![]() 22 years ago I completed a Bachelor of nursing then a specialist post grad diploma in mental health nursing, I spent 14 years as a Duly authorised officer ( 1992 NZ Mental health compulsory assesment and treatment act) I have spent hundreds and hundress of hours in emergency departments, police stations, GP practises, homes,public spaces sectioning people under the MH act,I have worked in mental health for a total of 20 years, from crisis assesment teams, forensic liason , case management, assesment and triage to managing rural and remote teams. If MH clients only entry point was through ED you might have some second hand relevant info.... But thats not the case. and its my experience that general nurses have a poor understanding of the complexities of mental health...... ( The 3 year bachelor of nursing programme has a 3 month module for mental health) For MH advise seed a mental health clinician, for physical health emergencies..... see an ED nurse. As an aside we as a population we are so much better at talking about MH issues than 20 -30-40 years ago..... And that is progress and a good thing. If your struggling emotionally on any level, reach out..... your not alone! We all go thorught difficult phases and people by nature want to help!!! |
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Wow! You are very well qualified to talk about this stuff. Why do you think there are so many mental health problems in NZ? Is it just a lack of mental health services, or are there factors underlying it all? |
![]() muppet this is just another version of the conspiracy theory stuff. You make a claim without any data, when people call you on it you ask a bunch of questions of them instead of responding to the challenge. It’s puerile and tedious. What is the point of this thread? To complain about the government being ineffective on an issue? If yes then you are correct because they haven’t been effective on any issue but MH is difficult like poverty etc so even a competent government would struggle To argue that all MH health is addiction based? Then give your credentials to show you are skilled in the field and provide the peer reviewed data that supports your claim. To whinge about something for the sake of it? |
![]() Why do you think there are so many mental health problems in NZ? Is it just a lack of mental health services, or are there factors underlying it all? |
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Ive been thinking about your question for a couple of days and how best to respond...... Truth is I dont know the why ...... I do know that the prevalance of mental health has not significantly increased in the past 30 years, population adjusted ( substance use disorders, mild, moderate and acute MH issues) <span style="font-size: 12px;">As we become better at treating some disorders the prevalance of others increases.</span> Think back to pre internet and your source of information was typically a local paper, TV1 TV2 or TV3. Think back to yesterday and how many sources of information did you access? The advent of social media has surely played a part in our greater exposure to those with MH issues as has our understanding and acceptance. New Zealand has national stategies and initiatives, however because we rely on 20 district health boards to implement strategic direction, we then often have disparate results. District health boards build IT systems that arent compatable with the heallth board down the road, GP's use a multitude of different systems to record medical records and none are compatable with each other or the health board systems. This is a result of having 20 different health board, comonly called the silo effect..... I cant answer if there is a lack of services. The field of dreams analogy of "if you build it they will come" springs to mind, but at what point do you stop building acute inpatient units and start to address the problem from another direction? Finally I think the answer to better health outcomes, isnt just a funding one. It starts at kindergarten and school. Better education outcomes will flow to better socio economic outcomes which will facilitate better health outcomes. |
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