The number of people being sent hundreds of miles away from their families for mental health treatment rather than cared for locally has increased over the last twelve months.
In April 2016, the government said within four years it would eliminate the practice of uprooting individuals due to local bed shortages, which is generally thought to impede or delay recovery.
Some 7,655 new mental health “out of area” placements (OAPs) occurred last year. 96 percent of these occurred not because specialist care was available elsewhere, but because of a lack of local provision.
Vicki Nash, Head of Policy and Campaigns at Mind, said: “The NHS has promised to completely eradicate inappropriate out of area placements, and yet we can see that the number of these placements between September and December last year increased from the same period the year before. This is disturbing. We are nearing the NHS’s own target of zero out of area placements by 2020/21, but the figures are going in the opposite direction. There is a huge amount of work still to do to get the numbers down.”
“Too many people with mental health problems are being forced to travel hundreds of kilometres from their friends and family to receive the treatment they need. This can worsen people’s chances of recovery, as well as being expensive for the NHS and the taxpayer. In December 2018 alone, 250 people were sent 300km or more away from home to get help. We urgently need to see investment in mental health services reaching the frontline, so that people can get the treatment they need, when they need it, close to home.”
“The NHS has rightly made ambitious commitments for improving mental health care. But while we are waiting for these to be delivered, thousands of people continue to face the traumatic experience of being sent away from home and separated from their support network to get the help they need. This is a crucial year and the urgency of the NHS delivering on its promises cannot be overstated. It must do far better for the people with mental health problems in its care right now.”
Out of area placements cost, rather than save, the NHS money. On average, the health service pays £545 / day for each relocated individual. This amounted to a figure in excess of £100m in 2018.
Source: Mental Health Today
Social media addiction should be considered a disease, MPs have said, in a sign of the pressures facing technology companies and the growing concern over the impact social networks are having on users’ mental health.
The politicians called for further research on the effects of social media but said a report suggested there was good reason to believe sites such as Facebook, Instagram and Twitter – which are constantly competing for users to spend more time on their platforms – could be having a corrosive effect on children.
“It is paramount that we protect young people to ensure they are kept safe and healthy when they are online,” said the MPs, who believe the government should urgently fund long-term studies to see whether a clinical definition for social media addiction should be introduced.
The report was compiled by the all-party parliamentary group on social media and young people’s mental health and wellbeing, made up of MPs who have an interest in the topic. The report was written with the assistance of the Royal Society for Public Health (RSPH) charity, which endorsed its findings following a series of evidence hearings.
Full story: Guardian
People with a gambling problem are 15 times more likely to take their own life, according to the largest study of its kind, prompting calls for swifter action by the government to tackle betting addiction.
Academics at Lund University, Sweden, monitored more than 2,000 people with gambling disorders, finding a significantly elevated risk of suicide among participants compared with the general population over an 11-year period.
The study found that suicide rates increased 19-fold among men between the ages of 20 and 49 if they had a gambling problem and by 15 times among men and women of all ages.
The authors of the research said that while the causes of suicide were complex and likely to involve more than one factor, their work indicated gambling disorders were associated with far higher than average rates of suicide.
Campaigners said that if the same results were applied to the UK, the Swedish study would indicate around 550 suicides a year in which gambling played a part, or more than 10 per week.
“This research confirms the high number of gambling-related suicides that Gambling with Lives families brought to public attention after the deaths of our children,” said Charles and Liz Ritchie, who founded the charity after their son Jack took his own life aged 24 following a gambling addiction.
“The lack of recognition of the scale of this problem has been shocking and we call on the government to take immediate action to save lives.”
There is just one specialist problem gambling clinic in the UK, although a second is due to open in Leeds after the government promised greater funding for treatment as part of a 10-year plan for the NHS.
Full story: Guardian
A new report from NHS Providers, Mental health services: addressing the care deficit, looks at the levels of demand for mental health services reported by frontline leaders and the reasons behind the growing pressures.
The report identifies widespread concerns about benefits cuts and the impact of universal credit. It also indicates that loneliness, homelessness and financial hardship are adding to pressures on NHS mental health services.
Responding to this, Mind’s chief executive Paul Farmer said:
“Changes to the benefits system in recent years, and austerity generally, have had a devastating impact on the lives of many people with mental health problems. It’s clear that difficult life circumstances and mental health problems are closely linked, yet the relationship between them isn’t taken into account enough. If you have a mental health problem you are more likely to need support from the benefits system, experience poor housing and may struggle to stay in work without the right support, while the enormous challenges of dealing with difficult life events and trying access support can take a huge toll on mental health.
