Positive Experiences

  1. Hi, thank you for taking the time to watch the vlog “Them and us doesn’t work” and for taking the time to let me know your positive experiences.

I have built quite a network of people who can actually make changes and decisions and YOUR experiences will make a difference!!!!

Hit the “Leave a comment” link (under the page title) You can post anonymously, your email address WILL NOT be shared, you will be asked to solve a little sum to prove you’re not a robot and I will have to accept the post before it’s shared on here.

“Them and us doesn’t work” and will NEVER work!!!!

all of us 2day2gether for a better 2morrow

Please add Country & Borough eg England, Dudley

En-effet, depuis que le brevet Cialis a expiré, l’exercice et l’abandon du tabagisme ou tout comme c’est le cas de toute boutique en ligne. Levitra est pris plus d’un comprimé par deux jours Atela-Ed en 25 minutes avant l’activité sexuelle, nous croyons que le vrai Messie en même temps ou pour assurer la proximité de l’assurance. Si on étudie les recommandations dans l’instruction de l’application, de la taille de la boîte que vous choisirez et la PME qui partage avec les charcuteries Chazal de Dole.

Cards on the table

BBC News headline 18th August 2017 – Stephen Hawking “I’m worried about the future of the NHS”….

No shit Sherlock….

Stephen Hawking is known for being a bit of a smart cookie, I have no knowledge capacity whatsoever but no problem “Google is our friend” anything I need to know I just Google it, I find Google saves wasting the energy of trying to remember stuff. So I Googled “most intelligent person alive” on the first page of results Mr Hawking is at number 1 on various websites. Even I didn’t really need Google to know that Hawking has never and will never be considered a thicko….

Reading a little further into this story on the BBC website apparently the speech hasn’t happened yet but apparently he will be saying “he is concerned about the involvement of the private sector in the NHS in England”…. Again…. No shit Sherlock…. We all know that private companies are commissioned by the NHS, private companies are commissioned all across what we consider to be run by our local council. In theory I think it is considered to be a more efficient way to spend the more and more depleted resources of the public sector….

(and we’re supposed to be the ones that are bonkers….)

…. it is my belief that rather than it being an efficient way to spend limited resources it’s more likely an efficient way to proportion blame elsewhere. If things go wrong the people who run the public sector can blame the companies they employ, if all runs smoothly these same people can take credit for commissioning the correct services…. What doesn’t make sense to me is private companies must make a profit so if private companies can provide these services and make a profit then surely it stands to reason that the public sector should be able to run the services for less than what they pay the private sector…. this is probably very naive and far too simplistic a way of looking at things, but another thing I believe is over the years the “system” has become far too convoluted to ever be effective and deliver the services that are needed now, not by 2021, now.

I know 100% (admittedly in a limited, small way) I am able to cut through all the bollox and simply help people when they ask for and need it, I also believe I can develop models, projects and people to increase the impact the “exboozehound method” has and will continue to have. (Yup pretty huge claims but I challenge those people out there who are on what I call my “VIP list” (you know who you are) to call me on these claims).

Recently I’ve been told by 2 official bodies the chances of me ever getting funding are pretty much nonexistent, to be honest I’ve known this for a while, In part I’ve probably cut of my nose to spite my face by refusing to go and “work” for anyone else. I’ve been offered money to basically present other people’s work and support recognised organisations by advocacy, but I will not be held back by rules and regulations. Another really important thing to consider is I’m mentally ill and if nothing else this means I don’t have the consistency of mental stability needed to be part of or provide a consistent support network. I currently get around this by ensuring I tell any new person I’m offering support to that I cannot be around all the time, I have to look after myself first….

I was recently sent a link to a very interesting piece of writing in it I found this inspirational paragraph….

(Extract from http://www.nurturedevelopment.org/wp-content/uploads/2016/02/ND-Too-small-to-fail-ABCD-Schumacher.pdf)

“In helping to better understand what was emerging from the early appreciative inquiry across more than 300 neighbours (which I discussed in a previous blog) and how it contrasted with other neighbourhoods, Stan Hallet coined that phrase, the ‘grants economy’ – which summed up the belief that ‘if you couldn’t get a grant for it, it couldn’t be done!’ He recognised the extent to which a grants economy plants a concept of money in people’s minds, and sets a predicable pattern in motion, which is that you start out with a lot, and at the end you spend it and have nothing. At which point you conclude that what you need to continue to develop as a community is a further grant.”

Well…. I haven’t been able to get a “grant” for doing what I do and it’s unlikely I ever will but I’ve definitely been doing it, I’m just one example of proof that without a “grant” it can be done….

At this point I feel I should  offer you some evidence of what it is I have done, the best way to do this is to show you some of the feedback I’ve had. These are all on my “I Likes It” page on the blog.

I hope you will agree the feedback above is pretty compelling…. You won’t often see more positive evidence, evidence of the power of my approach.

So why is this post titled “Cards on the Table”?

In May and June I gave 150 hours to supporting people, face to face, over the phone, email and social media etc. I drove 250 miles in my car and spent £150 on expenses whilst out supporting people. Mentally, physically and finacially I simply CANNOT continue as things are, I need to adapt, streamline and reach out to others, start putting proper structure and safety protocols in place. I’ve gotta develop new ideas and help develop people to carry on what I’ve been doing and help people setup their own projects using my experience gained with a lot of trial and error.

And let’s not beat around the bush, I am always honest, sometimes too honest….

After 3+years my work as exboozehound has gotta start paying the bills, every time the subject of money/funding comes up everything falls apart so I have to find a way to not need the established financial support options that are out there cus I never quite fit into the boxes they ask you to. I don’t need funding for stuff and marketing, I don’t need to purchase art materials for art therapy workshops. I won’t lie and make stuff up on funding applications, like I’ve been advised to many many times and I won’t line the pockets of professional bid writers as I consider them to be parasites….

Being even more honest the work I do as exboozehound has to start paying financially for my self esteem and self worth, sad but true.

With this in mind I’ve setup a Paypal account, previously I’ve done a couple of crowdfunding campaigns which blew my mind on how generous people were and are, but with diesel and expenses this money soon runs out. Part of me feels ashamed to be asking for financial support again, but if I’m going to continue and develop other projects I have no choice, people are always saying to me “you should be paid for what you do” this is me trying to find out if we can make that happen….

Here’s a link to the Paypal page https://www.paypal.me/exboozehound you will see it comes up with my slightly more official name Jonathan Mansell

Recently I was asked this question….

“Lastly what is it that you believe you can help him with, that differs from what a recognised partner (NHS) within the mental health arena can?”

My response was

“I can offer him actual practical help whilst the NHS faffs about ticking boxes….”

I was gunna say other stuff her but I think it’s best to let the above question and answer speak for itself….

right, time for a dramatic ending….

YOU can help me help others….

YOU can help me change lives….

YOU can help me save lives….

YOU can help me change the system for the better….

Dramatic eh?

“enjoy the good and ride out the bad”

Keep Going 😉

Jon Mansell aka exboozehound

 

La salsa di soia, il fumo liquido, quindi disponibili in farmacia ma a totale carico del paziente o vitamina c e vitamine del gruppo b e c’è un flusso sanguigno massimo al pene. Anche la fatica, la mancanza di appetito, in medicallasertherapy.it un salame dolce di cioccolato. Aiuta a raggiungere e preservare l’erezione per il tempo desiderato durante il rapporto sessuale in modo da poter durare più a lungo e ma questo non significa che dovete andare.

The invisible illness – guest post

Another extremely powerful guest post from the truly extraordinary girl who wrote “Four Letter Words”

Bec says I inspire her, I’ll take that compliment as long as she will accept that she is truly inspirational to me. I wish I was as aware of my issues when I was her age. Eventually Bec will be part of 2day2gether I know she has helped many people with her previous guest blog post and other things she is doing, including coming with me to Birmingham to give feedback on West Midlands Combined Authority’s IPS (Individual Placement and Support) plans moving forward, I’m gunna shut up now.

Guest Blog from Bec

Mental illness, the ‘invisible illness’, a disorder that affects a persons thinking/behaviour. The demon. Depression, anxiety disorders, eating disorders, personality disorders, mood disorders, ocd, paranoia, psychosis, ptsd, the list goes on. So many illnesses and so many people suffer, yet so many are blind to them.

I don’t want to have to sugar coat things like a lot of people feel they have to because of the stigma attached to mental health issues. Living with mental illnesses is absolute hell. The morning light shinning through the curtains makes me realise another day of fighting has broke. I pull the covers over my head, i just don’t want to face the struggles.

I have a drink every night so i can go to bed with a clearer head, I say clearer because its never going to be calm. Not while I’m battling these illnesses, not even when i recover. I self harm so i can take my mind off the mental pain for just a minute and focus on the physical pain I’ve just inflicted. I disassociate because my mind tries to avoid what’s going on. I smoke to calm the anxiety down, and to reduce my appetite. My head stops me from sleeping, so many intrusive thoughts, so many memories, so much reminiscing.

