Dundee student brands mental health services ‘abusive’ and ‘not fit for purpose’

Dundee student brands mental health services ‘abusive’ and ‘not fit for purpose’

A Dundee student has branded NHS Tayside’s mental health services as “abusive” and “not fit for purpose” after sharing his experiences of being diagnosed with ADHD.

Matthew Simpson, 23, is currently in his final year studying law at Dundee University, and at the beginning of the year went to his GP surgery looking to be referred onto a psychiatrist as he believed he was suffering with undiagnosed ADHD (attention deficit hyperactivity disorder).

However he claims he was ridiculed and accused of looking to get an unfair advantage at university both at his appointment and in a letter to his doctor written by a locum psychiatrist.

© Courtesy Matthew Simpson
The letter that was sent to Matthew Simpson’s doctor.

In the letter it said: “There is no evidence from your referral of ADHD, and the fact he insists on a referral, presumably against your better judgement, might say something about his personality, but it does not suggest ADHD.

“If he has managed to get to the third year of a law degree, then presumably he does not have significant cognitive impairment, and is not, of course the duty of the local mental health services to help him get a 2:1 degree in law.

“The best advice is that he works hard.

“I do not want to offer him an appointment and a diagnosis simply as a safety net, just because he might not do as well as he expect in his exams.

“Presumably he has no medical training and is not an expert in psychiatry.”

Matthew has now spoken out about his experiences and said mental health services up and down the country need to be drastically changed if people are to be properly supported.

© Dougie Nicolson/DCT Media
Matthew Simpson

He said: “I went to the GP very much knowing what I was asking for and the GP didn’t necessarily deal well with someone coming in and knowing what they wanted to get out of the appointment.

“I was rejected and belittled by the doctor and people must know that is not an acceptable way to talk to someone.

“I have never met the doctor who wrote the letter and they made assumptions about my personality in an insidious fashion.

“ADHD is a neurodevelopmental condition but a lot of health professionals still look at it like it’s a disorder, which is outdated and dangerous.

“The doctor essentially told me to bury my head and get on with it, but if I had a lump discovered the doctors would not be telling me to do that, it would be taken very seriously.”

Matthew went onto seek private treatment where he was ultimately diagnosed with ADHD and is now receiving treatment to help him.

However he wants to see the whole mental health system overhauled as he believes the lack of support and long waiting list are not actually helping those who need it.

Matthew added: “The conversation about mental health is making sure people can talk about their depression or their anxiety but it is all worthless if we don’t have a system that can support people.

“There are issues in Tayside and I understand mental health support is oversubscribed and the NHS has issues recruiting psychiatrists across the country, but they have to deal with that.

“People are being faced with an 18 month long waiting list and it is abusive because that is not a solution and demonstrates the service is not fit for purpose.

© Dougie Nicolson/DCT Media
Matthew Simpson

“I am still being refused treatment as the GP would not honour my private diagnosis so I am still paying for private prescriptions.

“But I can’t allow that to go on, I should be allowed the treatment I need.”

Dr Mike Winter, associate medical director for mental health and learning disabilities, said: “We have recently recruited and retained a number of regular locum consultants to cover vacant posts within the mental health and learning disability service.

“As part of NHS Tayside’s ongoing mental health and learning disability service redesign, we are working closely with staff within our inpatient and community services in Tayside to develop new workforce models.”

Meanwhile, Dundee Health and Social Care Partnership encouraged Matthew to raise an official complaint, which he has done already.


Link to Evening Telegraph article here 

‘It’s going to be a hard time’ – Mental health campaigners fear for socially-distanced Christmas

‘It’s going to be a hard time’ – Mental health campaigners fear for socially-distanced Christmas

Mental health experts in Dundee are urging city residents to stay connected this coming winter.

With Saturday marking World Mental Health Day, Wellbeing Works said the prospect of households not being able to mix indoors would have greater impact in the colder months.

As a result, people across Dundee are being urged to get outdoors – and take advantage of every opportunity to walk and talk with friends.

A recent YouGov survey revealed that more than eight in ten adults across Scotland have already experienced stress because of the pandemic.

And, although Scotland is not embarking on a new lockdown similar to that enforced during the  first wave of the pandemic, cases of Covid-19 are again rising, leading to fears that more restrictions could be heading our way.

Social distancing and a ban on households mixing indoors, coupled with uncertainty over job security had already had a marked negative effect in Dundee, said Wendy Callander executive director of Wellbeing Works.

She said: “One concern which we’ve been focusing on is people’s worries about losing jobs and their income, and the impact that has on people when it comes to paying their bills.

© Courtesy Matteo Bell
Wendy Callander, Executive Director for Wellbeing Works.

“Another concern is for people who were already having issues with their mental well-being, and it seems like the biggest thing for them is just that they miss people.

“For a lot of them, being with family and friends keeps them well, it gives them a reason to get up in the morning and taking that away is always going to cause problems.”

Wendy also claimed that the holiday season, which is already a tough time for people who suffer from issues such as depression or anxiety, will be even tougher this year.

She said: “Anyone who celebrates Christmas is is already thinking to themselves that this is not good.

