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Mental Health - Are we getting better?


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4 hours ago, Numbnuts said:

This will make interesting reading the answers to this.

It doesn’t appear to be a very perceptive question unless she has her supplementaries worked out, and the minister has been briefed.

You generally get referred for a specialist or consultant appointment for diagnosis, review  and decision on treatment and then a second ( or subsequent ) appointment for treatment. There may be other appointments in between for diagnostic tests.

You probably want to break down between acute/inpatient and community, and the disciplines between psychiatric, psychological and counselling.

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It’s just that kind of comment that adds to the huge suicide rate in the young. If you don’t understand then educate yourselves. This isn’t a them and us situation, this is about all of us caring for

I don’t agree.  There were plenty of stressors in my life time Suez Cuba missiles Cyprus Decimation of the North by Thatcher, mass unemployment Miners strikes and riots

I disagree. I would say that there is far more stress related and anxiety issues now, especially in the young. The stresses they are under to conform and to perform, in the main due to social media an

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1 hour ago, John Wright said:

It doesn’t appear to be a very perceptive question unless she has her supplementaries worked out, and the minister has been briefed.

You generally get referred for a specialist or consultant appointment for diagnosis, review  and decision on treatment and then a second ( or subsequent ) appointment for treatment. There may be other appointments in between for diagnostic tests.

You probably want to break down between acute/inpatient and community, and the disciplines between psychiatric, psychological and counselling.

Not in my many years experience it doesnt . 3 years ago I was told by CMHN I would have to wait about a year for psychiatrist and I did !  I had waited 4 months before seeing anyone after doctors referral . Had a assesment over the phone which lasted about 15/20 mins and told I needed medium to severe input . My doctor got on the case and after the 4 months had a appointment with CMHN every fortnight before getting the appointment with psychiatrist . She was brilliant and really helped while the two CMHN were at tye best adaquate and one just terrible if she ever turned up. And yes I made a official complaint to the powers that be and she was removed from my case and a apology received. However with someone with menyal health issues that sort of thing can be a big problem.   

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28 minutes ago, Numbnuts said:

Not in my many years experience it doesnt . 3 years ago I was told by CMHN I would have to wait about a year for psychiatrist and I did !  I had waited 4 months before seeing anyone after doctors referral . Had a assesment over the phone which lasted about 15/20 mins and told I needed medium to severe input . My doctor got on the case and after the 4 months had a appointment with CMHN every fortnight before getting the appointment with psychiatrist . She was brilliant and really helped while the two CMHN were at tye best adaquate and one just terrible if she ever turned up. And yes I made a official complaint to the powers that be and she was removed from my case and a apology received. However with someone with menyal health issues that sort of thing can be a big problem.   

I think you’ve misunderstood my post.

What Ms Christian’s question doesn’t do is identify what, if anything, constitutes treatment, and what type of treatment. 

Thats exemplified by your experience. Her question doesn’t cover that.

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56 minutes ago, hissingsid said:

At least she is asking questions and bringing the subject to the public eye.  I think this lady will make a very good MHK with experience.

Just remember, it’s not the number of questions but the quality of the questions, and, In particular, the supplementaries.

Using your criteria Jason is “god”

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On 10/23/2020 at 10:52 PM, John Wright said:

You need to re read what I posted. I didn’t say I was stressed by any of them. They all happened within my lifetime. And there was certainly media hysteria about all of them. And things like suez, Cuba and Cyprus had a very different meaning to a generation just out of War and with conscription, or discussion of its return.

I recall it all too including Cyprus as I just missed national service but knew many who did and I knew many WW2 vets and a few WW1 vets. Now that was stress. I did read  what you posted , just didn’t think it made any sense to those who were not there and who could put it in context. But then you are always right aren’t you.

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On 10/26/2020 at 4:44 PM, hissingsid said:

At least she is asking questions and bringing the subject to the public eye.  I think this lady will make a very good MHK with experience.

Having listened to her today I think you maybe right.

The answers she got from Mr. Ashford suggest that the stories I am hearing about are completely wrong. The time frame targets for seeing patients seem to be in the high 80s and 90s % wise. (need to read hansard to check). Mr Shimmins sounded a little exasperated that we have to wait for Manx Care before monthly figures can be published. Apparently stats were only started to be gathered in 2017. 