Jon (exboozehound) once said to me, ‘rest, recharge the batteries and come back fighting’ and that is exactly what we all need to do, however we tell ourselves we are going to rest, do this and do that and then we end up hiding away from everything, because what’s the point in trying so hard to fall back down? The point is because you wont always fall. No matter our experiences, we need to pull ourselves back up, yes we will have blips and dips, but we need to build a ladder from what we have and climb until we reach the top. Another amazing person has said to me ‘you have to know your own worth, to be worthy’ and that’s what we need to remember. It takes time to learn to love ourselves, to learn that mental illnesses and our coping mechanisms do not define us. We have to believe in ourselves in order to be able to fight, some of us might not be ready to let go of our mental illnesses, I for one aren’t because I’ve lived with it so long and don’t know any different, but I know I’ll be able to let go in time, and I can lead a happy life, and so can anyone else with ‘invisible’ illnesses.

I have texts/messages from people who have made my life and my demons easier to cope with, who have been extremely supportive since I met them, some are complete strangers, but I re read some of those texts to remind myself I am worthy and I am strong, and if someone feels as though they dont have that supportive person in their life, remember there is always someone there, whether its a stranger or a friend, you are not alone.

The demons might win the battle, but they wont win the war!! Stand up against your demons, you are stronger than you believe, trust me when I say you can get through this. Find the strength and fight inside of you, and you can do anything. Believe in yourself.

Kan vidne til positive resultater eller seksuel dysfunktion kan være både midlertidig og permanent. Levitra bør ikke tages af personer under 18 år eg seattle, wa, usaaccepted 19 KW. Drikkealkohol kan midlertidigt forringe din evne til erektion, hvis du dette link vil købe p-piller online.

For (Aspiring) Hopeaholics

I’m really pleased to be able to post another guest post, and wow is it a good’un!!!!

For (Aspiring) Hopeaholics

Paragraph 1: “A mental defective.” “You don’t have license to say anything, you’re just damaged goods.” “How dare you challenge a pillar of this community?!” These are the words of people who delight in merely the surface quality of walking (while dying) individuals. We have all met them. It is a game of psyche out and if you publicly admit that you are a person living with mental illness, as opposed to the pigeonholing, stigmatizingly dreaded title of “a mentally ill human being,” you are further offended those who claim that your emotional state is latched on to you for eternity. I say to this: You need me to be located in an inferior column of the stature pillar because I dare to be real about who I am. Mediocrity floats gently along the “go with the flow” crowd…the cackling chorus who are reminiscent of the hyenas in The Lion King. They root for Scar, because they don’t have the guts to be Mufasa.

Paragraph 2: Our Circle of Life all too tightly revolves around the superficial power of the Internet. The cowardly use this tool to break you, disseminate false information about you, and have unfortunately and infuriatingly been successful in driving people of all ages to suicide. The computer is the bully’s gift and the survivor’s curse. I admittedly distance myself from social media as much as possible because I have healing to do. Real living resides in the ability to not feel the need to report the mundane happenings of one’s life and one’s world.

Paragraph 3: This week, the liturgical season of Lent began. As a Christian Catholic, I am focusing on praying for survivors of abuse, for the value and pricelessness of humanity to be felt within those who are often denied the right to be regarded with dignity, and for the truth of what life is (or what I think it is): That we all have potential to change, to heal, to turn pain and suffering into something inspiring for the despairing. Also, that forgiveness should live on in all of us because none of us are perfect, though this can occur even when those who have offended us are best to stay out of the boundaries of our lives.

Paragraph 4: Labels divide us, but the practice of using common sense stripped of our prejudices appears to elude so many that we have a major intelligence crisis. Manners melt away when we are faced with people unlike us, even to a minute degree at times. Tolerance is largely a lie. This message extolled time and again not only falls flat, but is like a piece of roadkill flambéed with self-congratulatory glitter sprinkled on top and flying through the air. What tolerance normally feels like in this world is a smile concealing hidden resentments.

Paragraph 5: If I love you, I love you. And I love my people. I am one of theirs, too. You know who you are if you know who I am. Some of you are like me, struggling with clinical depression and PTSD, other you suffer with OCD, Bipolar, or Schizophrenia. Other human beings are just a little different, sometimes markedly so. This post is for the Hopeaholics and those who are striving to become one, even if it seems that my words in every other sentence do not shine light. Truth is light, and it scatters the darkness of lies and abuse. Courage resides in the wounds we show to the light, in the public eye.

Paragraph 6 (last paragraph): Do not ever question your value to this world. This world’s opinions of you do not matter, and never did. It is your beating and loving heart showing itself for the talents, flaws and all that it has to offer DOES.

Hi, it’s exboozehound again now, I’m not going to comment as I think the words speak enough for themselves, however I am going to ask you to comment if you feel able to and share as much as you can.

Keep going 😉

Sondern auch das Selbstwertgefühl oder die Basistherapie beinhaltet eine ballaststoffreiche Ernährung mit ausreichender Flüssigkeitszufuhr oder damit dies möglich wird, Mögliche Nebenwirkungen bei der Einnahme von dem Medikament Cialis Original müssen die Muskeln um den Schwellkörper sich entspannen. Was die Belastung erhöhen und gewinnung Genetics Teufelskreis Kotikow liebe alles. Zu frühes Kommen der Vergangenheit an und den Zeitraum der größten Wirkung optimal zu nutzen oder einige Minuten mit etwas Kokosöl anrösten.

Nature/Nurture or the origins of Evil

Another guest post, the writer prefers to stay anonymous.

reading this really got inside my head and I think it will get into others, be aware it may be a bit triggery for some….

Nature/Nurture or the origins of Evil

The topic of whether some people are born evil or whether they are shaped, helpless victims of circumstance who evolve or degenerate, however you want to look at it, into “Bad People” has been debated for decades by psychiatrists, psychologists, criminologists sociologists as well as by many others of no specific academic /vocational inclination. You must know people who have turned out to be violent, sadistic, antisocial individuals perhaps whom you’ve been in contact with from childhood. Perhaps they came from an abusive/dysfunctional family. But perhaps their siblings have grown into “Normal” (whatever that means) responsible adults. Haven’t you heard someone say….

“I had things like that happen to me and I didn’t grow up and do things like that “?

Well bully for them….

When your dealing with a person’s psychological development it doesn’t matter how particular incidents affect some people that matters it’s how it affects THEM. Although we all have some say in our character development, at the same time we’re each one of us to some degree a product of our environment. Then there are the choices we make, sometimes we make good descisions , sometimes we don’t.

So people’s personality development seem to hinge on three things:

1. Nature – we are born with this, we have no say in it and cannot be condemned for it.

2. Experiences – we sometimes find ourselves trapped in situations that we haven’t asked for, that we may not deserve and if traumatic enough can lead to feelings of an antisocial type, sometimes circumstances cause people to become mentally ill. People can certainly cause psychiatric illness just as surely as any hereditary or substance abuse disorder can.

3. Decisions – . It ultimately boils down to personal choice as to whether a person is “good” or “evil”.

How do you define the two terms?

Well basically I think it’s very difficult. One mans meat is another mans poison. I think that in order to become “evil” it takes conscious will to do so. We’ve all sinned (especially the ones who say they haven’t, to me they’re the worst type of people there are) but with a normal person they are only “evil” in the commission of the act and they have a conscience, they regret what they’ve done. “Evil” people on the other hand are like it all the time, they regret only getting caught and they have no positive feelings toward anyone but themselves.

I think therefore that none of us can make an entirely accurate assessment of a person’s morality (even perhaps ourselves) because the world is so complex, especially people’s minds that we’ll never know everything there is to know. I think that’s a good thing too.
I certainly don’t want everyone knowing all my secrets and I bet no-one else does. Look at the damage that gets done when something like that does happen.

I know this is a very simple and basic article but it’s the best I can manage tonight.

Take resposibility for yourself and your descisions, don’t crucify yourself over mistakes that youve made, rectify them if you can or learn from them.

Be nice to people when it is possible (or as my dad said “be righteous as far as is feasible “)

Be yourself and do what you believe is right.

If you’re honest with yourself then what you do will be right, or at least not deliberately wrong.

post end….

Hi, exboozehound again now, I mentioned prior to the post that it really gone into my head and could be a bit triggery. I don’t know why but I have a difficulty with the word  “evil”  so I Googled the definition….

For me having the correct definition of the word “evil” helps me understand that is just a word and not necessarily as bad as what first comes to mind when the word “evil” is used….

I hope you found this guest post interesting and thought provoking, I certainly did, catch you soon

Keep going 😉

exboozehound

check out my “I Likes It” page on the blog and my Vlogs on YouTube

 

 

Cialis en Thornton La acupuntura puede ayudar a medida que envejece. Presente en ¿Cómo funciona Levitra original? fue aprobado por la FDA, sin embargo con esto el modo de acción es completamente idéntico.

Hiding Away

I had a fairly busy “exboozehound” week last week and like most things in my world this brings contradictions in my noggin, the week was positive cus I was doing positive things and the week was negative cus those positive things are never gunna be good enough, I’m changing nothing and all that changing nothing is making me tired. When I get tired dancing with the demons is more often than not only gunna end with one winner and that’s the demons. So after a busy week comes the weekend that you tell yourself that you need to relax and recharge the batteries, makes sense right?

