Adrean Miller Booth is the mother of Kenneth Booth Jr, the Alabama deputy who shot dead girlfriend Alexis White before killing himself

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Mental health patients have been left languishing in hospitals for years due to a chronic shortage in community care, as the number of people trapped on wards hits a record high, The Independent can reveal. Analysis shows 3,213 patients were stuck on units for more than three months last year, including 325 children kept in adult units. Of those a “deeply concerning” number have been deemed well enough to leave but have nowhere to go. One of these cases was Ben Craig, 34, who says he was left “scarred” after being stranded on a ward for two years – despite being fit enough to leave – because two councils fought over who should pay for his supported housing. He missed his daughter's birth and didn’t meet her until she was two months old while waiting to be discharged, which only exacerbated his depression. He told The Independent: “I was promised I was going to be moving on, but it just seemed like it went on forever.” The average stay for patients in low-security hospitals was 833 days in 2022-23. The NHS does not collect data on how long people are waiting to be discharged, but mental health charity Mind said Mr Craig’s case was far from unique. Leaked reports, obtained by The Independent, also reveal NHS community services are struggling to see patients, while the NHS is spending hundreds of thousands of pounds a year to house those who could be discharged. Documents for 2022-23 obtained and analysed by The Independent reveal: Adult mental health beds cost the NHS between £500 and £1,000 a day, compared to £5,000 per patient per year for community care One in five referrals for community care was rejected as the NHS battles a 12 per cent staff vacancy rate Patients waited 13 weeks on average to see a community mental health worker, but some waited up to 60 weeks The 3,213 patients stuck for more than three months was an increase of 639 on the year before and an all-time high, according to an analysis of NHS data In August, 10 per cent of patients were waiting 221 days to start community treatment One in 10 patients under a community mental health team did not see a healthcare worker for a year Saffron Cordery, deputy chief executive for NHS Providers, which represents hospitals, told The Independent mental health patients stuck in hospitals were experiencing “personal distress” and getting ill again while they wait. She called on the government to put mental health on an “equal foot” to physical care and said not doing so suggested the government was content not to treat all patients equally. One senior NHS source said long stays in mental health units had become “normalised” and patients were becoming institutionalised. “These 60 and 90 [days] stayers are just being medicated and drifting. They’re adjusting meds to stabilise the person ... These long-stays people can get completely dependent, they lose contact with the world [and] their life, They’re terrible for people,” they said. ‘Robbed’ Mr Craig was admitted to Prestwich Hospital in September 2019 with psychosis from prison after his mental health deteriorated and he began hearing voices. In 2020 he was told by doctors he was well enough to be discharged home after his sentence ended. However, he then had two years of his life “robbed” as two councils rowed over who should fund the mental health hostel he needed to be discharged into to support his recovery. He was eventually discharged into supported living in September 2022 where he still receives mental health support. Mr Craig, who now lives in Manchester, told The Independent: “I was very depressed, I am still not over it properly yet. When I was there, I just didn’t want to go out or anything, so just stayed in my bed all the time. “I missed my daughter’s birth, and I didn’t see her until she was two months old ... it’s left me scarred.” Even when he was finally discharged into supported living accommodation he says the community mental health team had “no input” into his care and says he was still struggling to get in contact with his community service team. Rheian Davies, head of Mind’s legal unit, told The Independent that cases like Mr Craig’s showed councils were failing in their legal duty to fund mental health support in the community. She said the charity had seen patients with longer discharge delays than Mr Craig’s due to this problem. “It’s deeply concerning that people are finding themselves stuck in hospital, their lives on hold, due to a lack of supported housing,” she said. “Delays in leaving hospital cause uncertainty and anxiety that can hamper or even reverse recovery. “This takes a huge emotional toll on the person and their loved ones, but the delay in discharge also means there are fewer beds available for people experiencing mental health crises.” She added that patients “deserve much better than being held indefinitely in hospital settings when they are well enough to return to the community”. Ms Davies said: “This case [Mr Craig’s] is a real opportunity to reduce the delays and hurdles caused by a disjointed system.” Greater Manchester University Hospital said: “We work hard with all our system partners to ensure where patients are ready for discharge, they can do so as quickly as it is safe to do so.” Abena Oppong-Asare, Labour’s shadow mental health minister, said The Independent’s exposé showed NHS mental health services were “in crisis”. She added: “The Independent investigation reveals the appalling reality that patients are being left in hospital for months, when community care can be far more effective and less expensive for the NHS.” As part of its election manifesto pledges, Labour has promised to recruit 8,500 more mental health professionals, paid for through plans to abolish “tax loopholes for private equity fund managers and tax breaks for private schools”. The Department of Health and Social Care said in 2021-22 an additional £116m was invested in the NHS for mental health discharges and that it will have invested £1bn more in the sector by March 2024. An NHS England spokesperson said: “There is no doubt mental health services are under significant pressure, with the NHS treating record numbers of young people and community crisis services seeing a 30 per cent increase in referrals compared to before the pandemic, and NHS urgent and emergency care also treating record numbers.” Read More Friends target rowing world record to raise awareness of mental health challenge Women in mental health crisis being jailed in prisons deemed ‘unfit for purpose’ Suspect in fatal Hawaii nurse stabbing pleaded guilty last year to assaulting mental health worker The Priory hospital fined £140k after woman dies on ‘utter shambles’ ward Dumped in A&E and left untreated for 5 days: Shameful plight of vulnerable patients Anger over Tory minister’s ‘disgraceful’ Scotland heroin jibe

