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UK's Mental Health Crisis: Open Access Needed Now
10 Oct
Summary
- Young people feel unheard and dismissed by current mental health services.
- NHS waiting lists are lengthy, impacting education and career prospects.
- An open access approach could provide same-day support for mental health needs.

Retired footballer and charity chair Clarke Carlisle has voiced concerns that the UK's mental health system is failing, particularly for young people. He notes that youth feel unheard, with their views and suggestions often dismissed. This is contributing to a growing mental health crisis, driven not by overdiagnosis but by a lack of accessible support.
The Fonagy review, alongside other findings, reveals the scale of mental health challenges affecting millions of adults and young people. Current systems often require a diagnosis before opening doors to treatment, leading to long NHS waiting lists and a 'bouncing around' between services. This rationing of care exacerbates demand and worsens individuals' well-being.
Carlisle advocates for an "open access" approach, where mental health support is available on the same day someone seeks help. This model, already being tested by some local Minds in England and Wales, focuses on understanding the whole person rather than just symptoms. Government proposals for new community mental health centres and emergency departments are seen as a positive start.
With a new 10-year mental health strategy on the horizon, Carlisle urges the government to boldly shift towards a same-day open access model. Properly funding effective services is crucial to meet the growing need for timely, high-quality support for everyone, regardless of diagnosis.