Wednesday, August 21, 2013

Care in the community.

I've been under services for five years now and yet it is only in the last 8 months that I have received a decent level of care. During this time I have been quite unwell at times, I have been sectioned, assessed under the mental health act I believe 18 times. Had 7 admissions to psychiatric wards. I have had ten care co-ordinators I have moved CMHT 4 times. All this has no doubt added to my instability. At the moment my mental health is very good- the best it has been throughout this period and this is because I am under the perinatal psychiatric team. I see my care co-ordinator weekly and we have been working on how I can identify my mood swings and prevent relapse. You would think I would have been through this with one of my previous nine CCOs but no. It took having a baby and changing teams for me to get this care so in many ways having a baby has saved me. The thing is I can only stay with the team for a year post partum so I have a few month left with them before I get pushed back to the terrible team I had before who I had to complain about, who never came to see me, who never engaged with me when in crisis let alone tried to work on relapse prevention. That's if I am even meet the threshold for a return to their team. I would like to think I don't need their care, that I can leave secondary services or just see the psychiatrist but the problem is when things go wrong they go wrong quickly. And crisis services in my area are not really any better. It really is cheaper to invest in decent community services then foot the bill for people to get continually assessed and admitted. The problem is everyone has their own pot of money to save and they don't look at the bigger picture. Community services don't care if inpatient wards have to pay to look after people at ridiculous rates, nor does the CMHT care if crisis now have to visit you daily because they neglected you for weeks. I don't really see things getting better on that front.

1 comment:

  1. I'm glad you have good care now, because I know how rubbish it has been in the past. I also work with someone now who has actually sat down with me and helped me to identify early warning signs of an episode, and we have developed together a plan of what to do. I also have flexible care, able to move from monthly to weekly appointments as necessary and make small medication changes appointment to appointment. It has made a big difference.

    It's good to see you blogging again!

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