Professional Documents
Culture Documents
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In
mental
health
Introduction
Save
money
on
hospital
bed
costs
by
catching
mental
illness
early
Our
vision
is
to
extend
the
radical
innovation
currently
underway
in
Birmingham.
To
do
so,
this
short
paper
calls
for
the
immediate
designation
of
a
minister
for
mental
health,
Mental
health
care
affects
many
government
departments,
in
varying
degrees.
Importantly,
mental
health,
unlike
physical
health,
has
a
disproportionate
impact
on
departments
other
than
DoH.
Currently,
mental
health
services
are
entirely
reactive.
Part
of
this
paper
turns
that
notion
on
its
head
and
suggests
that
schools
have
a
greater
role
to
play;
with
the
right
training
and
support,
schools
could
identify
mental
illness
early
and
intervene.
This
paper
outlines
impacts,
department
by
department,
but
the
headline
figure
is
that
mental
health
issues
cost
the
economy
105.2
billion
in
2014;
this
figure
is
expected
to
rise.
Judging
by
the
success
of
the
extension
of
early
intervention
in
Birmingham,
reducing
the
huge
future
cost
of
mental
health
by
investing
now
looks
more
and
more
pragmatic.
Department
of
Justice
Information
In
a
prison
population
of
about
65,000
in
England
and
Wales,
an
estimated
66%
of
the
remand
population
have
mental
health
difficulties
and
39%
of
the
sentenced
population.
10%
of
men
and
30%
of
women
have
had
a
psychiatric
admission
before
entering
prison.
25%
of
women
and
15%
of
men
in
prison
reported
symptoms
indicative
of
psychosis.
The
rate
among
the
general
public
is
about
4%.
26%
of
women
and
16%
of
men
said
they
had
received
treatment
for
a
mental
health
problem
in
the
year
before
custody.
Personality
disorders
are
prevalent
among
prisoners:
62%
of
male
and
57%
of
female
sentenced
prisoners
have
a
personality
disorder.
49%
of
female
and
23%
of
male
prisoners
in
a
Ministry
of
Justice
study
were
assessed
as
suffering
from
anxiety
and
depression.
This
compares
to
16%
in
the
total
population.
46%
of
female
prisoners
reported
having
attempted
suicide
at
some
point
in
their
lives.
This
is
more
than
twice
the
21%
rate
among
male
prisoners.
The
comparative
rate
for
the
UK
population
is
6%.
95%
of
imprisoned
young
offenders
have
a
mental
health
disorder.
Many
of
them
are
struggling
with
more
than
one
disorder
(Source: The
prison
reform
trust.
Mental
Health
Care
in
Prisons,
2015)
The
solution
We
are
calling
for
specialist
mental
health
provision
in
all
prisons
across
England
and
Wales
and,
crucially,
in
all
young
offenders
institutions.
We
need
to
make
sure
that
our
police
force
has
the
correct
entry
level
training
to
deal
with
a
mental
health
crisis.
Department
of
Education
Information
1
in
10
children
and
young
people
aged
5
-
16
suffer
from
a
diagnosable
mental
health
disorder
-
that
is
around
three
children
in
every
class.
Over
8,000
children
aged
10
and
below
suffer
from
severe
depression.
Top
schools
in
the
UK
have
raised
a
flag
of
alarm
over
the
terrifying
rates
of
mental
health
problems
they
are
seeing
among
their
pupils.
The
number
of
university
students
reporting
mental
health
difficulties
has
risen
from
about
8,000
to
18,000
in
the
four
years
to
2014-15.
The
solution
We
aim
to
see
teachers
working
closely
with
local
mental
health
trusts
and
charities
to
provide
continuous
support
to
pupils
with
mental
health
problems
and
their
parents
or
guardians.
We
are
calling
for
one
teacher
or
teaching
assistant
per
year
group
to
be
trained
in
mental
health
to
help
with
early
identification
and
intervention.
This
would
enable
pupils
to
receive
the
support
they
need,
so
that
they
remain
in
school
and
achieve
their
potential.
Department
of
Health
Information
1
in
4
people
suffer
a
mental
health
problem
in
their
lifetime.
A&E
admissions
due
to
mental
illness
rose
to
over
a
million
in
winter
2014
and
are
expected
to
rise
in
2015/2016.
