From the category archives:

Medicine

Royal College of Psychiatrists Disappointed At Government’s Failure To Recognize People’s Capacity To Make Decisions For Themselves

(04 Jul 2007) The Royal College of Psychiatrists is deeply disappointed that government has failed to recognize that most people who suffer from mental illnesses are perfectly capable of making decisions for themselves, and present no threat to anyone. Yet, under the mental health bill, they will still have their choice of treatment overruled.

Nonetheless, the College welcomes a number of significant amendments that were made during the Bill’s passage through the House of Commons, including:

  • no patients can now be detained in hospital for a purpose other than to improve, or prevent, a deterioration in their health;
  • all detained patients will have access to an advocate
  • children will be treated in services which are appropriate to their age.

We welcome these amendments and others which are also beneficial to the care and treatment of mental health patients.

It is essential that sufficient resources are now provided for mental health services to ensure that the legislative changes can be made to work properly.

The College looks forward to continuing to work with Mental Health Alliance to ensure that the Code of Practice guides clinicians and others as to best practice.

“The College has worked very hard to try to ensure that the Mental Health Act 2007 respects the human rights of our patients, with the intention of benefiting their health and protecting them from causing any harm whilst unwell,” said Professor Sheila Hollins, President of the Royal College of Psychiatrists.

“I am pleased with the fact that most of our advice has been heeded, although I remain concerned that so much of the detail has been left to the Code of Practice. The College is proud of its continuing membership of the Mental Health Alliance, an Alliance of 75 member organizations that remained united in representing the needs of people with mental illness and other mental disorders throughout the passage of this Act.”

“Although important and valuable changes have been made to the Bill as it passed through parliament, it is clear we ill have to wait for the next mental health act to see adequate and humane safeguards for both patients and the public,” said Dr Tony Zigmond, vice-president of the Royal College of Psychiatrists.

We’ve discussed the obstructionist and protectionist actions of the Royal College of Psychiatrists previously. First, the legislation does NOT make it easier to hospitalize people who “are perfectly capable of making decisions for themselves, and present no threat to anyone”. That is absolute balderdash. What the legislation does is extend the number of professions who are legally able to make decisions and recommendations about involuntary treatment in cases of imminent risk or incompetence. And THAT is what the Royal College of Psychiatrists is really opposing – because it will encroach on their historical sole authority in this realm.

Second, the legislation, as the College itself notes, includes provisions to prevent abuse of involuntary treatment. How does this do anything except (1) improve the quality of life for those mentally ill individuals who lack the insight to make informed decisions themselves, and (2) reduce the risk (cf. Kendra’s Law) to other people of untreated mental illness?

Kendra’s Law, mandated treament, mental illness, politics of medicine, Kendra’s Law

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The sad state of Canada’s health care system: A rant

by djbaxter May 21, 2007

This was inspired by a reaction to a post at the Psychlinks Forum about health care and mental health. At moments like this, I feel like Albert Finney screaming “I’m mad as hell and I’m not going to take it any more” out the window.
“Why are doctors in Canada always in such a rush? Do [...]

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Bad logic, bad science, and sensationalism

by djbaxter May 13, 2007

This is the kind of news release that angers me.
Brian Quinn, LCSW, PhD., Author Of A New Book On Bipolar Disorder, Discusses The Risks Of Antidepressants In Angry, Agitated Teens
It’s ill-conceived, illogical, and dangerous. It starts with the statement that “Dr. Quinn’s new book reviews the most up-to-date research on the use of antidepressants in [...]

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UK psychiatrists oppose streamlined services

by djbaxter April 28, 2007

File under “Whose Interests Are You Really Trying To Protect?” 
The Mental Health Bill Will Not Help Vulnerable Patients, Say Doctors, UK
25 Apr 2007
With the Mental Health Bill for England and Wales going through Committee stage in the House of Commons, the BMA is concerned that the proposed legislation will harm patients with mental health disorders.
Currently [...]

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Tonsils, Sleep, and ADHD

by djbaxter April 4, 2006

Some years ago, when I was first learning about conditions such as hyperactivity and attention deficit disorder (now merged into attention deficit hyperactivity disorder or ADHD), the diagnostic instructions used to be that one should not diagnose ADHD until one had ruled out other potential causes of the behaviors and symptoms, which might include depression or [...]

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Video game blasts cancer

by djbaxter April 2, 2006

Video game helps young people blast cancer
Story by Lisa Baertlein 
In the midst of all the commercialism, nihilism, and sheer craziness in the news most days, I found this little article that deserves a greate share of the available bandwidth than it will probably get:
LOS ANGELES (Reuters) – Saif Azar, a 14-year-old video game fan, said [...]

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Medicine on the Net

by djbaxter September 17, 2004

Writing in the The Boston Globe, reporter Wendy Lee discusses the internet and the changing face of medicine in North America.
When a 32-year-old patient with rapid heart palpitations showed up in the emergency room at Massachusetts General Hospital saying she suffered from Holt-Oram Syndrome, Dr. Jonathan Adler had no idea what this syndrome was. But [...]

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