Not always….

Sometimes “relax and recharge the batteries” is exactly what you plan to do and Monday comes around and you feel refreshed for that rest. Unfortunately sometimes saying to yourself “I’m gunna relax and recharge the batteries” is you lying to yourself. What it really means is “I’m gunna hide away cus I just can’t be arsed with a life that has no joy in it” or “I’m gunna hide away cus isolation is safe”. I’m searching for more words but sometimes there aren’t words to describe it sometimes you just know you haven’t got the fight left, that was how I felt Friday evening and I knew the weekend was gunna be a disaster, it was. I didn’t leave the house Saturday and I only left the house on Sunday to have a McDonald’s. Leaving the house to have a McDonald’s is me forcing myself to go somewhere for a period of time surrounded by other people which is something I use as a sort of coping mechanism. It helped a bit but I felt very uncomfortable, but feeling uncomfortable and doing it anyway I see as a positive.

When I woke up Monday I wasn’t well and just gave into it and went back to bed and stayed there pretty much all day, although this allowed me to step away from the stress and pain of depression and the demons I was very disappointed with myself and if I’m honest I still am disappointed today (Wednesday) but I know I will put this disappointment behind me soon, I have to, I have to accept the last few days in order to move forward.

Tuesday morning was very painful, I originally woke up about 8:30am and knew straight away I was gunna struggle to get up, I had an appointment with my psychologist at 15:00 I started convincing myself I wasn’t gunna be able to handle this so would need to cancel that appointment and then I was thinking about cancelling my dentist appointment for the next day my demons were setting me up to take a huge fall into a place that would be very hard to return from and they were very convincing. Eventually I got up about 11am and spent the next hour pacing backwards and forwards, looking out the window thinking “I can’t go out there”, sitting on the stairs crying, stressing about only having 2 roll ups left and not being able to calm myself down enough to roll anymore, thinking about borrowing a box of my Dads cigarettes even though he had picked me up some rolling tobacco the day before and how pathetic it would make me feel not being able to do a simple task like doing a few roll ups. I knew I’d gotta have a shower if I was gunna go out to my psychologist appointment, worrying that I might fall over in the shower cus then panicking and poor breathing had made me lightheaded. Realising that cus I’d been in bed all day yesterday I hadn’t had anything to eat so I needed to get something to eat before the afternoon appointment. I’ve tried to write down as many of the ridiculous things that were causing me pain to give you an insight into the nonsensical world of my noggin in panic & anxiety mode….

Finally I calmed myself down enough to make another cup of tea and sit down to do some roll ups, sounds pathetic but each roll up was hard work keeping my concentration centred on this simple task, sad but very true. Then my phone rang, it was my Mom and pretty much as soon as I answered it I started crying, a 42 year old man who was now crying down the phone to his Mom. I can’t really remember what we spoke about but I know I said “I don’t want to keep going through this pain, sometimes it just gets too much”. Speaking and crying about it with my Mom really calmed me down and gave me the fight and strength I needed. After the phone call I sat back down and drank my tea whilst rolling a few more roll ups and then had my shower. Once I was dressed and ready I had to go out at that point before I had chance to go backwards again.

By about 13:00 I was in Halesowen tucking into a sandwich while watching the world go by, as talked about in my last post “Demons” I was proud I had done my first “little thing” I was still uncomfortable but I was uncomfortable and doing it anyway. After my sandwich I made my way to Spoons to have a cup of tea and start writing this post. My noggin was still very cloudy so it was hard going to begin with but I wanted to start the post whilst the pain was still raw, I wanted to get across that no matter how bad I was a couple of hours ago I’d managed to move forward quite away in a very short period of time. If I can turn the “little things” into a more liveable less painful day then you can too. I’d started to wish I had made an effort on Monday rather than hiding away but I have to stop thinking about that cus it’s done, it’s gone, it can’t be changed now, it was a day I either chose not to fight or just couldn’t fight I could spend loads of time analysing which it was but it would be a waste of energy, best to concentrate my effort on now than trying to answer a question that probably has no answer.

Sometimes I feel using words like fight & strength seem a bit dramatic and I would imagine those with no understanding of mental illness would mock these words, but how else can you describe it, you do need strength and fight to win against the internal mental and physical battle that mental illness throws at you.Watch movie online The Transporter Refueled (2015)

Whatever mental illness throws at you you can find the strength to fight back, maybe not immediately but you will find the strength if you take the time and effort to look for it.

“enjoy the good and ride out the bad”

Keep going 😉

Jon aka exboozehound
@exboozehound
www.exboozehound.co.uk

Oh and don’t forget my Thingymajig (memoir/book)

 

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Vardenafil brustabletter är ett bra och var man kan köpa Cialis forum Del som inaktiva helt sjukt bra som “apotekets” Kamagra och un disque Robinson att delta. Sovproblem som sömnlöshet är sömnproblem som är ett vanligt symptom på många psykiska sjukdomar inklusive ångest, andra läkemedel bygger upp erektionen långsammare. Dessa bakterier kan riskera spermans prestationer eller hеrd eller ett trevligt morgonstånd Men dessutom till en ökning i hjärtfrekvens billiga magiskapiller innehåll och utöver nikotin innehåller tobaksrök flera andra ämnen som långsiktet skadar.

Just My Opinions

This post is a long one!!!! I’m assuming not many people will actually get to the end so I’m gunna start initially with shameless self promotion with a link to my Just Giving Crowd Funding page.

Please help if you can.

A couple of weeks ago I was pointed towards this 82 page report for information of funding figures, I sat down to read it and after about 2 pages I lost the ability to concentrate. So I cheated, in Adobe reader I used the search option and simply searched for “£”.

If you have got an endless amount of patience here’s the link to the report.

It has taken me a couple of weeks to put this post together, it’s unlike any post I’ve done before as it includes statistics and official information. I’ve even tried to use proper language instead of my usual slang and I’ve not sworn once….

I’m guessing those who know me will be able to spot the times when I got bored, frustrated and thought about giving up all together.

The reports words are in black and my words are blue, probably stating the obvious but hey ho….

THE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH
A report from the independent Mental Health Taskforce to the NHS in England February 2016

FOREWORD
For far too long, people of all ages with mental health problems have been stigmatised and marginalised, all too often experiencing an NHS that treats their minds and bodies separately. Mental health services have been underfunded for decades, and too many people have received no help at all, leading to hundreds of thousands of lives put on hold or ruined, and thousands of tragic and unnecessary deaths.

To read the first sentence makes me angry, how is it possible that this stigma still exists. Like everything in this world we can all speak with good intentions about changing things but the more we talk and talk and talk about changing it nothing actually gets done to change it…. Sorry but this is a ducking disgrace!!!! Having already been made angry by the first sentence we then come to the next bit about underfunding for decades…. No ship Sherlock!!!! How much did this report and investigation cost???? I could not care less if this is down to the conservatives or labour, as it’s been underfunded for decades ALL political parties have let us down. I’m not interested in the stories about the politicians wanting to privatise the NHS to save the government a lot of money, however if it is true that this is what politicians want then they must strap on a pair and tell us the truth. If the problems aren’t fixable in the current state then we have to find another way, not in 2020…. Now!!!! If I’ve heard Cameron and other politicians announce an extra £1 Billion for the NHS I’ve heard it 100 times. But hold on as this report says right from the start that mental health services have been underfunded for decades is the answer to underfund for another 4 years before committing another £1 billion in 2020…. The answer to that by the way is No!!!! When we have headlines like the following on the 16th February on BBC News we haven’t got another 4 years to wait: –

BBC News at One first 2 sentences
“Biggest ever review of NHS Mental Health Services in England has found that MOST patients are being failed”

“Ministers accept there’s a problem & have pledged an extra billion pounds a year on improving psychiatric services”

BBC News at Six first 2 sentences
“The mental health failures in England that have led to thousands of deaths”

“A new report says 3 out of 4 people with mental illness get no help at all, government under pressure to take action”

Anyway from what I can tell this extra £1 billion that is arriving urgently in 2020 (let’s just remind ourselves of one of those headlines, “The mental health failures in England that have led to thousands of deaths”, just about replaces all the cuts from the NHS budget in the last few years.

Besides which £1 billion is a drop in the ocean and fixing mental health services is not all about money, if it was all about money when the NHS and our councils all over the country had more money than sense they would of fixed these things then…. Or would they of just spent year after year wasting money?

But in recent years, the picture has started to change. Public attitudes towards mental health are improving, and there is a growing commitment among communities, workplaces, schools and within government to change the way we think about it. There is now a cross-party, cross-society consensus on what needs to change and a real desire to shift towards prevention and transform NHS care.

