Wednesday, February 25, 2009

Mental Health's Pathways to Zero


(Sec of State For Health John Reid 2003)

Those of us who saw it coming even back in 2003 saw that Mental Health Trusts were going to become over-managed corporatised merged machines with naff all real patient choice and a serious exploitation of ex patients (the so called User-Voice workers) who were fooled by a well planned DOH and DWP attempt to turn everyone into new mental health workers - that is to say - before they were ever treated to power to hold their own budget and create remedy directly in their lives .. Everything is State Owned under New Labour - its like a form of slow covert fascism in which individualism can barely breathe ..

Its going to get much worse with new rounds of super-corporatisation planned by NHS Trusts and NHS Primary Care Trusts PCT's in a kind of bad corporate orgasm that has more to do with top staff insecurity than local delivery controlled much more by "real" local people as opposed to limited and self important "focus group" approaches ...

But gone is GP-patient axis of potential power and choice .. Its been undermined by Govt and DOH and bureaucrats alike - all at the expense of producing chaos , unaccountability - local disempowerment and : "we'll do what we like anyway " so long as Govt nods that its okay to be policy bureaucratic and have a few groups that look as if we are enfranchising patient's "voices" ...

Well in mental health circles it worked for a few ex-patients who are now busy in the wash of funds and other "recovery" bullshittery that has become the State's overarching attempt to control all life and choices ..

In health, in national policy terms we simply do not believe enough in the power of choice at local and individual levels that create management of conditions and personal empowerment . A few people in mental health circles have managed to obtain Direct Payments to help out their serious disabilities - others have been burned by the system for even trying ..

But the main thrust of "recovery" in mental health is set to fail many because it is top-down nonsense and the supply sides of any recovery and management treatments are dominated by local trusts and others set on "good management" and making surpluses from nowhere really, but patient care ..... The Trusts Board's are self hypnotised by such financial paradoxes which they do not even react to them by declaring madness . No .. Strategic blindness is all in the NHS so long as you retain your job and your status in a bubble ..

"Masturbation makes you blind" .... It used to be said .. Well we think mental masturbation is the destruction of vision and accountability and shame on the Boards and others for selling out human service for their own farcking wages and privilege ..We see into your bubble .. We have bubbular vision .. And our arses are not soaped up like theirs..

Pathways To Zero ?

The great Pathways to Work experiment is in bubble trouble too and David Freud the ex-banker gambling mastermind behind some of it, as well as Sainsbury's Centre For Mental Health (SCMH) and its other shadowy planners like MIND and Mental Health Media , Rethink are all a bit "up the swannie"... Employment Support Allowance (ESA) the new form of Incapacity State Benefit looks set to be run persecutionally and UserWatch believes the evidence will emerge more and more that its just a part of a bad State that forgot to empower people towards lives properly ...

All the reform money in Mental Health in the UK got soaked up by NIMHE across years (that SCMH planned with the DOH) and later its morphling the Care Services Improvement Partnership (CSIP) who set up localities to create Mental Health Users who could become the "leads" for others to get work ... What in ? Oh well it was NIMHE then CSIP and other halfway zero activities that had nothing to do with Patient Choice and patient budgets and real patient empowerment .. It was bureacracy and meetings after meetings about DOH policy aims dressed up as the "Patient Voice" ready to be rubber stamped ..

£140 Million has been wasted on NIMHE and CSIP .. The planners and social engineering manipulators have been a-swill with money and influence under New Labour ..The people at the bottom , the Users have been without Patient Choice .

Shame about the credit crunch which has seriously farcked up unreal and top-down anti patient planning . But to be honest we saw no working class people leading anything in mental health locally .. We saw only middle class people in dominion, suited for middle class bureacratic games ..

Working class or underclass as it now is - was going to be cured by Pathways to Work ... Harsh rules if necessary . But the speculative banking sector and the frothy jobs are going - it was a dream based on a credit economy that did not generate reality enough ... How could it ? The manufacturing sector was decimated years ago in a major attempt to disinvent the rather blunt nosed working class use of power ..

The ruling elites and classes in the UK also prefer social apartheid and of course bullying claimants off state benefits and state services .. Its a class thing that goes all the way back to semi abandoned hard nosed performers being buggered or half farcked up by boarding school and ex colonial mentality.... They are islands and can cope - why shouldn't everyone else ? ..

Give 'em a jolt of CBT - a poor man's version of therapy ... ECT , CBT ... Somehow the control agenda has never gone away has it ?

Some of the partners delivering new (ex mental health and mental health) workers for the Pathways to Work ethos are signalling real problems Reed is laying off staff . A4E wants more money up front (1 billion) for its services . And David Freud has jumped ship to the Tories anticipating his hard anal approach will later sort the underclass shits out ....

Somehow we doubt it - very seriously, and we see that New Labour was partly state-fascism because it could not trust truer empowerment at the base of society . Rather we need to be force fed . And naturally that creates simmering underclass social hatred and divisions.. In the next political chapter, the return of the 19th Century will be hailed as the answer again .. It is not . A new conversation of :

"Trust me I am a person and Trust me I am a patient"

is long overdue and in the UK we doubt it will ever happen . Subtle class dominion and hatred is just part of the UK mind-furniture... It just gets moved about a bit, but the kennel outside is kept the same while the middle class and bankers live off social and financial part service fantasy inventions...


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