Sunday, March 23, 2008

The Mental Health Bone Captain Of The UK NHS Service Ship

Cartoon By KakaToo UserWatch Roving Pisstaker


The Birmingham And Solihull Mental Health NHS Trust long ago launched its own Bone-ship in the great NHS Wealthy-Unhealthy Fatlantics ....We can reliably inform you we know of many such ghostly service Bone-ships without many patients, or some have them hidden away stacked like moaning sardines , that were launched all across the UK .

Locally is it all a new Community despair BIRMUDA triangle of some sort we have often asked? .....

The slippery foundations for the Bone-ships special launches are based on runners with existential greases made from patients suffering the trimming of the fat off them and they are then thrown into harbours without real lifebelts .....

UserWatch learned that as of January 2008 this year the Birmingham And Solihull Mental Health Trust had made £ 3.9 million as "financial surplus" - and that was the final total over the last financial year.

In 2005-6 an independent report in Birmingham into what was happening to mental health patients , post-crisis (commissioned by a Patient Watchdog Group ) showed that patients did not receive a continuity of NHS and other supports after crisis but often went back into crisis as they tried to sort out their welfare benefits and problems created by the disruption of the initial crisis . Rotational crisis in this form is very very real for some of them still often exacerbated by a lack of targeted supports that solve their problems

There is also still very little choice of recovery therapies for patients and even on the recent grapevine some staff have said the Trust is going "more inwards" ..."more inward looking" - Mind you we heard recently of patients being given group-talks of how to "help themselves" ..

That is not satire either - its just shit practice if you are on the end of it and are in distress and mental pain ..

An inward looking Trust ? Is it gazing then at its Naval as part of Bone-ship practice ? (okay we know we mis-spelled that - but you know us - Who Cheeks Grins ! )

We restate, we have heard of struggles where longer-term out-ish-patients have tried to get help time and time again but frankly the Bone-ship is accustomed to wails and just passes them by as they spout their spirit lanced with hearted bloods...

Now as of March 2008 we are hearing more about "recovery based" thinking that wants to get patients into the lone-moan-boat of themselves coupled with pushes to work and training as quickly as possible. We know of course this is controlled by the national Bone-ship Captain...

David Freud's right-banking recent anti benefit push and his scourging whippery into the disabled "benefit class" coupled with other patterns of a general service push to get mental health Users using Cognitive Behaviour Therapy for "work-recovery" is just part of a larger pattern to shrink the services and make then "lean" ...We would say "mean" too.....What is missing you see is the patient's real voice inside a real choice of recovery-treatment .. Real choice costs....

We can point our User-raft's textant again into the new subtle social engineering weavery and towards the massively top-down influential Sainsbury's Centre For Mental Health (SCMH) that is putting out more propaganda about "recovery" . The text of that we agree is "hopeful" even written to sound "radical", but the economic sub agenda is not really about the patient and Users being empowered to get treatment choices that fit them and a recovery that really suits their paces .

Its a new hothouse-mental health recovery-theory that puts "lean economic NHS practice" before real patient led and shaped services......

We are also being recently informed that the Care Services Partnership (CSIP) which is part of the Dept Of Health (DOH) but was born out of the National Institute For Mental Health Education (NIMHE) which was itself born from advice given to the DOH by SCMH, is lately acting in an "advisory capacity" to get some User Groups that have been pretty close to it, large lottery grants in the region of £1 million ...

The problem is with NIHME and CSIP is a culture of boundarylessness encouraged by their own salesmanship of themselves and conceptualised by them as the practice of "cross-cutting" - which means they use public money to meet who they damn well please. The problem with that has been many who they meet have a vested interest in creating new bureaucracies for careers and that includes some fitter Users

This is constantly evolving into a practice now of selective inclusion because by creating these "cross cutters" and other closely connected bodies it does not favour the individual at the locality in terms of realisable consumerist led patient choice. Or indeed it does not favour the local innovation of service Users to use lottery based grants for local developments. No , they are in competition with new semi bureaucratic groups backed at one remove by DOH motives.

We will harp on it forever because it is creating a selective inclusion bureacracy that diverts money and keeps patients located even enslaved to the Bone-ship inside the monopoly supply side of "experts" who are still :

"On top not on tap "

This is precisely the opposite of what SCMH claim they support and here is a quote from their glossy flag waving talk about recovery

"The aim of the professional is thus to provide the person with the resources – information, skills, networks and support – to manage their own condition as far as possible and to help them to get access to the resources they think they need to live their lives. This is entirely consistent with the orientation described in New Ways of Working (Department of Health, 2007b). Repper and Perkins (2003) have neatly summarised this change as professionals being, “on-tap, not ontop”. It implies a very different power relationship between professionals and the people they are there to serve."

(from "Making Recovery A Reality" By G. Shepherd, J, Boardman & Mike Slade Pub By SCMH)

Other Source Story SCMH Below

Mental health services need radical changes

to make recovery a reality

17 March 2008

Mental health services need to offer people more opportunities to get their lives back and focus less on medication and symptom control, according to a policy paper published today by the Sainsbury Centre for Mental Health.

Making Recovery a Reality, by Geoff Shepherd, Jed Boardman and Mike Slade, says helping people to recover their lives should be the top priority for mental health services. This means giving service users the chance to determine what future they want for themselves and offering practical support to help them to achieve it.

Jed Boardman, policy adviser to Sainsbury Centre, said: "While recovery is already government policy, the reality is that mental health services still focus more on managing people's symptoms than their work, education and family life. Yet these are what matter most to most people.

"Recovery is a truly radical idea. It turns mental health services' priorities on their heads. Traditional services wait until a person's illness is cured before helping them to get their life back. Recovery-focused services aim from day one to help people to build a life for themselves. The medical care they give is in support of that bigger purpose."

Making Recovery a Reality says mental health services need to change radically to focus on recovery. They need to demonstrate success in helping service users to get their lives back and giving service users the chance to make their own decisions about how they live their lives.

Geoff Shepherd, policy adviser to Sainsbury Centre, said: "National guidance on how to focus services on recovery offers one way of shifting priorities.

"But recovery means making significant changes to traditional power relationships in mental health services. It may also mean making changes their recruitment practices to bring in more people with lived experience of mental illness as practitioners and managers. This would truly help to shift the culture of mental health services and make recovery a reality for all those who use them."

Making Recovery a Reality marks the beginning of the Sainsbury Centre recovery project. The project will look in more detail at how recovery can be made a practical reality in mental health services and in the criminal justice system.

The paper will be launched at the 2008 Sainsbury Centre Lecture on Monday, 17 March. The lecture will be delivered by Prof Robert Drake from Dartmouth Medical School in New Hampshire with a response by Rachel Perkins from South West London and St George's NHS Trust.

Links :

Sainsbury's Full PDF Report :

The Users Christ . (1)

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