“The punitive, complicated benefits system in particular is making people unwell. People tell us they are treated with suspicion about the nature of their health problem and how it affects them, by someone who lacks expertise, knowledge or sensitivity when it comes to mental health. They are then having their support cut when they’re not able to do the things that are asked of them.
“Unsurprisingly, demand for NHS mental health services has gone up and while we welcome the long-term plan and the funding attached to it, this should be seen as the start, as a down payment for future investment, and as only one part of the solution. We need a cross-governmental plan for mental health that looks at all aspects of people’s lives and recognises the part that all government departments can play in helping people live mentally healthy lives.”
Source: National Mind
He was known for his “wicked sense of humour” and his dedication to help those with mental health issues.
John David Oliver, known to those close to him as David, has died aged 77. Mr Oliver founded Islington charity Islington Music Forum, which has helped hundreds of people suffering mental health crises through the power of music.
He founded the band Déjà Vu with that aim. They played gigs across the borough, including at Sotheby Mews Day Centre in Highbury East.
David started Islington Music Forum, now known as Key Changes – an organisation which marries music with mental health recovery. Rick and David held music sessions for patients at Highgate Mental Health Centre in the early 2000s.
“We met all kinds of people who were skilled and talented,” said Rick. “We had a fantastic reaction from patients.”
David first joined in activities at Sotheby Mews Day Centre a decade ago, and led a session on Fridays with Rick where they turned poems into songs.
In September, the centre held a festival for its users where Déjà Vu performed.
Rosie Litterick, who helped organise the Sotheby Mews festival, said: “David was a huge personality in this community.
“His dedication to his work with Déjà Vu was second to none. Right until the last he was planning for the future and thinking who we could reach, how and where. His Liverpool humour and endless one-liners made him the centre of many jovial conversations.
“The day I met him, he orchestrated a song on my behalf. It was about the warmest welcome I have got anywhere in my life.
“He had a heart of solid gold and will be sorely missed by myself and everyone who knew him. Rest in peace, David.”
Nigel Williams, older people’s service manager at Sotheby Mews, said: “David as we knew him was a cheeky Scouser with a friendly smile and a distinct sense of humour.
“His connection with the centre precedes me. He was part of the furniture when I arrived.
“He was passionate about the power of music and its restorative ability. He often challenged cuts and closure of provision. He had a lovely way with people that often managed, through charm and persistence, to find funding for projects he championed.
“We will miss his drive, enthusiasm and challenge.”
David attended Islington Mind events and the day centre in Archway.
John Coppock, finance worker at Islington Mind in Archway, said: “We were saddened to hear of David’s death. He will be missed.”
David died at the Royal Free Hospital, in Hampstead, on November 30 after suffering from heart complications.
Full story: Islington Tribune
Nearly three in five teachers in only their first year in the profession are already not convinced that they will stay in teaching – and rising mental health problems are partly to blame, research finds.
The survey, of more than 275 teachers in their first year of teaching, by a Leeds Beckett University academic, found that only 43 per cent have definite plans to stay in the profession long-term.
It found that 29 per cent do not plan to stay in the classroom and 28 per cent were neutral.
Experts say a growing number of new teachers are experiencing mental health problems. And cuts to mental health services and a relaxation of the government’s teacher recruitment requirements, as well as existing pressures from senior staff and high workload, have contributed to the rise.
Professor Jonathan Glazzard, from Leeds Beckett University, who conducted the poll and who leads research at the Carnegie Centre of Excellence for Mental Health in Schools, said: “It is worrying that they have invested so much money and time into training to be a teacher and they are not staying.”
Full story: Independent
Patients coping with severe mental health conditions that mean they are afraid they could harm or kill themselves are being discharged from NHS care, unprepared and without support in the community.
Psychiatrists said falling numbers of mental health beds and the loss of specialist units for more complex patients have created pressures to discharge, which cash-strapped community services have not been able to meet.
“When I was in the hospital, they were chucking people out at a rate of knots when they were clearly unwell,” said Jenny, who has spent more than two decades in and out of the mental health system and asked to stay anonymous.
“They didn’t prepare for me being discharged at all. Then I self-harmed really badly because I wasn’t safe to be home yet. I still don’t feel safe now, I’ve got no care plan, nothing.”
