Tag Archives: Psychiatrists

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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