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  So who cares? JANETTE SKALTSIS: I don't expect the whole world to cry for me or with me but it's how I feel. There's an empty plate on the table. It can never be - it's final. No birthdays. His was on 17 May. He wasn't here. JANA WENDT: Janette Skaltsis is mourning her son. Dead, six days after being discharged from a major Sydney hospital, 25-year-old Ian Skaltsis hanged himself in the basement of his home. His mother believes he could be alive today if help had been given when help was needed. Neil and Ruth Willetts are walking to a favourite lookout near their home on Sydney's north shore. It's a path they took often with their daughter, Karen, but they, too, are grieving. Karen, a gifted research scientist, ended her own life after walking out of the psychiatric unit attached to a major hospital on Sydney's upper north shore. The Willetts, too, believe that their daughter could be alive if she'd been properly cared for. NEIL WILLETTS: How can this be that somebody who had been identified as seriously suicidal was left on the lowest level of care, totally inappropriate to protect her from self-harm? How can this be? JANA WENDT: The tragic stories of the Skaltsis and Willetts families are, sadly, not isolated. Throughout Australia, many who come into contact with the mental health system have eerily similar concerns. WOMAN: I said to Christine, "I met Norma and I met Joan and they've both lost their sons through suicide and I just felt an instant connection." WOMAN 2: Yeah, that's right because you can talk about it. JANA WENDT: This group at a suburban Melbourne restaurant comes together every month to share more than just a meal. Their common bond is grief. Each one of them has lost a close family member to suicide. Each one is angry at what they all see as the inadequacy of care for their loved ones. Graeme Bond lost his son. GRAEME BOND: You have to ask, "What is going on?" I mean, the Nazis had a program where they actively killed the mentally impaired, as they called them. We don't have that. Our politicians do it simply by neglect. They don't actively do anything. They don't actively kill any of these people but they sit back and let it happen JANA WENDT: Caroline Storm lost her daughter, Anne, two years ago. CAROLINE STORM: And I really believe that if the doctor had listened to me I could have convinced him that she was still too psychotic to go out. But it didn't happen and, so, she killed herself. JANA WENDT: The people you'll meet this morning believe that their children's lives need not have ended this way. Today Sunday examines the critical state of mental health care in Australia. RUTH WILLETTS: Karen was very gentle, very sensitive, very thoughtful. She had a kind of quiet, dignified demeanour. She was very giving, generous, thought of others often before herself. JANA WENDT: Karen Willetts graduated from Sydney University with first class honours in molecular biology. She went to Oxford researching the genetic basis for cancer and gained a Doctorate of Philosophy. By the time she returned to Australia, after working on HIV research in France, Karen had been away for seven years. She found it difficult to re-establish old friendships. RUTH WILLETTS: And it was quite difficult when she came back. People had moved on in different directions. And when you're her age it isn't always that easy to meet people. JANA WENDT: What happened next astounded her parents. Karen Willetts suffered a psychotic episode. NEIL WILLETTS: Yes, it was a delusionary episode which she felt things were happening which weren't, in fact, reality, although she couldn't make that distinction at that time. RUTH WILLETTS: We were shocked. We were just absolutely shocked and we had had no preparation for anything like that. JANA WENDT: So began Karen Willetts's involvement with the mental health system. She started seeing a private psychiatrist and was diagnosed with bipolar disorder. At the same time, she began to change, losing interest in things that had been important to her. NEIL WILLETTS: She lost concentration, focus and connection, to some degree, with the outside world. And this probably affected her work, so that about a year after this initial episode, then her research contract came up for renewal and it wasn't renewed. JANA WENDT: Karen's life crumbled. She lost her job and, as a consequence, her apartment. As this normally independent woman lost that independence, she became depressed. Karen tried twice in the space of a week to take her own life, the second time by overdosing. NEIL WILLETTS: At home once she took an overdose of her antipsychotics and we went into her room one morning and she was in a coma in her bed. JANA WENDT: But Karen survived and after three days in emergency at Hornsby Hospital, she was transferred to the hospital's Lindsay Madew Mental Health Unit. The hospital declined to speak with Sunday but, according to her parents, Karen was treated by doctors here with a variety of drugs. She was considered to be improving. Gradually the close monitoring of her movements by staff were scaled down. She was no longer in a locked ward and plans were made for her discharge. Then, eight weeks after being admitted, Karen told her mother that her suicidal thoughts