Services, councils, NHS trusts social care providers that want make a difference to people affected by addiction, mental health and homelessness and put mental health on their patient safety strategies or looking at suicide prevention of people society turns their back on we’re culture around people with combined needs or are seen as unsafeable or attitudes around personality disorders needs challenging or your pathways not inclusive your not getting everyone on one or you need improve your community contact me if you genuinely want learn knock on my door because like I said lives like my brother’s matter let’s work together an make a difference I can’t bring him back but his memory, story can help save life’s.

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The fight to be granted an Article 2 Inquest for Tim continues…

Yesterday me and my Mum met with our Solicitor regarding Tim’s Inquest was that the Coroner did not overturn his decision on Article 2 and disclosure was because my brother’s death was classed as been in the community regardless of the fact of him living in Mental Health Supported Housing, apparently Tims Death is a grey area in eyes of Law because he’d not been sectioned or detained he was not classed as immediate risk, he went for help on Monday was seen at A n E but because didn’t come out an Say “I’m Suicidal, I’m going to harm myself, End my life was reason why did not get admitted, I in the past have felt torn one hand want fight my demons on other want give up I also no at times felt want give up wouldn’t tell anyone what my intentions were, fact he’d taken a minor OD suggested he was at some element of risk , the fact 2 days prior reached out again saw his GP and his GP only offering Tea an Biscuits should have again highlighted needed help, highlighted again was a risk but because in the community the grey area he had capacity make choice did, if admitted to hospital till his key worker who became dependant on may have kept him alive, kept him hate say safe because he’d have been took away from what his stressor obsessing about his housing, finances,benefits,low self worth due been unemployed and his death would have been prevented if detained because not detained he stayed been at immediate risk, regardless been in the community, been in hospital the fact remains he was not mentally ok an that meant he was at immediate risk, I’m saddened the coroner didn’t grant because he has all the evidence their say was immediate risk but because 12 months outdated and not reviewed by those who were supposed to coroner has assumption then not an immediate risk, he at that period was , he was for the last 2 1/2 years of his life was an immediate risk an never stopped been adequate an a up to date review would have proved that but wasn’t and why arguing failed in his care it saddens me that powers that are responsible and their actions are now impacting on the legality’s and imposing further on our fight for answers why, we only want answers why to mourn, to heal, so lessons can be learned other families don’t feel our pain, people like Tim be saved, it saddens me more that if wasn’t for Legal Aid funding we wouldn’t have got this far, we’ve to hope now we can get continued funding to take to Judicial review and potentially try bring about new case law and get Article 2 be granted and it’s a fight we want to fight for , the services that were responsible , the ones with all the answers, one who not engaging with us as the family the state has an unlimited money pot for their legal army, talk about them having the unlimited power an control, we as a family should not be saddened, worrying about now the If and If get funding all families who’ve lost a loved an have go through the inquest process should automatically be funded more so when is the state going up against an for us that’s the NHS an local council we’re does anyone get the money to take them on to get the answers, the justice for lessons be learned and I can only pray, hope, wish funding continues if not I don’t know what we’ll do next I only no we won’t be throwing towel in, well come out fighting that bit more.

After what was a shit morning we did however still remain optimistic, plodded on with our day still continued with wanting support NHS England with their Learning From Deaths work and headed down to Quarry house in Leeds to feed into preparations for attending an event in WestMinister to continue an drive the work forward I must admit I took my tension from the morning out on the taxi driver so was composed when went in, sorry to the roadrunners taxi driver, were still optimistic as a family we can try ensure families not treated in same we’ve been , we’re still optimistic we can make something good to come from something terrible, we’re hopeful to that at the event we can be matched with the trust that failed Tim so we can demonstrate that families can work together with them an hope that they see after the event is important to meet with us as a family start the process again work with us to understand the why’s the if’s and importantly us work together on what could have been done differently an would have potentially prevented Tim’s death an hopefully us work with them to prevent deaths like Tims so deaths like his don’t become grey areas and so can only hope too as we continue fight for an Article 2 Inquest that in meantime we can work with the trust and lessons from his death be learned,

As a family we’ve tried be compassionate, empathetic an understanding with the Trust tried listen to potential excuses why failings, funding, staff shortages, difficulty getting access to certain services an continually try engage with them so why’s it hard for them do that as fundamentally they should do that, it’s not them that’s facing pain an heartache we are an should be us not them had choice hide behind closed doors because not ready face but we’ve no choice we have to face to fight and so Tim for you we will continue to do so.

