Advice, Uncategorized

The Inbetweeners of Mental Health

A friend and reader, Tracey, suggested today’s blog topic.

The issue of the ‘inbetweeners’ of mental health seems to be a problem many people have experienced at one stage or another. It’s the transition stage between what the NHS class as childhood and adulthood. It is the point in which an existing or newly referred patient, over the age of 16, is moved on to adult services.

The UK’s leading charity in improving young people’s mental health services, YoungMinds, are currently campaigning to improve transition care from child and adolescent mental health services to adult services, preventing young people from getting ‘lost in the system’.

And there are many who are being left in the dark when it comes to receiving the support they need from mental health services.

Did you know that when young people reach the age of 16 or 17, they are no longer eligible for support from CAMHS (Child and Adolescent Mental Health Service)?

But more worrying is that they are often much too young or do not meet the strict criteria to be referred to AMHS (Adult Mental Health Services) as they may be classed as ‘not ill enough’.

So where does that leave these ‘inbetweeners’?

It puts them in a position where, ultimately, they are not able to access any of the services that could help them on their way to recovery. This is a dangerous position to be in for any young person suffering from mental illness.

So why do these issues occur exactly? And what could be done to change them?

First of all, the criteria for support through AMHS is very different to that of CAMHS. AMHS point of entry for treatment is a lot more difficult to meet than CAMHS in regards to the severity of the individual’s mental health. For example, AMHS will often only intervene when a young person has reached a crisis point or are deemed as a danger to themselves or others while those under 16 will often be referred to CAMHS before their illness advances to such stages.

As mentioned in my previous blog, this is where early intervention is key and can not only save a young person’s life but would prevent a young person from having to access more advanced mental health services (such as inpatient facilities) at a later age. If these services and resources are offered to a young person as soon as issues surface, they are able to better equip themselves with the techniques or methods they need to prevent a relapse in their mental health in the future.

This current gap in young people’s mental health care is very worrying and an issue many may not be aware of unless they themselves have tried to gain access. Young people who are no longer able to access CAMHS are waiting long periods of time to reach the correct age for AMSH services, which can’t start until the individual reaches 18.

This huge gap and subsequently, further delays in referral can mean many young people ‘give up’ on transitioning to adult services and therefore never get the treatment they need, having a huge effect on their future mental wellbeing with potentially dangerous consequences. Young people are in essence ’disappearing’ from these services and falling off the radar.

There is also the added funding stress on the NHS, with services in particular areas receiving less funding in mental health services than others, meaning fewer funds for each patient and therefore a lower referral rate. There is a variation from county to county as to what age is classed as eligible for transfer to adult services also. For example, a 16-year-old may transfer to AMHS if they are no longer within full-time education. If they are still in education, they will often not be transferred until they are 18 years of age, showing a contradiction between counties within the NHS.

These young people are being passed from pillar to post. A lack of communication is also present between the two services. Neither CAMHS nor AMHS appears to be making the effort to work in line with each other. This leads to information not being passed between the two mental health services and therefore, many young people will have to undergo another assessment before entering treatment. Understandably, this can also be quite traumatic for a young person.

These services need to provide continuity and routine for already venerable young people.

Between the ages of 16 to 18, young people with mental health are probably at their most venerable. They are often making important decisions about their education. Should they stay for further education or apply for an apprenticeship?

They will often have to make more intense life decisions about relationships and friendships as well.

So why, at their most venerable, are they being turned away from the support they need more than ever?

It’s a frustrating and worrying time for both young people and parents when they are left in this limbo period, often feeling as though their concerns are not being heard or ‘don’t matter’.

The Government invested £54 million in improving young people’s mental health services between 2011 and 2015. Yet young people are still not getting access to the services they need.

Have you or your child experienced the gap in services? How do you think the NHS could improve on this?

Leave me a comment!

Resources: 

http://www.mind.org.uk/information-support/guides-to-support-and-services/children-and-young-people/

http://www.theguardian.com/education/2014/jul/29/chilld-and-adolescent-mental-health-service-failing-children

http://www.time-to-change.org.uk/about-us/what-are-we-doing/children-and-young-people

http://www.youngminds.org.uk/

Georgia 

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Advice, Uncategorized

Mental health and young people: Is there a lack of support?

Yesterday (11th April 2016), CentreForum, the independent think-tank published a report, which revealed that nearly a quarter of children and teenagers on average are turned away by mental health services after being referred by their GP’s, teachers or others.

CentreForum found that this was due to service’s having ‘high thresholds’ for access to their services, revealed after analysis of the service’s eligibility criteria.

In the report, CentreForum stated that these high thresholds for treatment eligibility prevent one of the most effective forms of mental health treatment for young people- early intervention.

It was also found that young people were waiting for prolonged periods of time to access treatment with the average of the longest waiting times being almost 10 months between the first GP/school referral and the beginning of their treatment. This, along with a lack of funding for mental health services in certain areas of the UK shows a worrying escalation in the support offered to young people suffering from mental illness.