had returned. She'd already told a senior medical staff member that she planned to kill herself. NEIL WILLETTS: He wrote that she was a serious suicidal risk on that Monday afternoon. However, he didn't do anything about it because Karen, at that time, was on the lowest level of care that they have within the hospital system. This means that she's not carefully observed by the nurses, she's free to leave the unit by herself, and it's defined as being a level which is appropriate for people who are currently not foreseeably suicidal. JANA WENDT: So how can this be? NEIL WILLETTS: How can this be? RUTH WILLETTS: It is a question we hope will be answered for us. NEIL WILLETTS: This is the key issue for us. How can this be? JANA WENDT: The hospital's confusion about how much observation Karen required had the inevitable outcome. Last February, three days after telling her mother that her mind was again drawing her closer to self-destruction, Karen Willetts slipped out of hospital, setting off a frantic search by police and her parents, Ruth and Neil. RUTH WILLETTS: Over those weeks we searched with family, with friends, and a few times I went by myself - just every bit of bushland near the hospital and all the national parks in the area where we had gone bushwalking with Karen and where we knew that she was familiar with the locations. And every spare moment that's what we did. JANA WENDT: A later external review of the hospital's handling of Karen's case noted that the Lindsay Madew Unit had the highest level of absconding in the area. It called for urgent action. It also pointed to the extraordinary confusion over Karen's level of care. QUOTE: "At the time the patient left the in-patient unit, there was not a shared view amongst staff as to her leave status nor clear documentation as to the level of nursing observation required." JANA WENDT: Beverley Raphael is the top NSW bureaucrat in charge of psychiatric services for the State - a State whose most recent inquiry into mental health found that record keeping by medical staff, as in Karen's case, was, to put it politely, inadequate. The committee set up to look into the death toll among patients of the mental health system described about a third of the medical records they looked at as 'poor' and some as 'appalling'. Why have standards been allowed to sink so low? PROFESSOR BEVERLEY RAPHAEL, DIRECTOR, NSW CENTRE FOR MENTAL HEALTH: That's very hard for me to say. I was quite shocked when I saw the records. I think there are many factors which come into it. One of the ones we are currently addressing is to do with senior clinical governance - making sure that there's enough clinical leadership in area health services to ensure that these matters are constantly looked at. JANA WENDT: I know this is your job, but how must this sound to families who've had one of their family members suicide as a result of poor communication or bad records? PROFESSOR BEVERLEY RAPHAEL: Yes, it is my job and I feel very bad about it, tragically concerned for the family, and I want to try and stop it happening again. I can't personally go out and make every record right because that's not my job. But it is my job to try and infuse that concern into the area health services. JANA WENDT: Professor Raphael's candid acknowledgment of the gross shortcomings of the system which she administrates does not end there. It's something you'll be hearing more of later in this story. QUOTE: "I will be looking down in the place I'm going. If I can help you all, I will. I really love you all, but this devil inside of me won't give up. It's like it gets stronger." JANA WENDT: Ian Skaltsis wrote this farewell note to his family before he hanged himself in the basement of his home two years ago. It was the last of several attempts to end his life. Six days earlier he'd made a similar attempt. On that occasion, his mother, Janette Skaltsis, frantically tried to get help for her very distressed son. Several phone calls to the hospital ended in frustration. JANETTE SKALTSIS: A lady said to me, "No, they're changing shifts. Nobody is here." And I said, "Listen lady, I've got a person here. Can you hear them? I've got a person here that tried to commit suicide. We just saved him, just saved him, my husband, and you're telling me what?" JANA WENDT: Janette Skaltsis took her son to the emergency department of Sydney's Blacktown hospital. When Ian Skaltsis emerged he told his mother about one encounter he'd had with a health worker inside. JANETTE SKALTSIS: When he did come out he was more or less very emotional and he said to me, "Why don't they believe me, mum? I'm sorry. Why don't they believe me that I'm genuine? That I am trying to commit suicide?" And I said, "No, don't be silly." I said, "They do believe you." He said, "No, he didn't. No, he didn't." JANA WENDT: When someone like that presents to you, in your professional capacity, how seriously do you take it? DR BILL BARCLAY, CONSULTANT PSYCHIATRIST: Very seriously. If a patient chooses a highly lethal method of attempting suicide, the risk of them completing suicide is very high. JANA WENDT: Dr Bill Barclay is a highly respected consultant psychiatrist with over 40 years experience, both as a practitioner and senior administrator. DR BILL BARCLAY: The risks