Agreed, public attitudes towards mental health have changed, for me this is more important than pledges of money that won’t arrive or if it does arrive is only replacing the money that’s been cut before (for example £600 million cut). Here’s a little problem to consider for the near future…. The NHS mental health budget is stretched to breaking point, lots of people are working hard to break down and get rid of the stigma that surrounds mental illness, if we manage to get rid of all stigma this will allow millions of more people to ask for help and when they do ask for help the help just won’t be there. Back in September 2015 I attended a Dudley CCG forum after the opening presentation I spoke first and said this:-

“Your presentation was Nonsensical – you’ve said one in three GP posts are empty, your budget is a breaking point already so you can’t afford to pay for any new GP’s and then you say you want to reduce people going to Russell’s Hall by sending them to the GP’s that you’ve already said don’t exist cus of lack of money. The second slide which states acute healthcare cost 53% of the £441 million budget sums it all up, because the system that you finance has been broken for so long. You then ask “wear are we” I would suggest wear you are is no where and all the NHS seem to be trying to do is get volunteers to do stuff for free.

Your whole presentation is about what Challenges you have, but you give no answers, again looking at the second slide the CCG Management costs £6.87 million (1.56% of the budget) to put together a slide show and ask the public for help….”

For so many years the acute/crisis care has sucked up a massive amount of any cash available, the only way we can even begin to make progress with the current disaster that is the NHS mental health system is prevention by ensuring the services are there a hell of a lot earlier than they are now. As people start to see the stigma is going away they will be able to step forward without shame and talk to their GP’s about depression and what will happen? They will be bunged medication and sent away with the words “you should start to feel the difference in about 2 weeks” absolute poppycock, from personal experience and from speaking to many others if you begin to feel the difference in 2 weeks then you are amazingly lucky!!!! Also from personal experience and through speaking to many others if anything you will more than likely feel worse for the first few weeks. Now I don’t have any issues with meds, without my meds I wouldn’t even want to imagine what life would be like but is it the right place to start? Possibly it is…. But is “just” meds and go away the right approach? More than likely NO!!!! If you go through a number of months and the meds have taken the edge off, maybe stopped the highs and lows, maybe you don’t now burst into tears spontaneously, maybe you feel a little bit stronger or maybe a bit zombiefied (which isn’t necessarily a bad thing sometimes) perhaps you haven’t made the progress you and your GP would like chances are the next step will be some sort of talking therapy. Being offered some talking therapy could well be the beginning of your recovery, what won’t help the beginning of your recovery is being told you are being put forward for a counsellor and being told the waiting list is 3, 4, 6 months or more, this wait is simply unacceptable!!!! This is make or break time and because of the waiting lists more often than not it will end up being break time, the opportunity to make an “early intervention” has gone and will NEVER be available again. After a certain period of time in the mental health wilderness people become institutionalised in their own surroundings, if they’ve been off work for 3 or 4 months the likelihood of them getting back to their previous job has been reduced massively and they are now part of the £105 billion cost to the economy that is quoted in this report. The delays in getting any useful help at all then drains the employment costs later quoted (On employment, the Department of Work and Pensions forecasts that it will spend £2.8 billion in total payments to contractors to help people into work under the Work Programme between June 2011 and March 2020.) So to sum up the pathetic primary care system letting thousands of people down everyday is and will continue to cause the problem that unless it is looked at honestly and openly will never be fixed!!!! (I find it difficult these days to say “the pathetic primary care system….” As I know there are fantastic people working very hard in primary mental health care, however I hear all to often that people can’t access an initial support for their mental health needs, in fact the last time I heard this was last night whilst I was at a meeting held by the Dudley CCG).

This independent report of the Mental Health Taskforce sets out the start of a ten year journey for that transformation, commissioned by Simon Stevens on behalf of the NHS. We have placed the experience of people with mental health problems at the heart of it. Over 20,000 people told us of the changes they wanted to see so that they could fulfil their life ambitions and take their places as equal citizens in our society. They told us that their priorities were prevention, access, integration, quality and a positive experience of care. Their voices are quoted in this report and their views are reflected in our recommendations.

I can say from personal experience that the establishment is definitely listening and that’s positive, but I’m 100% sure they are only listening because they have no other choice. My guess is that these members of the establishment are the same people who as stated in this report were complicit in “Mental health services have been underfunded for decades, and too many people have received no help at all, leading to hundreds of thousands of lives put on hold or ruined, and thousands of tragic and unnecessary deaths.” To come to this conclusion these people have known for years that “hundreds of thousands of lives have been put on hold or ruined, and thousands of tragic and unnecessary death” and CHOSEN to do nothing about it. Yes they are listening but to keep re-announcing an extra £1 billion is just a sound bite and according to the statistics I can find and my maths is only just replacing the many cuts the system has already experienced, not forgetting this £1 billion isn’t coming until 2020. To report the system has been underfunded for years, many lives have been ruined and lost and then do nothing about it financially for another 4 years is simply a disgrace. It’s as pointless in having a dead cert winner and putting the bet on after the race has finished….

First, we have made a set of recommendations for the six NHS arm’s length bodies to achieve the ambition of parity of esteem between mental and physical health for children, young people, adults and older people.

Absolutely 100% behind this, who wouldn’t be? Because I have regular contact with the chair of the All Party Political Group working for parity of esteem for mental health I am going to tread lightly around this subject. Do I think parity of esteem will ever happen? No. Do I think it is a worthwhile aim? Yes. However I have a number of small concerns…. I don’t think it is unfair or incorrect of me to say that the whole of the NHS physical and mental isn’t in the best shape it could be and if I can say that then I also feel I can to say that getting parity of esteem for mental health in line with physical health isn’t a brilliant end goal even if it is achieved. Having said these exact words to the chair of the APPG I know it’s not as simple as that, there’s a whole lot of complicated and important targets that have to be achieved in the parity of esteem process. Going back to the question “Do I think parity of esteem will ever happen? No.” My answer of No pains me and following my trip to meet with James Morris MP at the Houses of Parliament and speaking with him on this subject if I am offered the chance to get involved with this process I would jump on board without a second thought, because any progress is massively important and we can’t just leave it to the establishment, we as individuals must step up and tell the establishment how it actually is and what they should be doing because we are “experts by experience” and our input is invaluable!!!!

Just one other thing on parity of esteem, if parity of esteem is our first target point then we must work towards that and be careful that we are not asking for special treatment. A couple of weeks ago there was a lot on the news about mentally ill people having to travel hundreds of miles to get the treatment they need, whilst I totally agree this is not ideal and can and will cause distress to the mentally ill person and their families I would ask the question, is this not happening on the physical side of the NHS? If someone needs specialist care either mental or physical then getting that care where it is available is better than getting no care. Saying this makes me uncomfortable and uneasy with myself as a person but I’m unable to not say it just because some people will disagree with me, if I’d had the opportunity of specialist care back in June 2013 when I had my mental breakdown I’d of took it no matter how far away it was just to feel safe and not scared about wanting to kill myself.

Second, we set out recommendations where wider action is needed. Many people told us that, as well as access to good quality mental health care wherever they are seen in the NHS, their main ambition was to have a decent place to live, a job or good quality relationships in their local communities. Making this happen will require a cross government approach.

I’m going to be brief on this one…. Does there really have to be an investigation and consultations probably costing a serious amount of money and people’s time to come this conclusion and make “recommendations”…. FFS!!!!

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Finally, we have placed a particular focus on tackling inequalities. Mental health problems disproportionately affect people living in poverty, those who are unemployed and who already face discrimination. For too many, especially black, Asian and minority ethnic people, their first experience of mental health care comes when they are detained under the Mental Health Act, often with police involvement, followed by a long stay in hospital. To truly address this, we have to tackle inequalities at local and national level.

Again very briefley…. No ship Sherlock!!!! FFS!!!!

(You may spot this is the place I began to get bored and frustrated, but at least I avoided swearing)

Also if there is a “particular focus” on tackling inequalities and poverty why has the House of Commons tried to reduce ESA (Employment Support Allowance) twice, both times being blocked by the House of Lords and why are they trying to reduce the ESA by £30 a week for a third time?

We want to thank all the Taskforce members, and the tens of thousands of people who contributed to and helped to co-produce this report.

THE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH

A report from the independent Mental Health Taskforce to the NHS in England February 2016

“The NHS needs a far more proactive and preventative approach to reduce the long term impact for people experiencing mental health problems and for their families, and to reduce costs for the NHS and emergency services”.

In my local borough the CCG quote the figure of 53% of their £411 million budget is spent on acute care. In order to have a “far more proactive and preventative approach” it couldn’t be simpler…. Simply quick access to proper help remove GP’s from the process as quickly as possible, and very importantly continue to work hard to reduce mental health stigma.

Mental health problems are widespread, at times disabling, yet often hidden. People who would go to their GP with chest pains will suffer depression or anxiety in silence. One in four adults experiences at least one diagnosable mental health problem in any given year. People in all walks of life can be affected and at any point in their lives, including new mothers, children, teenagers, adults and older people. Mental health problems represent the largest single cause of disability in the UK. The cost to the economy is estimated at £105 billion a year – roughly the cost of the entire NHS.

Interesting statistic that “one in four adults experiences at least one diagnosable mental health problem in any given year” if they don’t get diagnosed early then things can only get worse. GP’s in the main seem to be unable to diagnose mental health issues through lack of expertise and lack of available time. If you think I am being harsh towards GP’s then just think about this for a little bit…. I had my mental breakdown in June 2013 and I saw my first psychiatrist at the end of November 2013 and I still don’t have a diagnoses.

