A staggering 93,000 people in Tayside are prescribed a medicine for a mental health problem, 26,508 of which are prescribed 12 or more medicines.
Meanwhile, in Dundee, one in four people are on antidepressants.
Health chiefs have approved the final plan on how they hope to transform mental health services across Tayside.
The NHS Tayside board members have approved the “Living Life Well” plan which details how mental health services will be transformed over the next five years.
The ambition of the new plan is to make sure everyone has equal access to support, and to ensure those with mental health disorders, substance misuse issues or learning disabilities experience the same mortality and physical health as the whole population and to make sure they are able to achieve education, employment and social goals.
A full life free from stigma and discrimination
This new redesigned service will be “needs-led” and “person-centred” to make sure the person with mental health issues is able to see the right professional at the right time and place.
The report states: “Mental health and wellbeing has a profound impact on quality of life.
“This strategy advocates a holistic approach and is fundamentally about achieving better mental health and wellbeing for all, where people in Tayside can live a full life free from stigma and discrimination.”
Work will be done to try to reduce the prevalence of common mental health problems through social prescribing and by promoting self-management of the condition with options for treating
mental health illnesses aside from taking medication.
Despite the high numbers on medication, the report details that medicines do not work for everyone.
Support 24 hours a day, including at weekends
Work will also be done to improve suicide prevention by making sure those struggling with suicidal thoughts are given the right help first time round, and to ensure support is available 24 hours a day, including at weekends.
For children and young people, they themselves as the patient will be put at the centre of planning their care, and a new perinatal and infant mental health team will be introduced in Tayside in 2021.
Crisis and urgent care will also be reviewed, wards will be improved to make sure they are safe and therapeutic, and treatment for those with emotionally unstable personality disorders will be improved.
A range of measures will also be introduced to improve staffing and staff morale in NHS Tayside’s mental health service after a culture of bullying was exposed.
The report states bullying and harassment will not be tolerated with conflict resolution to be improved.
More support will be offered to junior doctors and consultants on-call, training will be improved for junior doctors and more will be done to attract trainee psychiatrists to Tayside.
Furthermore, GPs and patients will be more informed on what mental health conditions can be managed in the community, and what conditions require hospital care.
The Carseview Centre.
Speaking at the meeting, Grant Archibald, chief executive of NHS Tayside, said it was clear changes had already been made to mental health services in the region.
He said: “When I first started the priority was mental health services.
“We recognised this was an area we wanted to demonstrate improvement for the whole population and we have involved people who bring in specialist skills and we have worked hard over many years.
“This was a commitment to change and to let our population know we really meant what we said.
Grant Archibald, chief executive of NHS Tayside
“This is not just about inpatients, this is a far broader emphasis on the whole of Tayside because we can genuinely transform the landscape of mental health and wellbeing for the whole population.
“We said we would listen, we said we would learn, and now it is time for us to change.
“We need to let people know why this is better for the person sitting in Lochee, or the person in Montrose, who needs community-based mental health services, or hospital care, or just support to get their lives to a place where they are living well.”
A new Tayside mental health strategy designed to “reinstate confidence” among service-users and staff has been unveiled.
But the draft document, which is still subject to consultation, has failed to convince mental health campaigners in Dundee.
The Tayside Population Mental Health and Wellbeing Strategy was drawn up with help from around 300 stakeholders, including professionals, service-users and families.
It highlights a raft of initiatives NHS Tayside hopes will “improve how we work as a health and social care system” and “ensure people in crisis and distress get to the right place first time”.
Among the proposals is the establishment of a Distress Brief Intervention (DBI) service, an ‘innovative’ pilot scheme first launched in Scotland in 2016.
The service consists of two parts, with part one involving a trained front-line health worker, police officer, paramedic or primary care staff member helping to ease any individual in distress.
They then ask the person if they would like further support and, if they agree, they are
referred to the DBI service with a promise of contact within the next 24 hours to start providing further support.
The programme was expanded in April into a nationwide response for people struggling during the coronavirus pandemic.
In September, Nicola Sturgeon extended the pilot scheme to 2024, where it is then expected to be embedded in all health boards across Scotland.
The report plans to strengthen “engagement and participation”, “restore public trust, respect and confidence in our mental health services by improving mental health services” and to deliver a “comprehensive programme of work”.
Phil Welsh with a photo of his son Lee.
The report highlights a raft of initiatives, which NHS Tayside hopes to “improve how we work as a health and social care system by working closer with other NHS Scotland services such as NHS24, Scottish Ambulance Service, and Police Scotland joining up with NHS Emergency departments to ensure people in crisis and distress get to the right place first time.”
“There appears to be very little in here in regard to people at the pinnacle of crisis,” he said.
“Once again the cops will pick up the pieces and take the person to `the right place first time.`”
The report states that work to improve the organisational culture of mental health services in Tayside is underway.
