Much needs to be done to deliver the mental health services that Wales needs

We all want to be physically healthy but, from time to time, we will experience ill health – whether it’s a simple cold or something more serious.

And, just like our physical health, we will, from time to time, experience mental ill health too.

Statistics show one in four people will develop some kind of mental health condition at some point in their life. This means that we will all be touched by mental ill health, either ourselves or our family.

In Wales we have made good progress in improving mental health services recently with the passing of the mental health Measure.

But as encouraging as this is, there’s still much to be done. Legislation doesn’t fix everything and there are a multitude of issues we need to tackle in order to deliver the mental health services Wales needs.

A healthier, more productive and fairer society is one in which we recognise difference, promote mental health and wellbeing and challenge health inequalities.

We need mental health services in Wales, which prevent ill health, intervene early when it occurs and improve the quality of life for people with mental health problems and their families.

A mental health strategy should focus on measurable outcomes based on people’s experience of the services they receive. A service should be considered successful based on its quality, rather than on the basis of a top-down target, which measures success on how many people can be pushed through the system.

Improved mental health and wellbeing is associated with a range of better outcomes. These include improved physical health and life expectancy, better educational achievement, increased skills and reduced health risk behaviours.

By focusing on outcomes rather than process we will not only deliver better mental health services but services that have a cumulative positive impact on other health areas.

The UK Government has just released the report No Health Without Mental Health, which sets out the English strategy for mental health services.

Maybe a similar report in Wales would be useful to set out exactly how we should deliver mental health services – Wales has different needs and issues which need to be addressed.

For example, we still lack an anti-stigma campaign. The English and Scottish campaigns have been hugely successful at raising the profile of mental health problems and tackling the unfair stigma that surrounds them. I stand firm in my belief that Wales could benefit from such a campaign.

We hear every day about the financial difficulties the country is facing but this needn’t be a hindrance. A small, focused campaign aimed primarily at employers, could do much to help. It would lay responsibility on employers to ensure the work place is a stigma-free environment by providing information and education on mental health disorders.

Ultimately, I would like to see a mental health strategy which delivers a robust, holistic service under strong leadership, in the form of an experienced and committed individual. I feel mental health is significant enough to warrant a dedicated government representative.

Crucially, Wales needs a timely and effective service aimed not only at those who suffer from mental health disorders but also their families.

Often families don’t understand these conditions or they don’t know how to deal with a loved one who has a mental health disorder. It is also often the case that when caring for someone with mental health problems, they have nowhere to turn themselves or push their own mental health to the side.

We should be looking to ensure that no matter how you are affected by mental ill health you have somewhere to go for support.

Written for the Western Mail.

Veronica German AM welcomes Mental Health Measure

Welsh Liberal Democrat Shadow Minister for Health and Wellbeing, Veronica German AM is today welcoming the final approval from the Welsh Assembly Government for the Proposed Mental Health (Wales) Measure.

Ms German is part of the legislation committee which is responsible for considering the measure.

Ms German commented: “I hope that this measure will help make a difference to the lives of the hundreds of thousands of people across Wales who have been affected, in some way, by mental ill health.

“This new legislation will mean that Local Health Boards and Local Authorities are held to account even further when it comes to the assessment and treatment of any mental disorder.

“I look forward to working closely with the Government to ensure that this measure is implemented and adhered to the fullest extent possible.”

Notes

The proposed Mental Health (Wales) Measure aims to:

• Provide mental health services at an earlier stage for individuals who are experiencing mental health problems to reduce the risk of further decline in mental health;
• Make provision for care and treatment plans for those in secondary mental health care and ensure those previously discharged from secondary mental health services have access to those services when they believe their mental health may be deteriorating;
• Extend mental health advocacy provision beyond that which is currently required.

Veronica German AM calls for the end of age discrimination in mental health care

Veronica German, the Liberal Democrat Health and Wellbeing spokesperson, has this week raised a question regarding elderly people not receiving adequate Mental Health care, something the First Minister openly refused to acknowledge.

