Worth looking at trending topic 'CAMHS' (Child and Adolescent Mental Health Services) right now. We aren't providing good service to everyone who needs it. We're often providing a weird service to people who do because CAMHS gets blown about by cultural ideas about mental health
Yes, I know people don't really share much about healthcare experiences that went well, but people's experiences of CAMHS that are being shared present CAMHS as contextless set of unexplained events where things happen for no reasons instead of a place of help and support.
With CAMHS wider cultural winds are like "We need to give children/ young people every support they need for their mental health unless we don't. We don't medicalise distress, unless we do, but we might not again, keep you on yr toes. If you don't want service, you can have it."
One of things that comes across in the comments on twitter there is the idea that CAMHS is just not very good at communicating with children and young people about what is actually going on and why. My parcel delivery gives better updates and more context.
Another thing I notice is that young people and young adults have grown up in a different context around mental health. People might actually want help and support, might actually wish to have a name for what ails them. Not everyone, mind, but some. There's a bitterness there
I think for professionals who work in CAMHS message should be 'Yes, I'm sure you do a great job for the young people you see, but what about young people you don't? What is your service in the lives of young people? You feel beleaguered, so how must young people in need feel?'

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More from @MarkOneinFour

4 Feb
Another year, another time to #TimetoTalk day. This year I'd like to talk about mess and discomfort. One element of stigma is feeling like you carry a story and history that will never be understood and never be possible to integrate with the lives and stories of everyone else
If there's a #TimetoTalk day, there should also be a #timetolisten day. And listening means learning to live with stories that discomfort, stories that trail off, stories that ask questions you can't answer. Mental ill-health is a fucking mess to live with.
The experiences people share around mental ill-health will not conform to your wider narrative expectations. The job of making our stories make sense that we have who live through them is not the same job that a person listening has. #timetotalk isn't about you
Read 8 tweets
2 Feb
I think there are three things we need to do if #mentalhealth is a parallel pandemic to Covid-19 (I don't think it's separate btw). The first is to do everything to remove fear: fear of hunger, fear of poverty, fear of loss of life chances, fear of being forgotten (1/3)
The second thing we need to do around the pandemic and #mentalhealth is to begin now a national conversation about loss and foreground those who have lost people and things to the pandemic in that conversation. Loss needs remembering now. It's not exceptional, it's endemic (2/3)
Final thing we need to do around #mentalhealth is to stop assuming we know what people need and actually ask in good faith, with governmental commitment to meet those needs. One size fits all hammering of this exceptional time into system designed a lifetime ago won't work (3/3)
Read 6 tweets
2 Feb
I'm doing #MWE this year. each day in February an album I've never listened to before, reviewed in a tweet. I'll thread them so you can see what nonsense I've listened to...
#MWE 1st Feb "High Fidelity (A Taste of Stereo Sound)"

1st release on Sainsburys own record label(!) attempts to catch sound feel of a hi-fi shop demonstration in 1970s. It's all about separation, tone and anti static cloths. Best song? Perhaps 'This is Tomorrow' by Bryan Ferry
#MWE 2nd Feb "Fingerbobs Original Soundtrack"

'These hands were made for making and that's what they must do'. Melancholy from crossover between bleak british folk and paper based children's programming. If you grew up before 1990 in UK, this is the craft fabric of childhood
Read 4 tweets
25 Jan
It's incredible to me that we find it easier to discuss the political implications of continuing lockdowns than the political implications of 100,000 people being dead.
But the bereaved don't have a political presence, do we? Nor do those most at risk. We're a policy issue. And policy issues are difficult to discuss.
People who have died because of covid-19 are just sands in an hour glass measuring the time until we can get back to normal. It's unacceptable to be angry for those who aren't here anymore because, somehow, to speak of that result of political decisions would be uncouth, messy
Read 12 tweets
25 Jan
Alright John. You do know that big supermarkets don't work the same as little shops? Telling your supermarket you want more UK produce isn't the same as the supply chain existing for it, as you well know. Wholesale foodmarkets are great, but they supply yer smaller shops
And yes, I know shorter supply chains are better for the environment, but they aren't what we have now, not really. A 'buy british, I'm backing Britain' movement isn't going to change the lack of supply of goods in shops if there's no infrastructure to supply them
Supermarkets aren't going to let shelves go empty. But they can't buy british produce to sell if that produce isn't there. You can't just expand production. The raw materials grow, you know. Expansion in product making isn't the same as greater utilisation of grown product either
Read 7 tweets
24 Jan
Being a commentator and writing opinions for money is often used as a reason why people who are commentators who write opinions for money shouldn't be held accountable for the what results from being a commentator and writing opinions for money. You are responsible for every word
With brexit, with Trump, with covid-19, whiney commentators are going back and erasing tweets, having articles removed, headlines tweaked. No. You said those things and you don't get to declare you are being mobbed by people when they want you to apologise for being wrong.
You make your living based on the assrtion that what you say matters. Then, when it turns out you were wrong, you declare that what you write and broadcast doesn't matter. It does. Anything any of us write or say helps shape reality. Take responsibility. Take ownership.
Read 6 tweets

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