This includes the need to attract and retain trainee psychiatrists, to ensure that staff feel valued and listened to, and to give urgent priority to the development of community-based mental health services.
The strategy is due to be finalised next year, following a feedback exercise.
Kate Bell, interim director of Mental Health and Learning Disability Services in Tayside, said: “We are fully committed to making this strategy reflect the needs of all and, in particular, reflect the voices of people living with mental health conditions, their carers and families.
“We will continue to work with all stakeholders, including all staff who provide support, care and treatment across our mental health services.
“Mental health affects us all and we want to make as many people as possible in Tayside aware of how we are changing how we care for those in need of our services and supports.
“We are seeking everyone’s views on this first draft of the strategy so please get involved, share the strategy and survey, and give us your feedback to help us connect with as many people as possible.
“Our commitment is clear: we will Listen, Learn and Change with service users, carers and staff and families in mind.”
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.
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.
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.
“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.
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.
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.”
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.”
The widow of a local footballer says she hopes some good can come from his death with greater support for young men battling mental health issues.
Jayson Alexander was just 32 years old when he died last month. The former Lochee United player was a husband, father and a friend to many across the city.
Jayson during his time playing for junior team, Lochee United.
His untimely death has been a stark reminder of just how “fragile” mental health can be, his widow Lynsey said.
In an interview with the Tele, she revealed if there was “some comfort” to come out of this tragedy it would be that more awareness and support for mental health could be put in place.
She added: “Although the whole issue of mental health has become more known nowadays, I don’t think it is still understood just how life-threatening mental health problems are.
“If you’ve got a broken leg there is something to fix it, if you have a broken mind, nobody can see it’s broken. Sometimes even the person with a broken mind doesn’t know.
“The passing of my husband has affected many people and has also highlighted how fragile mental health can be.
“The results from this – especially in young people and young men in particular, is very worrying.”
Despite facing his own issues the Morgan FP Amateur player had always done his best for his fellow footballers who found themselves struggling.
Jayson played for a number of football clubs including the Morgan FPAFC.
She added: “Jayson’s team have suffered more than most, anything that can help to stop this happening again has my full support.
“If more awareness for mental health can be put in place from the loss of Jayson, it would give some comfort knowing it has helped others.”
Following Jayson’s funeral last week there was an outpouring of grief and also a message for change.
Vicki Cairney, the wife of Jayson’s teammate, John, said it was more than just “kicking a ball about” after seeing the football community rally around Jayson’s family.
Speaking on social media she said her perception of football had changed as a result of the “support network” she had seen after the midfielder’s death.
Vicki post had struck a chord with many in the local community and further afield.
She wrote: “In recent days given everything that happened I’ve realised just how important the game is.
“There has maybe been a case of myself moaning in the past that football takes time away from the family.
“In seeing the way that support network has helped these lads I realised for the first time that it is so much more than just kicking a ball about.
“I just wanted to share my own thoughts and it’s had a great response. Men’s mental health is so important nowadays.
“There is a need from partners and wives to be more supportive of men playing football opposed to just seeing it as time away from the family.”
Libby Emmerson, founder of the charity, launched the organisation in 2018 after she attempted to take her own life and was saved by a footballer.
Libby Emmerson, founder of Back Onside who is working with clubs across Scotland.
Through its patrons and ambassadors across Scotland – including local player and Ex-Aberdeen star Jamie Winter – the charity has been working on “changing room chats” to share stories and get people talking.
She added: “Every club we work with we’ve encountered three or four players who are facing problems.
“The service is completely confidential, even if it is just a chat with someone out with their family we are able to assess if they maybe need more support in the form of counselling.
“I thought it was very powerful the post Vicki Cairney had put out there. Around 60% of the folk we are working with just now are in the Dundee area.
“Some of those people are in Cognitive Behavioural Therapy (CBT) with us or just drop in-sessions.
“We will continue to work hard to help day and night to provide that support for those who need it.”
For those who would like more advice they can reach Libby Emmerson on 07528 243 100. If you’re struggling, you can you can also contact the Samaritans on 116 123.
A Dundee youth mental health charity has launched a new peer coaching and listening service.
Feeling Strong has set up its new service to meet the developing needs of young people in the city, providing a safe space for young people to talk about their mental challenges, as well as any other issues they may be facing.
Peer Coach Errin Mathieson said “We’re so excited to launch this new service, and ensuring we’re equipped to help any young person as best we can.
“We hope to promote the exploration and embracing of challenges, with our carefully tailored service assisting in successful recovery and positive destinations for all who come to our doorstep.”
Developed by young people, for young people, the service is for anyone aged 12 to 26 that lives, works, or studies in Dundee.
They are open Wednesdays from 1.30pm to 5.30pm.
Anyone interested in speaking to a member of the charity’s peer coaching staff can click here for a referral form.