According to the final report from the UK Inquiry into Mental Health and Well-Being in Later Life, nearly 200,000 people who experience mental health problems in Wales do not receive satisfactory services and support.

After Plenary, South Wales East Assembly Member, Veronica German commented:

“Age Cymru have made it clear that mental health services are often very different for those 65 and under, compared to those over the age of 65. Older people are often not offered the full range of treatments available to address their conditions. Effective psychological therapies, for example, are rarely offered to patients older than 65, but are available for those younger.

“Just like everyone else, older people should be treated on the basis of need rather than age. They should be given equal access to treatment such as counselling as well as equal choice and quality of treatment. The report clearly indicates that under the current system that this is not happening. The Labour-Plaid Government needs to address discrimination of age in mental health services.”

Is it time for a Welsh campaign to end mental health stigma?

“What will my friends say, I can’t tell them, they won’t understand. What would my parents think? They’d be so ashamed if they knew. And my partner, what if they leave me? I can’t tell the kids, they’re too young and won’t get it. I can’t tell anyone, people will laugh. I might lose my job, I can’t come out, the risk is just too high.”

This person has a mental health condition, just like millions across the UK and hundreds of thousands of people in Wales. In fact a quarter of people in the UK will experience mental ill health at some point in their lives. Nearly 750,000 of them live in Wales.

Statistically we all know someone with a mental health condition. However according to a the Equality and Human Rights Commission’s ‘Who Do You See?’ research, people with mental health conditions are one of the most discriminated against groups in Wales.

The study found that 37per cent of people would be unhappy if a close relative married or formed a long term relationship with someone with a mental health condition and only 40per cent of people think that people with a mental health condition are suitable to be Primary School teachers.

The problem is lack of awareness. We generally know what we need to do if there is something physically wrong either with ourselves or our loved ones. It should be the same with mental health, but we just don’t know what to do, we all need some help.

Mind Cymru is training trainers to deliver Mental Health First Aid courses across Wales so that people can deal with mental distress in the work place and elsewhere. But we need to go further.

Perhaps it is time that Wales had its own anti-stigma campaign such as ‘Time to Change’ in England and ‘See Me’ in Scotland. Both these campaigns have been operating in their respective countries to change the way people think about mental health conditions. Through effective media campaigns, working locally and regionally and holding the media to account over negative press, they have begun to address and change the way people perceive mental health conditions.

Lindsay Foyster, Director of Mind Cymru, said “…An effective campaign will make a real difference to the 1 in 4 of us who will experience mental distress in our lifetimes. 

“For maximum impact, any campaign needs to work on local, regional and national levels.  In today’s economic climate, an anti-stigma campaign is more important than ever and would help focus attention on the health and wellbeing of the population of Wales more widely”.

I believe strongly that as a society we need to change the way we treat those with mental health conditions. We need to work towards a society where people are not afraid to talk about their mental health.

Ewan Hilton, Executive Director of Gofal Cymru, said: “I want to be part of a society in which everyone feels able to ‘come out’ and discuss their mental health openly, without fear of uncomfortable reactions from friends and family or discrimination from employers if they explain that they’re unwell. I want to be part of a society where no-one feels ashamed to seek support or treatment for a period of mental ill health and where there are role models from all professions and in all communities who stand as reminders that people can and do recover. This will require a real step change; we need to challenge the way we all think about, talk about and respond to mental health and wellbeing”.

We are all affected by mental health conditions in some way but we may not even know it, it shouldn’t be this way. Mental health has been described as ‘The last taboo’; I want Wales to be a part of changing this, then maybe ‘coming out’ will be a thing of the past.  

Article written by Veronica German AM for The Western Mail:

http://www.walesonline.co.uk/news/health-news/2010/08/30/perhaps-it-s-time-for-a-campaign-in-wales-to-de-stigmatise-mental-health-91466-27164237/