Happy World Mental Health Day! It’s a good day to remind ourselves of the need to take care of our own and each other’s mental health.
That’s much harder in a society in which economic and social systems are built on greed, personal accumulation and working for the sake of working. So it’s also a good day to campaign for better mental health services and, longer term, for an end to capitalism.
The Covid pandemic shows how much society can be changed, and how quickly, both by a major health problem and by the attempts to prevent, contain or treat it.
It is quite right that we make a major priority of addressing Covid 19. But I think it’s also important that we take other health problems very seriously too. Don’t get me wrong: I am not for a moment suggesting that Covid should be taken less seriously. I am suggesting that we should apply the same concern and commitment to addressing health problems more broadly.
Mental health services in the UK, perhaps particularly in England, are often under-funded, badly run, badly publicised and insufficiently connected with wider health and wellbeing services. This is not to criticise the many brilliant people working within them. But no amount of hard work by dedicated staff can make up for a lack of funding and political support in an overwhelmed public service.
This is all the more so because the very structures of British capitalist society add to mental health problems, with the constant pressure to conform, to consume, to be economically productive (often for the sake of someone else’s profits) at the same time as being a perfect partner, parent, relative or friend. The pandemic has fuelled certain types of mental health problems and the poverty resulting from the recession will fuel more.
When the lockdown was announced in March, mental health services should have received extra funding and support as part of the response to Covid. Instead, they became less of a priority and some who run them started to misuse the horror of the Covid pandemic as an excuse for lack of support from mental health services.
The Covid pandemic is pretty certainly bringing a mental health pandemic in its wake. The seeds of a mental health pandemic have been sown over years.
I don’t have easy answers for addressing this problem. I really do think that the prevalence of mental health problems cannot be seriously addressed within the current socio-economic system.
But on World Mental Health Day, let’s just imagine for a moment. Let’s just imagine that we viewed mental health as just as important as the vital struggle to tackle Covid 19.
Imagine if the government and media stressed the importance of taking time off work if you had poor mental health symptoms (without needing to “self-isolate”).
Imagine if bosses were criticised for not allowing workers with mental health problems to take time off work.
Imagine if workplaces were legally obliged to implement mental health and safety arrangements.
Imagine if shops, pubs, schools and universities were only allowed to open if they implemented measures to protect and promote the mental health of their customers and staff. Imagine if they faced being closed if they didn’t.
Imagine if the state paid the wages of people who couldn’t work because of mental ill-health, rather than trying to snatch away meagre benefits.
Imagine if people developing symptoms of mental health problems were more often met with support and offers of help rather than ignorance or contempt.
Imagine if the government published a daily or weekly count of the suicide rate, and of numbers of people diagnosed with mental health problems, because tackling these problems were regarded across society as a national priority.
Imagine if billions of pounds could be devoted overnight to mental health support, because it is such an urgent need.
Imagine if society encouraged mutual aid so that people could rely on each other when struggling with mental health problems.
Imagine if the headlines were full of debates about the best way to fund mental health services and improve mental health across society.
Imagine if workplaces, universities, faith groups and the arts all adapted quickly to include people who might otherwise be excluded for mental health reasons, with the speed with which home-working and Zoom meetings developed in the spring.
Imagine if we decided that mental health matters as much as physical health (which would still matter just as much). Imagine if we tackled the mental health crisis while also tackling the Covid crisis.
Imagine if we realised that we can’t meaningfully tackle either of them without restructuring society.