Response 66629217

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3. Are you responding as an individual or an organisation?

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MHScot Workplace Wellbeing CIC

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1. Our framework sets out 8 priorities for a new Mental Health Strategy that we think will transform mental health in Scotland over 10 years. Are these the most important priorities?

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2. The table in Annex A sets out a number of early actions that we think will support improvements for mental health.

Are there any other actions that you think we need to take to improve mental health in Scotland?
It's far too centered on Primary Care, the NHS and a small number of key organisations which are the largest mental health orgs in Scotland. Improvement in mental health and wellbeing requires a bottom up approach, not top down. In light of significant changes in thinking around community engagement and third sector and social enterprise partnerships with public and NHS services it's a huge omission not to consider how we involve community groups, smaller charities and local organisations who know their current clientele really well with regards to mental health and wellbeing. Services need to be placed within communities, all of which require a different approach, methods and support. We need to include as many groups that work with people with mental health difficulties as possible. The NHS is already stretched as it is and in our line of work, we consider Link Workers to be part of a larger focus. They can't possibly be expected to provide employment support to everyone when organisations like ourselves can partner up with others to support Link Workers in their goals. Primary Care is mentioned continuously throughout the document as the ones providing the 'Results' and yet we know the budget for mental health spend within the NHS is so small. It's stated that 'most people who have a mental health problem access and receive treatment through, and in, primary care' and yet a lot of what we are talking about is prevention and early intervention where individuals are not yet engaged with services and many start off accessing services via the third sector and/or self-help, support from friends and family. Primary Care can't be the whole answer, it's only a very small part of the solution and as the NHS is still very engaged in the 'medical model', many within the NHS can't get their head round or understand self-management, self-help and non-medical support.

3. The table in Annex A sets out some of the results we expect to see.

What do you want mental health services in Scotland to look like in 10 years' time?
A much larger spend on mental health is required and in 10 years' time we have to hope that that spend has vastly increased, and isn't tokenism, short-term and a tick box exercise. I hope by this time we've moved completely away from medical approaches apart from those in severe distress/psychosis etc. I'd like to see community lead groups running programmes and projects that engage those in the areas that they work in. Creating lots of 'options' that people can try when one size doesn't fit all in the recovery of mental health. I'd also like to see subsidised complimentary therapies, exercise classes and wellbeing groups.