Wednesday, July 28, 2010
To Attend A Conference To Plan
Mental Health Users Futures In November ?
Although the Sainsbury Centre For Mental Health on July 21st altered its name (deleting "Sainsbury" off it) its networking culture remains the same, and its been a powerful mono-driver (not a market and serious choice driver) in mental health planning, and some people attribute the one-size-fits-all Cognitive Behaviour Therapy "Layard" (14th Sept 2005 SCMH speech) thrust to it.
What is clear is in 2001 - 2 it founded the National Institute For Mental Health In England (NIMHE) and aided the then new NIMHE (cost £100 + million by 2009 ) mental health bureaucracy drawn mainly from University Educated Middle Classes that shaped it towards identifying "recovery" as getting mentally ill people back into work. That aim was its cornerstone and it over-rode patient choice of recovery treatments as a User-priority - instead everyone in mental health circles was treated to the User-involvement bureaucratization of patient-hood and the belief that "user-involvement" was the entry level strategy for working . All it proved was that fitter mental health Users got jobs with NIMHE and NHS Trust networks that supported NIMHE and its aims .
SCMH "Pathways to Work" designs and thrusts though have not created the new Jerusalem inside a neconomy that broadly supported middle class tertiary sector aspirations and social-engineering economies but not export driven business and manufacturing . These are very areas where economic and social recovery was needed for 20 years until the big sub prime debt wake up for the UK and others occured . SCMH promoted itself as experts in mental health, but was not expert into seeing into the open illusion that drove the growth of the middle classes in an unreal way across a UK economy and into record debt .
The National Mental Health Development Unit (NHMDU) shadowed itself into place as NIMHE was got rid of in 2009 .. On April 1st 2010 NMHDU bulletined :
"Promoting Recovery-focused services : The NMHDU has agreed a project-led partnership with the Sainsbury Centre for Mental Health (SCMH), supported by the NHS Confederation, to promote and support recovery-focused organisations and services. The work builds on the recent SCMH programme, Making Recovery a Reality, and the clear support for recovery approaches in New Horizons. The project will pilot recovery-focused organisational development across selected local NHS sites (still to be determined) and will demonstrate and evaluate outcomes for providers and commissioners. Further information will be available on our website shortly."SCMH's own bulletin below shows only that its still about in a different name after July 21st 2010 with an extra three years of Gatsby Foundation Grant (Sainsbury Trustees) until it finds its new funding - no doubt the lottery . All the other charities like MIND and Rethink (close associates of SCMH) use that route and one wonders whether there is serious lottery audit for grant effectiveness on corporate charities this size .
Later this year in November 2010 the large SCMH network and other people planners that failed to bring about real Patient Choice in mental health for 13 years of Labour rule will meet to decide everyone else's future in mental health for next 20 years .
"From this month, Sainsbury Centre will be changing its name to Centre for Mental Health, it was announced today.
The name change will take effect from 21 July. It follows the approval by the Gatsby Charitable Foundation for the Centre's plans to sustain its work beyond the conclusion of the core grant it received each year between 1985 and 2010.
Joint chief executive Dr Bob Grove said: "As we develop our work and find new funding sources for the future, we are changing our name. But our work, our values and our approach will stay the same. As Centre for Mental Health, we have a clear mission to improve the life chances of people with mental health problems in the UK, building on the 25 years of work we have done and looking ahead to the many challenges we still face."
The vision is still "work is recovery" and "personalisation" (not legal rights of Patient Choice) is the watered and socially controlled way forwards . They may have got rid of the the asylums and the Water Towers - but frankly these people are not producing any idea of sanctuary for serious difference of mind which does not fit the work-recovery and exposed "communitised" ways forwards . Users are still institutionalised by the planning classes so long as Patient Choice of recovery treatments does not exist
UserWatch has heard from many Users about how pushed around they are, by these social engineering ideas of them being "included" and "recovered" and how pressured some feel especially in the new contexts of changes to Disability Living Allowances , Employment Support Allowance and media "Hate the benefit claimant" headlines. Its even reached the Guardian (the Social Engineering Daily) now, so we hear - who are using MIND as the voice of charity concern even though MIND (along with Rethink) was busily over-shaping work-as-recovery under the Labour Government.
Will the mighty of the the SCMH network and DOH feel any of this sympathetically ? Of course not .. They are rubber ducks in a sea of class and charities and money which flows and flows and has grown because of the lottery .
