Sometimes in our services the 'entry requirements' or 'refferal criteria' can be quite rigid and exclusionary. #nhs#mentalhealth#psychology
We know from research that a lot of mental health issues are complex with multiple layers of different difficulties, from trauma to eating disorders to substance misuse.
There are some services that exclude people who have a substance misuse problem, a forensic history, a personality disorder diagnosis, unstable housing situation, physical health issues and so on, as they deem it too 'complex to treat' or in need of other specialist input.
But what we fail to realise is that other services also have their own 'refferal criteria' and their own exclusions. What then?
It can sometimes feel like we're asking service users to leave their 'baggage' behind or 'at the door' which is borderline impossible, as presenting issues are often tangled with each other and onto the person themselves.
I'm not saying that our services are being deliberately militant or cruel, more that our systems can sometimes give that impression ✍️🏽🤎
• • •
Missing some Tweet in this thread? You can try to
force a refresh
Despite multiple trainings and workshops encouraging trauma informed care, many of our systems and actions do quite the opposite.
Bouncing servive users around services, telling them they are not 'appropriate' for a treatment, excluding those with a personality disorder diagnosis or 'flagging' them on the system as 'high risk' and therefore to avoid.