5 Obstacles Preventing People Accessing The Mental Health Care They Need

We’re talking about mental health more than ever, which has helped to encourage more people to seek help. But accessing that help isn’t always easy.

There can be several obstacles that stand in the way of actually using mental health services in the UK. NHS funding, where you live, your socio-economic background, and social stigma in your community can all present barriers.

The pandemic too has exacerbated the problems. Here are some of the ways people can be deterred from finding care.

Virtual contact

Niamh says virtual treatment left her feeling worse

For mental healthcare, having someone to talk to face to face can make a huge difference.

Mental health charity Mind found that of those young people who were given phone or online mental health support during the pandemic, almost a third (32%) said remote treatment made their mental health worse.

Niamh O’Connor, 22, from Merseyside, has anorexia and required hospital admission after her treatment moved online.

She said: “Lockdown made my anorexia a lot worse, I was trying to stay in control of everything, and my exercise addiction heightened. My treatment also went from face to face to telephone appointments, which I found anxiety-provoking and I couldn’t get my point across as well.

“Over the phone you can’t read their body language or see what their face is doing. It would make me really anxious if they said they were phoning at a certain time and then didn’t. I stopped answering the calls and disengaged, which meant I got discharged from all services and was left without anything. This led to my mental health deteriorating and I ended up going into hospital for five months.”

Jenny Tan, 18, from Surrey, who has an eating disorder, also faced a similar problem. “Because of the lockdown, my check-ins with clinicians moved to Zoom. As the restrictions got stricter the weigh-ins I have to do also stopped being in person. I wanted access to more help, including to dieticians and sessions in person,” she said.

“It felt quite isolating doing it over Zoom. I also had technical issues where a poor connection interrupted our conversations and made it difficult to get my point across, and sometimes the sessions didn’t start on time, so I was left anxiously waiting.

“It was also a struggle for my parents to access the help and support they needed, as the clinic could no longer hold the usual support groups and my therapist didn’t provide them with any information.”

Jenny also felt isolated over Zoom
Jenny also felt isolated over Zoom

Shortage of therapists

The Royal College of Psychiatrists has warned that workforce shortages mean there is just one psychiatrist per 12,567 people in England.

The highest rates of unfilled positions are in the fields of addiction, eating disorders and child and adolescent psychiatry. The College said NHS workforce data shows there are 4,500 full-time consultant psychiatrists for 56.5 million people.

It has called for a long-term plan to grow the psychiatric workforce and said the government must invest in a further 120 core psychiatry training posts in 2022. And there should be an extra 7,000 medical school places on top of the existing 8,000 by 2029, it added.

Dr Adrian James, president of the Royal College of Psychiatrists, said: “The high number of people struggling as a result of the pandemic paired with the historic mental health backlog have created a perfect storm.

“We’re now looking at record numbers of people having to wait for life-saving treatment, with waiting lists getting longer every day.

“If the Government is serious about addressing long-term challenges in mental health, it urgently needs to significantly invest in our workforce so that we can ensure that demand for psychiatric care can at least be met in the future. We simply can’t win this fight without enough psychiatrists.”

The pandemic has exacerbated problems in mental healthcare

Radomir Jovanovic via Getty Images

The pandemic has exacerbated problems in mental healthcare

Lack of time/resources to prioritise health

Joey*, who is in his 30s, from London, is expected to work flexible shifts Monday to Sunday in his job, leaving little time to prioritise his mental health.

“Sometimes I think about it from a money point of view, because it’s more important that I get paid and keep my job than prioritise my mental health and take it easy. If I prioritise my mental health more, I might be out of a job meaning I might be out of a place to live, so I’d be homeless and mentally ill, which is a big fear of mine,” he told HuffPost.

“I’ve had a lack of support from my GP, I’ve been told quite bluntly by healthcare professionals ‘why do you feel like this?’ and ‘what do you have to be depressed about?’ When the first line of support is that kind of reaction, then it stops me from wanting to get help in the first place.

“Private healthcare is not an option for me due to how much it costs, I don’t have the luxury of being able to afford private therapy sessions.”

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