Tuesday, July 27, 2010
Over to the DOH text sent to us :
Job Summary - HealthWatch
Public and Patient Experience and Engagement Division ( email@example.com ) seeks to put people at the heart of care.
This post exists to bring drive, capacity and policy making expertise to support delivery of the new Government’s vision for putting patients and public centre-stage through strengthened patient experience, user and public engagement.
The Government’s White Paper commits to the establishment of HealthWatch – a new national body strengthening public voice and accountability - by April 2012.
This will be a significant and exciting policy development and implementation challenge requiring stakeholder engagement, legislation, policy development and project planning and delivery skills. This new post will be at the heart of the policy team leading the establishment of national HealthWatch and development of local HealthWatches offering unrivaled experience and exposure at the forefront of delivering the Government’s new vision for health and social care.
The post-holder will work closely with colleagues across government and routinely exploit opportunities for co-production of policy development and implementation working with and through PCTs, PbCs, FTs, LAs ,SHAs & GOs and other partners such as CQC.
The post-holder will be accountable to the Head of Innovation and Integration and will manage two team members.
Key requirements for the role This is a critical, high profile policy role having a major part to play in the development and implementation of HealthWatch.
The postholder will:
Develop and implement policy on Healthwatch and public engagement, inputting to legislation, maximising opportunities for co-design and co-production and ensuring early and proactive engagement of DH policy colleagues, OGDs and stakeholders
Actively promote public engagement and put in place systems to measure and monitor impact of public engagement activity
Handle a significant level of reactive and ministerial work, providing high quality and timely advice and support to Ministers,
Effectively manage people, financial resources and projects
Monday, July 26, 2010
In the first great cut of Quango's The Equality and Human Rights Commission is facing cuts .
Good, it deserves scrapping actually, for its political plays and overall bullshit string playing to its own marionette scripts .
The Independent writes :
Equality and Human Rights Commission – has been accused of wastefulness by Home Secretary and faces further cuts
It certainly did not do much good for people in mental health circles for even when it was confronted with the last Labour Govt's perverse discrimination against mental health (MH) Service Users and lack of legal rights of patient's choices they might make through elective care and a choice of a service provided through a secondary care provision (like the rest of the population ) - it did nothing at all .
There certainly were ways that (non crisis care ) Service Users could have used some MH provisions via patient choice but it was erased by top-down social engineering Labour who had the cheek to believe they were helping workless and working class people with mental health problems by making sure they had no choices - apart from state designed - MH charity architect-ed services ..
The National Mental Health Development Unit that grew out of the discredited NIMHE has hung on so far. It is backed by establishment figures though in the shape of big charities like its partner the Sainbury Centre For Mental Health . But it did not produce a sensible, treatment based patient choice orientated, mental health service . It has been desperately trying to create a recovery service which supervenes across patient needs and assumes its UK national work-orientated model is correct .
Yet its idealisation of work-recovery for all, has been costly and partly distracting whilst research done by the DWP shows clearly that people with Mental Health problems are not easy to fit into society and especially one which has a contrary economy with pretend jobs , social engineering , a lack of industrial infrastructure and a lot of bullshitting middle class Uni-types trying to fit everyone else up into politically correct but essential economically unreal lives.
The first job for the economy is to get the middle class mental-health-engineers doing useful export led economic work and drives . They are fit and clever people and should be put to proper work instead of parasiting about running false drives to get disabled others into work which isn't there, and was only propped up by Labour's balloon and party ideas ..
Maybe then some money might trickle towards aiding patients more . Don't bank on it though ...
Sunday, July 25, 2010
But there's no doubt with Seroxat Jack it was made worse because when his life failed at work due to his health and when he could not face the growing realisation that increasing disability was going to alter his life and even hurt it - there was no real help . No therapy offered to ease the emotional growth from pain into difficult change .
Thus depression born of a narrative of difficult-to-face pain created only vacant and sometimes fiery hopelessness . The fire of anger gives some degree of hope but not if the problems of change and disability are not faced enough - it merely builds more rage and determination to make something or someone pay .
Seroxat Jack, like Effexor Jim , and Prozac Jill and the SSRI gang, went to his Doctor and took his medicine and later found its emotional barrier effect did not do much good and so he came off it . That was accompanied only by pain and discontinuation problems - headaches and mood swings .
Yet Jack did not make the connection enough that his psychological problems were not medical in the first place but social and emotional.
Jack's a social product too of traditional beliefs in : the man should not show his feelings fully . His Doctor too was someone who should have been more emotionally literate.
