Thirty new patients have contacted Sky News following our investigation into the treatment of teenagers in mental health units run by a single provider.
They include a 16-year-old boy whose mother told us her son’s self-harming increased.
Rachel Vickers said of her son Tyson: “He looked like he’d been in a car crash”, and Tyson Vickers added: “It just felt like they’d given up on me.”
In October, Sky News revealed serious allegations of failures in care from more than twenty former patients at units run by The Huntercombe Group, now part of Active Care Group.
Content warning: this article contains references to self-harm
Since then, we’ve been contacted by dozens more former patients independently of one another.
They’ve made further claims over concerns such as the overuse of restraint and inadequate supervision, allegedly leaving patients at increased risk of self-harm.
In response to our joint investigation with the Independent, the Department for Health has described the further allegations of mistreatment as “deeply concerning”.
Sixteen-year-old Tyson Vickers is one of a raft of new patients who’ve come forward in response to our initial investigation.
Image: Sixteen-year-old Tyson Vickers is one of a raft of new patients who’ve come forward in response to our initial investigation
He spent two months in the Maidenhead unit from the beginning of March this year – he says during his time there he felt “like a lost cause in the mental healthsystem”.
Tyson told us he went into the unit because “I couldn’t keep myself safe”. But he says he didn’t receive the specialist intervention he was expecting.
His mother Rachel said: “I could see that he was getting a lot worse. We were seeing much more self-harm – erratic behaviour that was leading to him needing to be restrained, which we hadn’t had to do at home. It was dawning on me that he wasn’t being looked after.
“He had cuts on his arms. He was bandaged up on both arms. He had a huge black eye. I mean, he looked like he’d been in a car crash.”
Tyson is autistic and transgender. It’s not easy talking about his time at the unit. He said he would ask staff to “refer to me as a male and by the name Tyson with “him” pronouns.
“But sometimes they’d just mess up, and you could tell they didn’t actually respect it”.
Tyson says he gets “flashbacks” from his experiences. He says “just thinking about everything I went through there” makes him tearful when discussing it.
Tyson says: “I was struggling a lot. It just felt like they’d given up on me. I’m not going to get better. I just felt like I couldn’t be helped in any way. I was just sort of like a lost cause in the mental health system.”
Image: Blood on the walls of one of the bedrooms at a facility run by The Huntercombe Group
“I was told by one staff member I would never get out, that I was just going to be stuck there forever and I couldn’t get help.”
Our original investigation revealed allegations stretching back more than a decade.
There were recurring themes such as the overuse of restraint and lack of staffing and observation to keep patients safe.
The 30 new patients who’ve come forward were inpatients at the units from 2003 – the majority were admitted from 2018.
They all got in touch with us independently of one another.
A patient who wants to remain anonymous, and who was in the Maidenhead unit between 2018 and 2019, told us she is now unable to live independently, which she believes is due to the trauma from her experiences.
This is how she describes her life now after her time at the unit: “I have pretty much daily seizures, walking difficulties, tics and more.
“My mum is my full-time carer as I cannot be on my own due to this. I cannot live independently.”
Another patient, who also wants to remain anonymous, and was admitted to the Maidenhead unit in 2020, shared photographs of injuries to her legs and knuckles which she says were sustained during restraints.
Image: Another patient, who wants to remain anonymous, and was admitted to the Maidenhead unit in 2020
Image: Another patient, who wants to remain anonymous, and was admitted to the Maidenhead unit in 2020, shared photographs of injuries to her legs and knuckles which she says were sustained during restraints
She said: “Sometimes when they were trying to get me in holds, they would swing me round really hard and I would fall into the wall so I would get bruised knuckles.
“Every single day I was getting bruises all over my body.”
Another patient shared pictures she says are of blood on the walls of her room. She told us she was left alone “for hours” to self-harm.
In 2019 Mae, who is 21 now, was an inpatient at Huntercombe’s Stafford unit.
She said: “I wouldn’t be asked to walk to the clinic for a feed, I would just be picked up and dragged there”.
Image: In 2019 Mae, who is 21 now, was an inpatient at Huntercombe’s Stafford unit
Mae describes feeling like an “animal” in the unit and claims she was “dragged around, locked out of my room, bruised, constantly shouted at and verbally abused.
She said: “I had no autonomy or say in my own care or my own body.”
Ami was in the Maidenhead unit between April 2020 and December 2021.