are enormous of that person dying and so the very fact that they've chosen that method is an indicator of a high risk. The fact that they have attempted it before and this is a repeat attempt heightens the risk. The fact that they are male and in that young adult group further heightens the risk. And if they've been abusing drugs, that further heightens the risk. JANA WENDT: Blacktown Hospital has declined to answer a series of questions posed by Sunday regarding the medical treatment that Ian Skaltsis received. But Sunday has obtained Ian's clinical notes. They indicate that it was not until attempts to find a psychiatric bed at three other Sydney hospitals had failed that a general bed was provided at Blacktown itself - a crisis familiar to the State's chief of psychiatric services. PROFESSOR BEVERLEY RAPHAEL: So I make efforts to find beds if that's the situation. Sometimes there are times when there are no acute beds available and we have to try to do everything we can to find them. In response to that, we're building a lot more acute beds but it's still a major issue and this problem is not just here, it's in other countries as well as well as other parts of this country. So I'm not excusing the problem. I'm saying its problem and we certainly need to build even further resources than we're putting in now to address it. JANA WENDT: So are you in a position where you're fielding calls from desperate registrars who are trying to find a bed? PROFESSOR BEVERLEY RAPHAEL: Yes. JANA WENDT: Initially Ian was admitted as a scheduled or involuntary patient, meaning that he was regarded as a seriously mentally ill person who required not only care and treatment but also control. His condition was also complicated by a history of drug use. JANETTE SKALTSIS: He said to that person, the psychiatric nurse, that "I am not leaving until I see a psychiatrist." And the gentleman concerned said that the doctor is busy looking at sick people - she might take two, three hours to come. And Ian said, "I don't care. I'll wait for her." JANA WENDT: Ian Skaltsis's clinical notes indicate that he never saw a consultant psychiatrist during his 19 hours at Blacktown Hospital. It does seem from the clinical notes that he was not seen by a psychiatrist. Does that surprise you? DR BILL BARCLAY: Does it surprise me in the present state of affairs in some hospitals? No, because I know it happens. Does it concern me? It concerns me a great deal. I think that every patient in this situation should be seen within the first 24 hours by a consultant psychiatrist and assessed. JANA WENDT: This is a hospital questionnaire filled out by Ian. It strongly indicates that he was suffering from depression. Asked how often he had felt worthless and depressed in the previous four weeks, Ian answered, "All of the time." Ian stayed the night at Blacktown Hospital but his records show that, astonishingly, the next day he was discharged without being reassessed. How, or even if, he was reclassified from an involuntary patient to a voluntary one is not clear. But suffering depression, drug dependence and having tried to end his life only a day before, Ian Skaltsis left Blacktown Hospital without any arrangements for ongoing care. There is a critical period, isn't there, when a patient leaves the mental health care system? There is a crucial period whereby he or she is more likely to take his or her own life. Isn't that case the case? DR BILL BARCLAY: Some people put it at the first 24 hours, others at the first 48 hours, but certainly within that first day or two of leaving hospital. JANA WENDT: The Medical Staff Union told a government inquiry two years ago that it's often the case that patients are discharged from hospital in a state of health which 10 years ago would have resulted in their admission to hospital. Now that's a serious state of affairs, isn't it? PROFESSOR BEVERLEY RAPHAEL: It is a serious state of affairs, Jana, and I'm sure that's the case for some of the patients that are discharged. We try to ensure whenever that is the case that there is a situation that looks after patients so that the clinical care is continued. JANA WENDT: If that's true, then we're moving backwards not forwards, aren't we? PROFESSOR BEVERLEY RAPHAEL: That statement was made and it has applied in one situation. Obviously my responsibility is to direct the State policies as far as I can to inform and deal with situations like that, and that's what this job is about, and the Government has responded in terms of putting more resources in. I've made it quite clear that we need to continue doing that because we have to build up so that we don't have that situation occurring. JANA WENDT: I understand that you're saying you are working against what appears to be a trend, but that's a disturbing trend, then, isn't it? PROFESSOR BEVERLEY RAPHAEL: It is a disturbing trend, yes. JANA WENDT: In part two of our cover story, just how far have we come since the bad old days? Part 2 JANA WENDT: This documentary, produced in 1968 by the respected program-maker Bob Raymond, highlights the shift in attitude to the mentally ill that began about 40 years ago. Since then, we've been moving away from what are now regarded as the dark old days when the mentally ill were isolated and confined in institutions