Just where is the frontline in mental health?

An image of some maps by http://www.flickr.com/photos/alpoma/ used under CC Attribution-NonCommercial 2.0 Generic (CC BY-NC 2.0)With all of the talk about resourcing ‘the frontline’ in the fight against mental ill-health recently, I’ve been wondering where the frontline actually is in this battle.

Is it in the mental health inpatients wards across the country where treatment is provided for people who are very ill?  Is it in the community mental health teams where people’s needs are met in the community?

Is it in GPs surgeries where people first turn when they feel unwell?  Is it in social services departments where people receive help and support with the complicated challenges that can come with mental health difficulty?  Or in social care services?

Is it in the community organisations that provide support, advice, encouragement and inspiration to people with mental health difficulties?  Is it the HR departments of companies trying to find the best ways of supporting their employees who experience mental health difficulties?

Is it at neighbourhood advice services like Citizens Advice where many people look for support with issues in their life that affect their mental health?  Is it in the consulting rooms of therapists or counsellors where people explore what’s troubling them?  Or in the case work of advocates and the meetings of service user representatives?

Is it in Back to Work providers and JobCentres, or in benefit decision making bodies?  Is in the offices and premises of small and large mental health charities, or in the activities they carry out?

Is it in the media, or the communications departments of places that provide services and support?  Or the research teams and in the campaigning groups that draw sustenance from them?  Or the advice and support helplines and websites and new technology ways of keeping in touch?

Is it in Accident and Emergency departments where people find themselves when things go wrong?  Is it in the places where people with mental health difficulties meet to try to find solutions to their own problems? Is it in the police stations where people end up when they’re sectioned?

Is it in our homes, or in our workplaces or in the relationships we have with people?

I think that people with mental health difficulties often lose out because the frontline of any individuals own mental health is spread across many of these areas of operation.

Mental ill health isn’t like a traditional disease.  There isn’t one front to fight on that will eventually win the battle decisively, or one force that could be deployed that would win the war outright.  The correct medical attention and useful treatment is a vital component for anyone’s mental health, as it is for their physical help, but it isn’t the only thing that determines how well someone is.

I think we’re beginning to see that as much as the question of what makes someone ill is important, the question ‘what keeps someone well?’ is probably as, if not more, important.

This has huge implications for people with mental health difficulties at a time where many of the above frontlines are facing a period of simultaneous change.

If you had to look at the map and survey the field of battle against mental health difficulty, where would you draw the frontline?

Mark Brown is editor of One in Four magazine

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3 Responses to Just where is the frontline in mental health?

  1. My daughter and I have no support – in merton
    We did once – social services / mental health team…

    What did they do?
    blame me & put me down.

  2. I’m a saggy, baggy MH survivor of 871 months. But, before I retired I was a social worker in mental health. And some of that time was spent as the lone ranger of a large rural area wherein I had the authority to accept direct referrals. I found more than a few people, once they knew of my existence, came to me not wanting to be part of the NHS services – and I worked with them in that role (I always took a user centred approach – personalisation! I’d been practising it since 1970).

  3. Pingback: Walking in two directions at once - A dilemma | The New Mental Health

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