Now aged 18 she says she wasn’t allowed out of her room for six weeks after an episode of self-harm.
She said when her underwear was taken off so she could be put into anti-ligature clothing, there was a male member of staff in the room.
She said: “I was embarrassed and felt assaulted. It really went past all my boundaries.”
Ami’s mother Rebecca Hinton told us: “We felt helpless, alone, like our voices just fell into a dark well, scared, desperate.”
Separate to our investigation, we’ve learned the first steps have been taken by solicitor Mark McGhee towards legal action against The Huntercombe Group. He’s currently representing nine former patients.
His cases include the family of a young former patient who claims they were raped by a member of staff at the Maidenhead unit.
Thames Valley Police has confirmed they are investigating the allegation.
Image: Ami was in the Maidenhead unit between April 2020 and December 2021. Now aged 18 she says she wasn’t allowed out of her room for six weeks after an episode of self-harm
Mr McGhee said: “This is systemic failure and it’s gross systemic neglect. This hospital was responsible for some of the most vulnerable individuals within our society
“All of these individuals have been profoundly affected in terms of the abuse that they’ve sustained. And it is going to affect the rest of their lives.”
Active Care Group took over Huntercombe in December 2021.
A spokesperson for Active Care Group said: “We are very sad and concerned to hear about these patient experiences and allegations of poor care, a handful of which relate to time in our care…our policies and clinical interventions are in line with national guidelines and best practice; the care of our patients is our top priority.”
“All complaints are investigated and those meeting thresholds for CQC (Care Quality Commission) and safeguarding are reported as required. We are also pleased to receive positive feedback from many young people and their families.”
The previous owners Elli Investments Group said: “We are saddened by these allegations and regret that these hospitals and specialist care services, which were owned and independently managed by The Huntercombe Group, failed to meet the expected standards for high-quality care.”
NHS England said it’s deeply concerned by these “shocking allegations”.
A spokesperson said: “Consequently these two units, which are run by Active Care Group, have been visited several times by senior commissioners in recent weeks – these visits have included speaking to all current patients, and we will continue to monitor and take appropriate action where necessary.
“The NHS has repeatedly made it clear in recent meetings to the executives of Active Care Group that all services must provide safe, high-quality care and deliver on the commitments in their contracts.”
A Department of Health and Social Care spokesperson said: “The further allegations of mistreatment that have been raised are deeply concerning. Our first priority is to ensure anyone receiving treatment in a mental health facility receives safe, high-quality care, and is looked after with dignity and respect.
“We take these reports very seriously and are working with NHS England and CQC to ensure all mental health inpatient settings are providing the standard of care we expect.”
Chris Dzikiti, Director of Mental Health at the Care Quality Commission (CQC) said: “It is unacceptable for any young person who needs mental health support to receive anything less than the highest standards of care.
“We are grateful to each and every person who has taken the time to share their, or their loved ones, experience of the care they have received.
“We have a range of powers we can use if we find people are not receiving safe care and will take every action possible to protect people where necessary.”
Marnie’s first serious relationship came when she was 16-years-old.
Warning: This article contains references to strangulation, coercive control and domestic abuse.
She was naturally excited when a former friend became her first boyfriend.
But after a whirlwind few months, everything changed with a slow, determined peeling away of her personality.
“There was isolation, then it was the phone checking,” says Marnie.
As a survivor of abuse, we are not using her real name.
“When I would go out with my friends or do something, I’d get constant phone calls and messages,” she says.
“I wouldn’t be left alone to sort of enjoy my time with my friends. Sometimes he might turn up there, because I just wasn’t trusted to just go and even do something minor like get my nails done.”
Image: The internet is said to be helping to fuel a rise in domestic abuse among teens. Pic: iStock
He eventually stopped her from seeing friends, shouted at her unnecessarily, and accused her of looking at other men when they would go out.
If she ever had any alone time, he would bombard her with calls and texts; she wasn’t allowed to do anything without him knowing where she was.
He monitored her phone constantly.
“Sometimes I didn’t even know someone had messaged me.
“My mum maybe messaged to ask me where I was. He would delete the message and put my phone away, so then I wouldn’t even have a clue my mum had tried to reach me.”
The toll of what Marnie experienced was only realised 10 years later when she sought help for frequent panic attacks.
She struggled to comprehend the damage her abuser had inflicted when she was diagnosed with PTSD.
This is what psychological abuse and coercive control looks like.