#MH CUTS #MORE LIVES WILL BE LOST #Wheres that £1bn gone.

Last night I was emailed by National Mind as one of their campaigners to submit to them a 20 word tweet that they would tweet today as part of their campaign to stop the #MHCuts and #protectthe #NHS. Today at same time am enroute to London to work with the Royal College of Psychiatry as a service User an Carer board member to their conference as they look at the five year forward and community mental health transformation Pathway and sadly the start of today feels bittersweet an bleak as with every will in the way even with the most passionate people their an even with every bit of negative stories shared to learn from an even stories of good practice that could be implemented service users, carers, family members an 3rd sector, social care and statutory services will be still up against and the money needs to be their, Funding needs to be made available to many lives are currently either been failed or lost due to failings in Mental Health Care, My brother sadly has been one of those lives been lost when he sadly lost his live people did say more needed to be done for Mental Health Services that their was long waiting times, difficulty accessing services, not enough acccess to regular contact with professionals overseeing care, unable access therapy, crisis care an specialised support an at time wasn’t ready listen to that as an excuse or factor in my brother’s death as in today’s society we should be able provide adequate care, funding should be their and so why isn’t it why did our government help assist in my brother taking his own life where were they were was the money that should have got him a bed at a specialist my rehab an recovery unit as it was down to their been a 2 year waiting list and funding why when he an us as a family were turned down for when he first presented needing help, were was our govt when he was unfairly detained in prison due to a mh breakdown an no beds available for him a judge would of spared him that if their had been a bed available for him, my brother thought so hard to recover but he was always up against it passed from service to service, no regular community mental health or social care support became lost in a system designed to protect people, I could stay bitter an hate the system but it does me or my family nor my brother’s memory any good we can only fight for change campaign for and use my brother’s story his memory to ensure no other family goes through what we do, its heart wrenching, gut wrenching an mum I know you’ll read so sorry if upsets you but it is soul destroying knowing your loved one died feeling alone an that apart from his family no one cared for him and that he was made feel that an that no one was going to help him and that after 21/2 years felt exhausted every Avenue and in desperation did something stupid and sadly it cost him his life an it breaks my heart he died alone in a place supposed to be providing him support an care an supposedly their just be funded be private landlords as a sister feeling that pain is unbearable so I ask if on twitter please copy an share my tweet ” My brother’s suicide could have been prevented if had access to specialised support deaths like his can be prevented stop mh cuts. include my name . @KatieAnnSiobhan and share my blog and #Do4Tim #StoptheMHCuts my family and I can’t so Teresa May, Jeremy Corbyn, Jeremy Hunt, The Chief exec of NHS England were’s they money gone, where’s the money to fund #mhcare if don’t provide an deliver sadly more lives will be lost in memory of my brother please don’t let that happen.

Why are Mental Health Services Failing, Why are Lives been Lost.

I was once optimistic Services would improve and improve for the better initiatives an policies around crisis care, no decisions about me made without me were made the NHS an services were to be Liberated the Recovery Bus, Coproduction Bus and Person Centred Care Bus rolled up into town. Did they make a difference, Did they leave people liberated and will the new 5 year forward initiative make a lasting impact I’m sceptical it won’t because I once believed that Services Could Change Improve Lives, Help individuals Regain Control and put the person an those close to them at the centre and provide a whole person approach attitude to care. I was wrong and my optimism that Services Could do that proved to be fatal. In the last few weeks the media has been highlighting cases were deaths are been investigated and a trust is to be investigated in one case. I’ve discovered that my family is not alone as we too are fighting for answers to how our loved one could have lost his life he did not lose his life however in an inpatient setting he lost his in a transitional housing unit a unit that’s supposed to provide care for vulnerable adults who were in crisis, needed mh support, support with homelessness an substance misuse. We put our loved ones care in the trust of services an the local authority that they would ensure an provide the care an support he needed.

