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The Time Has Come…..

May 22, 2019 22 comments

Lewis Carroll: Through The Looking Glass

Funnily enough, I won’t be talking about any of those things in this post, though there is a temptation to think about when pigs might have the wings to fly. But I’ll pass on that, for now. The ‘many things’ I have in mind are the reasons why I have been away from here for some time. I’m sharing them to show how easily what we believe to be the equilibrium of our lives can be unbalanced. Last week, when I began writing this, was Mental Health Awareness Week (MHAW), and that seemed as good a time as any for a post which has mental health as its underlying theme. MHAW is organised by the Mental Health Foundation, and you can find out more about it from their website. I wasn’t really following their theme for this year – how our body image can affect our mental health – so it was perhaps just as well that this wasn’t intended to be an ‘official’ post in support of the week, as it is now late! But taking care of our mental health, whatever the context, is something of which we should all be mindful at all times.

So, why have I been AWOL? This goes back a while. I have a condition called lymphoedema, which can only be managed, but never completely cured. I had needed to restart the treatment for this for some time, but managed to go into denial and become reclusive about it. Whilst I was doing that – with the obvious signs of needing some support for my mental health – I received the news that my landlords wanted me to move out at the end of my rental contract, so that they could sell the flat. Whilst this is always a risk when you live in private rental accommodation, I have lived here since my divorce, eleven and a half years ago, and I felt very destabilised by this. So that was two pressures which were causing me stress and anxiety – not the best basis on which to build a successful search for a new home! Anyone familiar with Maslow’s Hierarchy of Needs will recognise that the foundations of my personal pyramid were on shaky ground:

I needed to do something to improve my situation: sadly, that was much easier said than done. But, to cut a long story short, I’m now receiving excellent treatment for my physical health, and am more confident about that part of my life than I have been for the past couple of years. And to cut another story short, I have had the amazing luck that the flat across the hall from mine will become vacant at the end of the month, so I can move in there. It will still be a lot of upheaval, but nothing like as much as it could have been. I like the area where I live, so this is the ideal solution, and it means that I can maintain continuity in my healthcare without having to transfer to a new service. As my needs are long term, this is important to me.

Unsurprisingly, I think my mental health has improved, and I have felt a noticeable boost since I received the news last week about my new flat. This is probably just as well, as there doesn’t appear to be any support for that here. I had an assessment a few weeks ago, which described me as suffering ‘mild geriatric depression.’ Inclusion of the word ‘geriatric’ didn’t help! The mental health professional who was working with me gave me the bad news that as I was only a mild case I didn’t meet the specialist services’ threshold to be treated. She recommended the county Well-being and Support service. But this is where Catch 22 came in: that service is for people aged 18 to 65, and as I had reached the decrepit old age of 65 seven months previously, I didn’t qualify for their support either. I spent a fair amount of time on the website of the NHS Trust which provides mental health services in this area, but could find absolutely nothing for people of my age. They claim to provide services for all age groups, but there isn’t a specific section on their site dedicated to ‘older adults,’ and the links in other sections didn’t seem to work. It isn’t good for people who may need help not to be able to find it easily, so I’d made up my mind to call them for advice, but hadn’t got round to it before the good news about a new home. I’d also asked my GP Practice for advice but they hadn’t come up with anything either. It was beginning to look as if I just had to keep my fingers crossed that the new flat would improve my mental health situation, but quite by chance the nurse looking after my bandage change told me of a voluntary service operating in this area, so if I still feel the need for some support once I’ve got moving out of the way I can give them a call.

There may well be other services that could help me, but if a specialist professional, my GP Practice and the Trust’s website can’t direct me to these, where are they? Setting aside my own situation, there is something rather worrying about the lack of mental health support for older adults in this area. I wonder if this is just a quirk of the local system, or whether this is a more widespread issue? The current system supposedly places the commissioning of services in the hands of clinicians – Clinical Commissioning Groups (CCG) to give them their proper name. But as I have mentioned in previous posts, even when money is clearly ring-fenced for the provision of mental health services the CCGs tend to divert it towards physical care services. Frankly, I think this is a disgrace, and the fact that it has been allowed to happen and to continue does, I believe, reveal a failing of the system of performance monitoring which is supposed to oversee the CCGs’ work.

I know there are intolerable pressures on funding but it does rather seem as though I’m now part of a twilight zone of the forgotten and unimportant. I feel strong enough to bear that, but I wouldn’t mind betting that there are a great many older people who aren’t so strong, and may not be getting the support they need. There is a danger that people will fall between the cracks between heath and social care: I was referred to our local social services but, having established that I am solvent and am perfectly capable of washing, dressing and feeding myself they have closed the referral. Others may not be so fortunate in their circumstances, and it is to our country’s shame that so much effort and resources are being wasted on the ridiculously pointless and unnecessary Brexit, that important issues are being ignored. Hopefully, the dreaded Brexit will finally be resolved soon, and we will be able to tiptoe through the wreckage to see what remains for the provision of mental health services for older people, if anything. Or maybe all we’ll see is the occasional pig flying past. I’ll let you know how Flying Pig Watch goes, and if I can find any services to support me and others like me.

