I didn't actually set out to stop talking about football after England were knocked out, but I had devoted too much space to writing about it here, and too much time to reading about it. So, in brief: Saturday's games both went the way I wanted them to, and I started hoping for a Korea v Turkey final, but that's now proved impossible. Still, now that Turkey have got further than England for the first time ever, I am unreservedly a Turkey fan until this run ends. I can't help but think that will be in 14 hours' time at the feet of Brazil, but Turkey are still underestimated by most of the world, and I can still hope.
In slightly related news,
Perugia have re-employed Ahn, having impulsively sacked him because he scored the goal that knocked Italy out. Sounds like the chairman saw sense once his temper cooled - this would otherwise have been perhaps the first ever sacking of a player for doing too well.
Mental Health
When I was too young to really understand the implications, the Tory government of the time came up with the wonderful idea (I am disgusted by fewer of their money-saving initiatives than most of my friends, but this one really was absurd) of cutting the mental health budget by closing asylums. They have finally
admitted that it was a mistake, but the statement misses the point and contains a not very subtle distortion aimed at concealing quite how awful the policy was.
I will deal with the distortion first, because it makes me quite angry. The statement speaks of mentally ill people who had
fallen between the gaps
of a system that by implication is supposed to be otherwise sound and to have served most people well. My experience tells me that this is simply not true - the system was so severely flawed that its failure to support thousands of people was built in, and must have been obvious to its architects.
When I was 16, and this policy was well under way, I did some work experience at a mental institution. On a day-to-day level it was actually quite a rewarding, pleasant job, and the people I worked with were little short of saintly, but the things I learned while I was there made it deeply depressing. In a parallel world, in which I had conducted this work experience before the
Care in the Community
programme came into being, I would probably have become a psychiatrist, but in this world it was clear that such a career would simply make me depressed sooner or later. Anyway, I learned two particularly important things on that job:
- a shocking number of people were institutionalised in the first half of the 20th Century with no mental illness (for things like having a child out of wedlock), and were made mentally ill by the institution, because these were places that fostered dependence and provided less mental stimulation than a prison
- while it was clearly a good thing that people were no longer being condemned to that fate, there was no way that the existing patients could be expected to fend for themselves.
The officially stated aim of Care in the Community was to institutionalise only those people who couldn't fend for themselves, couldn't be catered for by day care alone, and had no-one able or willing to look after them in their own homes. The Victorian asylums were to be closed, and the small number of people who still had to be institutionalised were to be housed in the sort of smaller and far more pleasant facilities that groups like
Mencap run. While this would save the government a lot of money, it would also improve the quality of life of all but the most severly ill patients, and wouldn't leave them any worse off, so it sounded like a pretty laudable plan.
The reality was rather different.
Initially people were selected for moving out into the community, on a sound basis of picking people whose disabilities were not entirely debilitating, and who had appropriate carers to take on the burden of keeping them well. By the time I became involved, the psychiatrist on site at this particular institution (which I understand is fairly typical) had already sent every patient who could possibly leave away. However, a decision had been made from on high to shut down the ward. If this was a matter of consolidation, and the remaining patients were to be housed elsewhere, it would not have been a serious problem. Everyone knew that this was not what was going to happen. The people were simply told they had no place any more.
Of the patients who were still in the ward when I worked there, most had serious brain damage resulting from birth complications. None could speak. Perhaps half could understand very simple, slow spoken language. Perhaps a tenth could walk unaided. Some had to be restrained because they were a danger to themselves and to others. What my colleagues told me was that many people as badly ill as these had already been sent home to their families, who must have suffered terribly themselves because such people need full time skilled care, not just a
mother's love. The patients who were left were the ones who had no traceable family, and when the ward finally closed they would simply be left on the streets. Most would die within weeks, a lucky few would be taken in by the already swamped mental health charities, and the most able would live miserable lives as beggars.
And Liam Fox feels he can talk about a few falling
between the gaps
!?!
If his party wants to claim that anything has changed since then perhaps they could start by admitting how wrong they got things that time.
As for missing the point, the
statement focuses on a very small number of high profile incidents of mentally ill people who should have been in secure hospitals committing horrible crimes. In another article in the same issue of the same paper, Dr. Fox alludes to the fact that
the mentally ill themselves suffer because of their poor treatment by government, and that the stigmatisation of mental illness in this country only makes things worse. The trouble is, rabbitting on about the dozen or so people who have been killed by mentally ill people in the past decade obscures the fact that it is a very small problem, compared with the vast numbers (for reasons too complex to go into right now I don't buy the '1 in 4' statistic, but it's still a large enough number that you can count on it happening to at least one person you know) of people who will experience mental illness at some point in their lives, almost all (and I know that sounds like an exaggeration, but I believe it to be a fair statement of how bad we are at dealing with these problems) of whom will be cared for totally inadequately.
Meanwhile the current government is doing no better. They are still determined to revive proposals to
preventatively detain people diagnosed as mentally ill (ironically bringing back the asylums in a new guise), nothing has been done to educate GPs about mental illness (many people just never get referred to psychiatrists when any psychiatrist would clearly see that treatment is needed), and the charity sector is still doing the government's work. I'll leave the last word with Lord Bragg, the president of
Mind, another charity who do excellent work with the mentally ill:
We can't just lock people up and forget about them.
How stupid is Britain?
If someone approached you and said:
Right, so this is how the scam works:
We set up a PO Box abroad and print thousands of professional looking letters with the message that the lucky recipient has won a prize in a draw they never even entered, but they have to send an admin fee to us first before we can release the prize money for them. Then we send them to addresses in the UK, and the suckers will send us money, at which point we cash it all and just disappear.
Would you expect the scheme to work? I would have laughed in that person's face. I've also received a few such letters and thrown them straight out. Yet apparently so many people are falling for scams like that that
the tricksters have become a hundred million pound industry. There really is no helping some people....