The Royal College of Psychiatrists has recently condemned mental health services in Northern Ireland as "unfit" for the 21st century, with provision trailing way behind that in England and Wales.
According to Dr McGarry of the Royal College of Psychiatrists, the problems are numerous and, with the prospect of further budget cuts, the future of mental health services does not look so bright.
Mental Health and Political Violence in Northern Ireland
According to clinical psychologist, Dr Nicola Rooney, the violence and unrest which has plagued Northern Ireland for the past 40 years is an important aspect of current mental health provision.
Although major research studies, such as The Legacy of The Troubles, have not produced conclusive results, many psychologists, such as Dr O'Reilly from the Royal Group of Hospitals in Belfast, agree that Troubles have created a legacy of psychological problems unknown in countries like England and Wales.
Government Health Spending in Northern Ireland
Despite a 20% increase in service demand in the last 2 years, mental health funding has only increased by 0.5%. The 2009 Mental Health Services Review had recommended an annual spend of 7 million but, due to the tough economic climate, funding for 2010 is set at 4.4 million. Such a shortfall in the funding has serious implications for services in Northern Ireland. According to Dr Maria O'Kane of the Royal College of Psychiatrists, such effects will include longer waiting lists and the ability to treat fewer patients.
The Use of Antidepressants in Northern Ireland
According to the Royal College of Psychiatrists, there are twice as many prescriptions for antidepressants in Northern Ireland than in England. This has created an antidepressant bill of 18 million, twice the current cost in England.
Practicing psychologists in Northern Ireland have highlighted the correlation between a high number of antidepressant prescriptions with the almost non-existent provision of other services, such as talking therapies.
Suicide in Northern Ireland
Research has shown that the rate of suicide in Northern Ireland is increasing, particularly amongst young men and currently stands higher than England and Wales. Without effective and available mental health provision, there are fears that suicide rates could continue to grow in Northern Ireland.
The Future of Mental Health Provision
In this tough economic climate it is inevitable that there will be spending cuts made in the public sector and the health service is no exception. The current financial situation for mental health services in Northern Ireland is 'deeply concerning' as Dr Maria O' Kane has stated.
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