Thursday, March 24, 2011

Tar Heaven And The Slowed Pace Of Patient Choice In Mental Health


Snowballing Patient Choice In Mental Health Service Hell ?

By the time any Patient Choice happens in mental health using healthcare budgets it will be almost designed out into a form of DOH bureau-clevered-up non existence. Taxes and death are assured - so is no Patient Choice in Mental Health (MH) services in the UK. Social Care budgets for MH are already under attack and eligibility for them is subject to greater testing and more restrictions right across the UK.

Bureaucracy survives and just wants a slow exit from the field. Well it would wouldn't it and maybe there is even partial merit in that argument, after all, anti-market sentiment in mental health is a seriously embedded culture in both NHS and MH Charity providers and therefore a culture of choices has not grown at all. Keep it slowed down ? Trickle down choice. Like gluey tar in a wine glass pyramid and you can drink thickened up gunk in a few years - if you are alive ..... Its black all around . Tar heaven .

It's all been predetermined by Sainsbury Centre For Mental Health (now the "Centre For Mental Health") into designer top down supply side provisioning and de-institutionalised provisioning of despair in the community. You cannot help thinking that the death rate of MH Service Users will get higher over the next few years and this is like an atavistic anti welfare wolf policy surge of a socio-economic Darwinian clear-out-time of the old and weak ....Some of us said a few years ago that the Workhouse times were back - modernised of course . Only there's no house - just chains in wildness spaces called "community"...

You can barely believe, but have to believe, that after years of talk about shifting the balance of power, the only power that was significantly shifted was the power of the MH charities to form themselves into public servants of the Governments and build up empires of double and triple facing duplicities that build the new parasitic 3rd sector corporate classes . Aided by a culture of paid off MH User-involvement....

What the hell is wrong with Patient Choice in mental health ? It was easy to budget for and pilot at the therapy end initially . Piloting was the way but instead CBT was chosen and dominated the budget for anal retentive therapy "training" as opposed to using eclectic mixes of emotionally healing talk and feelings skills that already existed . Keep it head-bound though - do not let those dangerous feelings become owned again .. Keep 'em split off .. Medicalise history and distress and make the new tranquil pill out of controlling thoughts - kinda suits the age .

Its a middle class ethos - anti-social-context . Feck the social contradictions boot em out ... Make 'em busy ... Surviving .... Give 'em more trauma . Keep it subtle though inside gymnastic languages that talk about "care" ...

So what do the health care professionals say about Patient Choice ? Well see it all here. You hardly have to read it really . Cautious and bureaucratic - looking for "evidence" having denied it for years by collusion with anti-patient-choice policies and prime amongst them is the National Development Mental Health Unit - the replacement for NIMHE founded and architected by Sainsbury Centre For Mental Health - who registered its website first and foremost . Whoops ... DOH and SCMH slipped up there ..

What will happen to Patient Choice in mental health ? It will be over-managed and under-resourced and argued over so long as we do not create a culture of choice driving pathways of results. If GP consortia have got any sense they will take the therapy budgets and purchase in new providers competitively but they will probably not have enough money to show proper results over time because the simple truth is it takes time for people to heal in a society of busted up cultures , dysfunctionalising families, and despair .

Never mind there's always Tar heaven .

See also Health Service Journal :

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