Stephen has been working in mental health since 1972. He has been a social worker in settings as diverse as Broadmoor Hospital and out-patients' clinics. He was a Mental Health Act Commissioner, visiting detained patients in psychiatric hospitals from 1995 - 2014. While at the Mental Health Act Commission / Care Quality Commission he became Regional Director for London and South East England, and led on policy development around seclusion, the use of CCTV on mental health wards and the withholding of mail from patients in High Secure Hospitals. He has delivered training on the inspection of mental health units in places as varied as Guernsey, the Isle of Man, and, as a consultant for the international human rights organisation the Mental Disability Advocacy Centre, in Moldova and Uganda. He has also made a training film on the use of Section 136 on behalf of the Metropolitan Police and NHS London. He continues to evaluate applications for brain surgery, and provides support to mental health trusts on matters of good practice and human rights.