Tag Archives: diagnose

Psychiatrists try to defend failure to speak out on ‘abusive’ Universal Credit project

The Royal College of Psychiatrists has tried to explain its reasons for failing to object to a pilot project in Cornwall in which Job Centre advisors – with no training – decide whether claimants need mental health care.

This Site reported on the project in August:

The department… is trying to cut doctors working on mental health out of the benefit system by claiming that rank-and-file Job Centre advisers are just as able to spot mental health problems – and recommend the best treatment.

They aren’t; they can’t. It’s just a cynical bid to stop people with mental health problems from claiming Employment and Support Allowance or Personal Independence Payment.

The Tory government’s press release stated: “The initiative means work coaches can continue to refer people with mental health conditions to specialist one to one support, without the need for a GP or clinical assessment.”

I responded:

“Without the need”? Translation: “Without the support of evidence from a qualified doctor who can bring their expertise to a benefit tribunal.”

The press release said: “The support is also designed to help people find their way back into the workplace when they’re ready.”

I responded:

Translation: “The intention is to ensure that people with mental illnesses must continue to seek employment, whether they are ready or not.”

Disability News Service is now reporting that the Royal College of Psychiatrists has responded to this insult against its practitioners – after being nudged to do so by no fewer than five disability groups.

RCP states, according to the article, that:

RCP’s social inclusion lead has “continued to raise concerns and provide expert advice about the impact of welfare reform on people with mental illness and those with learning disabilities”.

[It says] it is “clear that anyone undertaking a mental health assessment needs to be sufficiently qualified to do so and, as part of the assessment, should engage with clinicians involved in providing care to the person concerned”.

[It also says] RCP believes that a jobcentre would not be “a suitable therapeutic environment to assess and discuss an individual’s mental health”.

[It adds:] “Having to do so would likely increase the stress and pressure on people with a mental illness when seeking support, and the possibility of them seeing the receipt of benefits as being conditional on them agreeing to mental health treatment.

“In addition, there is a risk that being referred to the wrong type of treatment may reduce the likelihood of seeking help in the future, make their illness worse and increase the likelihood of experiencing a future crisis.”

The disability groups are not happy with this response – and rightly so.

Why the delay in responding? Were these psychiatrists hoping the issue would go away?

Is the RCP going to talk to the Department for Work and Pensions about its concerns? Or were its comments just a sop to the disabled people’s representatives?

And what about the people of Cornwall?

What have they experienced while the RCP stood by in silence?

Source: Dismay over psychiatrists’ failure to speak out on ‘abusive’ universal credit project – Disability News Service

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When did Job Centre advisers gain their doctorates in mental health care?

It seems the Department for Work and Pensions is on a mission to discredit the medical profession in its entirety.

The department has already done its best to deny the professionalism of doctors by disregarding their evidence in favour of the results of a “yes/no” multiple choice test administered by “health care professionals” who often know nothing about the health issue suffered by a claimant.

Now it is trying to cut doctors working on mental health out of the benefit system by claiming that rank-and-file Job Centre advisers are just as able to spot mental health problems – and recommend the best treatment.

They aren’t; they can’t. It’s just a cynical bid to stop people with mental health problems from claiming Employment and Support Allowance or Personal Independence Payment.

One would have thought the fact that mental health issues are routinely disregarded by decision-makers would be enough to discourage the mentally-ill from claiming these benefits; apparently not.

The government press release, announcing funds for a pilot project in Cornwall to continue, is transparent in its nonsense doublespeak:

Hundreds of residents from Bude to Penzance are set to benefit from improved mental health support as Amber Rudd announces £100,000 funding for a life-changing project.

The initiative means work coaches can continue to refer people with mental health conditions to specialist one to one support, without the need for a GP or clinical assessment.

“Without the need”? Translation: “Without the support of evidence from a qualified doctor who can bring their expertise to a benefit tribunal.”

The support is also designed to help people find their way back into the workplace when they’re ready.

Translation: “The intention is to ensure that people with mental illnesses must continue to seek employment, whether they are ready or not.”

In fact, this treatment seems more likely to worsen their mental health and force them towards suicide – a “positive benefit outcome” as far as the DWP is concerned (as This Site has mentioned many times before).

Work and Pensions Secretary Amber Rudd showed her lack of any integrity at all by backing up the baloney to the hilt:

Amber Rudd, Work and Pensions Secretary, said:

“The pilot proved that work coaches are well placed to make sure people get help quickly and are supported to get their lives back on track so I’m delighted that it can continue.

“Importantly it has also shown that people trust their work coach to help them during their toughest times – and I’m very proud of that.”

Is that right?

I’d like to see independent evidence of that, from somebody who has been through the system.

Of course, that would be someone who is not still a part of the system – a person who could not be subjected to any coercion to say what Ms Rudd wanted; someone not living in fear of the cancellation of benefits.

Is there such a person?

And will they dare come forward?

In any case, if anybody in the DWP discovers what they consider to be a mental illness in a benefit claimant, they have a duty to report it to the NHS. Anything else is negligence and – if any harm comes to that claimant – could lead to serious allegations against the DWP.

Suppose somebody dies after the DWP decides to handle that person’s mental illness itself. Won’t it be opening itself to a charge of corporate manslaughter, at the very least?

Source: £100,000 fund to boost mental health support across Cornwall – GOV.UK

Have YOU donated to my crowdfunding appeal, raising funds to fight false libel claims by TV celebrities who should know better? These court cases cost a lot of money so every penny will help ensure that wealth doesn’t beat justice.

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