This report has been released in the same week that a UK bereavement charity pushed for a full investigation by the Government into the way deaths of young people in mental health units are recorded. An inquest suggested that nine young people had died as in- patients within mental health facilities since 2010.

This only solidifies that there is a considerable lack of support for young people suffering from mental illness.

Early intervention is key.

Depression, anxiety and other mental illnesses suffered by children and teenagers will often by present at a young age. Certain behaviour such as a change in sleeping patterns, irritability, loss of interest in certain activities and withdrawal from socialisation can often be clear indications of a young person who is carrying the black dog. Some people may question whether this is just the behaviour of a typical teenager. But this behaviour will often extend to prolonged periods of time with little to no change in mood.

This will often affect a young person’s school or college life, resulting in low grades, bad behaviour or low attendance. These warning signs should be a clear indication that further investigation is needed.

Intervening as soon as a problem is spotted can allow schools to offer the right support and advice for the affected young person as soon as possible. All too often, a young person who has suffered from mental illness will have gone throughout their school life with little to no mental wellbeing support. I know of quite a few young adults who suffer from depression or anxiety and have done from a young age, yet never had anyone listen to their issues or offer support which could have allowed them to receive the treatment they needed much earlier.

Is it the lack of funding? Or a higher demand?

The reality is that figures show funding levels for NHS mental health care in England have dropped by 2 percent in recent years. This lack of funding leads to long waiting lists and less accessibility to the services, which are desperately needed to prevent the potential suicide and self-harm of young people. It also puts a strain on charities that rely solely on donations to provide young people support such as Samaritans and Child Line.

There is also the higher demand for these services due to the rise in mental illness in young people. Statistics by YoungMinds.org.uk show that young people between the ages of 15 to 16 with depression doubled between the 1980’s and the 2000’s, showing there is a constant increase in the amount of young people being diagnosed with mental heath issues. This could be due to a lack of knowledge in previous years or maybe just the way our society has changed its views on mental health. Regardless of what has caused this higher demand for services, these resources need to be available to prevent an increase in suicide levels in adulthood as well as self-harm in young people, which is believed to affect 13 percent of children and teenagers between the ages of 11 to 16.

We shouldn’t have to lose a young person due to a lack of support and funding for life-saving services.

If you have been affected by the topics discussed in this post, please contact the following organisations for support:

Mind 

Young Minds 

Parents or teachers in Bedfordshire.

Georgia OX

 

Advice, Uncategorized

Guest Post: Kelly from ‘This is Only my Opinion’ on Surviving Grief

‘I don’t know how you do it?’

This is a phrase I hear quite often. I suppose it’s because I don’t keep Louis, Corey and Elliot a sordid secret. I speak their names as I would my living children and this then triggers curiosity and subtle questioning about what happened to these three little boys I speak so highly of.

‘I don’t know how you do it?’ makes it sound like something I’ve strived to achieve an accolade for when this path was not a choice I would willingly take. It’s the cards I’ve been dealt. Surviving the journey of stillbirth and neonatal death has been one hell of a ride!

When someone dies you pretty much expect to be upset. You expect to cry, and you expect to feel sad. But what is difficult to compute and unexpected is that sometimes these emotions don’t happen or display themselves the way we predict them to and then you start wondering ‘what’s wrong with me?’and the answer is ABSOLUTELY NOTHING.

The days after Elliot’s death and the run-up to his funeral, I did nothing but cry. I cried so many god damn tears I am sure my tears had tears. But then something happened and I just stopped. I didn’t cry at the funeral. I didn’t cry at all for weeks after and I would look at myself and get angry, willing myself to cry because my heart ached and I wasn’t ready to stop crying. When I am crying the world knows I am breaking, people can see my anguish and they can see from the tears that I’m crying, that I am still grieving.

The parts of grief that you don’t foresee and often don’t anticipate when your child dies is the anger, guilt, blame, bitterness, hatred, the failure, self-persecution and the time.

Grief needs to be treated with respect, and grief requires patience from the person grieving but equally from those around you. It is in times of great hardship that friendships and relationships are challenged to the brink. Those that fall short ‘unfriend’ from Facebook, ‘evict’ from your insta, and ‘abolish’ from your twitter. You need to make life easy for yourself because you have been thrown one of the ultimate tests and the deadwood will only drag you down. Don’t be scared of what they might say when they’ve realised you aren’t popping up in their news feed because believe me, they won’t say a thing because people really don’t like to confront a grieving mother, and that’s because they never know what face they’ll be greeted with. They might get ‘sobbing and bawling uncontrollably face’, or ‘knock your fecking teeth out’ face!

When my twins died in the neonatal unit, I felt the most extreme level of failure, my body had failed them. I had failed them.

They died because my body rejected them in their prematurity, blaming myself stifled any grief I felt. I was angry and bitter. This surge of anger and bitterness was ‘silently’ directed at any other woman that had children, was carrying children and if the children happened to be twins, my anger and bitterness would be elevated to levels where anxiety would take over and my breathing would be erratic. My stomach would hurt, and I would begin to panic and sweat and start looking for the nearest brown paper bag that I could breathe into to stop me passing out into a heap in the middle of the frozen isle.