Jack's rage and only partly faced pain after he painfully left his Seroxat days behind just gave vent to attacking pharmaceutical companies which on one level is not invalid at all. They DO exploit people who will not or cannot without help face their own lives and emotional pain. They DO exploit a lack of political will to create truly better emotional healing and long enough psychological therapies. They DO exploit the social taboo against people showing emotional weakness and vulnerability .
But they can only do that in the field of reactive depressions and mood swings "disorders" so long as Jack does not wish to face himself too, and demands only that his life-pain goes away .
Jack has partly grown now after living in the damned Seroxat Hall of himself . But to do it he had face another depression and the older feelings underneath and the extra ones which layered in as a sense of personal failure.
Life alters and we fail to be able to be what we were . Sadness and loss and even rage are not enemies they are just our cries at our vulnerable human condition and hearing them with witness makes bearing them tolerable .
Lets sit down with Jack and Jill and Jim and wisely accept a greater degree of grief for just being human .
Further Reading :
Seroxat Litigation Chronicles
Thursday, July 22, 2010
Well its all up for extra consultation - over to you Joe and Jane Public ..
Saturday, July 17, 2010
This is one for the archive )
In her 2009-10 Annual Report, Making An Impact, Parliamentary and Health Service Ombudsman Ann Abraham has revealed a 55 per cent increase in the number of enquiries resolved by her Office in the last year. Published today, the report shows that between 1 April 2009 and 31 March 2010, her Office resolved more than 24,000 enquiries, helping thousands of members of the public who felt they had been mistreated or suffered poor service at the hands of public services.
The closure of the Healthcare Commission on 31 March 2009 means the Ombudsman is now the second and final point of contact for anyone who wishes to make a complaint about the NHS in England. It is a simpler and faster system for the public, and as the Ombudsman explains in her report, the positive impact of this is already apparent. The transition has been smooth, with the Ombudsman’s Office successfully dealing with a significant increase in the number of health complaints received in 2009-10 – a total of 14,429, compared to 6,780 complaints in 2008-09.
At the same time, the number of complaints about parliamentary bodies has increased from 7,990 in 2008-2009 to 8,543 in the last year. The report also reveals the five government departments which have generated the greatest number of complaints: the Department for Work and Pensions, HM Revenue & Customs, the Home Office, the Ministry of Justice and the Department for Transport.
Ann Abraham also uses her Annual Report to affirm her commitment to making the system for parliamentary complaints more straightforward. Currently, anyone wishing to make a complaint to the Ombudsman about a parliamentary body must have it referred by a Member of Parliament. This is not necessary for health complaints. The report reveals that 235 complaints were withdrawn last year because the complainant did not get an MP referral, illustrating how this ‘MP filter’ can impede access to the Ombudsman for some. The Ombudsman will be seeking a range of views on this issue in the coming months.
In her report, the Ombudsman also shares the stories of some of the people her Office has helped during the last year. Among these are examples of complaints which have been successfully resolved through ‘intervention’, avoiding the need for a full, and more lengthy, formal investigation. Last year, 321 enquiries were resolved this way – more than double the number in the previous year.
Looking forward to the months ahead, Ann Abraham also warns that poor administration and customer service by public services can be an unnecessary drain on the public purse:
“It is evident that the delivery of good administration will be vital to the effective provision of public services in a straitened fiscal environment. My Office has a crucial role to play in helping Parliament hold public services to account in these areas and in highlighting areas for improvement. Poor customer service and maladministration wastes time and money. To ensure best value from limited resources, public bodies will need to get it right first time by focusing on their customers, acting fairly and transparently and seeking continuous improvement.”
Download the press release (29kb)
Download the full report (1.2mb)
Notes for Editors
- The Parliamentary and Health Service Ombudsman’s 2009-10 Annual Report, Making an impact, was laid before Parliament on 14 July and is available here, together with the Ombudsman’s Resource Accounts 2009-10.
- Ann Abraham holds the post of UK Parliamentary Ombudsman and is also Health Service Ombudsman for England. She is appointed by the Crown and is completely independent of Government and the NHS. Her role is to provide a service to the public by undertaking independent investigations into complaints that government departments, a range of other public bodies in the UK, and the NHS in England, have not acted properly or fairly or have provided a poor service. There is no charge for using the Ombudsman’s services.
- For media enquiries, please call 0300 061 3924 or email Katherine.firstname.lastname@example.org.