People
with
mental
health
difficulties
arrive
in
A&E
because
no
earlier
intervention
has
succeeded,
or
because
there
has
been
no
earlier
intervention
at
all.
The
key
is
to
address
mental
health
issues
before
this
crisis
point.
(Source:
Bridging
The
Gap:
Royal
College
of
Psychiatry,
2011)
(Source:
The
Guardian:
Mental
health
patient
admissions
to
A&E
set
to
reach
record
levels,
2015)
The Solution
Invest
in
early
intervention
to
reduce
the
number
of
mentally
unwell
people
arriving
at
A&E.
To
address
the
issue
of
lack
of
training
A&E
staff
have
in
mental
health;
we
need
to
invest
in
entry
level
mental
health
training
for
all
staff
in
the
NHS.
We
need
to
address
the
rising
costs
of
hospital
beds;
(Average
cost
350
a
day)
while
to
give
someone
early
intervention
in
the
community
it
costs
(Average
13
a
day).
So
instead
of
waiting
till
crisis
point;
use
some
of
the
money
we
use
for
hospital
beds
and
put
it
back
into
early
intervention
in
the
community.
We
need
to
see
more
funding
for
evidence
based
treatments
for
mental
health
issues.
Department
for
Work
and
Pensions
Information
Cost
of
welfare
attributable
to
mental
health
issues
is
29.1
billion
This
takes
no
account
of
the
'opportunity
cost'
of
failing
to
introduce
these
claimants
to
the
world
of
work.
The solution
Create
a
specialist
route
for
unemployed
people
with
mental
health
issues.
Local
mental
health
care
trusts
and
charities
should
be
encouraged
to
support
jobseekers
in
their
quest
for
achievable,
appropriate
and
accessible
routes
(back)
into
first
part-time
work,
whether
voluntary
or
paid,
and
then
into
full-time
careers
where
possible.
Ministry
of
Defence
Information
The
solution
We
could
argue
that
the
stigma
of
mental
health
affects
service
personal
and
veterans
more
acutely
than
other
groups.
Indeed,
Combat
Stress,
appears
to
address
precisely
this
issue
by
describing
the
military
mind
rather
than
speaking
in
the
traditional
language
of
most
mental
health
organisations.
After
all,
when
the
only
people
that
can
understand
what
it
is
like
to
come
under
fire,
are
those
that
have
shared
that
experience,
so
it
is
for
people
suffering
from
mental
health
issues.
Now
imagine
what
it
must
be
for
the
one
group
to
be
a
subset
of
the
other.
How
would
you
tell
one
from
the
other?
And
if
you
were
in
that
subset,
how
would
you
figure
that
out?
(Source:
Telegraph
Online:
Veterans
PTSD
cases
up
a
quarter
in
a
year
charity
warns
2015)
(Source:
Mental
Health
Foundation:
Veterans
Mental
Health,
2015)
Business
innovation
and
skills
Information
40%
of
working
days
lost
to
sick
leave
were
caused
by
mental
ill
health
Cost
to
United
Kingdom
businesses
is
approximately
is
26
billion
a
year
The
solution
(Source: Social Market Foundation: Shifting Responsibilities, Sharing The Cost, 2008)
Sports
and
Culture
Information
90%
of
the
mentally
unwell
experience
stigma
and
discrimination
A
quarter
of
young
people
suffering
from
mental
health
difficulties
said
they
didnt
join
a
local
a
sports
club
for
fear
of
discrimination
The
solution
Reduce
stigma
with
campaigns
to
celebrate
the
successes
of
people
who
have
suffered
from
mental
illnesses.
Work
with
national
and
local
sports
clubs
to
spread
awareness
of
mental
illness
within
sport.
Work
with
coaches
and
players
on
how
to
support
young
people
with
mental
health
issues
in
the
sporting
environment.
(Time
to
change,
2015)
Treasury
Information
Cost
of
poor
mental
health
to
the
economy
is
estimated
to
be
105.2
billion
in
2014
and
predicted
to
rise.
Despite
effective,
evidence-based
interventions,
mental
health
problems
continue
to
cause
mental
anguish
and
physical
suffering.
