What do the seriously mentally ill need?

First of all and most importantly the seriously mentally ill require medications where dosages are the lowest effective dosages which could leave the mentally ill still neurodifferent even very neurodifferent. On effective dosages the seriously mentally ill must be safe for themselves and others.

Second and next in importance the seriously mentally ill require housing.

Last in importance is that a warm, safe place where the seriously mentally ill could talk about the difficulties they are facing with professionals would be very nice. The goal of these talks would be support rather than treatment.

Unfortunately, mental health clinics totally fail to deliver what the seriously mentally ill need. Heads of clinics tell funding authorities that ‘our services can get individuals back to work in short time’. If there are difficulties in treatment and there are always difficulties in treatment of the seriously mentally, after all the seriously mentally ill are seriously mentally ill, higher dosages and polypharmacy are the answer and all of kinds psychological services are proffered that are totally besides the point. Funding authorities get billed for lots of hours and patients get to be zombies and are still disabled. Patients all too frequently decide not to visit mental health clinics. Patients can end up homeless and off medications. As mental health clinics are now set up mental health clinics deliver very mediocre mental health services at very high cost.

Unfortunately, the words of Mick Jagger and Keith Richards have no application in the treatment of the seriously mentally ill at mental health clinics.

No, you can’t always get what you want
You can’t always get what you want
You can’t always get what you want
But if you try sometime you find
You get what you need

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