to what is described as a more enlightened approach - bringing the mentally ill back into the general community. The documentary features Dr Bill Barclay, then the NSW director of psychiatric services, here fielding questions about a growing concern of the day. REPORTER: Some people seem concerned that there might be people who are being detained long past the time when they should? DR BILL BARCLAY: I think the Mental Health Act makes very adequate provision for this. JANA WENDT: In the years that followed, principles governing the care of the mentally ill continued to change, some of them dramatically in the spirit of the new enlightenment. In 2004, most mental health acts in Australia provide that patients should be cared for in what is referred to as the "least restrictive environment". Thirty-six years on, Dr Bill Barclay, now a recognised authority in the field, says this is not always in the best interests of the patient. DR BILL BARCLAY: But the Act also says that the environment in which they are detained should ensure that they can receive the most effective treatment for their condition. That's the other part of it. Now my belief is, that for many suicidal patients, the most effective treatment for the time being for them is to be compulsorily detained so that they can be protected from harming themselves. JANA WENDT: As asylums came to be regarded as outmoded and inadequate, governments looked for new ways of dealing with the mentally ill. Twenty years ago, the NSW Government turned to this man, David Richmond, to provide a blueprint for the State's mental care system and its institutions. DAVID RICHMOND: I recommended that they should be downsized and that the Government had to work through a plan of reducing their size, that they should look at opportunities to sell off, if that was appropriate. However, I did caution at the time that some of the sites were sites that had other potential community uses. JANA WENDT: David Richmond's report was highly controversial. DAVID RICHMOND: The unions tried to argue that this was all about selling the institutions off so that there would be more money for the Government's coffers. That was in part an attempt to discredit the report. It was also a response to my view that I was not prepared to say at the time that any money that came out of the sale of any assets should necessarily go back into mental health. I said it was a decision for the Government to make. But here we have a series of needs and obviously my preference was that they be funded. JANA WENDT: Those needs included specialised psychiatric beds to be made available in general hospitals complemented by a system of community care with help provided close to home for those who needed it. But the fact is that the money is just not there and that the system is failing many of us. Surprisingly, that's a view supported at the very top of the State's mental health hierarchy. PROFESSOR BEVERLEY RAPHAEL: It was a mistake to believe that everybody could be cared for in the community. I'm not suggesting that it automatically follows what Richmond said, but there were assumptions that everybody could be involved in the community. I certainly wasn't involved in the assumptions because I never believed them, but it's been a big issue to have everyone recognise that you must have an adequate balance of both community and acute and longer term in-patient services. JANA WENDT: When you say that you never believed that people could be fully cared for in the community, why didn't you? PROFESSOR BEVERLEY RAPHAEL: Because I'd seen so many people whose illnesses were so profound and the impact on the family and themselves that it was my view that they believed that they would need some form of supported in-patient care. JANA WENDT: So what did you think when you saw the tide moving in a particular direction? PROFESSOR BEVERLEY RAPHAEL: I suppose one of the things I thought was that I didn't quite believe how fast it had moved in the direction. One of the things was that I was working in Queensland, where it hadn't moved so fast. When I came back to NSW, I was surprised at the extent of how fast it had moved in the direction of believing that it would all be all right. JANA WENDT: And from Dr Bill Barclay, the man held in such high regard that he's called on by the Government to assess the performance of NSW mental health services. DR BILL BARCLAY: Yes, it is fair to say that there's a significant group of people with mental illness and varying degrees of disability and varying degrees of seriousness who do not have available in the community the facilities that they need. JANA WENDT: So we are failing those people, aren't we? DR BILL BARCLAY: Yes, I think that's fair. JANA WENDT: In your position, are you comfortable making that admission? DR BILL BARCLAY: No. I haven't been comfortable with it for 20 years. I recognised quite early that the money was not following the people into the community. JANA WENDT: The problem is not confined to NSW. Cayte Hoppner is a senior community health care nurse working on Victoria's Mornington Peninsula. She has a caseload of 11 patients living in the area. CAYTE HOPPNER, COMMUNITY HEALTH CARE NURSE: It's a fairly autonomous, independent job. You go out on the road by yourself. You see