We sadly got it wrong we like many other families now are fighting for answers we’ve had reach out too advocacy support, lodge formal NHS complaints, left outside the serious incident review process yet had our hearts ripped wide opened when had the people running come visit us at my mums family home but yet still no answers no been asked did we want input nor told what they will learn or put in place been sent a document though however that supposedly has in can we sign off on it. How can we if you’ve not sat gone through it with us or had us been involved in any of the process no one can make a decision on something not involved in but shouldn’t we have been after all we’re searching for answers to why, why our loved ones death was not prevented. We had to reach out to a charity Inquest because we didn’t know anything about what to expect, how to be involved the types of inquests and if not for them we wouldn’t have been put in touch with a solicitor an barrister but we’ve had to meet criteria for Legal Aid an that only covered representation to help prepare the case for inquest we then had to apply for separate funding for a grant to have barrister representation at the inquest but yet the Services who failed automatically have the money behind them to represent them but for families they have to search an find that help an that’s sad it’s also sad we don’t get automatically represented as do the services as it’s a live been lost here a life that mattered and a death that should be held accountable for and answers need to be answered how could it have happened and why and was enough done theirs also issue you had a duty of care an families put that trust in you and that is why then you become accountable because that trust was put in you. As a family member I witnessed my loved one passed from pillar to post, told to ask for help an when did told couldn’t help so why tell him ask for, I saw pleas from my family ignored, I saw my loved one slowly become even more invisible, dehumanised, made feel unworthy an in end not listened too, not cared for or supported that’s hard to face an accept especiallly when don’t expect from services that were supposed to be their an provide that. Sadly my loved ones passing won’t be the last an that too is hard to accept because you then wonder what will they learn from the incident report carried out an what will they learn from the impending inquest because sadly my brother won’t be last. I also suspect under the area he came under he was sadly not the only individual failed and probably other families going through what we are too. Whilst awaiting I see initiatives around patient safety, suicide prevention an the new buzz one 5 year forward. Will they make a difference I suspect not it’s just a recycled blue print that for last few years keep rewording add a few more charts an statistics an wow a new policy or charter to follow sadly not worth paper printed out on because sadly lives are continuously been failed, no one been held accountable, no lessons been learned from, their lives not mattering. Services are still been under funded, cuts still been made, workforces at breaking point, charity sector organisations stepping up and lifting the burden from you holding you up their the ones trying the best but are not given the credit for nor do you liase with them and assist in supporting someone you just quickly like pass someone on so not on your case load yet you need to work with them they can’t do it all alone but yet as with families you isolate them too. Crisis Care is shocking too the crisis care concordat act did that make a difference if did my brother would not have been turned away twice an also got in housing were living, but sadly their isn’t enough beds in or out of are, not enough home intervention teams and respite places available an thing we’re my brother lived is only 8 crisis beds available. Wasn’t the crisis care concordat act supposed to address that. Vulnerable individuals languish in police cell’s awaiting mh assessment some end up in the prison system locked up unfairly because at crisis committed offences but because not enough beds professionals say can see unwell but doesn’t warrant admission an so under public nuisance an anti social activity get imprisoned as well as many other offences during my brother’s care that too happened just impeded him further. It makes you wonder why as a society are we allowing that to happen why is the police and judiciary system allowing that are they powerless to act against the services can’t they enforce services to act especially when they clearly know difference between a vulnerable an mentally unwell person an hardened criminal. Why is it that over the years what’s published, guidelines not implemented you’ll tweet about, talk about have development meetings about but not implement, no changes be made and very little service improvement. Yet you market yourselves, give fancy awards, and too have buzz weeks fab change week the latest so what will you do what change an implement will you make what will you do to prevent lives been lost, Will you make your services inclusive to all, stop cutting services that matter, work with organisations lifting you up, will you stop labelling an stigmatising people under your care, will you stop turning people away because don’t fit your Dx an recovery models more importantly support loved ones who’ve lost someone under your care. Families shouldn’t have to fight for answers, set up justice groups an campaigns and have to search an fight for the answers because they need compassion an care an time to grieve they don’t just deserve empathy but also deserve be treated with dignity, respect and upmost of all they need the answers so can grief, hate say have closure an make pretending moving on with life’s easier. It’s also now time ask why in this day an age why are services still continuing to fail an sadly lives been lost.

