My perfect mental health system (fragments/ notes)

Soteria houses; welcoming crisis houses where psychotic people are given 1-2-1 attention rather than psychiatric drugs. Or psychiatric drugs are used sparingly and not for long term use. 

(I read some psychiatric texts from before widespread use of pharmaceuticals in mental health. Some people didn’t respond to psychoanalysis. They were just like hopeless cases). 

Gardens can be healing. 

Good home cooked food linked to market gardens. 

A media that tells the truth.

I read a book that explained how the emergence of electric light coincided with a huge rise in psychiatric disorders. 

In my world a psychiatric hospital would contain a library with lots of art books and poetry books. An activity room with desks and writing/drawing materials. 

more to come…

Using NHS customer care

If you are receiving care from an NHS mental health trust in the U.K. there is usually another related organisation called PALS or sometimes customer care. It’s a channel to air complaints mostly. It’s quite useful if you want to get the NHS bureaucracy to move its gear wheels. 

PALS itself is quite slow and bureaucratic but they do know how to push certain buttons within the system. For example I recently requested to change my social worker and PALS was able to set that in motion. Although as I’ve mentioned they do work quite lethargically.

Previously I’ve even gotten a meeting with the head of the trust through PALS. 

What PALS is not good at is looking at anything outside the pre-existing NHS tickboxes. So they are not good for requesting alternative treatments that aren’t approved by NICE or doing anything much more radical than pulling the pre-existing levers of complaint.