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2:56
‘His hands were on my throat – he didn’t stop’
Young women and girls in the UK are increasingly falling victim, with incidents of domestic abuse spiralling among under-25s.
Exclusive data shared with Sky News, gathered by domestic abuse charity Refuge, reveals a disturbing rise in incidents between April 2024 and March 2025.
Psychological abuse was the most commonly reported form of harm, affecting 73% of young women and girls.
Of those experiencing this form of manipulation, 49% said their perpetrator had threatened to harm them and a further 35% said their abuser had threatened to kill them.
Among the 62% of 16-25 year olds surveyed who had reported suffering from physical violence, half of them said they had been strangled or suffocated.
Earlier this year, Sky News reported that school children were asking for advice on strangulation, but Kate Lexen, director of services at charity Tender, says children as young as nine are asking about violent pornography and displaying misogynistic behaviour.
Image: Kate Lexen, director of services at charity Tender
“What we’re doing is preventing what those misogynistic behaviours can then escalate onto,” Ms Lexen says.
Tender has been running workshops and lessons on healthy relationships in primary and secondary schools and colleges for over 20 years.
Children as young as nine ‘talking about strangulation’
Speaking to Sky News, Ms Lexen says new topics are being brought up in sessions, which practitioners and teachers are adapting to.
“We’re finding those Year 5 and Year 6 students, so ages 9, 10 and 11, are talking about strangulation, they’re talking about attitudes that they’ve read online and starting to bring in some of those attitudes from some of those misogynistic influencers.
“There are ways that they’re talking about and to their female teachers.
“We’re finding that from talking to teachers as well that they are really struggling to work out how to broach these topics with the students that they are working with and how to make that a really safe space and open space to have those conversations in an age-appropriate way, which can be very challenging.”
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4:58
Hidden domestic abuse deaths
Charities like Tender exist to prevent domestic abuse and sexual violence.
Ms Lexen says without tackling misogynistic behaviours “early on with effective prevention education” then the repercussions, as the data for under 25s proves, will be “astronomical”.
At Refuge, it is already evident. Elaha Walizadeh, senior programme manager for children and young people, says the charity has seen a rise in referrals since last year.
Image: Elaha Walizadeh, senior programme manager for children and young people at Refuge
“We have also seen the dynamics of abuse changing,” she adds. “So with psychological abuse being reported, we’ve seen a rise in that and non-fatal strangulation cases, we’ve seen a rise in as well.
“Our frontline workers are telling us that the young people are telling them usually abuse starts from smaller signs. So things like coercive control, where the perpetrators are stopping them from seeing friends and family. It then builds.”
Misogyny to violent behaviour might seem like a leap.
But experts and survivors are testament to the fact that it is happening.
It says human rights in the UK “worsened” in 2024, with “credible reports of serious restrictions on freedom of expression”, as well as “crimes, violence, or threats of violence motivated by antisemitism” since the 7 October Hamas attack against Israel.
On free speech, while “generally provided” for, the report cites “specific areas of concern” around limits on “political speech deemed ‘hateful’ or ‘offensive'”.
Sir Keir Starmer has previously defended the UK’s record on free speech after concerns were raised by Mr Vance.
In response to the report, a UK government spokesperson said: “Free speech is vital for democracy around the world including here in the UK, and we are proud to uphold freedoms whilst keeping our citizens safe.”
Image: Keir Starmer and JD Vance have clashed in the past over free speech in the UK. Pics: PA
The US report highlights Britain’s public space protection orders, which allow councils to restrict certain activities in some public places to prevent antisocial behaviour.
It also references “safe access zones” around abortion clinics, which the Home Office says are designed to protect women from harassment or distress.
They have been criticised by Mr Vance before, notably back in February during a headline-grabbing speech at the Munich Security Conference.
Ministers have said the Online Safety Act is about protecting children, and repeatedly gone so far as to suggest people who are opposed to it are on the side of predators.
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5:23
Why do people want to repeal the Online Safety Act?
The report comes months after Sir Keir bit back at Mr Vance during a summit at the White House, cutting in when Donald Trump’s VP claimed there are “infringements on free speech” in the UK.
“We’ve had free speech for a very long time, it will last a long time, and we are very proud of that,” the PM said.
But Mr Vance again raised concerns during a meeting with Foreign Secretary David Lammy at his country estate in Kent last week, saying he didn’t want the UK to go down a “very dark path” of losing free speech.
