The biggest problem I’ve found is that no-one talks to each other – therapists, GPs, psychs, Primary- and Secondary Care professionals.There’s no ‘joined up thinking’ and loads of bureaucracy. And no targeted support. I’d have patients assigned to specific care providers who can manage their treatment and support. A sort of life coach, nopt necessarily providing treatment but giving support, information and guidance. It would be no different from having a GP or dentist or optician. They might have many patients each, depending on various factors, but at least you’d know who to go to for help. And know that that person has your complete record to hand rather than it being split up and divided between various people who don’t share all the information.
After a year of ‘treatment’ the only advice I’ve ever been given if I am ‘in crisis’ or suicidal is to go to Casualty (uh yeah, I’m trying not to kill myself but I’ll just drive to the hospital and try to find somewhere to park first shall I?) or ring 999. I’m sure an ambulance will be here within the hour or 2.
Peer support seems to be almost totally ignored as an aid. And surely that’s a cheap option too?