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Started by Zetetic, November 09, 2021, 05:51:39 PM
QuoteYes but what has things like IAPT got to do with this? This is an overly simplistic view of the last 50 years; it was the Northwick Studies of 1986 that were the real catalyst for EI, prior schizophrenia was seen as a degenerative disease that needed to be contained rather than something that could be improved which lead onto the fact that it could potentially avoided.
Quote from: Zetetic on November 24, 2021, 05:34:48 PM@TrenterPercenter I appreciate the discussion, and I can only say that I note what you have been through and are going through. I don't think either of us are terribly mentally well right now, and that's not ideal for a conversation about stuff that we are both so emotionally invested in.
QuoteI really don't think this is about people in health services not being "progressive" enough or being "complicit". I've not described anyone as "complicit".
QuoteHere we have a branch of Psychologists for Social Change, for example, and they and others have the ear of the relevant Ministers, and they say the things you'd expect, stuff like this gets produced, and so on. Being generous I might even say that some of the schools-related stuff in this might be partly driven from that quarter (but mostly it's down to very different quarters).
QuoteHere, of course, the constraints are more explicit - the block grant is what it is, spend in every sector including health is pretty what it must be, and MHLD spend within that is locked within a %-point or so - and so, perhaps, the consequences are more obvious too. We too drain resource from one bit of the service to another, in an entirely earnest drive for greater efficiency and effectiveness. How else does one morally allocate scarce resources except in the way you think will do the most good?
QuoteI would say that both IAPT and EIP are still part of the same journey from 1968 - they're underpinned by new evidence and changing beliefs around specific conditions and interventions, but those fundamentally fit neatly into the broad convictions that "prevention is better than cure" and intervening sooner is always the alternative to a "long, difficult and expensive process" (to quote a DES textbook from 1968), and consequently that the right thing to do with scarce resources is to move them upstream - always away from the "seriously broken down" and towards the greater number of people who might yet end up in that state without intervention.
QuoteWhen I said "Being an activist that undermines their own aims is shameful, and I want to move beyond this.", I really, really did mean me at least as much as anyone else.
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