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The Trump administration itself has been accused of trying to curtail free speech and stifle criticism, most notably by targeting universities – Harvard chief among them.
A would-be assassin who flew from the US to kill a Birmingham shop owner as part of a violent feud has been found guilty of conspiracy to murder.
BirminghamCrown Court heard how Aimee Betro, 45, flew from the US to murder shopkeeper Sikander Ali at point-blank range outside his home inthe Yardley area of the cityin September 2019.
Prosecutors alleged that Betro hid her identity using a niqab when she tried to shoot Mr Ali – but the gun jammed, allowing him to flee.
Betro – originally from Wisconsin – was part of a plot orchestrated by co-conspirators Mohammed Nabil Nazir, 31, and his father, Mohammed Aslam, 56, who were in a violent feud with Mr Ali’s family.
Image: Mohammed Nabil Nazir and Mohammed Aslam were jailed in November 2024.
Pic: West Midlands Police/PA
During her trial, Betro said she had travelled to the UK on two previous occasions, having met Nazir on a dating app.
Asked why she had paid a third visit to the UK, arriving at Manchester Airport from Atlanta around two weeks before the shooting, Betro told jurors: “To celebrate my birthday, and I won tickets for another boat party in London.”
The court was shown CCTV of Betro waiting for 45 minutes outside Mr Ali’s house on the night of 7 September 2019.
As Mr Ali arrived home, Betro approached him with a firearm, but the gun failed to fire. Mr Ali is seen jumping back into his car and reversing away, clipping Betro’s driver’s side door in the process.
Image: CCTV image said to show Aimee Betro in Birmingham following the attempted shooting of Sikander Ali in September 2019. Pic: PA
The court heard Betro then goaded Mr Ali’s father, Aslat Mahumad, with whom her co-conspirators had a feud, through text messages including: “Where are you hiding?”, “Stop playing hide and seek, you are lucky it jammed,” and asking him to meet her at a nearby Asda.
Jurors were told co-conspirators Nazir and Aslam had been injured during disorder at Mr Mahumad’s clothing boutique in Birmingham in July 2018, leading them to conspire to have someone kill him or a member of his family.
In the early hours of the next morning and just hours after the failed shooting, Betro booked a taxi and returned to Mr Ali’s home, where she fired three shots at the property, which was empty at the time.
She then fled back to the US the next day before becoming involved in another of Nazir’s plots to get revenge on a rival.
Prosecutors also said Betro sent three parcels full of ammunition and gun parts to the UK on 16 October 2019.
The court heard the parts, which were wrapped in foil and paper inside three cardboard boxes, were addressed to a man from Derby, with Nazir tipping off the police with the intent to frame him.
While the packages were intercepted and the man arrested as part of what the prosecution said was Nazir’s “devious scheme”, his involvement in the plan eventually came to light, and he was released without charge.
Betro, it said, was seen at a post office 100 miles away from her home address in the US posting the parcels under a fake name.
In the case of each of those three packages, Betro’s DNA has been found on the gun parts and ammunition inside them.
Betro had claimed it was all a coincidence, saying the woman on the CCTV was another American who looked, dressed and sounded like her.
It was alleged that Betro was in Armenia when Nazir and Aslam were jailed for 32 years and 10 years respectively in November 2024, but was extradited in January this year to face her own criminal proceedings.
Jurors deliberated for almost 21 hours before convicting Betro of conspiracy to murder, possessing a self-loading pistol with intent to cause fear of violence, and a charge of illegally importing ammunition.
She was found guilty by majority verdicts on the conspiracy to murder and firearm charges, and by a unanimous verdict on the ammunition charge.
Speaking to Sky News, Detective Chief Inspector Alastair Orencas, from West Midlands Police’s Major Crime Unit, called Betro’s crime “a brazen attempt,” adding that there “doesn’t seem to be a whole lot of effort to avoid detection”.
“I think she fell foul of a really slick, dynamic law enforcement operation over here,” he said.
“I don’t know whether that was her perspective from America, that that’s how we operate, but zero tolerance around firearms, criminality on these shores.”
Betro was remanded in custody and will be sentenced on 21 August.
Hannah Sidaway, specialist prosecutor from the Crown Prosecution Service in the West Midlands, said: “Only Betro knows what truly motivated her or what she sought to gain from becoming embroiled in a crime that meant she travelled hundreds of miles from Wisconsin to Birmingham to execute an attack on a man she did not know.”