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A grief author accused of poisoning her husband with a fentanyl-laced cocktail has claimed a damning letter found in her jail cell is merely an excerpt from her new book. Kouri Richins, 33, is facing charges of aggravated murder and three counts of drug possession with intent to distribute over the March 2022 death of her husband Eric Richins. Ms Richins allegedly killed her husband of seven years and father of her children by slipping a lethal dose of fentanyl into a Moscow Mule he later drank. Before her arrest earlier this year, Ms Richins self-published a children’s book about grief based on her children’s experiences after they lost their father. Last week, the 33-year-old was charged with witness tampering after a letter was found in her cell in which she allegedly asked her brother to “falsely” testify that her husband died after ordering drugs and pills from Mexico. But now, in a phone call to her mother, Ms Richins has claimed the incriminating letter was simply part of a fictional book she is writing about her stay in a Mexican prison, according to court documents. “When I first got in here I was telling you how I was writing a book … those papers were not a letter to you guys, they were part of my freaking book … I was writing this fictional mystery book,” Ms Richins says in the call, according to a court filing. “I go to Mexico and I’m like trying to find these drugs … I’m writing about Dad … like me and Dad went to Mexico to find these drugs … you can very much tell that the whole thing is very much a story … then I get in the Mexican prison … I said have Skye sneak me in some white strips because my teeth are getting yellow because all we do is drink coffee in the Mexican prison.” In the jailhouse letter, Ms Richins told her mother to instruct her brother, Ronald Darden, to testify that her husband got fentanyl from Mexico. “Here is what I’m thinking but you have to talk to Ronney,” Ms Richins wrote in the letter. “A year prior to Eric’s death, Ronny was over watching football and Eric and Ronny were chatting about Mexico trips. Eric told Ronny he gets painkillers [and] fentanyl from Mexico.” Ms Richins went on to write that Mr Darden “would probably have to testify to this but it’s super short not a lot to it”. She also said in the letter Mr Darden could take some liberties with the narrative as long as he got the point across. Prosecutors have previously said there is no evidence suggesting Mr Richins bought the fentanyl that killed him. In a request to the court filed on Tuesday, prosecutors said Ms Richins’ motion about the letter “contains factual errors and legal misunderstandings, rendering it unpersuasive at best”. Prosecutors have claimed that Ms Richins had previously tried to poison her husband after he consulted a divorce attorney on learning that his wife was $2m in debt. Ms Richins had also reportedly taken out at least four life insurance policies on her husband before allegedly poisoning him. Ms Richins has denied all the allegations against her. If convicted, she faces between 25 years to life in prison. Read More Grief author accused of killing husband with fentanyl allegedly asked brother to lie in letter found in cell Mother accused of killing husband with fentanyl-laced cocktail ‘misses her children’ in prison, lawyer says Utah woman who allegedly sold author Kouri Richins fentanyl used to poison husband appears in court

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