 

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Time To Change: My Pledge

February 12, 2019 7 comments

I was looking back through my previous posts, trying to find something I wrote in the early days. As you do, I stumbled across something I didn’t recall writing – old age can be such a pain sometimes! This post is from November 2014 and, rather than being specifically written for #TimeToTalkDay, as I did last week, this is an explanatory piece about the organisation behind that day: Time To Change. It struck me that this would be a good follow up to last week’s post, so here it is. Unusually for a post dating so far back, all of the links still work.

I hope you can find a few moments to read this previous post and to follow the links and find out more. This is why I started blogging and, despite occasional appearances to the contrary, is why I am still doing this. We can never underestimate how important it is to look after our mental health, and to support and promote those who are sharing this message.

Take care.

Take It Easy

Time To Talk

You may not have heard of the Time To Change initiative, which is led by Mind and Rethink Mental Illness, two of the leading mental health organisations in the UK, and is funded by the Department of Health, Comic Relief and the National Lottery.

Time to Change began seven years ago and is England’s biggest programme to challenge mental health stigma and discrimination. It aims to start a conversation – or thousands of conversations – about aspects of mental health, to help people become more comfortable talking about it. They have a range of activities in progress, which you can read about here on their website. There is also plenty of useful information there, so it is well worth a visit. You can follow them on Facebook and Twitter, and if you use the hashtag for their campaign – #TimeToTalk – you should see what people are saying and doing.

Estimates usually suggest that around…

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#TimeToTalk Day 2019

February 6, 2019 29 comments

Tomorrow, 7 February, is #TimeToTalk Day. The day is run by the Time To Change organisation, and is all about opening a conversation: this may be with someone who may need support; it could be to help raise general awareness of mental health issues; or it may be to help people be more sensitive and caring towards each other. I hope you join in – no special skills or resources are required, just be yourself and talk to someone. You may be pleasantly surprised at what happens.

Time To Change is led by Mind and Rethink Mental Illness. If you’d like to find out more their website is here, and there are loads of resources available for you. I was particularly taken with this one:

So much, in fact, that I have made it my header for my personal Facebook page, so that my friends can see my support for this day. Many of them know my story, but probably not in any detail. Last year I wrote a piece for Time To Change, but they didn’t use it – probably because I didn’t submit it in the way they prefer! But it gives a potted version of my story, and why I believe this to be so important, and is worth sharing again, I think. This is what I wrote:

I was diagnosed with depression in late 2011. After months of treatment, both with medication and counselling, I finally returned to work more than nine months later. Perhaps ironically, I worked for a large NHS Trust which provided mental health services – though I didn’t live in the Trust’s catchment area – and whilst I had had a fair amount of involvement with service users in my twenty years there, most of the people I worked with hadn’t.

When I first returned, initial reactions were mostly of the ‘I haven’t seen you for a while’ variety. It was clear to me that only a few people knew why I had been off work, and I decided early on that the best way to tackle this was to be open and honest with anyone who asked about it. Not that I shouted it from the rooftops, but I wanted people to know and understand why I had been away, what it meant for me, and what it might mean for them. Some seemed apprehensive – I think they feared I might ‘have a turn’ or do something strange! The difficulty with any mental health problem is that other people can’t see it, in the same way they can see a broken leg, for example. This adds some kind of aura, a mystique, and can instil in some a fear of the unknown and unseen. I didn’t want to start some kind of crusade, but I believed it important to share my experience with anyone who asked. After all, to all intents I was the same person they had known for years, so why should they now treat me differently? Some might have had an expectation that I had changed in some way, and I wanted to reassure them that whilst the illness was a part of me I was still that same ‘me.’ People who have suffered a mental illness deserve to be respected as themselves: the illness isn’t a badge they must wear or, worse, a stigma to be borne as some sign of weakness.

I retired a little over a year later, and having already started my own blog I was aware how important it is for fellow sufferers to know that they are not alone, that others have shared something similar. But that isn’t the same for those who have been lucky enough not to suffer. I probably had around fifty conversations with co-workers in that last year at work, and made a point of telling them a few key things:

1. There is no shame in having been diagnosed with any kind of mental illness.
2. It can happen to anyone, at any time.
3. It is far more prevalent than people imagine, and it was quite likely that other people we worked with had similar problems.
4. Whilst some may not, many will welcome an initial approach of the ‘is everything ok?’ type. It does help to talk, and an informal chat can often be all that is needed to help someone.
5. Don’t be judgemental – people need to be heard, not given well-meaning ‘diagnoses’ by friends who aren’t qualified to judge.
6. Having been diagnosed doesn’t change who you are, and shouldn’t change how others see you.

I’d like to think that, in my own little way, I did something to help understanding and awareness. The important part of this was that it was on a one to one basis: I’m a great believer in the need for efforts to be made to widen the general population’s knowledge on mental health, and this low key approach is a good way to do that. Just imagine how many could be enlightened if we all had just one chat!

So, will you talk to someone tomorrow? Please? Pass it on!

 

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