Posted by alexandra_k on April 3, 2014, at 22:40:52
In reply to Re: don't know what to do, posted by baseball55 on April 3, 2014, at 19:50:25
i suppose that could be it. or... it could be that most people are idiots. i think it is more of the latter, actually.
i'm dealing with the public mental health service in new zealand. we manage to spend... less per head of population than... any other developed nation. or somesuch. we do it by focusing a little more than most on *most people* and the *cheaper* healthcare options affecting them.
of course... a lot of savings in healthcare can be made by the above policy. it saves wasting a lot of money on latest and greatest patiented med (only latest and greatest because newest and longer term outcome study information presently unavailable). in some instances things work out well...
but in other instances... mental health... well... it is very much and ambulance at the bottom of the... something. strategy. therapy is next to non-existant. p-docs definately don't get to in the public service. not even so much clinical psychologists anymore. it's being outsourced to... mental health nurses. or 'keyworkers' (what qualification do you need for that, i wonder' or... whatever. weekend workshop counsellors. occupational therapists. not sure what that is in the US. here it is a degree program. it is these days. that place across the bridge. clinicians simply... can't repeat back to me accurately what they just heard me say. basic comprehension is severely limited. empathy - ability to predict how i would likely feel or think about some situation i describe to them is similarly lacking...
it is just hopeless. i... don't know what to say.
i give up. on them. i surely do. i won't rule out psychiatry as a future option for myself (should i be lucky enough to get into med blah blah blah). but working for the public system here sure as sh*t won't be something i want to do. why? not because of the consumers... but because of the supposed health 'professionals'... they are highest maintenence of all. I... don't know what to say...
poster:alexandra_k
thread:1062034
URL: http://www.dr-bob.org/babble/psycho/20140310/msgs/1063632.html