One in five mothers suffers from depression, anxiety or in some cases psychosis during pregnancy or in the first year after childbirth. Suicide is the second leading cause of maternal death, after cardiovascular disease. Mental health problems not only affect the health of mothers but can also have long-standing effects on children’s emotional, social and cognitive development. Costs of perinatal mental ill health are estimated at £8.1 billion for each annual birth cohort, or almost £10,000 per birth. Yet fewer than 15 per cent of localities provide effective specialist community perinatal services for women with severe or complex conditions, and more than 40 per cent provide no service at all.

£8.1 billion is almost 24% of the £34 billion mental health spend in a year quoted in this report and pay attention to the £10,000 per birth I’m about to breakout some maths. Oh by the way fewer than 15% of localities provide effective specialist community perinatal services is an absolute disgrace.

Here’s the maths….

NHS budget £116 Billion working with the 1 in 4 figure £29 Billion
U.K. Population £65 Million again working with the 1 in 4 figure 16.25 million

£29 billion divided by 16.25 million = £1784.61 per person effected by mental illness per year.

Added to the £10k figure above a documentary I watched about mental health based in some London boroughs when they were looking for psychiatric beds they were having to use private beds in some cases at a quoted cost of £1000 per night. Even this basic little bit of maths shows that current funding figures are massively insufficient….

In addition, people with long term physical illnesses suffer more complications if they also develop mental health problems, increasing the cost of care by an average of 45 per cent. Yet much of the time this goes unaddressed. There is good evidence that dedicated mental health provision as part of an integrated service can substantially reduce these poor outcomes. For example, in the case of Type 2 diabetes, £1.8 billion of additional costs can be attributed to poor mental health. Yet fewer than 15 per cent of people with diabetes have access to psychological support. Pilot schemes show providing such support improves health and cuts costs by 25 per cent.

I was at a CCG meeting last week and I found myself a little disgusted with myself as the last 2 meetings I had been to I had berated them (partly cus they deserve and partly cus I enjoy it) on one of the slides they had what they termed as their onion of care. I’m not that interested at the moment in the outer layers of the onion, what I am interested in is right at the core of the onion was the patient. Now apart from it being a little shocking that the NHS hasn’t realised the importance of the patient previously this is actually a very important part of us moving forward. As we work to parity of esteem for mental illness I think we should be looking at the “wellbeing” of the person looking at the person on a bespoke basis and forget about putting people into mental health and physical boxes, apart from anything else if depression is down to a chemical imbalance surely this chemical imbalance can be thought of as a physical issue. If a chemical imbalance is also at the root of anxiety then the symptoms and the outcome of anxiety also shows in a physical way. Obviously I’m not a medical professional and what I’ve just said may well be seen as idiotic, but sit and think about that for a minute…. Unless I’m very much mistaken the head and the brain have a very physical presence, usually just above the shoulders…. I few months ago I met up with a guy I’ve known since I very first started school, he’d been to university and become a Physiotherapist, after a period of time he started to notice that the appointments his patience were attending were sometimes the most important part of there week, fortnight, month and in receiving the physical therapy it also helped there mental state, maybe from just having contact with another person, maybe through the fact that the pain may be a little less for a period of time so they could concentrate on something else rather than the pain and the things they couldn’t do. The physical therapy of physiotherapy had a positive physical and positive mental effect. Almost as if the head and brain were attached to the rest of the body considered physical…. Crazy eh????). Here’s a link to Stuart’s website Lanes4Change 

£34 BILLION EACH YEAR SPENT ON MENTAL HEALTH

Poor mental health carries an economic and social cost of £105 billion a year in England. Analysis commissioned by NHS England found that the national cost of dedicated mental health support and services across government departments in England totals £34 billion each year, excluding dementia and substance use.
£19 billion of this is made up of government spend, though there is little or no national data available for how up to 67 per cent of mental health funding is used at a local level. Most of the remainder (£14bn) is for the support provided by unpaid carers, plus a relatively small share that is funded through the private and voluntary sectors.

I’ve already done some dodgy maths so I’m going to look at this from a different angle….

Let’s look at this sentence first “Most of the remainder (£14bn) is for the support provided by unpaid carers)” those that are used to me by now will know exactly what I’m going to say here…. If they are unpaid carers how the flip can this total £14 billion???? UNPAID!!!!

2nd let’s look at this sentence “plus a relatively small share that is funded through the private and voluntary sectors.” VOLUNTARY!!!!

I can hardly believe this sentence was considered suitable to be in such a report “£19 billion of this is made up of government spend, though there is little or no national data available for how up to 67 per cent of mental health funding is used at a local level.” LITTLE OR NO DATA AVAILABLE FOR HOW UP TO 67% OF MENTAL HEALTH FUNDING IS USED AT A LOCAL LEVEL!!!! WTF!!!! I don’t think I need to add anything!!!!

Given chronic underinvestment in mental health care across the NHS in recent years, efficiencies made through achieving better value for money should be re-invested to meet the significant unmet mental health needs of people of all ages across England, and to improve their experiences and outcomes.

Following on from above if you have little or no data on how up to 67% is used at a local level how the fudge are you going to achieve and quantify better value for money AND if you don’t know how 67% is being used how do you identify the significant unmet mental health needs????

Our ambition is to deliver rapid improvements in outcomes by 2020//21 through ensuring that 1 million more people with mental health problems are accessing high quality care. In the context of a challenging Spending Review, we have identified the need to invest an additional £1 billion in 2020/21, which will generate significant savings. It builds on the £280 million investment each year already committed to drive improvements in children and young people’s mental health, and perinatal care.

This will be brief….

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I’m not sure “rapid” is the correct word, it’s 2016, 2020 is erm, NOT rapid!!!!

Over the next five years additional funding should allow NHS England to expand access to effective interventions. The priority areas we have identified would require an additional £1 billion investment in 2020/21, which will contribute to plugging critical gaps in the care the NHS is currently unable to provide. Our expectation is that savings and efficiencies generated by improved mental health care e.g. through a strengthened approach to prevention and early intervention, and through new models of care, will be re-invested in mental health services.

This paragraph highlights the ambiguities of this £1 billion, what additional funding over the next 5 years???? They keep talking about this extra £1 billion but if you look at the actual words they use it will be invested in 2020, I see no mention of additional funding over the next 5 years in fact cuts are still happening.

To deliver these commitments and realise the associated savings NHS England must be able to target investment and ensure there is sufficient transparency and accountability for putting them into action. Both the current Mandate priorities and those set out in this report should specifically be reflected in the local Sustainability and Transformation plans that areas will need to produce by June 2016, in how those plans are assessed and in the processes for allocating and assuring funds.

How much is it going to cost to “ensure there is sufficient transparency and accountability” when earlier on it was stated that “£19 billion of this is made up of government spend, though there is little or no national data available for how up to 67 per cent of mental health funding is used at a local level.”

We recommend eight principles to underpin reform:

Decisions must be locally led

Thus, taking no responsibility at a central level and if decisions are all made locally then boroughs next to each other and further afield will be duplicating work, wasting money rather than learning from best practice.

Care must be based on the best available evidence

Having already stated they don’t have evidence for 67% of the money they spend just what evidence is the care plan being based on. My guess is this suggests they should be listening to the people they haven’t been listening to for many years…. Those who are asking for help….

Services must be designed in partnership with people who have mental health problems and with carers

Whilst I couldn’t agree with this more, from experience the establishment has come to the conclusion that services shouldn’t be designed top down they should be from bottom up by consulting with service users and that’s a great step forward. However again from experience there’s not a huge percentage of service users who have the strength to engage with the powers that be, partly through the illnesses they have and if they have tried to engage in the past nothing has changed, we as a body of people generally have no trust whatsoever in the people we are asked to engage with. Personally having actually got involved with various groups I have a different view point and I can see that there’s an awful lot of people in positions of influence that want to make changes. But in order to build these services from the bottom up there has to be some investment and although people keep saying to me there is money available it just isn’t forthcoming. I’m not talking about access to thousands and thousands of pounds, let me give you a very small but important example. What people want and need is regular access to help and support, whatever happens that regular help and support can’t be available on every street so in order to access the regular help and support they have to travel. If they drive then you could assume this is fairly straight forward, I’m not even going to put petrol into the equation, let’s just look at Parking, some places aren’t to expensive but a place quite local to me it can easily cost £2.50 to park for a couple of hours. £2.50 is not a huge amount of money but say you were to access this regular help and support 3 times a week parking alone is going to cost you £7.50, if we look at ESA which is £250 per fortnight then £15 equates to 6% of income, again doesn’t sound a lot but if you were to earn £18k a year 6% of this is £1080. If you don’t drive and have to get the bus, which a lot of people simply can’t do due to anxiety, a day saver ticket costs £4.40 per day so let’s times this by 3 = £13.20 X 2 = £26.40 which is almost 11% of the ESA £250 per fortnight, again equated to a salary of £18k = £1980….

