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Mental health challenges

02 Aug, 2010 05:00 AM
NO wonder mental health advocates and professionals are trying to make an election issue of the problems in their field.

Articles in today's Herald illustrate that levels of psychiatric illness and psychological distress are rising in the community but resources to combat the conditions are inadequate and poorly distributed.

The problems are not simple, which helps explain society's perennial inability to come to terms with them.

An irrational insistence on treating physical and mental well-being as unrelated doesn't help, any more than the persistent stigma inflicted on those who suffer from psychotic conditions.

It may be true that people have become more willing to recognise and discuss depression and anxiety, but it is not yet evident that health systems have adjusted to this reality.

Some fear that an over-reliance on medication, combined with an under-provision of public mental health resources and an under-supply of private mental health practitioners in many areas is producing poor results for many patients.

In the Hunter it is plain that the small handful of formal psychiatric facilities are often overwhelmed by demand, that many people with serious mental illness are receiving little monitoring as they attempt to live with their condition in the community and that burgeoning drug abuse is adding to the load.

The situation outside the larger population centres is especially acute, mainly because of a severe lack of services.

Hunter GP organisations, while grateful for some relatively recent assistance for mental health provided through Medicare, have warned that these subsidies have done nothing to help people with limited access to services and have also resulted in a predictable increase in professional fees - therefore arguably benefiting psychologists more than their clients.

GPs have suggested alternatives for future funding that may help spread resources more fairly. It is to be hoped that governments are listening.

Assaulting ambos

IT is a telling comment on society that special laws are considered necessary to provide penalties against people hindering or harming ambulance officers in the course of their work.

From last Saturday, in NSW, people obstructing ambulance officers could be liable to up to two years' jail, while those committing violence against an officer could face five years' imprisonment.

These laws were enacted following a worrying rise in assaults against paramedics and other ambulance staff trying to provide treatment. The number of reported incidents of violence against ambulance officers rose from 75 in 2006-07 to 120 in 2008-09.

It is hard to imagine the mentality of a person who would assault a professional providing care to a sick or injured person, but the trend mirrors escalating irrational violence at every level of society. Sadly, it probably won't be long before the first charges are laid under the new laws.

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