"Doctor! Doctor! I need to tell you I am in terrible emotional pain and feel suicidal " - "Don't worry we'll build an expensive fence on a bridge" ....Was his reply ...
In fact the patient was some 400 people since 1918 who leapt from Toronto's Bloor Street Viaduct. To be sure the suicides have now stopped (from 9.3 a year to zero) on the bridge after the $5.5 million fence either side of it was erected .Toronto CTV News carry the full story
But do not cheer . People just chose other bridges and the overall suicide rate in the city remained more or less the same ( from 56.4 a year to 56.6)
The point of repeating this story though is to make a statement to enshrine it within . The obvious statement : Is bridge-fence "therapy" effective ?
(you are allowed a partly stupified surprised look on your face as you say this to yourself)
No its not really and as Dr Sinyor states :
"In order to really prevent suicides, you need programs that improve access to psychiatrists and other mental health workers, that improve the sense of hope. And barriers don't do that," he says. Sinyor says it's unfortunate that while there is often funding for concrete restriction projects, mental health support programs remain chronically underfunded."
This echoes other contexts of "barriers to therapy" too that imply self restraint of despair is desireable in the face of emotional desperation whilst not giving a place for that despair to find its unique narrative . Listening to people's life- pain stories and finding the point of tearful acceptances is not about engineering barriers but engineering the allowance of a voice of pain and sharing it toward healing and hearing .
On July 4th Lee Wright aged 58 in UK Birmingham committed suicide by jumping off a mental hospital roof he had found access to . The Birmingham Evening Mail carry the full story written by Alison Dayani . Was Lee Wright on "suicide watch" - did he have therapeutic help that was partnering him in his pain ? His family state :
“Lee was on suicide watch but got through a hatch in the hospital leading to the roof, where he fell to his death,” said the friend. “Everyone who knew Lee is asking themselves how was this allowed to happen? “He was under the care of ward staff, who should have been watching him so closely that there was no opportunity for him to get on to the roof in the first place. It is appalling.”
Has empathic feeling care and the ability to care been replaced by slick barriers and what passes for caring-performance ?
Two months before in May 2010 Barry Gibb committed suicide in North Birmingham UK by "falling" from a balcony - it was not reported by local papers. Barry suffered from schizophrenia although according to friends was a reachable man that was in pain about his life . His life rotated about being cared for but at least one person who knew him says :
"There is a need for a gradual and careful therapy to create a healing place for people like Barry to live with the sad life-pain he suffered and the sense of failures it brings . There's nothing wrong with facing facts but everything wrong in being left to wander in deep misery with them . Sometimes Barry was in deep misery and he should have had more therapeutic help . "
People end themselves to end pain that is not shared socially with the rest of us. Those are the barriers, on the bridges we might remake with greater openness so we all walk with a truer policy of rescue .
In Birmingham UK apparently there are now in 2010 some 70 Cognitive Behaviour Therapists now trained (after 1 year or so of an implementation programme) - a lot of them have no full field experience and frankly are following a rationing policy of sessions . Will they make a difference ? Possibly, but few are trained in grief resolution for issues like long term personal senses of failure and rescuing child abused survivors . Thought (CBT) over heart is the basis of their approach . In this sense its easy to see why some critics of State Therapy are seeing CBT as another long fence and barrier ..
Thursday, July 15, 2010
Jack said :
"It all started with lines
And in my hand pencil spines
Sketch of New York animal
At the green lady's feet , then
Fine art and shadow graphite
Laughing like a principled demon
With pure critique
I go places by mad jet spirits
And unconceal the world's shit wits
Walls are my telepathic televisions
You can avoid spirit of straight
With politics of benter
But not my Crion's eyes "
In the damaged Soul's Day Centre ..
Tuesday, July 13, 2010
Rage is very important though because if therapeutically guided it acts as both a potential gateway back to pain and grief (the tearful acceptance of truths and losses) however it can without help, also act as a vent for the attempt to overwhelm a bad past by building a body and Ego of "power" and "strength" against the vulnerability of unrecognised needs . It takes either good emotional development to grieve properly (a holding parent) and if not grief needs aiding by a skilled therapist - its not a soft way forwards . Its tough to truly grow by resolving such pain .