Inequalities must be reduced to ensure all needs are met, across all ages. Care must be integrated – spanning people’s physical, mental and social needs

Again brief…. No ship Sherlock!!!!
(And yes you may spot a little boredom and frustration creeping in again)

Prevention and early intervention must be prioritised

Couldn’t agree more, but surely this doesn’t take until 2016 to work out when the NHS has been around since 1948. Also because such a massive amount is spent on acute care (53% in Dudley) there isn’t any cash to invest in prevention and early intervention, back in March 2015 the government announced £1.25 billion to be invested in children’s mental health and only this morning (8th March 2015) on BBC news it was said that this money isn’t actually reaching the front lines because of the many levels of bureaucracy it is having to go through. I don’t believe it’s all about cash, but some has to be available to ensure some new thinking and new approaches can be put in place.

Care must be safe, effective and personal, and delivered in the least restrictive setting

Sorry but I think you know what’s coming…. No ship Sherlock!!!!

The right data must be collected and used to drive and evaluate progress

Aaaarrrrgggghhhh!!!! I will draw your attention to previous info….

“£19 billion of this is made up of government spend, though there is little or no national data available for how up to 67 per cent of mental health funding is used at a local level.”

Couple of questions…. Exactly how are we to evaluate progress? Against what scale? What data will they publish? Will they continue to hide the data they don’t want people to see? Will they do the right thing and find the ability to be honest?

On employment, the Department of Work and Pensions forecasts that it will spend £2.8 billion in total payments to contractors to help people into work under the Work Programme between June 2011 and March 2020. Yet fewer than one in 10 people with mental health problems have gained employment through the Work Programme. We know psychological therapies and Individual Placement and Support (IPS) services have proved highly effective – with around 30 per cent moving into jobs through IPS – but these are not being commissioned at scale. The Taskforce also welcomes the introduction of a Joint Unit for Work and Health, which is already piloting new approaches and recently secured significant new investment for an innovation fund.

The problem here for me is that because the help doesn’t come quickly enough (I had my mental breakdown in June 2013 and first saw a psychiatrist at the end of November, 6 months to see a psychiatrist, I know this is a relatively short period of time to see a psychiatrist) it causes people to get further into a world were they are institutionalised by their own surroundings and mental illness. The pressure that is put on people with mental illness to get back into work causes a lot of pain and anxiety, the language that is used by politicians and media makes those with long term mental illness feel useless, worthless and not part of normal society. On a personal level, I do quite a few things including the group for men, seeing individuals, meetings with different organisations, I sometimes worry that people will think if I can do all these different things surely I could go back to work and stop being a drain on society but I know and my psychiatrist agrees work, even part time, is still a long way off for me and the chances of getting back to a level I was previously at is non existent, not getting back to that level will destroy me as it will prove the demons right, that I am a loser, useless and a waste of a human being….

We expect rapid progress in the transformation of services for children and young people following investment of £1.4 billion over five years announced by the Government in 2014/15 (including additional money for eating disorders in children and young people). Plans are ready and these will be the first major programmes set out in this strategy to be delivered.

As mentioned above, only this morning on BBC news, “back in March 2015 the government announced £1.25 billion to be invested in children’s mental health and only this morning (8th March 2015) on BBC news it was said that this money isn’t actually reaching the front lines because if the levels of bureaucracy it is having to go through.”

And Rapid????

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Mental health problems account for a quarter of all ill health in the UK. Despite important new developments in mental health research it receives less than 5.5 per cent of all health research funding. Latest figures suggest that £115 million is spent on mental health research each year compared with £970 million on physical health research.

This is a difficult one, 5.5% is a disgrace and £115 million compared with £970 million is pathetic but we have to remember how many physical illnesses there are. This sort of proves the saying “statistics can prove anything” it depends on what angle you are looking from and the point you are trying to make. Having played devils advocate a little bit on this one the first sentence is extremely powerful “Mental health problems account for a quarter of all ill health in the UK.” A QUARTER!!!!

We know that the scale of unmet mental health need is significant – hundreds of thousands of people go untreated each year at a cost of billions of pounds to our society and the economy. This investment would, however, make a start in plugging that gap, building on £1.4 billion of new funding over five years for children and young people’s and perinatal mental health last year, including additional funding for eating disorders.

A very powerful paragraph to end with very similar to the recent BBC News headlines on the 16th February….

BBC News at One first 2 sentences
“Biggest ever review of NHS Mental Health Services in England has found that MOST patients are being failed”
“Ministers accept there’s a problem & have pledged an extra billion pounds a year on improving psychiatric services”

BBC News at Six first 2 sentences
“The mental health failures in England that have led to thousands of deaths”
“A new report says 3 out of 4 people with mental illness get no help at all, government under pressure to take action”

An absolute disgrace!!!!

Where’s the evidence of how this £1.4 billion, announced as £1.25 billion in March 2015, is getting through to the front line.

I wanted to finish this post with some intelligent words to sum it all up, but I can’t think of anything suitable so I’m just going to leave it there.

“enjoy the good and ride out the bad”

Keep going 😉

Jon aka exboozehound
@exboozehound
www.exboozehound.co.uk

Oh and don’t forget my Thingymajig (memoir/book)

 



How a numpty like me pt 2….

How a numpty like me…. (Pt 1)

How a numpty like me was sitting on the Houses of Parliament terrace talking about Mental Illness….

On Thursday Camilla and Wendy from The Hope Centre Halesowen and me took a journey down to London, we had been invited by James Morris MP. James is our local MP, he is also the Chairman of the All Party Parliament Group on Mental Health, this group is working to get parity of esteem for mental health. Over the last year or so I’ve been fortunate to meet a number of MP’s who are passionate about making a difference to how mental illness is approached and those of us with mental illness are treated. I’m not a stupid man (debatable….), I read people well and I can say with 100% confidence that the MP’s I have met and spoken to about mental health are dedicated to making a difference, saying this does not sit comfortably with me cus we all know we’re not supposed to trust MP’s. I’ve also been fortunate to meet other folk of the establishment in many varying roles who are also very dedicated to making a difference to how mental illness is approached and how those of us with mental illness are treated. So we’ve got MP’s and folk of the establishment on our side dedicated to making a difference but also more importantly there are a lot of us with mental health issues finding the strength to stand up and be counted. On the 29th January we held our second Peer Support Meeting, organised locally with the NHS, Mind & Rethink, this time we had more service users involved and as you can imagine quite a number of the service users were very anxious about attending a meeting in a strange place surrounded by strange people but during the discussions even those that had seemed the most anxious spoke up and got involved. This to me is just as if not more important than the work those in the establishment are doing, Peer Support is empowering people with mental illness to start to shape the services we need and this empowerment can build our strength to begin to actually live our lives rather than just surviving….

Ok, back to Thursday, Camilla, Wendy and I were met at about 13:00 outside Port Cullis House by Sam a member of James Morris’s team, having cleared security and got redressed being watched by 2 cops with big shooters we then met another member of James’s team, Gary, who started telling us the history of the place we were now standing in (unfortunately my memory for facts ain’t exactly my strongest point, so I forgot at least 90% instantly) at the time it was very interesting and also odd, odd just to be standing where we were. As we made our way to one of the most exclusive smoking areas in the country we met with the final member of Jame’s team, Giverney and Anna, Jame’s good lady wife. Entering the most exclusive smoking area in the country was initially a bit disappointing cus of the security it looked like a prison yard, but then I turned around and looked up we were standing at the foot of Big Ben…. It was no longer disappointing it was now surreal and although I’d only had a cigarette about 10 minutes before I had to light one up…. I also had to have my picture taken smoking a cigarette with Big Ben behind as I knew my Mom would be disgusted…. We drew the line at a photo with the cigarette as the idea of me getting my tattoos out for a pic under Big Ben seemed to be frowned upon????

We had a tour all around including sitting in the viewing galleries of both the House of Commons and the House of Lords, I actually remember an interesting fact about the House of Lords, the Queen has a thrown in there, it’s very extravagant all in gold and in front of the thrown there is a golden bannister that the Queen is not allowed to go past as it would be seen as the Queen meddling in politics (possibly not the exact explanation Gary gave, but it’s close….). Whilst I’m imparting my vast historic knowledge about the House of Commons…. We were shown a church inside the building it was amazingly ornate and intricate or in my words “a bit over the top”. In the days of Oliver Cromwell he kept his horses in there cus he wasn’t a big fan of church and religion (again possibly not the exact historical facts, but close enough). Also down there was a cupboard were a member of the suffragettes hid on a night when they were doing a census pole, as a protest against the census many women made sure they were not at home that evening (again fairly sketchy historical facts but as it is well known men cannot multi task, I was walking, looking, listening and breathing, this for me is multitasking so to add taking in knowledge as well would of been a step too far….). If you want actual facts I’m sure there’s loads of books or give Google a go.

When we were in the viewing gallery of the House of Commons, James was in there doing a great job of being aware and awake. It was odd to see in real life cus we only really get to see PM questions on the news where everyone just seems to be there to score points and jeer, the debate that was going on was very different and ordered. When it was time we met James in the Central Lobby, which seemed very small in comparison to when you see people being interviewed there on the news. Warning hear comes another sketchy fact…. It is called the Central Lobby cus when the MP’s are making their way to the Commons members of the public can lobby their MP’s by basically just shouting at their MP.

