Seriously...

Why are people with mental illness committing themselves in advance, when well, to treatment that they know they may want to refuse when they become unwell? Sally Marlow investigates. Juan was diagnosed with bipolar in his late teens. In the decade that followed, he suffered an episode of severe mental illness once nearly every year, plagued by intense paranoid thoughts that distorted his thinking. Each time this happened, it got to the point that he could no longer care for himself and he was detained or ‘sectioned’ under the Mental Health Act for his own safety. Juan has enjoyed good mental health for the past three years and he hopes that it will stay that way. But, as a precaution, he has joined a pilot study taking place at South London and Maudsley NHS Foundation Trust. It's part of the reforms to the Mental Health Act which are underway to give service users more control, when well, over what happens to them when they become seriously ill. Sally Marlow talks to Juan who, as part of the pilot, has writt