An important letter and accompanying report was published in the national press this week abhorring the effects of austerity and neoliberal politics on mental health services and on mental health generally . This is timely, not just because of the election, but because of the spiraling risks for now and for the future. Anyone working in services knows how they are being severely cut, making it harder and harder to access the kind of help that is needed. Only short-term ‘revolving door’ services are available to people in very serious need. Children’s mental health services are the most poorly funded, much less than adult mental health services which in turn have a fraction of health budgets. As an investigation by the charity Young Minds recently showed, children’s mental health services are in crisis.

An important new guideline was released this week by NICE, the National Institute for Clinical Evidence, which suggested that pregnant women in maternity care should have continuous one-to-one care. This is an important recommendation and has been widely backed by health officials across the country.

 In the face of an encroaching obesity epidemic pundits constantly resort to simplistic and judgmental solutions, many of  which blame sufferers, and worse, prescribe treatments and solutions that don’t work and don’t tackle the roots of the problem. Indeed our culture is rife with judgemental attitudes about weight and shape. Few of us are immune to preoccupations with our bodies, our kilo count, fat rolls, thigh sizes or belly width. Diet and food books consistently make the top 10 bestseller lists in the UK while rising obesity levels are seen as a huge threat to the NHS budget. While pubs serve ‘heart attack’ 2000 calorie burgers,  rising numbers of   ‘super-obese’ young people are being prescribed surgery.  With all the angst, guilt and powerful opinionating  we are too often left with a plethora of one-dimensional solutions and strident ideas, yet with too little understanding of what might lead to ‘issues’ of weight.

The labour party seem to be pledging to invest heavily in the NHS. While this is commendable there is a degree of naivety in how the crisis in healthcare is being understood. More than anything this is because the roots of so many health problems are in very early experiences, and start with psychological stressors, or rather psychobiological insults, which affect which genes are turned on or off, an epigenetic effect which indeed transmits across generations. An old fashioned medical model in which current, and purely physical,  symptoms are identified and treated, can no longer be sufficient. 

On recent more balmy summer days it has been a great pleasure watching children mucking around on beaches, doing what kids have always done at seasides, build sandcastles, play make-believe games, muse, have fun, go with the flow not knowing what is going to next trigger their imaginations. It has been equally nice to be one of the many adults mulling around footpaths, sitting around on benches, not worrying much about having an agenda. This seems an increasingly rare experience in a world where there are more and more pressures, life is incredibly timetabled, increasingly so for children as well as adults, and there is such a lot of focus on achievement, on doing, on things to aim for like grades, and so little emphasis on just being. As Jon Kabat Zinn, the mindfulness guru suggests, maybe we are becoming human doings and not human beings! I worry that just being is becoming a lost art and that life is becoming much poorer as a result.

 School kids as young as 5 are to be encouraged to become entrepreneurs in a new government initiative announced last week, spearheaded by Lord Young and publicly backed by  David Cameron. Much about this worries me, even if we do need to encourage entrepreneurial spirits and there is a certain logic to the plan. While not a Faustian pact, such initiatives give a very clear message about what we as a society value and maybe more importantly, research shows that encouraging business and money oriented attitudes create a likelihood that children's more prosocial and generous character traits will be toned right down as self-interest and more instrumental motives become stronger.