This World Mental Health Day, We Need Investment, Not Rhetoric
Investment in services and action on poverty and discrimination are desperately needed to improve mental health society wide.
I often find myself saying,
"Talking about mental health is so important." and "Just be open and honest, and you'll feel so much better!"
But in my heart, I know it's not enough. So many of us are being let down again and again. Services are spread thin and desperately underfunded. Recent reports that young people are being denied care until they're at a crisis point, and receiving little to no help unless they have attempted suicide, is disgraceful.
We do need to talk about mental health. Talking can save lives, but our friends and family are not experts. There is only so much that they can do to help, and often, unfortunately, it's not enough. It puts a strain on our relationships, which can further the isolation and hopelessness of our situation. I'm lucky enough to have a supportive family and group of friends. I do what I've been told helps: to talk. I've been talking and reaching out for years, but it's not always enough.
I've sought professional help when I've contemplated suicide. I was given a number for the crisis team if ever I needed them. I was told they were available 24 hours a day and would help. I've had very different experiences from what I was told I would have. After the phone call, I wished I'd never picked up the phone. Firstly, I was given the wrong extension number, and then when I finally got through to speak to someone, they simply said,
"Carry on taking your medication, and you'll start to feel better soon."
GPs need more training to identify severe mental illnesses and provide the correct referrals. I, like many others with bipolar, was misdiagnosed countless times, and it took 12 years for me to be diagnosed. Therapy needs to be far more accessible and not just a one-size-fits-all solution on the NHS. Talking therapies are not always provided by a trained psychologist. In my experience, it was a counsellor who had been trained in basic techniques in order to provide talking therapies. It wasn't enough, and he wasn't prepared to deal with the symptoms I was displaying. Specialist, long-term therapy is still out of reach for many. The price tag attached is as if it's marketed as a luxury rather than a necessity for those with severe mental illness.
Mental health has had budget increases, but they're far smaller than budgets for physical health. The government ahve abandoned their pledge to create “parity of esteem” between NHS mental and physical health services. People are suffering, and we demand better. We need to recognise the role of poverty and discrimination in determining access to formal mental health services. We need to address the reasons why so many people from ethnic minorities, the LGBT+ community and those with disabilities suffer from mental ill health. There are still disgustingly long waiting lists. Having an assessment due in eighteen months when you're suicidal is not only callous but negligent. Still, we're seeing mental health services strained to their limits. Still, people are told,
"You're not ill enough" and "Come back when you've attempted suicide." Change is desperately needed right now.
In the end, investment, not rhetoric, is needed to save lives.