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, Lifestyle

The Alone Sibling: Dealing with Sibling Loss

1000205_10201530543682559_863423124_nAs a child, I couldn’t have imagined what life as an only child would be like.

A number of my cousins are only children. And although they knew no different, I almost felt sympathy for them. How lonely they must feel? With no one to play with, no one to tell their secrets to or moan about their parents with.

My brother and I were very close as children right through to the teenage years. We were also arch enemies, like most siblings. But through all the beatings and vicious insults, there was always an unbreakable bound and enough love to create world peace 5 times over.

We were best friends, although we wouldn’t have wanted to admit it. There wasn’t much we didn’t speak about. I think my brother was the only person in the world who could make me laugh so much I wet myself (literally). We encouraged each other’s confidence. We bitched about rude people and we would be the first to stick up for one another in a fight (I specifically remember almost reducing a boy to tears when I charged up to him in the school playground after he stole my brothers football).

Yeah, we were pretty much partners in crime.

One of my fondest memories of my brother was him riding down on his bike to my college so that he could walk with me home. (I would often have to bribe him with a Pot Noodle, but still)

The day I found out my brother had gone was single handedly the worst day of my life.

It was like the world had fallen from it’s axis and the ground had crumbled beneath my feet.

It’s strange all the small details that you remember. Like the wheel chair in the family room that specifically read ‘departures lounge’ on the back or the criss crossed button on my cardigan that I repeatedly ran my nail up and down whilst trying not to look at my devastated parents in the corner of the room. And the doctors face when he came into the room with a large group of medical professionals and told us they couldn’t save my brother.

All I can remember after that is falling to the floor as though the ground had dropped, sick to my stomach and crying so uncontrollable I honestly didn’t recognise the noise of my own screams.

All I wanted to do in that moment was go back to being a five year old child. I wanted my parents to sweep me up and tell me it was all OK and just a bad dream like the ones I had when I was younger. I wanted someone to tell me it was all a mistake, that normal, average families didn’t go through this loss. My naivety was so over powering. I felt like the smallest, most vulnerable creature in the world.

The weeks after were just a blur. For any one who has lost a sibling, you’ll know the swarms of people, both old and new who appear at your door step with flowers in hand, cards with well wishes and messages of condolence. And you’ll know that after a week to two after, when those flowers have begun to wilt and the everyday life once again resumes, those visits are far and few between. And suddenly, the daunting realisation that you are now completely alone with your grief hits you like the biggest wave you’ve even faced.

And those waves keep on hitting you, like a Tsunami that ceases to relent.

As a sibling, our grief is often not as noticeable to others. People will continually ask you how your parents are. They don’t mean this in a rude way, as though the are ignorant to the over bearing black cloud of grief that engulfs your head and hangs over you. It’s just they don’t know what else to ask you.

Let’s be honest, sibling grief isn’t widely spoken about. We don’t speak about the effect on an individual, how it changes their life’s for ever. Maybe we are frightened to speak about it. No one wants to image life without their sibling.

But that doesn’t mean our voices shouldn’t be heard.

This is the story of an alone child. How life can change in an instant.

It gets a little easier everyday, but everyday has its challenges.

And the reality of an alone child will always be with you, like a black crow sitting beside you. And occasionally it will consume you, the grief too hard to bear. But you will get through it. Because that’s the only choice us alone siblings have.

Advice, Lifestyle

5 Ways to Spot a Feminist

If David Attenborough encountered one, he would get as low to the ground as possible and use his whispering voice as not to disturb one.

An avid wildlife watcher might grab his binoculars to sneak a peak at it’s rarity, approaching with caution, for he knows how dangerous this species can be when provoked.

And if you are a part of the male breed, may we pray for you and your children.

Feminism.

It’s a scary subject for many. If the word is mentioned in passing conversation, both men and woman tend to recoil into foetus positions while shaking their heads, wide eyed and agitated.

Feminists are so dangerous, they have been known to scare full grown men from their Twitter accounts and bring down global corporations.

So I have created a post about 5 ways in which you lovely lot at home can spot one of these ‘feminists’


1. Weapon of choice; THE BRAZOOKA!

Many have faced it’s prettifying potential. Once fully armed with a brazooka, the feminist is invincible. With wire so sharp and strong, it can gauge a sexist pig’s eye out a mile away, the feminist attaches the weapon to it’s arm and wings it around it’s hair for maximum impact when one is struck in the head.

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2. Hairy and Scary

These specimens are rarely aimed with a razor unless they are trying to cut a member of the opposite sex. They may have never visited the Australian Bush, but they know about the one they rock everyday. Razor’s were created by the feminist’s worst enemy. As far as they are concerned, Gillette Venus is a dictatorship.

3. DON’T MAKE THEM ANGRY, you won’t like them when they are angry!

A feminist will often be revealed to you during a heated conversation about 50 Shades of Grey. You may notice it’s pupils dilate, it’s lips pursed as it get’s ready to attack. It’s skin may begin to flush a burgundy shade as it jumps from it’s seat, armed with a collective resource of information regarding the topic of female oppression within the film industry.

You may want to duck, for glasses can be thrown.

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4. All Men Must Cry

If feminists appeared in Game of Thrones, all MEN would suffer at their peril, even Jon Snow D:

Please watch out men, Feminists are potentially destructive to all of society. Theories show that they may be harbouring new technology which allows them to support themselves without the assistance of the male species. THE HORROR D:

5. FEM-fastic

All members of the Feminist collective are females. Vee-jay-jay’s as far as the eye can see. Nope, no men to be seen here. They are in hiding. Poor things.


If at this point you have not realised that at least 95 per cent of this post was pure sarcasm, then I apologise for any offence.

The truth is, of course, that feminists can NOT be spotted.

They are in fact average members of society.

Many Feminists, strangely enough, fight for equality between men and woman rather then superiority.

Feminists are everywhere you look. They are both men and woman.

And they don’t bite.

There is no need to be afraid of them.

Honestly.

They fight for gender equality, to shape a fair future for our children and to make the world a better place.

That’s how to spot a true feminist.

hfs-collage

http://www.heforshe.org