Wednesday, 12 June 2013

Support Groups, or Not

I wrote earlier today about my current personal situation and concerns and outlined the fact that my life has now settled down an changed. One thing I didn’t touch on however was my involvement with Carer Support groups.

Well, I have reduced my involvement to give myself more “me” time so I can enjoy my bird-watching and photography. Does this mean that I have given up on the causes I have fought so hard for over the years. Well, yes, in a way it does.

Two main aspects have caused me huge disillusionment and distress… the behaviour of so many within the so called support community and the behaviour of carers themselves.

I realise that I need to justify these outrageous comments, so here goes. I’ll let you decide if I have taken the easy road or made sound practical decisions… but to be honest, I don’t much care how you see it!

Lets start with the carers themselves… as a carer I know how little support I received until I fought tooth and nail to get it, and was delighted to be doing voluntary work to make that support more accessible to all carers.

However, I now question whether the majority of carers really want that support. They need it, god knows they need it, but do they want it?

I have worked with groups who have laid on events with key speakers from all the delivery professionals, we have had a great turn out from like minded professionals who want to know everything that is going on, but despite massive publicity, do we see any carers at these events? No.

We have advertised via social networking, posters, post and every other way we can. Do we get any interest from Carers? No

We have run clinics at the Acute Units inviting Carers to come and talk to us to get the advice and support that we fought so hard to get… putting into their lap, all they have to do is say “hello”. Did we get any carers visit? No

The Mental Health Service have had a great deal of bad publicity, ok, most deserve3d, but they are moving mountains to improve things, and they want to improve things mainly by engaging fully with carers and service users. I have been a part of these initiatives, and the Trust has invest huge time and effort into setting up the events. Do any carers come along? Very few… perhaps 75% of those who had confirmed attendance the day before.

We arranged an event for carers, to celebate carers this week, many wonderful people gave their time for the pleasure of helping, to help carers, to give them support, advice and most importantly some fun. Was it well attended? No

So many Carers have said that they wish that the Trust understood how they felt about things. The Trust has bent over backwards to facilitate exactly that… and do Carers turn out to have their say… you have probably now guessed the answer… No

Now, there are many reasons why Carers do not attend these events. Of course the mere fact of caring may mean it is impossible to get someone to sit with their loved one, they may be needed for caring purposes. The Carer may be sick of telling their story or simply sick. All perfectly good reasons.

Less acceptable, to me, is the other major reason, which is stigma. There is still a stigma with mental illness, a stigma rooted in ignorance and misinformation, but it does make it very difficult for so many people to admit publicly they are dealing with a mental condition because of “what the neighbours may think”. I know it’s true, I see it in practice virtually every day.

Don’t mistake me here though, it is the fact that people have to think that way that is unacceptable, not the fact that they don’t turn out because of it. That I can understand. We have to break down the stigma… think some 20 years ago, the word cancer was almost outlawed… it is now used openly and attracts massive publicity and funding, yet mental illnesses can be every bit as devastation to sufferer and family… so why not be open about it.

The other group is support groups… now if some people read this I could be in trouble!!! But what the hell. I have worked in a group where I have always thought the idealogy was flabby, too worried about upsetting the service providers to actually do anything.

The group was also in receipt of public money to help carers, but virtually nothing was spent. Myself, and a good friend, spent over a year battling with the apathy to get the group to use the money, run events, take the challenge to the providers and actually do something. It has been a long and fruitless battle. Between two of us, we have been involved in around 10 projects with key service providers… all projects that we have sought out for ourselves or been invited to be part of… and these were the only 10 projects the group was involved in… the other members were never supportive, everything we put forward was criticised, condemned and voted down because some brainless prattos had tried it, badly, before and it didn’t work. Believe me my friend and I had the contacts and respect of the providers, and we made them work easily! What thanks do we get? Does it need both of you to attend that meeting?

Once we both became officers of the group, we started scratching beneath the surface… and found that the group was never, contradictory to what we had been told, properly constituted, had no workable procedures or policies, and the other officers were happy to take the plaudit, but did nothing for the group… the secretary didn’t arrange a single meeting, never took minutes, never did anything constructive. The Treasurer insisted everybody but himself had all expenses verified by two people, while he did his own.

We challenged this situation and tried to improve things, but it just led to so much bad feeling, we had already lost two members the year before who were nothing but arrogant obstructions, the Chair resigned, presumably to look for a backbone and Pratto and his mates continue in their own sweet ineffective way.

