The psychiatric services PARADOX

22 02 2012

“For consumers of all ages, early detection, assessment, and linkage with treatment and supports can prevent mental health problems from compounding and poor life outcomes from accumulating. Early intervention can have a significant impact on the lives of children and adults who experience mental health problems. Emerging research indicates that intervening early can interrupt the negative course of some mental illnesses and may, in some cases, lessen long-term disability. New understanding of the brain indicates that early identification and intervention can sharply improve outcomes and that longer periods of abnormal thoughts and behavior have cumulative effects and can limit capacity for recovery” (President’s New Freedom Commission on Mental Health)

Policy makers, clinicians and researcher highlight the importance of early intervention in the mental health field, as well as other medical areas. Furthermore, one of the main purposes of public awareness and anti stigma campaigns is to promote help seeking behaviors and treatment adherence among people who experience psychiatric symptoms. However, the call for early interventions and for help seeking behaviors is almost ironic in the present situation of psychiatric services (e.g., mental health departments/hospitals, ambulatory and community based rehabilitation services). For example, here in Israel, the situation of psychiatric services for children and teens is DIRE (!). In the same vein, most adults that need community based treatment and rehabilitation do not receive it due to lack of available services. So how can we call for people to go and get treatment when this treatment is not available for so many people?


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26 02 2012
Mike Llywelyn Cox

We must get away from the hospital mindset and psychiatry means closed minds.

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