She has a complex diagnosis including personality disorder, depression and alcoholism, and tells The Independent she doesn’t feel the services offered in the community benefit her condition.
“They are telling me that I am not engaging [with treatment] which is the new buzzword that they use along with recovery,” Jenny said she is now considering discharging herself from treatment entirely.
“I have finally had enough, they are actually causing me more stress and anxiety,” she said.
Dr Ranga Rao, a consultant interested in addiction and dual diagnosis and the Royal College of Psychiatrists’ lead for acute inpatient care, said a lack of support outside hospital could increase pressures elsewhere.
Full story: Independent
Any woman who has experienced workplace sexism will not be surprised to find out that new research shows it can take a serious toll on mental health.
A study of 190 women working in male-dominated environments showed that organisational and interpersonal sexism were associated with a lesser sense of belonging in the industry, which was in turn associated with poorer mental health.
Examples of sexism cited in the study include: “Women receiving unwelcome sexual advances, being touched inappropriately, receiving inappropriate comments about their body or appearance, being exposed to sexist jokes and comments, and being exposed to pornography.”
The researchers predicted that a sense of belonging could increase job satisfaction and mental health, but that workplace sexism would decrease women’s sense of belonging because it represents a form of bullying, rejection, and ostracism by men against their female co-workers.
The study, published in the Journal of Applied Social Psychology, showed this to be the case.
Full story: Independent
GPs are giving too many older people antidepressants when they are struggling with depression, and should prescribe talking therapies far more often, according to new research.
Family doctors too often avoid talking to patients over the age of 65 about depression and do not have the time to explore and treat the condition properly, the study found.
Almost one in 10 over-75s are thought to suffer from depression, while almost four in 10 (37.4%) exhibit some symptoms. However, the vast majority, 87%, are treated with medication, even though it often does not help, according to the findings.
Too often GPs dismiss talking therapies as a way of tackling depression in older people, partly because there are long waiting times to start treatment, according to the paper, which has been published in the British Journal of General Practice.
NHS Digital figures show that although 1.4 million people of all ages were referred for help to NHS Improving Access to Psychological Therapies (IAPT) in 2017/18, just 91,117 of them (6.3%) were aged over 65.
Similarly, while 1 million of all those referred started talking therapies treatment, only 74,503, or 7.4%, of those were over 65.
Even though evidence shows that talking therapies help older people with depression, they are twice as likely as younger people to be treated with antidepressants.
Full story: Guardian
The Legal Aid, Sentencing and Punishment of Offenders Act 2012 (LASPO) is a piece of legislation that made changes to the types of legal problem covered by legal aid and to the financial eligibility threshold for applicants.
Mind’s research found that changes made by LASPO have disproportionately impacted on people with mental health problems who are likely to face legal issues in several areas.
The long-awaited first part of the post-implementation review has now been published and highlights the impact these changes are having, along with the ‘Way Ahead’- an action plan accompanying the review.
Responding to the review, Vicki Nash, Head of Policy and Campaigns at Mind, said: “We are pleased to see this review finally published after much delay. Mind submitted evidence which showed how people with mental health problems are more likely to be affected by changes to the scope of legal aid. It was positive to see this research recognised in the publication, but it’s frustrating to see no explicit Government commitment to lessen the negative impact this legislation is having on people with mental health problems. We are also disappointed that the review seemingly dismisses much of the sector’s evidence of the impact on vulnerable people as anecdotal. After all, it is the real experiences of people that should be taken into account, for example, people who are severely unwell facing the prospect of representing themselves in court without a lawyer or advocate.
“It’s shocking to see the extent of the cuts, particularly that there has been a 99 per cent reduction in welfare benefits cases getting legal aid. We know that well over half of people appealing decisions about their disability benefits get the outcome overturned in court. But too often people with mental health problems tell us that they’re too unwell to face the lengthy and onerous process of taking an appeal without support – leaving too many people locked out of the benefits that they should be entitled to. More positively, the Ministry of Justice has committed to reviewing means tests, piloting early advice, and scrapping the mandatory telephone gateway for debt and discrimination issues – two of the more common legal problems facing people with mental health problems.
“What we now need to see is the Government urgently put these recommendations into place, given that in the meantime vulnerable people facing multiple legal issues are having to go through a stressful process without support, often making them more unwell. Limiting legal aid was a cost-saving exercise, yet costs are being felt elsewhere – as people’s mental health worsens, the impact is being felt by our NHS too.”
Source: National Mind