people in their homes. You're making decisions all the time. You don't have someone there to say, "What do you think about this? Did I do the right thing or not?" You have to make decisions then and there ... JANA WENDT: To spend a day with Cayte is to understand the tremendous burden that scaling back mental institutions throughout Australia has placed on under-resourced community aid teams. CAYTE HOPPNER: But you said last week that you were having some difficulty with your money and that you needed to pay this bill off. So your State trustees, as your administrator, have now arranged to pay that off for you because it needs to be paid. JANA WENDT: The job description may be mental health nurse, but the demands of the job turn Cayte into a cross between banker, social worker and even real estate agent in an area where the waiting list for public housing is 10 years. CAYTE HOPPNER: I'm trained as a nurse and my job is a nurse, and I'm a psychiatric nurse and I should be caring for clients but instead I'm out, you know, trying to access money and find housing. It's our job to assist people to access those services but it shouldn't be our job to try and find things when they should be there. That's a basic human right. Those services should be there. JANA WENDT: And in your experience, when de-institutionalisation happened, what did you expect to be the consequence? How did you expect the system to work? CAYTE HOPPNER: I think the planning behind it and the direction of resources and funding wasn't adequate. So a system was - an idea was thought up and a system was put in place, and that's fine and well, but you need to plan that and have the funding and the resources behind it to make it work and to make the outcomes better for clients. JANA WENDT: But the outcome for some who were in the past cared for in institutions has been grim. Many of the mentally ill now fend for themselves in our increasingly hostile cities. As the affluent moved in, hostels and boarding houses that might have provided a home closed down. DR BILL BARCLAY: I think we have to accept that de-institutionalisation has contributed to that. If you're not in a mental hospital, you're not in a hostel or a boarding house, you may well be out on the street. And that's been a failure of properly resourcing the community mental health services. JANA WENDT: Nearly a century ago, the site for Melbourne's Mont Park was bought by the Victorian Government to establish an asylum, but when the doors of Mont Park closed to patients in the mid-'90s, commercial opportunity knocked for the Victorian Government. It sold off part of the property to developers. Sale price - $25 million. If there had been concerns about isolating the mentally ill at Mont Park, there's no such concern for the future residents of this impressive residential development. Estimated value - $280 million. The new homes will sit side by side with the rest of the old complex now taken over by La Trobe University. What were these old institutions actually like? DR JEAN LENNANE, PSYCHIATRIST: It depends. They went through their phases of, you know, being overcrowded, under-funded and a disgrace, and phases of being really, really good. JANA WENDT: Dr Jean Lennane is a psychiatrist who worked at the old Callan Park hospital at Rozelle in Sydney's inner west for 14 years. She is a long-time fervent critic of the move away from institutions. DR JEAN LENNANE: When this was built, for example, in the 1880s, it was state of the art, and it's absolutely beautiful and extremely functional. JANA WENDT: So what was the rationale, as you understood it, for shutting down institutions like this one? DR JEAN LENNANE: Money. The rationale was money. It was a two-pronged attack to save money on services, which of course are very expensive, and also to sell the land, which is extremely valuable. JANA WENDT: Well, that's not what the Government or what David Richmond would say. They would say that they were moving people back into the community so that they could access a whole range of other health services. What do you say? DR JEAN LENNANE: Well, it hasn't happened and where they've moved them to are the jails, the streets and the graveyard. JANA WENDT: According to the Government's own figures, the number of mentally ill people who committed suicide while under the care of the health system has doubled in the eight years to 2001. The NSW Government was alarmed enough to appoint a committee to find out why this was happening. Why do you think that the number of people in care within the mental health system who've taken their own lives has more than doubled in the eight years that we know about from '93 to 2001? PROFESSOR BEVERLEY RAPHAEL: Well, we don't. There was little data collected earlier on and that's one of the problems about that figure. I know that that figure is repeatedly quoted. But in fact accurate data collection didn't start to come in until about 1996, so we've got a much more consistent pattern in that time. JANA WENDT: But Jean Lennane strongly disputes this and maintains that climbing suicide figures are the marker of a failing system. DR JEAN LENNANE: And they show very clearly the deaths from suicide by people under care have doubled. JANA WENDT: So you think that is the signpost to a system that