I first trained as a general nurse over 30 years ago and admit to feeling out of my depth at times regarding understanding those with mental health issues. My ignorance and attitude were partly shaped by negative media reports. But since training as a staff nurse in psychiatry I have gained much insight and understanding of sufferers and their families. I have worked for nearly 12 years on a medium-secure ward; most of the clients I nurse have committed crimes while suffering from their illness. It is not common that those with mental health issues commit crimes but, if their illness is left untreated and allowed to become more and more severe, sufferers who are acutely ill may unintentionally end up in prison.