A late evening walk on the Moors.

Three….

Hawklad now has three support sessions left then he’s discharged from Child & Adolescent Mental Health Services. He’s discharged because at the age of 18 there is no equivalent Adult service to be handed over to. There is some voluntary charity provision but it is very patchy.

Research has repeatedly highlighted the implications that can flow from the removal of dedicated mental health support as soon as someone reaches the age of 18

– Increased risk of Isolation and loneliness

– Escalation in untreated/undiagnosed mental health conditions

– Increased risk of depression and self harm

– Life opportunity limitations

– Increased risk of unemployment and employment insecurity

Even for under 18’s, services are stretched and far too many children don’t get the support they need.

From the age of 18 any formal support has to accessed via the Doctor Lottery system. Post Covid, in many areas patients have to try to navigate the appointments labyrinthine. Join a telephone queue at 8am and wait in line to be answered, a few minutes late and all the appointments for the day will be booked solid. If slots are still available you then first have to explain the symptoms to the Doctor Receptionist who then decides if you can have a face to face GP appointment or more likely a telephone call back. Way too frequently you are either told to try again tomorrow for an appointment or to try to self treat. If you do get a precious appointment or callback, you have at most about 5 minutes with a Doctor. In our surgery it is quite rare to get your own GP, often speaking to someone who is looking at your records for the first time. It feels very rushed and pressurised. Then you’re faced with a Doctor who is unwilling or unable to refer you to a specialist mental health service. As one Consultant told me,

Many Doctors just don’t fully understand specialist Mental Health areas. They are stretched and sadly they often try to treat anything that might look like Autism or ADHD with Antidepressants and a leaflet on Mindfulness.

This whole process ain’t going to work for Hawklad, he isn’t going to go through this process to get any support that he might need in the future. Family support is going to be even more important for him in the future. But then again, he doesn’t exactly have many trained mental health care professionals in the family…. That’s such a worry going forward.