Robin Williams © disney.wikia.com |
So, with these shocking statistics affecting ordinary Bermondsey men, women and children, does the size of the response match the scale of the problem? Well, although projects such as Time to Change have contributed towards greater openness and understanding in Britain, there’s still a long way to go - especially within the mental health profession.
Robin Williams’ valiant life-long battle ended tragically. But, what exactly is changing in our approach to treatment? Well, not a lot if NHS and government policy are anything to go by. Mental health has always been the poor relation. According to psychiatrist Dr Ed Mitchell, mental health receives only 11% of NHS funding, but accounts for over 22% of the ‘burden of disease’. This hasn’t changed much under governments of different colours. It’s time to admit that we treat patients on the cheap. Research and facilities have been under-funded for decades, resulting in peeling paint, depressing rooms, paper-thin walls and treatment that is far from tailor-made to the individual.
Just how pioneering are our mental health trusts? |
In reality, there are three main stumbling blocks that stand in the way of better patient care:
First, there’s an over-reliance on prescribing talking
therapies, such as CBT, and medication, at the expense of other
treatments and approaches that could complement talking to a trained therapist.
Prescribing art, music, dance, sport, exercise, motivational coaches and work-related
tasks are radical ideas that would involve private providers working in
partnership with the NHS. Ask any
psychiatrist and they will tell you that treatment is less of a science and
more of an art – so let’s start experimenting.
Sticking slavishly to top-down guidelines and clinical studies that
perpetuate the status quo denies patients holistic treatment.
How tailor-made are today's treatments? |
Second, there is a lack of patient choice, both of provider and treatment type:
Henry Ford would have loved it – “you can have any mental health Trust as long
as it’s your local one”. Current proposals to introduce choice are not far-reaching
enough. Choice, supported by published patient outcomes and
performance data, need not be part of an
ideological agenda - it’s about patient-centred care.
Can art and sport help? The Crucifix Lane skateboard park. |
And, third, we must tackle the causes of poor mental health, so that problems do not develop in the first place. According to the charity MIND, social
isolation, poverty, homelessness, unemployment and childhood abuse and trauma
can all trigger being unwell. Add to that unstable
families, and the breakdown of traditional support networks at home and within
the community, and you have a nightmare waiting to happen. All of us in Bermondsey must accept
responsibility - families, neighbours, community and individuals - working
together to support each other rather than passing the buck to the NHS.
The good news for Bermondsey is that things are
changing. The innovative Dragon Café provides ‘a
relaxing café and imaginative space' located in the Crypt of St
George the Martyr church, opposite Borough tube station’. With creativity at its heart, the café provides
healthy food, and a wide range of activities including singing,
boxing and massage. While the Open Door resource
centre on Jamaica Road offers individual and group support activities five days
a week. But, more is needed to cater for
Bermondsey’s one in four.
Robin Williams in the 1970s series 'Mork and Mindy' (Image from Wikipedia) |
Sadly, poor mental health is no respecter of age, profession
and bank balance - Robin Williams demonstrates that. But, more money, greater community responsibility and progressive
and innovative approaches will give the people of Bermondsey choice, quality
treatment and perhaps most importantly, new life.
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