“I think that by the time we get to Christmas we will have had nine months of not being close with the people we care about, and for many it will be the icing on a pretty horrible cake.”

© Courtesy Matteo Bell
Wendy Callander, Executive Director for Wellbeing Works.

She added: “It is really hard for a lot of people to get their heads around it, and the other thing which doesn’t help is the confusion over messages, people are really struggling to understand what is going on.

“The best advice we can give people is just to stay in contact. Although you can’t visit people at home you can still meet up for coffee or go for a walk with a friend.

“We’ve been encouraging walking sessions, where you can get together and talk about what’s on your mind while you walk with someone.

“I think we all need to appreciate and understand that it’s okay to feel anxious, worried and scared, especially at this time of year.”

According to the YouGov survey, nearly four in ten people who had experienced stress because of the pandemic said that maintaining a healthy lifestyle, such as sleeping well and eating healthily, had helped them cope.

Four in ten people (41 per cent) said that doing a hobby was helpful.

Professor Tine Van Bortel, from the University of Cambridge and De Montfort University Leicester, said: “There’s a growing body of strong research evidence about the determinants of our health and wellbeing.

“That is replicated by our findings. Access to nature and safe green spaces, positive social contacts, healthy lifestyles and meaningful activities are all crucial, for us to function well.”

Phil Welsh, a local mental health campaigner who lost his son to suicide in 2017, warned that a socially-distanced winter will be difficult for many people.

Phil Welsh with a picture of his son, Lee.

He said: “It’s going to be a hard time.

“It’s coming up to those darker nights, and with that and the cold many people are going to be stuck inside.

“It’s really difficult to predict what will happen, but it’s definitely a concern.

“I think that, coming up to the festive season, a lot of people are going to blatantly ignore this advice because they’re going to want to see their families and friends for the holidays.

“It’s a pretty damning thought that a lot of people are going to be stuck, sitting on their own at home for Christmas.”


Link to Evening Telegraph article here

Wife of local footballer hopes his death will shed light on men’s mental health problems

Wife of local footballer hopes his death will shed light on men’s mental health problems

Link to Evening Telegraph article here 

The Dean Wallace Show.

The Dean Wallace Show.

The Welsh Family Dealing with the Suicide of their Son Lee – Not in Vain for Lee

Tonight at 8pm I will have Big Welshy (Phil), Lesley & Kirsty on the Show!These guys tragically lost a beautiful son & an amazing brother Lee 3 years ago to suicide!This inspiring family are coming on to tell their personal story & share some special stories about Lee as well as the struggles he went through in his life.This along with what they are up to now & campaigning to get a Crisis Centre set up right here in Dundee.This has actually been planned for a few weeks & I didn’t even realise it was landing right in & around this time!I’ve know these guys & Lee from I was just a wee laddie growing up on the Tap O’ the Hull & it’s an honour to have them on & really try to share their message & help save lives ❤️🙏🏼❤️http://www.notinvainforlee.co.uk/

Posted by The Dean Wallace Show on Monday, 14 September 2020

A drastic overhaul of mental health support remains the key to reducing the number of attempted suicides on the Tay Road Bridge, it has been claimed.

There has been a spate of incidents on the crossing recently, with the bridge being closed by police after reports of concern for a person just after 3am earlier this week.

In another incident, a body was recovered from the Tay after a man was seen entering the water from the bridge.

Dundee City Council leader John Alexander said more must be done for people struggling with their mental health before they reach crisis point.

He said: “The reality is, the bridge isn’t the issue.

“Mental health services, and making sure adequate support is there for people who find themselves in crisis, is the issue.

“We have to ask ourselves, why are people presenting themselves at the bridge and why are people – in some instances – jumping off the bridge? And are they receiving the right support?

“In many cases, the answer will be ‘no’.

“And that is fundamentally the crux of it – we’ve got to get better at providing the right services at the right time, to intervene and support people to save their lives.

“That’s what’s going to make the difference to saving people’s lives.

“The bridge, unfortunately, is just one way in which a negative experience manifests itself.

“And, if it wasn’t the bridge, it might well be something else.”

In July, Health Improvement Scotland said it had found “significant concerns” with adult mental health community services in Dundee.

Campaigners such as Phil Welsh, whose son Lee took his own life in 2017, are among those who have called for a 24/7 crisis centre.

Mr Alexander reiterated his backing for such a facility, as well as other measures which may discourage people from accessing the bridge.

© DCThomson John Alexander.

He said: “It’s just not about physical things like barriers and netting, there are other things.

“It’s about more than having messages and support available on the bridge – such as if people can pick up a phone and call someone.

“It is making sure people know there is support available and they are valued, and that isn’t what they need to do and where they need to be.

“I’ve been asked previously about things like a crisis centre, and I think those types of initiatives are going to make far more of a difference than netting, or fencing or whatever it might be.”

The ongoing issue will be discussed at a meeting of the bridge board on Monday.


Link to Evening Telegraph article here 

In full: Report claims mental health services ‘fall short’ of what is needed in Tayside

In full: Report claims mental health services ‘fall short’ of what is needed in Tayside

Campaigners claim a damning review into mental health services across Tayside proves the region is “falling far short” of what is needed.