Escorted Leave

Today after calling in an visiting my mum, I jumped on the bus to make my way to Lighthouse for Academy it started of as an ok journey we past a nearby mental health unit 3 people got on at the stop outside, I guessed one was a Health Support Worker, one was an informal patient an one was a sectioned patient. The member of staff sat in the middle seat an a patient either side, one of them asked the member of staff how long take, I leant across an told her if not many people get on 20 minutes an as I told her could picture her working out how long would have out, she asked did I know we’re best stop get off for we’re she was going to and I told her, I heard her talking to the member of staff about wanting an id for her pass as was getting crumpled and the HSW described many different options she could get and were probably find, I picked up from the conversation lady was going to look into a cookery course, I also picked up from the conversation a family member was going to visit an maybe another trip off the ward “that be nice picked up on HSW say, I put my head down looked out the Window and a lump welled up in my throat I remembered back to when that was me the person excited for escorted Leave and some of the places went to usually was only places like town centres easy get to usually a market stop and quick coffee I heard the women working out if time do pleaded with the hsw please let’s not rush back heard hsw say we’ll be pushing it for half past three. I wanted lean over plead with the hsw for the woman who asked in a meek, child like manner, I wanted say please don’t rush, let her have her freedom her space time out you’ll go home tonight she won’t please, I wished I’d asked didn’t like idea she’d feel rushed, panic not have chance embrace outside, I wanted ask are u ok,, treating u right, but I couldn’t I was paralysed in my past I was once that women childlike do anything to stay away from a ward longer, even though panicked an scared still felt a slight tingle at been out or should I say Free. I heard the HSW speak to the other lady about what she was going to do I picked up the other lady was informal she was going to go Window Shopping because she could and then on bus back to the Tesco then she’d get a taxi so not miss tea an the taxi wouldn’t be all that much even though I felt sad for them I smiled, I gathered all was quiet on the Ward this morning an that’s good felt saying yep it’s good when no alarms going off, not being restrained or seeing others in incidents as the words quiet on unit means no incidents and again I drifted back to a time when I was in that place and again my throats welled an a tear rolled down my eye, I wanted phone my mum, my sis say I was sad, say was catapulted to my past but I couldn’t because back then when I was on escorted Leave I wouldn’t have wanted anyone guess, would have wanted them think a group of friends out an I was normal not see was really mentally unwell and was probably why didn’t verbalise out loud kept to myself, When it got to their stop I saw them get off, I looked up saw the informal person slowly following the lady an member of staff and pictured they’d probably all stay together, I put my hand on the window whispered I was you once enjoy your time out and hope your out soon again and then be home. Then as the bus pulled out it dawned that even though my life had moved on I couldn’t escape my past that I once was unwell and a mental health inpatient and that would always be a part of me something that I’d not really ever leave behind.

Say no to Dx Anti-Social Personality Disorder

How do you help someone have hope an believe in themselves when they have been wrote of with a Dx of Anti-Social Personality Disorder.

Anti- Social Personality Disorder is defined as sometimes been called Sociopathy, a mental condition in which a person consistently shows no regard for right or wrong, ignores the feelings of others, People with antisocial personality disorder tend to antagonise, manipulate, treat others harshly or with callous indifference. They show no remorse for their Behaviour.

