The Herald

End the bluster: change direction on mental health

- DR JIM CRABB Dr Jim Crabb is a consultant psychiatri­st and policy lead at the Royal College of Psychiatri­sts Scotland Agenda is a column for outside contributo­rs. Contact: agenda@theherald.co.uk

MOVEMENT is the theme of Mental Health Awareness Week– but the grim reality is mental health services across Scotland have been moving backwards for quite some time.

Sadly, this is despite the best efforts of the great staff who work in them.

For years now we’ve been told about investment in mental health services with the same lines trudged out every time data is published on waiting times or Scotland’s drug death crisis.

But working on the frontline, we know this is just spin and bluster.

The 10 per cent of the NHS budget we were due to get is of course a paltry amount compared to what is spent on physical health. Much more is so desperatel­y needed.

But to add insult to injury the amount of cash actually spent has been reducing by up to five per cent each year.

Our mental health system was woefully underfunde­d and understaff­ed in the first place; then came austerity, Covid and the cost of living crisis.

We were therefore unprepared to deal with a gigantic wave of demand.

Usually in times of great chaos and upheaval, health care systems and government­s look towards senior doctors to help triage the battlefiel­d.

We use our expertise to ensure that as many people can be helped as possible.

Much to our disappoint­ment, this hasn’t happened. Instead, psychiatri­sts have had to look on in frustratio­n as the scant resources we do have are misspent in often well-intentione­d but misguided ways.

In the worst cases, services have been plugging gaps with vastly expensive agency locum doctors, who in many cases are not suitably trained and qualified.

NONE of us would accept our loved one going for an operation if the doctor doing the cutting was not trained in surgery, yet this has been allowed to happen in mental health services.

But it’s not all hopeless. We can change direction.

Everyone who cares about the mental health of Scotland should put pen to paper and write to their MSP now.

Join the cause and demand we stop the cuts and that at least 10 per cent of the NHS budget be spent on these vital services.

Please ask that national pathways are developed for the most serious mental illnesses, particular­ly schizophre­nia and dementia.

Call for a national workforce strategy so that places with the highest rates of poverty and drugrelate­d deaths always have consultant psychiatri­sts working in them.

Request every consultant psychiatri­st position is staffed by a doctor who is suitably qualified and trained to do such a senior role.

Above all note that every pound be spent wisely on mental health services and demand consultant psychiatri­sts are key decision makers whenever these services are being set up.

You can help move things forward. Please write to our politician­s today. The most vulnerable people in society are depending on us.

Together we can move our country to a healthier place by the time the next awareness week comes around.

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