And fears have also been raised that more preventable suicides will happen before measures are put in place to prevent them.

© Shutterstock
(stock image)

A report, by Health Improvement Scotland (HIS), found “significant concerns” with adult mental health community services, which are managed by NHS Tayside and health and social care partnerships.

It is the latest blow for the local service’s reputation following a string of damaging inquiries and reports in recent years.

HIS raise questions over the area’s “crisis resolution” service, and claims there are inconsistencies in access to treatment depending on where people live.

Campaigners call for 24-hour Dundee crisis centre to end high suicide numbers

Phil Welsh, who has been campaigning for a 24/7 crisis centre since the suicide of his son Lee, said: “The review, specifically in regard to immediate crisis support, still leaves the region far short of what is needed – namely a non-referral 24 hour crisis centre.

“What is offered in the report exemplifies that no real change will be forthcoming.

“While the review goes on to acknowledge that the partnerships and NHS Tayside recognise that they are struggling to provide the appropriate levels and quality of crisis response – but what is really alarming is the vagueness and empty gesture that `steps are being taken to address this’.

“The public have a right to understand `what steps` will actually be taken. This review does nothing to assure the people of Tayside that mental health provision will change,

“Will we as a region suffer more preventable suicides until these ‘steps’ are put in place?”

‘This was no cry for help… I wanted to die’ – brave Dundee woman Zana speaks out about her mental health battle

HIS also criticised the reliance on temporary staff, which the organisation claimed was unsustainable in the long-term.

And the organisation has recommended the health board and partnerships address these issues urgently.

However, the report did acknowledge that Tayside was not the only board facing these challenges, and that it was a nationwide problem.

And it also praised the commitment and dedication of staff, in the face of a number of challenges outwith their control.

NHS Tayside has issued a joint response with Angus, Dundee and Perth and Kinross health and social care partnerships.

It maintains they will continue to work to keep their promise of listening and acting on what requires to be done to improve mental health care in the region.

A spokesman said: “We will now ensure that the actions and recommendations set out in the report are progressed through the improvement work already under way across mental health services Tayside.”

The statement added: “This HIS review coincided and overlapped with the final report of the Independent Inquiry into Mental Health Services in Tayside which was published by Dr David Strang in February 2020.

“The findings released are reflected in the 51 recommendations of the independent inquiry’s report, and they will be taken forward in our Listen Learn Change draft Action Plan, which was submitted to Scottish Government in June 2020.

“Our final action plan will be completed later this month and include any further recommendations from this review, alongside the detailed work which is being progressed to improve mental health services across Tayside.

“We made a promise to the people of Tayside that we will ‘Listen, Learn and Change’ in response to the independent inquiry and the further actions which we will take from today’s report reinforce that pledge.

“As we move forward we will continue to refine our plans and ensure that these voices feature strongly and influence the new Tayside-wide Mental Health and Wellbeing Strategy which will be published in early 2021.”

Mental health campaigner Gillian Murray, whose uncle, David Ramsay killed himself after being refused treatment at Carseview Centre, said the report highlighted the “same old rubbish.”

She said: “Given Health Improvement Scotland undertook multiple reports and investigations that proved worthless – hence the need for a truly independent inquiry – I have little faith in the substance or impartiality of their reports.

“Thankfully David Strang will be returning early next year to see which, if any, of his recommendations have been implemented. That will be a report worth reading.”

Richard Peter–Tenant, who formed Dundee men’s mental health charity Walk and Blether said he supported any effort to improve mental health services in Tayside.

Richard said: “It’s at least encouraging that a further review has been carried out into what is available in Tayside.

“I am a strong supporter of a 24-hour mental health crisis centre for Dundee.

“One was needed before but I think it is going to be even more necessary as we begin to come out of this situation.”

Richard added: “If this report is listened to, along with the recommendations made in the Strang Report then maybe we can go some way to resolving Dundee’s mental health crisis.”

The Independent Inquiry Into Mental Health Services in Tayside

In February of this year The Independent Inquiry Into Mental Health Services in Tayside published its Trust and Respect report and called for an urgent overhaul of the practices.

In May 2018, concerns were raised in the Scottish Parliament about the provision of mental health services in Tayside.

An inquiry to examine the accessibility, safety, quality and standards of care provided by all mental health services in the region was commissioned as a result.

The final report, Trust and Respect, was published on February 5 and was chaired by David Strang CBE.

It contained 51 recommendations to improve mental health care in Tayside and highlights numerous failings, including a breakdown of trust, a failure to deliver services, a lack of psychiatrists, a lack of leadership and a lack of accountability.

Addressing his findings at the time Dr Strang said the board had “lurched from crisis to crisis”.

Dr Strang said he’d been disappointed NHS Tayside appeared to not have listened and did not learn from previous incidents.

He said: “On too many occasions, Tayside has adopted a defensive position, giving the impression of wanting to protect its reputation at all costs.”

Dr Strang said, while he couldn’t make any promises NHS Tayside would act on his recommendations, he was confident there would be strict monitoring of what the board was doing and he vowed to revisit the situation.

Link to Evening Telegraph article here