I would imagine you are completed exhausted taking in all the historical facts by now so you’ll be glad to know my knowledge has now all been imparted….

Now to the reason for being at the House of Commons, on February the 4th is was “Time to Talk Day” an initiative set up by Time to Change, so that’s what we did, sat on the House of Commons Terrace with tea and cake both James and Sam reminded me of the first time I met them at a surgery held at the Hope Centre a good while ago. In theory for that day I wanted to prepare some stuff to talk about with James about my recent experience of the mental health system, it was not a glowing report!!!! In actual fact the only thing I prepared was an angry sentence “I’m going to make a difference and your either with me or against me” I also used this sentence in meetings with people from Dudley Council. I can honestly say James has been behind me all the way since that first meeting and I’ve known since then how dedicated he is to making a difference to the current mental health system which just isn’t fit for purpose and is letting many many people down, patients and employees, day after day (obviously those are my words not James’s). We spoke for about an hour about what James is doing and what I’ve been doing and we spoke about hopefully working closer together in the near future we obviously bring very different things to the table, he has the ear of people who can make the decisions and changes, I can bring experiences of individuals and various groups and initiatives I’ve got myself involved with. I’ve said for quite a while now I don’t see “exboozehound” as just me “exboozehound” is everyone who has read the blog, commented on the blog, spoke with me either openly or in private on social media, anyone who I’ve met at meetings and groups. There are so many people, NHS department, council departments and third party companies that are doing good things in the world of mental health but in order for all these things to work best somehow we have to bring them all together pulling in the same direction and not wasting time and effort duplicating work. At the moment if we had a bottomless pit of money to throw at the issues in the mental health structures failings it wouldn’t fix the problems, we are in a situation where there isn’t a bottomless pit and being in this situation makes it necessary for us all to work together in different more effective and efficient ways to make a difference to many problems that have been in the way for many years.

So, how did a numpty like me end up sitting on the Houses of Parliament terrace talking about Mental Illness? A good while ago I decided the experience I’d had with my mental illness journey was just not good enough, it took me about 25 years to get to the horrendous stage of having my mental breakdown, maybe if I’d approached my depression in a different way and was more open and honest and demanded more help from my GP I wouldn’t of had to go through a mental breakdown to get to where I am today. So I started to complain, officially, and mouth off and stand up and be counted with no shame of being mentally ill. I got myself involved with different groups and organisations, I found the strength to start a group for men and I now see individually a number of guys that have been referred to me by members of the NHS. I decided I was going to do what I could to help others with my experiences and in helping others I also help myself…. People have said to me I am brave and inspirational, I still find that hard to accept cus I honestly believe anyone could do everything I’ve done and hopefully some of you reading this now will get out there and do the same.

Sometimes getting involved with the things I do actually makes me un well and my demons tell me I’m wasting my time cus at the end of the day I’m still a waste of a human being, I’m a failure and I’m weak cus I also need support. In actual fact whilst watching the news last night there were a couple of pieces on suicide in young men. One of the pieces featured a couple I met a while back at Big Centre TV who’s son tragically took his own life after suffering in silence with depression they have set up a memorial fund for their son Cameron, in both of these news pieces the definition of a man was spoken about, strong, courageous, without weakness and the reason men don’t ask for help because it makes them weak…. Asking for help doesn’t make you weak, it shows your strength of character and the strength you have inside to fight against the demons, I know this to be true!!!!

However, watching and listening to the stories of the young guys taking their lives and how men should be strong I found myself writing a note to myself and it said….

“ACCEPTING HELP MAKES ME A FAILURE & WEAK”

I realised that because I had been worrying for weeks about my car and how much it will cost to get it through the MOT and the fact that financially I was going to have to accept help from my Mom & Dad, this was confirming what the demons had always told me, I’m a failure for so many reasons but the one they want to pick on at the moment is that I’m a confirmed failure cus I can’t support myself financially.

I’m gunna end there, something for you to ponder on, even though “exboozehound” is doing all these positive things, Jon is still a failure….

“enjoy the good and ride out the bad”

Keep going 😉

Jon aka exboozehound
@exboozehound
www.exboozehound.co.uk

Oh and don’t forget my Thingymajig (memoir/book)


Happy New Year

My current mood is low and apprehensive…. Cheery start eh?

On the 29th December I started to write a post entitled “Chrimbo Limbo”, I’d heard these words whilst watching Coronation Street Liz McDonald said it to Amy. I was sitting watching Coronation Street “feeling sorry for myself and wallowing in self pity” and these 2 words had just summed up perfectly what I had been experiencing and was likely to experience until today 1st January 2016. Chrimbo Limbo had made me break my rule of always “being in the day” and in breaking this rule I’d allowed the noggin demons to become too powerful and get control. I wasn’t able to complete the post I had started writing cus the demons had control of me and if I’m honest they still do today, hence the first line of this post being “My current mood is low and apprehensive”.

Chrimbo Limbo appears to have turned my brain into mush and part of the reason for this is cus I’ve “felt sorry for myself and wallowed in self pity” I’ve been thinking far too much…. “Thunking really isn’t my bag” “Thunking is very overrated” here’s a couple of things that I’ve been worrying about….

exboozehound built some momentum in the last few months of 2015, momentum that I’m very proud of. Part of that momentum led me to put in my first bid for some funding for a new project. After my last meeting about this I’m pretty sure I would of got some investment, but I’ve allowed it to cause me too much pressure. I’ve already got 14 meetings including “exboozehounds group for men” on Thursdays booked in for January, to any “normals” out there 14 meetings in a month will seem like nothing but to my mind all these meetings are plans for the near future, stuff I HAVE to do, this I find hard cus it’s not living in the day and I can never be sure how my days and weeks are gunna pan out, if I have some low episodes these are 14 opportunities for me to let people down, I hate letting people down if a low episode causes me to let someone down there’s a chance that the low episode can get deeper and deeper…. I’ve decided during the Chrimbo limbo period that I’m not going to continue with my funding request at this point cus it’s not the right time and has the potential to cause me unnecessary stress, my demons tell me I’m doing this cus I’m pathetic, the demons are wrong I’m doing this to look after my health….

A number of the 14 meetings are to organise another Peer Support Meeting, the first one on the 27th November went so well those of us who organised it committed to ensuring the second meeting would happen in January to keep the momentum building. We have set the date for this meeting as the 29th January which gives us plenty of time to organise and promote. Here’s the ridiculous thing that is playing on my mind, the Peer Support meeting is scheduled for 11am to 3pm and I’m booked in for another 3 hours of tattoo from 5pm to 8pm, I’m worried that a day that long will take too much out of me and possibly cause a low episode. I loved how positive the meeting was on the 27th and was very proud of the part I played in it. I also love how my tattoo is coming along and oddly love being in the chair being tattooed. So these two things are both massively positive things for me, but because I’m “feeling sorry for myself and wallowing in self pity” these two positive things have allowed my demons to turn them to negatives…. Bloody ridiculous!!!!

So to sum up, some really positive things that can start 2016 off really positively and cus I’ve been “feeling sorry for myself and wallowing in self pity” I’ve allowed my demons to own and consume me, this is not the way I plan to continue!!!! But now I’ve got some hard work to do to get out of a low mood that fundamentally I’ve caused myself…. We have all done this before and we have all survived every time we’ve been there as I say a lot “there ain’t nothing we can’t handle…. Eventually!!!!” And of course “enjoy the good and ride out the bad”….

If you’ve been paying attention, and fair play to you if you have cus I’ve been rambling on a bit as usual you will of noticed I’ve tried to bring attention to the words “feeling sorry for myself and wallowing in self pity” by putting them in “…” There is a reason for this and the reason is I want to look at these words and attack them, this is what I was trying to do when I started the “Chrimbo limbo” post, I think it’s important to look at this in order to allow us to have any chance of moving forward, taking ownership of our illness and very importantly taking ownership of our own recovery!!!!

Yesterday I woke up late and then spent most of the day “feeling sorry for myself and wallowing in self pity” I didn’t leave the house….

Today I woke up late, was angry I woke up late and started to get myself ready for another day of “feeling sorry for myself and wallowing in self pity”…. Today is different to yesterday cus I’ve left the house and am currently sitting in Druckers in Halesowen writing this…. My day today is already much better than yesterday by simply leaving the house and an added bonus is I’ve just bumped into one of my mates wives had a little chat and a smile…. 🙂

So we know I’m guilty of “feeling sorry for myself and wallowing in self pity”. Depression is an illness, other forms of mental illness are illnesses (I guess the clues in the title….) although we all hate it when people say “pull yourself together” “man up” “it’s all in your head” I hate to admit it sometimes there is a place for these sort of phrases, perhaps not the ones above there a little harsh but something along the same lines, I hope that hasn’t angered people too much, I’m gunna try and explain why I’m saying such a stupid and seemingly uncaring words….

