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Dave Macpherson: Mental Health: The more the people want change, the more the bureaucrats fight to keep things the same….

By   /  July 8, 2019  /  7 Comments

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In a re-run of the 1980’s ‘Yes Minister’ sitcom, Ministry of Health humphreys have absorbed like a sponge the community and Government messages about the urgent need for ‘transformational’ action on mental health, and are busy working out ways to head off any ‘transformation’ of their power and influence.

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In a re-run of the 1980’s ‘Yes Minister’ sitcom, Ministry of Health humphreys have absorbed like a sponge the community and Government messages about the urgent need for ‘transformational’ action on mental health, and are busy working out ways to head off any ‘transformation’ of their power and influence.

This week the Ministry produced – not for public consumption of course – its ‘Every Life Matters Suicide Prevention Strategy’, an in-house document for which they failed to seek the promised input from bereaved families and the wider community.

You might remember two years ago, when the Nats were in power, the Ministry copped a lot of flack for its previous version of this report, including a weak-as-dishwater set of suicide prevention targets. It was so bad that celebrity mental health advocate Mike King resigned in disgust from the Ministry reference group set up to rubber-stamp the strategy.

Then, after several delays, the new Government’s Mental Health Inquiry Panel came up with a 20% suicide reduction target suggestion, after input from its Ministry advisers. That would have taken us from the worst suicide rate in the world to perhaps the second or third-worst. Woop-de-doo!

To give them credit, the Government (after direct intervention from Jacinda Ardern) rejected the 20% suicide reduction recommendation, saying we should be setting our sights a damn sight higher. So the Ministry got back to work refining its in-house strategy.

As mental health campaigners got wind of this behind-the-scenes work in the Ministry, they harassed the official in charge to give them the right to have input into the strategy and the document. Despite this bureaucrat’s promise, no such opportunity arose, and the Ministry has now produced a document that calls for “working together” to deal with the awful problem of suicide, but has missed the “together” part altogether.

In an open letter to the Ministry of Health, three suicide-bereaved mothers – Corinda Taylor, Maria Dillon, and my partner Jane Stevens – told this official that “the Ministry of Health is not delivering on this [suicide prevention] vision by excluding some of the most important voices from the conversation.”

They further said “Our voices are important; we have all made the very brave decision to talk openly about our sons’ deaths and our grief, and we are actively working for change in the area of Mental Health Care and Suicide Awareness and Prevention. Can you appreciate how hard it is for us, to keep pushing through the silence and the pain of grief and keep moving forward?”

The exclusion of these mothers, and many other families, from strategy and planning work in the suicide awareness and prevention space, was par for the course under the previous National Government.

Many hoped that it would be different under the Labour/Green/NZ First Government, especially given their strong official focus on mental health issues. Sadly, or perhaps inevitably, its only taken 20 months for the Humphreys in the Ministry to reassert their control and shut out those most affected, and with perhaps the most to offer.

The Humphreys in charge of mental health services include the Director of Mental Health, John Crawshaw, and his Deputy Director, Ian Soosay – a pair of Napoleon-sized gentlemen who have clearly made up in bureaucratic cunning what they lack in size.

Their biggest support has come from the unfortunate Dr David Clark – allegedly Minister of Health (don’t be fooled by the “Dr” – its of Divinity), who initially showed a spark of independence when he ‘exited’ the former bean counter top boss of the Ministry shortly after the election, but is now scrupulously ‘following instructions’ to keep community involvement in sorting out our mental health issues to a bare minimum.

And it hasn’t just been this particular suicide awareness document where the Humphreys and their allies in the mental health profession have been excluding affected families and communities – our own work in the Waikato region, and that of others in many other parts of the country, has shown how hard they will work to say nice things to your face, while ensuring it is ‘business as usual’ behind the façade.

The lesson from this disappointment is that, just as under National, the community – if they really want change in the mental health and suicide awareness space – is going to have to continue to organise and to fight for it.

Dave Macpherson – TDB mental health blogger & Former Waikato DHB Elected Member

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7 Comments

  1. DOC HORRORDAY says:

    You could take the tour of Loch Ness 10,000 times and complain to the operator 1,000,000 times and still never see that Loch Ness Monster

  2. DOC HORRORDAY says:

    You believe it’s to be found though, so you keep paying for the tours…

    https://www.youtube.com/watch?v=ttMEkzUjurU

  3. Gosman says:

    NZ does not have the worst suicide rate in the World. It does have a high youth suicide rate compared with other DEVELOPED nations though.

  4. countryboy says:

    @ DM.
    You write:
    ” The more the people want change, the more the bureaucrats fight to keep things the same….”
    Well, that’s because our bureaucrats are being directed by an alien force. And I don’t mean by little green men. ( Wait a minute? roger douglas may well be dead!? Anyone seen him lately? )
    The problem is, our bureaucrats are immeshed in a dire and dirty landscape of lies. That’s why. Even if they really, really wanted to? They couldn’t. They can’t because; in the interests of the ‘greater good’. Which is, of itself, of course, bullshit.
    jonky? Right? Look at the money It found to fund flights of fancy? New cash money! Look? Bailed out stevie joyce? Bailed out sir pete ‘warner bros bitch’ jackson ( Sniff. A little tear, for what was it? $134 mil of tax payer money to make a movie. I like the movies. I like immortal engines. I liked peter jackson’s films. They’re really fun after a smoke and a Gin. ) Aw. The flag an’ that? Change it!? Sweet. ‘It’ found millions for that terribly important and vital stuff and things an’ that.
    Ask labour for a few dollars for mental health and for support for those suffering collateral damage from same and suddenly the fucking world’s coming to an end!
    Does…? Does that not ring alarm bells? Anyone? Alarm? Bells?
    Fucked? You’re being? Over? Rearrange as you like.

  5. Jody says:

    Yesterday the MSM were presenting Maori as bad (major perpetuators of family violence according to Newshub). Today Maori are sad (suicide statistics released by Ministry of Health showing a ‘higher rate’ for those of Maori descent). One News online

    https://www.tvnz.co.nz/one-news/new-zealand/latest-suicide-data-shows-highest-rate-among-males-and-m-ori

    reported on the 2016 study which gave 135 Maori who took their own lives out of 553 total ethnicities (just call it biological descent). The Ministry of Health stated a rate for non-Maori suicide at 9.5 per 100,000 (418 suicides) which extrapolates the non-Maori population in 2016 to 4,400,000. The Ministry also emphasised the higher rate of Maori suicide at 20.3 per 100,000 which makes the 2016 population of those with Maori descent 665,000. These figures are incorrect, the total NZ population with these two sets combined is over 5 million and we (probably) haven’t reached that yet in 2019. The proportion of Maori (665,000) looks correct at 15% of 4,400,000, but what has been done is that the non-Maori rate is as a proportion of total people, not total minus Maori (should be 3,735,000, assuming the total 2016 population is accurate in the first place). The non-Maori rate should then be higher at 11.2 suicides per 100,000. The Maori rate is correct. The lack of research accuracy and number massage is not what bothers me though. Why single out Maori in the first place, what is the point here? If you’ve got something to say, say it. Let’s take it further, if say even 50% of those with Maori descent are also European (or other ethnicity, it’s probably much higher), then 88% of those taking their lives have non-Maori ancestry. This is of course based on cherry-picked biological descent (which seems to be okay when talking about Maori when sad but especially bad) in an either/or situation. My point is not to diminish the tragedy of suicide and thoughts are always with these families, my point is that if a statistic is going to be trotted out which includes my ancestry as a parameter, it better be accurate but more important, relevant.

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