(Taken from NHS Choices)

Doesn’t make nice reading,, Does not look like a. Dx that someone would get support an help for, Dose not inspire hope for a shot at recovery nor Does it ask the important why an individual may be this way, what factors have contributed to, what’s happened in certain situations, Does not take into consideration an individual may have an Alternative Personality or Part and what if it’s the part that’s the anti-social and not the individuals themselves is it then helpful to give that person a Dx of Anti-Social Personality Disorder. I’d go with a big fat no because you then exclude that person from the right help an support because the Dx gets people wrote off.,

My brother Timothy in his notes had this listed he did not have Anti-Social Personality Disorder he himself wasn’t the things highlighted above. Timothy until became Mentally unwell was hard-working, would help anybody out, do anything for anyone this was what sometimes got him then into trouble he’d accept responsibility for other people’s behaviour and actions that to me showed he understood right an wrong if he could do that, My brother Tim nor was manipulative or treat others harshly, Tim was a protector, a supporter, a friend and amazing big brother, when my son was first born he waited in Leeds city centre after finishing work 6 hours to see his nephew and god son for visiting hours to start because he so desperately wanted see him, my sister who has MS her 2nd child was born on the toilet he was their with my mum on hand to help my mum help look after both my sister an baby and get sorted the ambulance to have them rushed to be checked out doesn’t sound like a sociopath does it, In 2002 I lost a child the day after my little girls passing he was their by my side supporting me through my pain doesn’t sound like someone does he that doesn’t care for others or have no feelings for does it you could probably safely say Timothy did not have Anti-Social Personality Disorder.

Timothy wasn’t perfect nor was he bad he was at times easily manipulated himself and yes easily influenced and yes unfortunately did take drugs but Timothy did not grow up in a perfect background, perfect home, it was far from growing up his childhood was more survival based but that’s for another Time. Also growing up with a father as an Alcoholic probably played a factor in why turned to drugs but that too is a separate debate but also a factor consider, I hate saying too both my brother an I were susceptible to MH as was on our Fathers side of the family and traumas in our lives an how we dealt with led to us both be affected by.

In June/July 2013 my brother Tim went missing an in that time something happened we don’t know what an the Timothy that was found was not Timothy, Timothy had become Dennis, Dennis was not just a doll that he started carrying about, Dennis could be described as the above person the person with the Anti-Social Personality Disorder, Dennis made Tim a danger to himself, Dennis was never an issues Services addressed, took into consideration, Dennis was a part, the voice inside tims head, Dennis had took hold of the individual the person, Timothy. We tried to get services to get help regarding the Dennis part acknowledge it address the voices, address that Tim was Tim no more get him therapy but it was never addressed or acknowledge yet recorded in his notes. We as a family always told Services an his key worker did too when Tim mentions Dennis he’s a risk to himself not other’s not addressing Dennis enabled it to take over Tim so why he never stood a fighting chance.

Tim did try recover, regain control attended Hollybush, Lighthouse, George’s Crypt they describe Tim as Tim was but with a Doll in his man bag, they described him as friendly, helpful, loved getting involved in his art, doing jobs and too was quite liked at times just blend into the group or sit in the corner read his paper. Following his Facebook posts, seeing him at mums he was alive Tim again always tried getting us go down £1 dinner, Robynn would love the gardens were he’d been helping at the kids would enjoy too, This does not sound like someone who was manipulative, dangerous, did not know right from wrong, his worry though about moving from were he was to somewhere new he worried he’d fall through cracks an yes sadly it came true,

A diagnosis of Anti-Social Personality Disorder shut doors to Assessments for Psychological Therapy, Referal to see if he had a Dissociative Identity i.e Dennis, recommendations for Hearing Voices groups, recovery focused groups, shut the door to referral to a rehab and recovery unit to address all his needs, and why so many other assessments never got done, why plans became out dated and why became dependent on the few people who tried.

If you go back an look at how NHS Choices Defines Anti-Social Personality Disorder reflect on how it’s defined what stands out for me Sociopath, Manipulative, not knowing right from wrong sounds like they’re dangerous a risk to others and individuals do get made to feel that imagine if the Dx was wrong and the implications it then will have on a person surely then that has a detrimental impact an potential human right breach when impacts on their lives an sadly that does happen since losing Tim I’ve met people he met on his journey an seen how impacted them an too those people I would say did not have because they’ve carried me through my storm an been a support, a friend and I’m streetwise and an abuse survivour too and have a 6th sense who’s ok an who’s not.