In talking to some mental health Users in Birmingham and a couple of therapists there was a converging sense that Raoul Moat's victims were a part of raging hurt response to him discovering he no longer had an emotional "place" with his girlfriend . He was in no-one's heart and care. His tough defense was overwhelmed with pain . Yet what was seen and felt in this tragedy was also the way Raoul Moat finally uncovered his need for a father shortly before he apparently executed himself .The BBC reported he stated near to his end :
"I didn't have a dad" ......"No-one loves me"
The mental health Users all claimed they could see his dramatic suicide coming . A couple said they could not watch the UK media-wild-west manhunt of it all and the somehow indecent media exploitation of the Moat story .. It was socially ugly in all respects . The police though at least had tried to show understanding earlier when they sensed and were advised this was a man in some mental anguish, loss and pain .
Questions do need to be asked about the prison's knowledge of his state, and his aftercare plan after he was recently released . Its easy to understand why some mental health Users would sympathise because the UK is still underserved by therapies which brave human pain and help people face it .Grief about bad family dynamics is all too often still off limits and unhelped .
If a person's pain about poor care (as a child and adult) is voiced - it is usually not heard enough . For some mental health Users this is slowly lethal and many of us who have been in this field for decades know it is also applicable to many more people other than those labeled "mental health Users" ..
Jack said :
"Chain mailed emotions
And flesh feudal castle
Steel muscles and mountain jaw
Only the bullet rang out
Across the moat and opened
The heart's last police patrolled door
No-one listened to me in prison
And rejection by a woman was the final
Dynamite fizzling straw
A man took my place
While I was dying for a guiding dad
And a lifetime of warmth to the core
I spat out my weakness and
Built my castle cannon body of bricks
But finally my loss
And no helping father
Gave me a gun
And I died for a dad with its fire and tricks .. "
For the Victims of Raoul Moat and his secret pain that exploded.
Monday, July 12, 2010
Primary Care Trusts (Commissioners) and Strategic Health Authority (Performance management's functions) are to go through phasing out . GP's are to get commissioning budgets and "QuANGO's" are to go . Patient Choice is to grow . Well, lets see what it brings for the bottom of the pile in mental health .
The Labour Government though gave no real culture of patient choices of mental health therapies any chance to grow (where it could have) with its reign of Top Down we-know-best CBT porridge of forget your inner life damages and get on with a "mindful present" ..
"Get to work and sludge about - good porridgers do .." That was the policy in the UK ..
According to Lansley patient's will have far more control over information affecting them and their own health records . Local Involvement Networks (LINks) will evolve into "HealthWatch" and local authorities will have increased control over budgets affecting their own health areas where there is a need for efficiencies with Health and Social Care .....
All this sounds like some previous Labour Government plans will get the thumbs up, for instance in Birmingham, the Birmingham Well Being Partnership with its links to "JNSA" - Joint Needs Strategic Assessment - mechanisms and "Section 75" pooled budgets for co-financed Health and Social Care services .
So its clear some serious structural change will occur around the PCT commissioning and SHA performance managing sides of NHS operationality . This may give way to GP's having to increase their commissioning expertise and thus increasing their admin needs . At least that appears to be closer to the patient but the interim hand over periods of commissioning power are likely to see a mangle tangle period of bureaucracy.
Competitive tendering though is likely to increase and Patient Choice may really get its chance to influence the market and its quality ... Time will see ....
Some GP's in Birmingham are taking more responsibility already for mental health patients in their localities under a PCT Locally Enhanced Service (paying GP's more) arrangement and there is a trend to "primarise" serious mental illness into a different format of "social Inclusion , recovery/work or training" care model . Does this look likely to increase ? Will it survive the new NHS plans ? The answer is probably yes since there is no convincing evidence that Mental Health Users will be given therapy , recovery and condition managment choices, without having a State agenda menu put in front of them to digest.
And that goes for all types of mental health from severe MH to "lighter-weight" depressive conditions.
The UK over these sorry last 13 years of Labour was not fit not for economic purpose (export led productivity) but for illusions of middle class (education education education) Uni-lives that fitted into banking and social engineering jobs that hot aired off into a chinese paper balloon sky. The party is over and the black hard boots are being re-fitted up for the workless arses....
Mental Health was fitted up by the social engineering classes andUni-types of the defunct NIMHE and the now National Development Mental Health Unit which has prospered with bureau-jobs trying to make sure Mental Health Users were CBT-eed up ready for work which did not exist at all . The mystification of Labour's policies are now left to be untangled by a Coalition Govt.
Remember there's no sanity pill , you and the distorted system, are twisted ill....
SEE THE JULY 2010 NHS WHITE PAPER