Monday, August 5, 2019

Mental health is health and treatment is a right


This is my first blog and I want this to be valuable. I am not ready to share my identity yet and I don’t think it makes me a scared or a coward but I think it doesn’t matter if there is a name attached to this blog or not because what matter is that those reading it truly understand the message of this blog. Mental health has been in the news for sometime which could be good or bad. The idea is that the more we speak about it, the more normal and accepted it could become. Conversations related to mental health should be welcomed because our society has so much to learn still. However, what I have recently noticed is that the more mental health is brought up, the more certain individuals wrongly believe themselves to be an expert.

Our universal health-care system is a point of pride for Canadians. But the reality is, we don’t have a universal health-care system, but a universal medical system that doesn’t guarantee access to some of the most basic mental health services and supports. Mental health services are among the most underfunded and undervalued services in our health-care system. Many people with complex or chronic mental health problems do not receive the full scope of care they need and end up cycling through the acute care system. The reasons are many: limited services, lack of knowledge of available services, inaccurate diagnosis, stigma, lack of awareness etc. Our health care system is not only underfunded for medical services but is also much further behind in mental health promotion.

What we need is a more integrated continuum of care provided through community mental health services which can meet the needs of as many people with mental health problems as possible by including early intervention and prevention, enhanced treatment for those who need it, and longer-term follow-up and supervision for those with severe and persistent illness. The term longer term follow up is crucial because though it is common sense, it does not exist. I can say this from a professional perspective. What most programs provide are 1.5 hour-long consultations after which recommendations are provided for the family doctor to take over. How does that make any sense? What we need to understand is that mental health is a specialty and though family doctors may have knowledge and expertise in this field of medicine, the first couple years of illness are crucial and the individual requires a program that can support different aspects of their recovery that is not only medication based.

When we don’t serve our society in a way we should, we are sending a message that those with mental health cannot be supported or treated. Sorry you have this illness but you will have to wait certain number of months until you are treated or you will have to travel 30-40 minutes to see a specialist. Why isn’t psychiatry as important as family doctors? It is just as important as physical health so why isn’t the government focusing on it? Do they not look at the hospital expenses that are specifically related to mental health?

What I would like to advocate for is not just about increasing funding for mental health services, but also improving coordination, treatment, research and access and making better choices. Its not only about the lengthy wait times, its about the lack of services across the city-and I would like to take this one step further and say expert services. So this initiative is to provide further awareness to the public and hopefully to those making the big decisions who may or may have not dealt with a mental health crisis in their life. Ignorance is no longer bliss.

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