is failing people, do you? DR JEAN LENNANE: Well, it is. It's used in any other medical condition. If your death rate goes up, you've got a real problem. You have an enormous problem. And in any physical illness where this was happening, people would be jumping up and down and saying, "This is terrible. We've got to do something." JANA WENDT: Do you accept, though, that there are needless deaths that occur within the system? PROFESSOR BEVERLEY RAPHAEL: I do accept that there are deaths that occur within the system that we should have done more to prevent but we can't prevent every death. But certainly for in-patients that the first report covered, that is a critical area where we expect people to be safe. They come into hospital to be safe and it's our intent to get those figures as low as we possibly can. JANA WENDT: To get back to the basic dictum, the Hippocratic Oath of "at least do no harm". PROFESSOR BEVERLEY RAPHAEL: And that's what I believe personally and what the system is supposed to do - do no harm. You would know that this is an issue for every clinician in the service. There is no clinician who isn't extremely distressed when something like this happens and doesn't search his or her own soul to find out what they did wrong. JANA WENDT: Part of the pain felt by those who've lost someone they loved comes with the general lack of understanding of what it means to be mentally ill. While we all understand physical illness, a mental illness is something we find much harder to comprehend. Back in 1968, Dr David Bell was the head of psychiatric research at Callan Park mental hospital. DR DAVID BELL: People are quite prepared to believe that they're going to be physically ill more than once in their lifetime, even if it's only influenza. But to think that they're going to be mentally ill at least once in their lifetime is something that people are not prepared to accept as yet, but it's inevitable. JANA WENDT: Even today, according to Dr Bell, we think that mental illness happens to somebody else. DR DAVID BELL: People still do. People still do. And yet if we stop and reflect for a moment, the human is an animal that has specialised in evolving thought and getting ideas and that is by far the important part of our lives and the most important - our brain is the most important organ. And for it to go wrong among humans, one would expect that it will go wrong more often than any other organ. JANA WENDT: So what happens in the mind of a person suffering a psychosis like schizophrenia? The impact may be something like this - where a sound, a voice, an idea, becomes more and more invasive, oppressive and frightening until we become captive to it. DR DAVID BELL: The voices, the sounds at the height of being psychotic, are overpowering to a person in that position. Mostly they're hallucinatory in that they're sounds that don't exist and don't occur to anybody else, particularly if they're voices which are accusatory or commenting on every movement they make or ordering them to do things, kill themselves or harm themselves in other ways. JANA WENDT: Karen Willetts became captive to an idea. You'll remember that she told her mother as well as a hospital staff member that the urge to kill herself was again strong. After she was able to walk out of the hospital, four-and-a-half weeks passed without her parents, Neil and Ruth, knowing anything about what had happened to her until a police officer arrived at their home. RUTH WILLETTS: He said, "There's been a woman's body found in the Blue Mountains and, with it, there was a pair of glasses and they were Armani glasses," and Neil and I looked at each other and breathed a sigh of relief. This couldn't be Karen because Karen didn't wear designer labels. This wasn't in her nature. And then as we sat here and the policeman was asking other questions, I suddenly remembered that I had brought Karen's glass case home from the hospital with her other belongings and I went into her room - and that was the end of hope. NEIL WILLETT: It was an Armani glass case. JANA WENDT: Karen Willetts's case is being investigated by the coroner. Ian Skaltsis was 25 when he succumbed to his depression six days after he was discharged from hospital. Ian went down to the basement of his home and hanged himself. His parents are planning legal action against the area health service. JANETTE SKALTSIS: Such a waste. Every day of my life, I pretend that it hasn't happened. I try to be calm about it. I try to kid myself that he's anywhere in the world but at the cemetery. NEIL WILLETTS: In our view, Karen's death was a preventable death. And would have been prevented if appropriate systems had been in place at the hospital and if appropriate treatment had been given to Karen. We lost our daughter. It doesn't have to happen again. JANETTE SKALTSIS: I don't want to sound ungrateful for what I'm going to say or come out the wrong way, but even you, Jana, here now, you are listening, you're sad, you could even shed a tear, but at the end of the day you'll go home, open your door and there's your beautiful children there. No-one's missing, thank God, and they never will. So end of story. Who's left with the grief? Me. Click here for a printer-friendly version. |
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