If they carry on, what will they do? In all the years I’ve been involved I’ve never seen any of the others have an idea or actually do anything. The relationships with the service providers are mine and my friends.

So, in the future, I am volunteering two days per week with the Recovery College, which is such a fabulous enterprise, I will continue in my various committees on the Payment by Results Programme and the Improving the Experience programme, all with the Leicestershire Partnership Trust.

I will also continue to work closely with my three good friends who have my total respect, trust and confidence (you won’t know them, but they’ll know exactly who I am referring to) on selected projects, especially in the areas of education, and of course supporting people online through twitter and facebook.

For Carers, there are many people out here who are only too keen to help you, to support you, to guide you through the hell of your situation… but we can’t do it for you… you have to stand up and ask, there has to be some input from your side as well




And then what?

Well, here is another dilemma for me… I haven’t written much about caring as such lately because, well, the situation has rather changed.

So, a brief prĂ©cis of where I’ve been… my wife started out with acute psychotic depression in the August of 2004 and spent 4 months on the acute ward. The treatment was, to be generous to them… extremely poor. On discharge the out patient support veered between non-existent and damaging until in early 2009 and became seriously ill again with the same symptoms. This time the support offered by the crisis team and then acute wards was very different… it was truly appalling, the standard of service was a total disgrace, the entire staff involved need to hang their heads in shame that they could have been so totally utterly contemptuous, incompetent, callous, uncaring and useless. No, I am not exaggerating… the whole lot, exemplified by the consultant supposed to be in charge of the case and the ward were a total disgrace. I do not believe any of them should have employment in any service dealing with human beings… bitter? Yes I am… but I have been able to get over it.

During this time my own health, both physical and mental deteriorated seriously, I had two breakdowns, totally lost my self confidence and self esteem and was permanently exhausted… oh yes, and at times like these you find out who your friends are…

My friends was certainly not the CEO of the trust who dealt with my complaint by telling me that if I followed up my complaint it would adversely affect my wife’s treatment. No, it couldn’t… couldn’t have been worse.

Eventually when elations between me and the so called consultant hit total rock bottom my wife was transferred to a different unit, a treatment and recovery unit, where the staff restored my faith, they were just magnificent.

The diagnosis was eventually changed to vascular dementia, triggering a further breakdown for me, and the realisation that we were now looking at a permanent nursing home.

To cut a long story short, after a further year, she is now in a superb care home where she is cared for superbly. Of course, once that happened, the weight of the years of worry and fear should have dropped off my shoulders, but a severe attack of survivor guilt left me sleeping only fitfully, dreaming of suicides and drowning, of maiming my wife and countless other cheery things.

My GP stuck me on some new meds, and they have done their job… three months on I am sleeping well, not having the nightmares, have regained my self esteem and self confidence and am now clear that nothing I could have done would have changed the situation we are now in, and that I have nothing to feel guilty about. I am comfortable with myself and am now starting to live my life fully, and enjoying myself again.

So, I don’t have the day to day care issues so many carers bravely face every hour of every day, I have no worries about my wife not having the best possible treatment… what could be wrong with me now?

Well, I’ll tell you. At present I visit twice a week, I never know if she knows who I am… she hasn’t uttered an intelligible word for 4 years now… she spends more time looking around the room and wandering off to other residents than sitting with me.

I have no idea if she gets anything from the visits… there is no spark or hint. She is never seems thrilled to see me, never seems disappointed when I leave, in fact never shows anything to give me a clue if there is anything behind the blank lifeless eyes.

As I have always said she is my wife, I still love her, I still want to be with her, and if I don’t visit her at least twice a week I feel I am letting her down… I won’t do that. But, when I do go, if I’m honest, I get no pleasure… I just feel upset and lonely, missing her more than when I am not with her. I hate to see her living this sort of life, she should be with me, at home, enjoying her gorgeous grandchildren, who she doesn’t really know.

Thing is, she may be happy... I don’t know. I think she is relatively happy, the staff members think she is relatively happy given the limitations of the condition… I can only hope that this is right.

But there is my dilemma… I won’t let her down… I know she wouldn’t let me down were the positions reversed… should I go more often? Less often? Stay longer? Stay shorter?

I know no-one can answer this for me, but I feel more at peace having now typed these thoughts out. I have to come to my own decisions, as does everyone in this sort of position…