Posts by Neil

  • Speaker: What almost everyone is missing…,

    It’s all been overtaken by other events. Who would have thought that there was no te reo word for allegation that didn’t also imply rumour. Nudge nudge.

    I don’t think it’s that surprising that a policy premised on demonising ethic groups winds up pouring money into property developers. If it was a National govt one might think that was all planned.

    Since Nov 2016 • 346 posts Report Reply

  • Speaker: What almost everyone is missing…,

    Two years wasted and millions poured into the pockets of developers.

    And it doesn’t look as though the government has learnt anything from this disaster.

    No one forced them, as they are now claiming, to build houses no one wanted to buy. That was a choice.

    It was also a choice not to listen to those saying this is not good policy.

    Twyford is now finally saying he will early next year direct councils to stop their capricious decisions on height controls in CBDs. That should have been done the day he entered government.

    Still no movement on reforming the Unit Titles Act which is desperately needed if apartment buyers are to have any hope in maintaining and governing apartment buildings. The whole intensification project will collapse if this is not dealt with quickly.

    Also no curiosity about how the construction industry gets away with outrages prices for buildings that are often substandard - leaky buildings are still being built.

    Since Nov 2016 • 346 posts Report Reply

  • Hard News: Dirty Politics,

    There’s a lot I agree with in Jessica McAllen’s article on the government’s mental health funding priorities.

    The most at risk are the voices least heard.

    Another important point she makes is that mental health is not necessarily a continuum.

    Major mental health issues such as BPAD and Schizophrenia can first occur without much warning, There is often little opportunity for any preventative intervention in the most severe forms of mental illness.

    Appropriate funding for these people – the most at risk – is not currently on the government’s agenda.

    Since Nov 2016 • 346 posts Report Reply

  • Hard News: Dirty Politics, in reply to Sacha,

    And that is exactly the belief the govt has had to work around to get funding into supporting people in more widespread mental distress. You asked earlier why they weren’t just channelling funds into existing organisations and networks.

    I’m not sure how that justifies underfunding the most at risk

    Since Nov 2016 • 346 posts Report Reply

  • Hard News: Dirty Politics, in reply to John Farrell,

    I think the verdict passed by the PM on Kiwibuild is clear. It’s been a failure, many people have been trying to point this out to the government for sometime. Much like the proposed changes to mental health the risk is middle class capture.

    Kiwibuild subsidised property developers to build houses for the middle class.

    Current proposed mental health reforms will funnel money into the worried well and not the most at need.

    Since Nov 2016 • 346 posts Report Reply

  • Hard News: Dirty Politics,

    Overall I tend to suspect the the govt may be replicating the Kiwibuild debacle with mental health – trying to throw $2b at a sector in desperate need but which they know little about.

    The inquiry skipped along the surface of the most fundamental issues such as risk vs autonomy and ignored those who urgently need more resources – those with the most severe mental health issues who are the most vulnerable.

    From the UK review:

    We have heard many anecdotal reports that, over time, there has been a shift in the perception of what is ‘acceptable risk’ among professionals, which may have contributed to the rise in the use of the MHA. This appears to have been driven by professionals’ fears – often arising from court cases – that a decision not to detain someone, or to allow them out from hospital whilst under their care, may lead to serious incidents and, at the most extreme, deaths, resulting in a subsequent summons to a coroner’s court to defend their decision.

    This probably is true for Orange Tamariki as well – people at the coal face are petrified of legal consequences of making the wrong judgment call.

    The UK review is very good but I feel the big problem with it will be it gives two types of solutions – one expensive and try other not so. I doubt any government will opt for the most expensive.

    Since Nov 2016 • 346 posts Report Reply

  • Hard News: Dirty Politics, in reply to steven crawford,

    I have an extended family member who has been on a constant cycle of needing to be taken to hospital by the police for treatment, then when he gets well he starts fighting for his autonomy again, until the next major episode. There must be some middle ground somewhere.

    Not uncommon. I’ve seen it quite a few times. People come into hospital, get well, go home, stop taking medication, get unwell, back into hospital. With illnesses such as psychosis every episode of unwellness reduces future functionality and reduces the effectiveness of medication so repeated cycles are very damaging over and above immediate consequences.

    More funding to community mental health teams to resource more active outreach and crisis intervention is much needed. That’s essentially what the UK review concluded – the way to reduce compulsory treatment isn’t to change the law but to properly fund acute community mental health teams. Something our government isn’t currently proposing.

    There’s a community team called ACOS – which is an assertive outreach team that can check in on people every day and spend decent periods of time with them. That service could easily be expanded to cover not just the most difficult cases they presently deal with.

    Since Nov 2016 • 346 posts Report Reply

  • Hard News: Dirty Politics, in reply to steven crawford,

    The police can drop charges by just dropping the charges! whats so hard to understand about that? If someone commits a criminal offence the police can arrest them, they can detain them, they can get an approval from the courts to remand them to a hospital. They do not have to follow thru with a prosecution! That will not change.

    There would have to be some new legal provision for a court to remand someone to a mental health unit without any form of assessment by a mental health team. I think most would agree the justice system shouldn’t have such power.

    Perhaps I’m not making myself clear. I’m supposing a possible repeal of the Act and consequent loss of compulsory assessment and treatment. The consequences of that would be the justice system would have no ability to detain someone for the purpose of having mental health assessment or treatment. A person with a mental health issue may just get stuck in the criminal justice system.

    The UK mental health act has just recently been reviewed and has some worthwhile consideration of such issues:

    We considered carefully whether we should rule out the use of detention where a person has capacity to consent to their admission, but does not consent. We recognise that there are human rights arguments in favour of this, but we do not think that those arguments are strong enough for such a large change at this stage. We think that a much greater debate is needed, involving service users, to see whether society is willing to accept the consequences of someone’s refusal to be admitted, especially where the consequence is the person’s death. The debate also needs to consider whether a person’s right to refuse to be admitted is given greater weight than the risk that the person might pose to other people.

    (pg 112)

    Since Nov 2016 • 346 posts Report Reply

  • Hard News: Cabinet and the Reeferendum, in reply to steven crawford,

    Yes, plus a smaller number exposed to meth while in the womb. There’s still not much support for fetal alcohol alcohol syndrome let alone meth.

    Although often lots of compounding factors and I generally get to see those with lots of severe compounding factors but there is a degree of permanent brain damage.

    Not so much depressive as anti-social, poor impulse control. But there’s often a learnt component as well if they’re from a violent family background and been to prison.

    Since Nov 2016 • 346 posts Report Reply

  • Hard News: Dirty Politics,

    Also, if the police cannot have someone assessed by a mental health team they then have no basis on which to drop charges as they themselves are not able to undertake a mental health assessment to determine if a mental health issue was involved or not. That they can’t is of course a deliberate safeguard.

    At present someone can only be placed under the act if they have a mental disorder AND they are either a risk to themselves or to others or both. Treatment has to be provided in the least restrictive manner possible.

    A very small percentage of people with mental health issues are placed under the act and most often for short periods of time. The high risks that a small number of people face will not go away if there is no compulsory assessment and treatment and could very well be exacerbated by such a move.

    Since Nov 2016 • 346 posts Report Reply

Last ←Newer Page 1 2 3 4 5 35 Older→ First