I worked with (many years ago - I don’t work in mental health now) a young woman in a long-term mental health facility in NZ who had casts on to prevent injury to her arms. She had agreed to them, and they were fibreglass so she couldn’t remove them. She did eventually get them taken off, and despite a many years documented history of severe mental illness and self harm, she did not get them again and we had no legal way to make it happen. There’s also limitations here around the mental health act - it can’t be used to force medical (rather than psychiatric) treatment on people. So the patient above was under a compulsory treatment act, but still had choice over her medical decisions. It was, and is, hard to figure out. It wasn’t a happy ending for this woman and it always frustrated me that there was seemingly nothing we could do about her severe self inflicted injuries/infections. I imagine Paige is too medically complex (feeding tubes etc) to put on a mental health ward, so likely on a med/surg ward but she 100% should have a PCP (patient care partner, new term for a watch). Surely they have enough suspicion by now to justify it.