Dr Caroline Wyatt, a clinical psychologist, told the jury Emily described being repeatedly restrained or injected with tranquilisers against her will to calm her.
Inconsistency in the way Emily was treated, for example sometimes being restrained while self-harming and on other occasions being allowed to continue uninterrupted, was also bad for her recovery, the court heard.
Wyatt said such inconsistency was “likely to have reinforced” Emily’s illness-based beliefs that she was “misunderstood” and “not cared about”.
She said staff would “always strive for consistency” with any young patient but “in reality it’s almost impossible in any ward environment to have absolute consistency”.
Emily was moved to Ferndene, a secure unit in Prudhoe, in July 2019, where she was under the care of Cumbria, Northumberland Tyne and Wear NHS Foundation Trust (NTW), the jury heard.
The inquest heard West Lane Hospital was ordered to close by the Care Quality Commission in August 2019, with the 11 remaining patients moved to other units across the country.
The inquest, taking place at County Durham and Darlington Coroner’s Court in Crook, continues.
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