Ask yourself if you saw Anti-Social Personality Disorder on someone’s notes how would you see them, treat them, what help you would give them, if they were at crisis would you realise that help them if they’re not ok, would you even help them but more importantly how you view the Dx and would that influence you.

Antisocial personality disorder potentially labels people off Antisocial personality Disorder should really only be used in extreme cases and as a last resort when gone through every other assessment an diagnosis an no interventions have an impact.

I’m only someone who’s lived experience, I’m someone who was someone’s sister an know am friends with people who have the Dx an if I can see is a harmful Dx one that does not in anyway inspire hope, recovery, regain an control then sureley you should too and turn your back on Dx Anti-Social Personality Disorder an try look for an Alternative too.

More lives will be saved as a result, More individuals will be better supported, No one will fall through the cracks an be turned away for help.

If

If, If is only 2 letters, I an F, If.

If is defined in the English Oxford Dictionary as :

1, { introducing a conditional clause}, on the condition or supposition that ; in the event that.

“If you’ll like I’ll put in a word for you”

1.1 (with past tense) introducing a hypothetical situation

“If you had stayed, this would never have happened”

If can be used in a variety of ways, to ask a question, to express a polite interest, to express an opinion, to express surprise or regret, to admit something as been possible but relatively insignificant,

If can be used in a variety of phrases, If has been a word that haunts me, torments me and a word that destroyed my world a word that leads to loads of questions surrounding my brother Tim, If became the hardest word ” If only ” If onlys too have also been wreaking havoc this week,

If only I’d answered the phone the day before you died Tim, put the shopping to one side, stopped rushing from A-B, took 5 minutes too talk to you to have talked to you, reassured you, told you I’d sort out what was bothering you and let you know you were not alone and loved, “If only I’d took 5 minutes out and answered and told you those things would that have changed things an you still be here.

If only I’d not held you at arms length Tim, If only I’d believed more in you as you did me, If only I thought more too see past your Dennis persona an reminded myself Tim was still in you, If only I’d tried harder asked more questions an If only I’d shown more interest in your journey like you me I’d have known about Wyfi, Crypt, Lighthouse an Hollybush I’f only I’d have known about them I’d have seen that you were Transforming you were Tim again Their, Id have stood alongside you, championed you, you wouldn’t be the ghost in the halls when I attend their now we should have gone together you not be the lost face I seek in the room, the photo I look at on you Facebook wall if only I’d took more time to notice, to care, If I did would it have made a difference and would things have meant you would still be here I’d have had my big brother an best friend back, I’m not doing friends at the mo as your the only friend I want back and their was no greater friend an brother than you Tim.

If has also left me asking questions though or should I say torments me obsessively loads of If’s not answered surrounding the care you had received in those final few days.

If only crisis services had admitted you on the Monday and that If leads to questions what happened in a n e on that Monday when you were assessed,

If only on the Wednesday your GP sent you to crisis to be assessed if only he’d had the powers to hold you for 72 hours would it have made a difference as he supposedly felt powerless to help,

If only we’d known about your visit to a n e an the GP we’d have done more.

If only were you lived stopped asking you certain things gave you a break from asking you what was triggering you would it have helped your mind rest and allow your support worker to have addressed when back of holiday as he’d have sorted for you, if only services hadn’t taught u to rely on one person an If only you had never moved to were living as what you feared came true and If only we’d have known you had not been supported enough we’d have helped ensure you had have had a smoother transition an that everything you needed to continue the steps you were making were in place.

Theirs loads more ifs if only this assessment done, if only plans were followed an checked an up to date an implemented would those ifs have stopped you falling through the cracks.

If is the question we’re awaiting the coroner now look at an will he grant article 2 and disclosure will he look at the circumstances will he question an find answers to the if’s and will the answers to those if’s mean recommendations are made and that no future lives are failed an that people ask if only we’d done things differently we could have been all that was needed and prevented you fall through the cracks that the next Tim they meet it may lead to a different outcome they get their lives back like you should have had yours,

If will always torment me now but If too will also spur me on that Tim no one like you shall fall through the cracks again