Investing in mental health care

Investing in mental health care sounds like a great idea, right? Put more money into the mental health system, more people get care and logically more good outcomes ensue. Right?

Well, when this government heard ‘investing’ they went, ‘you know what, let’s get private investors to fund mental health initiatives using a bond scheme, where the investors get a return on their money if the scheme hits preselected targets’. And there went good ideas, flying out the window like so much smoke after a toaster fire.

Are. You. Kidding? When did it become a good idea to put mental health treatment in the hands of private investors who are prioritising a return on investment, not on actual positive outcomes for the patients involved? Sure, the key performance indicators (KPIs) might seem as though they demand good results for the clients, but we are not looking at a situation where people are looking towards client’s best interests.

The first scheme to be proposed under this new framework is one in which mental health patients are moved into work. The potential for abuse is huge – pushing people who aren’t ready into work that’s not suitable, employed by people with no understanding and ripe for abuse and failure. But it’s got to work for investors, so it’s going to work, dysfunctionally, checking boxes and playing with people’s mental health in return for a few dollars.

I don’t know how this is supposed to benefit anyone except the investors. It’s going to cost the government money. It’s not going to do any favours to the sick people involved. It’s not, as far as I can see, fiscally sensible. And it’s an experiment.

This is an experiment that has only been tried in the UK and the US, and those experiments are so new that we don’t know the outcomes yet. Sure, there’s some think-tank in New Zealand saying it’s a good idea, but it’s an unknown.

Should we be experimenting with social bonds on vulnerable mentally ill people? No, and no, and yet again no. Mental health care is already so bad, and this is not going to make it better. It’s a crazy capitalist experiment, one that we shouldn’t be trialling on people with enough serious challenges in their lives already

Tehe Th

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