(Source:
Bridging
The
Gap:
Royal
College
of
Psychiatry,
2011)
(Source:
Centre
For
Mental
Health:
Economic
and
social
costs
of
mental
health
problems,
2010)
The
solution
Invest
10
billion
a
year
into
early
intervention
in
mental
health
over
a
five
year
period.
According
to
the
studies
from
Birmingham
and
Dr
Tom
Foley,
the
expected
savings
would
be
200
billion
in
a
single
Parliament.
Conclusion
Mental
illness
affects
us
all,
whether
unwell
or
not;
it
touches
every
department
of
state.
It
comes
at
a
massive
cost
to
our
economy,
our
national
purpose,
our
workers,
our
pensioners
and
our
schoolchildren.
Our
recommendations
are:
First,
people
with
mental
health
issues
interact
with
almost
every
department
of
government.
The
opportunities
to
improve
their
lot
and
cut
the
long-term
cost
of
providing
services
to
people
with
mental
health
issues,
cut
across
departments;
hence
our
call
for
a
dedicated
minister
for
mental
health.
Second,
the
minister
will
need
to
confront
fear
head-on.
People
suffering
from
mental
health
issues
are
afraid;
they
are
afraid
of
their
condition,
their
environment,
and
often
of
themselves.
Third,
equally,
the
minister
will
have
to
confront
head-on
the
natural
wariness
and
fear
that
the
mentally
healthy
reserve
for
the
mentally
ill,
for
these
are
the
causes
of
stigma.
Unless
one
has
suffered
from
a
mental
health
issue,
one
cannot
really
understand
the
suffering
of
the
mentally
ill.
Whilst
this
may
sound
as
though
we
are
suggesting
that
the
blind
should
lead
the
blind,
there
are
very
few
examples
of
an
illness,
which
is
hidden,
little
understood
and
truly
terrifying,
both
for
the
sufferer
and
for
the
people
around
them.
Only
people
that
have
suffered
a
mental
health
issue
can
really
relate;
everything
else
is
mere
compassion.
Whilst
we
do
not
disregard
the
value
of
compassion,
what
is
needed
is
action.
Sharon
Sutton
Mental
Health
Community
Voluntary
Support
Worker
Durham,
England
We
need
to
invest
in
early
intervention
because
financially
it
will
help
the
country
save
money
and
ultimately
save
lives
Savannah-
Alicia
Lloyd
Mental
Health
advocate
London,
England
Simple
mental
health
training
for
tutors
and
staff
at
schools
as
children
and
young
people
seem
to
go
to
tutors
first
in
hope
for
help
and
tutors
spend
most
of
the
time
with
the
young
person
apart
from
parents
which
would
mean
they
would
notice
any
change
in
the
person.
Laurence
Griffin
University
Student
Leeds,
England
Those
in
the
NHS
need
far
better
training
with
mental
health,
from
personal
experience.
Jenny
Langley
Parent
Brighton,
England
In
schools
there
should
be
a
whole
school
approach
of
prevention
and
early
intervention
with
all
staff
being
trained
in
the
basics
of
mental
health
and
how
to
respond
to
student
disclosure.
This
would
massively
increase
the
likelihood
of
students
coming
forward
as
soon
as
they
start
to
struggle
rather
than
waiting
until
they
are
in
crisis.
John
Steward
Parent
Heddon
on
the
wall
I
think
that
more
needs
to
be
implemented
in
office
workplaces
as
I
think
that
some
companies
still
don't
understand
the
full
scale
of
mental
health
issues
and
any
signs
that
they
are
looking
out
for.
Companies
are
starting
to
put
more
pressures
on
to
staff
throughout
the
UK
with
higher
targets
which
at
times
are
not
realistic
which
causes
stress,
anxiety
and
turns
people
to
increase
the
intake
of
alcohol
which
leads
to
further
mental
health
issues.
There
certainly
needs
to
be
a
balance.
The
more
those
boards
understand
mental
health
the
better
the
staff
they
will
but
mentally
and
physically.
Penny
Bowman
NHS
Mental
Health
Manager
Northumberland,
England
There
is
too
much
of
a
postcode
lottery
when
it
comes
to
mental
health
care.
We
need
to
make
sure
that
you
can
get
good
support
whatever
area
you
fall
into.