I dealt with losing my twin boys by getting pregnant as quickly as possible. There are no hard fast rules about when to have another baby after loss. You just have to trust your body and do what is best for you. Hindsight tells me now that maybe it was a little too soon because upon reflection I can now see that all I did was metaphorically cover my grief with a plaster, and a plaster doesn’t stay stuck forever.

The plaster came unstuck when in 2012 I found out Elliot had grown his wings at 38 weeks gestation. My world crashed into 1000 pieces. Elliot had exposed an old wound and their names were Louis and Corey. Not only was I grieving for my stillborn son but for my premature twins that had passed 7 years before. I had no idea what was ahead of me, but I knew I had to be strong for my other children and for my husband. But by being strong and maintaining a stoic stance I masked my own grief.

It took months of people telling me I needed some help, that I might benefit from counselling. Sadly I am one of those people that find it very hard to listen to other people telling me what to do, this trait has followed me since school to my detriment.

Everything had finally snowballed and I was treading water and slowly drowning in a sea of grief.

I had denied myself grief; I had hidden my emotions and suppressed my feelings because I wanted to be strong for everyone else.

I hated myself and I loathed every part of my person, I did not feel worthy to have my husband or my living children. I thought they would be happier without me. I believed that I was a tainted and if people got close to me bad things would happen. Only now I am accepting of my grief and I understand and respect that grief is part of me now. I also realise how utterly absurd it was to think my children would be better off without me, they are my kids and I am their mum, and as nutty, crazy and broken I am they love me, and I love them, warts and all and that includes my ever so slightly grumpy, kind, sometimes funny husband! There is no replacement for ME to them. (Even if Rachel Weisz came along singing nursery rhymes by day and wearing a ‘sexy nurse maids’ outfit by night ….I HOPE!)

My husband is such an important part of my story and every time we lost and buried a child I felt completely and utterly responsible for his pain and my failure to yet provide him with another son and this manifested itself in blame. I would blame him for loving me, blame him for marrying me and blame him for choosing me to have children with, because if none of that happened, he wouldn’t have a life filled with grief and disappointment because his wife failed to do the most natural thing in the world. If he didn’t choose me maybe I would have been liberated from this feeling of failure and self-loathing too.  His grief displayed itself the polar opposite to mine and his continual effort to tell me he loved me and needed me, and that he doesn’t blame me just suffocated me.

We were like two magnets trying to be together but repelling against each other’s energy.

My grief engulfed me and it affected my marriage, my children, my family and my life. I almost lost everything!

So my message for surviving grief after a loss is to not fight against it. Let it do its job, be led by grief and feel the emotions as they come because resistance is futile and detrimental to the survival of bereavement.

I have accessed a great deal of counselling to get where I am today and one of the most helpful things I ever did as part of my therapy was writing. It’s helped me in so many ways. One day I wrote a letter to my guilt because guilt was draining my soul. This letter encompasses everything I felt.

Like me, want to read more, or share my opinions, follow me here : This Is Only My Opinion

Lifestyle, Uncategorized

5 small things that make me happy

*Image taken by myself in Cornwall. Ask for use.

Catching up with an old friend over a cuppa.

There is nothing I love more then a good ol’ chinwag and some gossip. Friends will often come in and out of your life, especially as you get older. But the special friendships will last a lifetime. It makes me to happy when I get to chill with a friend and reminisce of a simpler time, like when Busted breaking up was your biggest stress. If you haven’t spoken to a friend in a while, drop them a message and arrange to meet somewhere for lunch or invite them over to your place. It could brighten your day.

Hot chocolate.

The elixir of love (not really but it’s blooming good stuff.) It’s a bit like a warm hug isn’t it? I can count of hot chocolate to bring a smile to face when I’m feeling a bit under the whether.

A Netflix binge.

There’s always a gripping box set to catch on Netflix. Whether you’re obsessed with real crime shows (waves hand up in the air) or more of a drama addict, you’ll be sure to find a binge worthy watch. I watched Making a Murderer in two days before Christmas (10 hours worth of show)… #truelifestorybro.

My other suggestions include Scream; Orange is the New Black and the first series of The Killing. There is nothing better then losing yourself in a good story.

The sea and/or a beach

The sound of waves, the sand between your toes and the breeze in your hair are just a few of the reasons I would quite happily live by the sea. I’m a bit like a frantic puppy when I see a beach. Although it has a calming effect on me, it also makes me super giddy like I’m at Disneyland. Maybe I was a dolphin in a previous life, who knows?

My dog running about like a loon.

I let me dog off the lead in the park the other day and he literally ran about for 20 minutes like he’d never seen grass before. He makes me smile so much when he bounces about with excitement. What did human beings do to deserve such wonderful creatures?

 

What are five small things that make you happy?

If you’re feeling a bit down, go and do one of the small things on your list. Whether it’s a certain food, a walk in the park or a book you haven’t read in a while, go and give it ago! You might find it gives you a reason to smile this week.

Have a great weekend, G