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On 10/26/2020 at 9:56 PM, Anyone said:

I recall it all too including Cyprus as I just missed national service but knew many who did and I knew many WW2 vets and a few WW1 vets. Now that was stress. I did read  what you posted , just didn’t think it made any sense to those who were not there and who could put it in context. But then you are always right aren’t you.

No, I’m not “always right”. I was just reminding posters who aren’t quite as venerable in age as you, or me, that the current generation don’t have a monopoly of stressor events.

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On 10/25/2020 at 8:29 AM, Roxanne said:

It’s just that kind of comment that adds to the huge suicide rate in the young. If you don’t understand then educate yourselves. This isn’t a them and us situation, this is about all of us caring for each other. The last thing the world needs is more division. 

Sometimes though it needs to be reciprocal, It does make things easier when there is respect on all sides.

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Apologies if I broke any protocols but I though this post should be in on this thread as more relevant to the title maybe.

>>>>>Exactly right. Irrespective of the rights and wrongs of how CV has been handled politically the clinical risks have been well and truly hammered home, as well as the other issues you mention. My concerns are for the psychological effects of the messages bring sent out to people and families. Messages of 'don't do this', or 'must do that'  because  'we will die or someone else will' emanating from government will or have created such uncertainty, anxiety and diminished self confidence to the extent that freedoms to mix, play, explore and integrate openly with others is being curtailed. people have been scared witless in some circumstances, whereby others may develop such cynicism and nihilistic views that negativity and depression are unavoidable.

Our services here will not be able to deal with what is coming. DHSC will increasingly depend on 'volunteer' and 'charity' organisations that will have had 5 minutes training and the risk of doing more harm than good and the risks for me are not acceptable.>>>>>>>

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I was sent this recently and it is the new Policy on Mental Health Services Care Programme Approach. It describes the process of how the services work and the priorities and responsibilities of the professionals in that service. More importantly it describes in detail the importance of using Care Plans as the main communication tool and for informing everyone who is the Care Co-ordinator, what that means and how teams work together. I think it is the most significant policy the service has produced in the last 10 years and I congratulate the author. I hope the services are reviewed and. audited regularly using this as the assessment tool.  If it is, then services can be improved in my view.

Well done, we have waited a long time for this, and it is a good start.

(Pity they don't have something similar for Nobles !!!)

MHS CPA Policy v6.0 .pdf

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Did I hear it right on MR that there have been 12 suicides so far this year?  If that is correct, that is a shocking figure.  How many can be attributed to CV measures and the lack of consequential focus on mental health? 

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2 hours ago, Gladys said:

Did I hear it right on MR that there have been 12 suicides so far this year?  If that is correct, that is a shocking figure.  How many can be attributed to CV measures and the lack of consequential focus on mental health? 

Probably not many.  If the figure is true, then 12 is high, but not extraordinary.  I looked at the annual figures about two years ago, and they were fairly frequently just into double figures.  Because the Isle of Man is small there's always going to be a lot of variability from year to year anyway. Something that a lot of Manx politicians and journalists fail to grasp, even though practically every statistic they look at must be affected by it.

Similarly the underlying rate on the Island is about the same as that in England and slightly less than the other UK countries.  There will almost certainly be some extra pressure on mental health services from those affected by the outbreak, especially on those bereaved and on those in caring roles, but the actual period when the health service was under pressure from the Covid outbreak was comparatively small, so it shouldn't be used as an excuse to avoid providing services.  And to be fair from what @Apple says above, it doesn't seem to have been.

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1 hour ago, Roger Mexico said:

Probably not many.  If the figure is true, then 12 is high, but not extraordinary.  I looked at the annual figures about two years ago, and they were fairly frequently just into double figures. 

Similarly the underlying rate on the Island is about the same as that in England and slightly less than the other UK countries

Seems like getting on for double the whole UK rate to me (10-11 per 100,000). Maybe the mainland should restrict travel on the grounds that the IOM poses a mental health threat?

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