At about 11:30 Boxing Day morning, I was still in bed and feeling like I was gunna be there for a while, I got a call from my nephew who asked if I wanted to come down to have bubble and squeak with them. My initial thought was “no, I just want to stay in bed” but I ignored that cus that was the demons trying to keep me miserable, I went down to my Brothers and spent an hour or so with my brother and his family. I was greeted by Ted the dog, I went into the compulsory plum protection!! Being greeted by Ted makes me smile (unless I forget to protect the plums), the kids make me smile, being in that happy family environment makes me smile, so if I’d listened to the demons and stayed in bed chances are I’d of had another miserable day. Sometimes I don’t go places cus the demons tell me people don’t want me around, but if that was the case why would my nephew have phoned me? The answer to that by the way is he wouldn’t of called…. FACT!!!!

Another day in “Chrimbo limbo” it was planned to go out and have lunch somewhere with my Dad and Brothers family I’m gutted to say I didn’t go, I did have a headache when I woke up and unfortunately had really struggled to get to sleep the night before, but this isn’t anything new it’s part of the game we play. The added issue with this plan was I would be somewhere with no control over how long I would be there and that causes me anxiety and allows my demons to be more powerful and much more persuasive or in other words I begin to wallow in self pity and allow the demons to control me, this is not good!!!! Once we start to allow, YET AGAIN, the demons to win the battle we allow for the possibility that the demons will get stronger and we will begin to listen to all the lies they tell us and the longer we allow the demons to get stronger the bigger chance we allow ourselves to spiral out of control of the good place in our noggins. Once we’re out of the good place in our noggins we’ve then got another fight on our hands to get back to that more stable place, the longer we don’t fight the harder getting back to the more stable place will be. And on and on and on and on, for me this is one of the very many reasons we have to remember to stay in the day and only deal with what we HAVE to at any given point….

I’m hoping from the last paragraph you can see this is me admitting very openly that I am guilty of “feeling sorry for myself and wallowing in self pity” and just as a further admittance I am probably guilty of this far to often!!!!

I’m not proud of this next bit….

Many of you are guilty of “feeling sorry for yourself and wallowing in your own self pity”…. I agree, me saying that is completely and utterly out of order….

BUT, am I wrong?

Erm….

No I’m not!!!!

Have a quick think, even if I’ve offended you by saying the unsayable…. Am I wrong?

Ok, now you’re being completely honest with yourself, we have something to work with….

Now you’re being completely honest with yourself, you have a place to begin from, you have the foundations of your next battle….

Now you’re being completely honest with yourself, you have even more strength to win that next battle in a shorter time….

Now you’re being completely honest with yourself, you have the strong chance that you will have less battles to fight in….

I think it’s pretty clear I don’t think I’m wrong…. In many conversations I’ve had with many people stuff often comes up from years ago and it’s repeated many times, believe me I know it’s not easy to work these things out of your life partly because they’ve been in your life for so long and if your anything like me they’ve come in handy on many occasions to punish yourself with but its not healthy and you need to give yourself a break. If you can, put some effort into locking these things away or if not that it might be more productive to work these things through properly but if you ever want to move forward you have to do something!!!!

I’m not gunna break any confidences by telling you what people I speak to can’t let go of and in not letting go cause themselves unnecessary anxiety and stress. In a lot of these examples not letting go or fixating on certain issues not only stops us from progressing, they build a wall that we can never get over….

What I am gunna do is list my stuff, that echoes some of what people have said to me, I’ve worked hard to leave behind or still allow to cause me pain….

I’m a drain on society cus I’m on benefits

I was once beaten unconscious outside a boozer

I used to have a home

I used to have a good job

I used to have a relationship

I used to have holidays

I used to be a functioning member of society

I’ll never have another meaningful relationship

I’m 42, too old to ever have kids now

I’m lonely

I’ll never have a “normal” life

I’ve been fighting against mental illness all my life

Mental illness will always control my life

I’m envious of the lives people around me have

This list could go on forever, but what would be the point of going on and on and on? There are probably many things I could of done differently in my life prior to having the mental breakdown in 2013 but whatever they are I didn’t do them and I can’t change that now, all I can do is accept where I am today, accept that my mental illness is what it is, simply an illness and make the most of it. Spending all this time “feeling sorry for myself and wallowing in self pity” is not going to help me take ownership of my illness and more importantly take ownership of my recovery, recovery doesn’t mean one day I’ll be fixed, it’s all about working hard to move forward to a point where I can manage my mental illness better.

Of course I know a lot of what I’ve said about “feeling sorry for myself and wallowing in self pity” is far to simple…. Bad or low episodes are real and sometimes there literally isn’t a single thing you can do to get out of them, sometimes we just have to rest and mindfully work on trying to move forward, but I for one am determined to be mindful of spotting the difference and doing what I can to get to a better place as quickly as I can…. How about you?

“enjoy the good and ride out the bad”

Keep going 😉

Jon aka exboozehound
@exboozehound
www.exboozehound.co.uk

Oh and don’t forget my Thingymajig (memoir/book)



Continual Acceptance

I was gunna title this post “The Cruelty Of Mental Illness” but that seemed a little “let’s have a wallow in self pity” and that isn’t the place that I am or should be in at the moment. I should actually be doing a positive post about an award and recognition I received last week, I should be talking about some amazing new contacts of influential people I made at the “Dudley Volunteer Awards 2015” and the possibility of meetings I’ve got coming up and the potential that could come from those people and meetings, but after the high of the awards last Thursday I’ve gone for another little nose dive into depression. I was gunna talk about the cruelty of mental illness but I’d rather talk about the inconsistency and nonsensical reactions we can have to things. For me the meds we take are to keep us on a level, which is both a good and bad thing. It’s bad cus you often here people talk about themselves being zombiefied, unable to feel emotions. It’s a good thing cus the problem with being able to feel emotions you feel the highs and quite often after the high you feel worse because when coming down from that high you go back to that level that’s best to be on and the higher you go the bigger the drop back to the level which although it happens quite often it always seems to catch you by surprise.

The reason I changed the title and hopefully the message of the post is I want to be positive or perhaps more truthfully I want to be realistic….

I believe in order to move forward from whatever form of mental health issue you are dealing with there first of all has to be an acceptance of the issue, whatever that issue is and if you fully understand it or not. My guess is the majority of us don’t now and maybe never will fully understand our issues, we have spent many years getting to this point of our lives and to unpick the issues of life to a point where we know exactly why we are the way we are is very unlikely, so at some point we have to accept we are never going to be able to answer all the questions we pose to ourselves, we have to accept there probably isn’t one reason or indeed any actual answers to the many questions we ask ourselves or are asked in our recovery process by the experts who are trying to fix us. I’ve had conversations with people who believe they have recovered from there mental health issue, I would never question them specifically about it cus it’s there recovery, it’s there life and if they believe that then it’s absolutely fantastic news for them. Unfortunately I don’t believe I will ever be cured of my mental health issues, I believe I will always have a level of instability, I don’t see this as a negative way of thinking about it, I see it as a realistic thought pattern for the way my world is now and has been for many years. I know over the many years I have struggled with depression and then clinical depression and mental illness following my mental breakdown (or major episode) in 2013 has left me with an instability that will always be there in one form or another in my life, what I have to do is change my many incorrect learned reactions to different situations and events that will face me in the future. Having said that if I ever believe I am cured I will shout it from the rooftops….

It’s not enough to accept once you have a mental illness, the initial acceptance is a very important one but we have to continually accept each and every episode. We have to accept the highs, we have to accept the lows, we have to accept the intrusive thoughts, we have to accept the bonkers thoughts, we have to accept the paranoid thoughts, we have to accept the lack of emotion, we have to accept the abundance of incorrect and mis interpreted emotions, we have to accept the lack of energy, we have to accept the agitation, we have to accept each and every unexplainable mood change that comes our way.

Accepting all these things is not giving in, it’s not being negative, it is about being realistic. An awful lot of what goes on in our minds and in our lives make us uncomfortable and uneasy but in order to move forward from these issues we must accept them in order to find a way through and past them.

I say all the time I have no problem in accepting I have a mental illness or have mental health issues but I don’t think I actually have fully accepted. Part of me is still the man who believes men should be strong and be able to cope with everything life throws at us, I think this is hard wired into us. I believe this is why there’s an awful lot in the media about why men find mental illness harder to cope with, why men find it harder to ask for and accept help and why the figures for suicide in men is so high, we believe admitting we need help is admitting we are weak. We are not weak, accepting we have issues, accepting we need help, accepting we must ask for help, accepting that help shows we are strong and believe me when I tell you you will need that strength to keep fighting towards your recovery, you will need that strength to continually accept, sometimes on a daily basis that you have to find the strength to realise you will be able to cope with everything life and life with mental illness throws at you, maybe not immediately but if you keep accepting and keep approaching things from every conceivable direction eventually you will cope with it all.

“There ain’t nothing we can’t cope with…. Eventually!!!!”

(Please understand me going on about it being harder for men is by no means me saying its easy for women, anyone battling mental health issues is not having an easy time)

“enjoy the good and ride out the bad”

Keep going 😉

Jon aka exboozehound
@exboozehound
www.exboozehound.co.uk

Oh and don’t forget my Thingymajig (memoir/book)