Monday, November 15, 2010

Social Work and Social Democracy

From the Canadian Journal of Psychiatry:
Child and Adolescent Mental Health Policy and Plans in Canada: An Analytical Review.


            The journal article I read was a review paper about services and policies in Canada, and which provinces in Canada have effective systems already in place. This article stated that the majority of those who have mental disabilities, specifically Major Depression, have a greater chance of committing suicide. One of the main points I took away from this article was that due to mental disorders being very expensive to treat and research, the policies and services in place are not enough or accessible to everyone. True to social democratic value, one of the results of this study was making people aware there is even an issue.  This ensures  people will be aware of problems in society and take action if they want to (Mullaly, 2007).

           The problem argued in this article is that we need to help people who are struggling to get help.  Although there are services that are very effective and helpful not everyone has equal access to these services due to wait times and lack of planning (Kutcher, Hampton, & Wilson, 2010).Some of the facts given in the article were surprising to me and I had to read it a few time before I could believe it. For example; over one million young Canadians are affected by mental disorders with around half developing by age fourteen and the remainder usually surfacing at age twenty four. (Kutcher, Hampton, & Wilson, 2010). I can't even imagine how many people out of the one million are on waiting lists.
            I can appreciate how frustrating it can be to be denied services because there is a wait time or absolutely no room. Many of us can relate to this in some way. It may be as simple as not getting a table at your favourite restaurant, or waiting over a year to get surgery that may better your quality of life. Whether waiting or being turned away due to lack of space is fair or unfair is something society can debate. There are multiple factors affecting who gets services and when. But when it comes to a person’s basic quality of life and they have to wait many months to get the most basic services, the anger and disappointment is understandable.
             I recently came across an article from the CBC news website about a man who committed suicide after bringing himself to emergency because he claimed to be suicidal. According to the article the man had been telling staff he felt as though we would harm himself and wanted to talk to a counsellor. Without any attention after many hours he hung himself. This terrible incident is under much review but the mother of Shayne Hay is left to wonder what happened or didn’t happen to get help for her son.  As mentioned in Kutcher, Hampton and Wilson’s article from the journal of psychiatry, suicide is one of the major causes of death among people with mental illness. This man had brought himself in quite possibly at his breaking point or maybe as a last resort to gain something positive in his life. Regardless of why he went to the hospital requesting help the system still did not manage to help him.  Studies such as the one mentioned earlier from the Canadian Journal of Psychiatry are important because without the research and data no one would be aware there was an issue (unless they were caught up in the struggle themselves).
            In my own experience witnessing some of the struggles my family has gone through, I have seen firsthand how frustrating it is to fight for services when you need it most. At times it seems as though the system has failed you. Social Democrats find equality very important and think that government should be very involved to help prevent the feeling that the system let you down (Mullaly, 2007).  I’ve seen the results of people not getting the help they need due to undiagnosed or untreated mental illness. They’ve ended up in jail, commit suicide, lost their children and have died from complications that are not only mental but become physical as well. Society is quick to judge the mother with the screaming child in the grocery store but they don’t stop and think. "What if the young child has autism?"  If anyone knows anything about autism you’d understand how difficult it can be to communicate with someone when they have a meltdown. It’s quite possible that the mother is unable to get her child the help to control their behaviour or learn skills she can use to aid her screaming child. Problems like these tend to lack a solution but many people will continue to get by clinging on to the hope that one day their name will be next on the list and it will finally be their turn.

Jennilee M.

Kutcher, S., Hampton, M. J., & Wilson, J. (2010). Child and adolescent mental health
              policy plans in Canada:An analytical review. The Canadian Journal   
              of Psychiatry,
100-107.

                                                      
Mullaly, B. (2007). The Social Democratic Paradigm. In B. Mullaly, The New Structural
               Social Work: Third Edition
(pp. 114-137). Oxford University Press.

8 comments:

  1. I hadn't heard of Shayne Hay until I read your post, and I can't believe what happened. It's terrible that he went to get himself help but was denied and then in turn took his own life. I also have never taken in to consideration the wait times to get help at certain facilities. It is true we need to help the struggling people who are in need of help because we could be there last chance before they do something harmful like Shayne Hay. Thanks for bringing up such an important issue!

    Alexis B.

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  2. The article you read sounds really interesting. I like how you tied it into current stories in the media and also how you wrote in an empathetic tone so that the reader could feel the pain of the mother with an autistic child, or for the struggling family.
    I am also shocked that over one million young people are affected by mental illness. I wouldn't have guessed it to be so substantial in our Country. Your post clearly demonstrates the need for more social services for people (like Shayne Hay) so that they will wait less in the line ups of life.
    Tara Purvis

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  3. I agree with you Jennilee. Everyone should have equal access to services, especially when it's a matter of life over death. Your blog gave me a new realization of the need for more social services. The story of the man who committed suicide is so sad and unfortunate. It most likely took him a lot of courage to ask for help and once he did, he was ignored. His life could probably have been saved if our social services were more reliable.

    Sarah H

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  4. Thanks for the post Jennilee, there were a lot of things you mentioned I didn't know before reading this. It is very shocking to know that over one million young Canadian's are inflicted with some sort of mental disorder. By the shear number of individuals who are suffering it is clear that efforts and treatments from the government need to increase. The fact that these disorders are developing at such a young age is very alarming. Maybe there is a way the government could increase education about these disorders, so that a diagnosis could be made and recovery plan could be implemented early on.
    -Eliza R.

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  6. Jennielee you’re right. Mental illness is expensive to treat. Giving someone a pill doesn’t cure the illness, it just changes the person’s behavior. I personally believe in the power of counseling to help people with their problems. I am speaking from experience here. Right out of high school I landed a good career with CP Rail. The only problem was that I was working midnights and swing shifts and the job came with a great deal of stress. I found myself crying and having trouble sleeping. Then I decided to see a doctor and he prescribed me an anti-depressant. You may have heard of it, the brand name is Prozac. I stayed on the anti depressant for a few years and when I decided to quit taking it, I was over come with all the emotions the drug helped to suppress. After being off the med, I thought I needed to go back on it, but I decided to make my environment more positive. I think for that time in my life I’d definitely benefit from a counselor than a quick fix. What I really needed was support. We often see the person as the problem, but we need to look at the environment and find better ways of coping

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  7. The Social Worker,

    Thank you for your comment! I appreciate you sharing your experience after reading my blog post. I agree with you, drugs are usually the first step doctors take (from my own personal experience as well). I think with more support people would be able to heal without only relying on medication or resorting to suicide and in some cases crime.

    Jennilee

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  8. Great post Jennilee! I hadn’t heard about Shayne Hay’s story. That is so awful, I can’t imagine the hurt his family must be going through, especially knowing that he tried to get help. I think that is what bothers me the most about that story. The fact that he tried to get help by talking to a counsellor and his plea was ignored. Who’s know, maybe 5 minutes with the counsellor and Shayne could of changed his mind about taking his life. I totally understand your frustration with having to wait months for basic needs. We have a good family friend who is currently going through liver failure just out of the blue. He was given an appointment date with the specialist for a year from now. The worst part of this whole situation is that his doctor told him that he wouldn’t make it a year without a transplant. So what is a person suppose to do, our health care is suppose to be their for us no matter what.

    Alyssa V

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