Systemic Societal Change, Not Self-Care, Will Fix Our Nation’s Mental Health Crisis

Ending austerity, individualistic thinking and unstable employment must be the first steps to addressing the ever-growing epidemic of mental health.

Childhood obesity is a serious problem. We see this public health issue as a collective responsibility, therefore different approaches were utilised to address it. Talking and creating awareness was not enough, so the government stepped in with public education around healthy eating, but also a broader range of interventions such as the sugar tax and healthy school meals. So why, then, are people being forced to address their own mental health issues without help from the government?

They have been raising awareness and getting people to talk, which is more of an achievement for charities and the media than the state. Other than this, little has done little in the form of government intervention – in fact government policies are making it worse.

We live in a society that worships individualism; that makes us believe that our mental health is our own responsibility, even in situations when there’s nothing we can do about it. Some things that lead to mental health problems in the first place are beyond many human beings’ control, even more so if you are part of a discriminated minority.

In a time of austerity, rising personal debts and precarious work, we are encouraged to be an individual that should not rely upon anybody for anything. If we do, society perceives us to have failed in life and look weak. The narrative that many people ‘choose’ to be on zero-hours contracts is false. They sell the gig economy as being empowering and entrepreneurial, yet an unstable paycheck and lack of workers’ rights says something else. The stress this puts on someone, already struggling to manage, can be immeasurable. It also leads to higher personal borrowing as the cost-of-living rises but the wages have stagnated, the UK has hit record levels of personal household debt.

With increasing income inequality also comes higher health and social care problems. I worked in an emergency department for several years as a mental health nurse, assessing people that had tried to take their own lives. Many of my patients were not mentally ill, they were desperate and stressed by things such as marriage problems, bringing up children, lack of support from services, employment issues and money problems.

People may say individuals should sort these problems out themselves, but the truth is you need help from family, friends, and government services. If these services were funded correctly to help people, then they could get back to being contributing members of society that pay taxes, help friends out, look after elderly relatives, bring up children and work, which feeds into the economy. Without functioning citizens, you cease to have a functioning country.

However, the problem goes back much further than the austerity era of the last decade. Since the election of Margaret Thatcher in 1979, the UK has slowly gone from a collective community supporting each other to a country with an individualistic, ‘I’m alright Jack’ attitude. It was Thatcher who introduced an ideology that would see state companies privatised and many industrial towns lose their economic soul. The age of individualism is here, and if you cannot make it, then you are seen as faulty. As we can see from social media, we are more obsessed than ever by who has what. Sending a false image of ourselves to others, we ruminate about how others see us, when in reality it’s our own self-confidence that is suffering […]

via Systemic Societal Change, Not Self-Care, Will Fix Our Nation’s Mental Health Crisis — Edward Lawrence

4 thoughts on “Systemic Societal Change, Not Self-Care, Will Fix Our Nation’s Mental Health Crisis

  1. Nothing is going to get fixed here in the states. Food over here is to die from what with recalls daily. Health care is a joke, but not a funny one since I was at the ER the other day and I could hear some lady in the next room having some sort of mental breakdown and she was begging for her husband and daughter, but when they arrived, they were of no help and all I could hear was, “Give her more Seroquel, Doctor!” And newsflash, they set her up with a ‘mental health care professional’ via Skype. In fact, my cousin now sees his psychiatrist via Skype. She is all the way over in Mississippi, skyping from home and treating mental patients via that route. She stated that she seldom has to go into the office since she can work from home. The reason we go to Baltimore, MD is for his physical care since he has been banned from the health care network here in Hillbilly Hollow. They actually did him a favor because there is no such thing as ‘health care’ here. The shit ain’t pretty over here at all and it is getting uglier by the nanosecond.


  2. Well, Shelby, when I was last in the US, the insurance industry was engaged in a campaign to squeeze psychiatrists out of the mental health picture. They decided that now that we had all these fabulous psychotropic drugs, there was no reason non-psychiatric doctors couldn’t treat them. All they could think of was how much money they could save (increasing their profits). Most of the really good psychiatrist I knew in Seattle had gone bankrupt because the insurance companies refused to reimburse them for services. I would have gone bankrupt had I stayed.


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