Psychosis: Early Intervention

Debate between Diane Abbott and Kerry McCarthy

Wednesday 7th September 2016 Westminster Hall

[Kerry McCarthy (Bristol East) (Lab)]

As ever, it is a pleasure to see you in the Chair, Sir Roger. I also welcome the Minister to her place.

Psychosis is incredibly frightening for friends and family to witness, and I speak from personal experience. It means people in effect having lost control of what is going on inside their head but not realising it, and it is difficult to get through to them. It is also an incredibly frightening experience for the people who suffer such episodes— perhaps not at the time, when they are in the grip of psychosis, but it becomes apparent from talking to them afterwards. One person, a veteran of the first Gulf war who has suffered from psychosis for the best part of 20 years, said, “You never know again whether what you are experiencing, feeling and thinking is true, because other people are telling you your experiences were not true.” It is an incredibly distressing place to be.

Early intervention is crucial. Mothers in particular have come to my constituency surgery, desperate to keep their young adult sons out of the criminal justice system, yet that is often the only alternative. These are big lads who can be quite frightening when they are in the grip of psychosis. The last thing a mother wants is to see her son locked up in police cells for the night, but all too often that has been the only alternative. If the lads are not seen as a direct danger to themselves or to others they cannot be sectioned; the mothers do not want them to be sectioned but they desperately want to get them help.

I pay tribute to the police and crime commissioner in my local area, Sue Mountstevens. She is an independent candidate who has just been elected for the second time, and she has made it an absolute priority to try to get people with mental health problems out of the criminal justice system and to make sure there are beds available so they can get the help they need.

We know that psychosis is particularly prevalent among young men of black Caribbean or African origin. Indeed, the three mothers who have come to me about this issue are all of black Caribbean or African descent. It seems to be an established fact that these young men are more vulnerable, but I do not think we have ever got to the root of why that is the case, and I would like to see more research into that.

I agree with what has been said about parity of esteem; I think all parties now recognise that. Mental health has been the poor relation of physical health, but young people’s mental health has too often been the poor relation of adult mental health. Young people struggle.

[Ms Diane Abbott (Hackney North and Stoke Newington) (Lab)]

Does my hon. Friend agree that overall people of black Caribbean heritage are over-represented in the mental health system? These young men tend to present late. They tend to be less likely to get talking therapy and tend to have poorer outcomes.

[Kerry McCarthy]

I very much agree, and I would love to see more research into the reasons for that. We know that early intervention is crucial and that if there is intervention after the first episode of psychosis, it can be deflected further down the line. It may be that young men’s reluctance or the lack of access to those services means that they go on to develop full-blown psychosis, which then blights their adult lives. There could be all sorts of reason. I have heard my hon. Friend speak about this before. I know she thinks it is a really important issue, and I agree with her.

Young people are even more marginalised. I have the Riverside unit for young people in my constituency at Blackberry Hill hospital. It is part residential, part day placements. I visited it recently. If the spaces are full, a number of young people get sent a considerable distance from home and away from their friends and families for treatment, which is not ideal. If we are trying to deal with young people in very vulnerable circumstances, displacing them from their families and support networks is obviously wrong.

Dr Dominique Thompson, who is in charge of the GP services at the University of Bristol, has given me figures in the past about the proportion of the casework of GPs at universities that is now on mental health-based issues, and it has grown exponentially. That is everything ranging from anxiety, stress and depression right through to severe psychosis. I make a plea that the health services at universities are not the same as ordinary neighbourhood GPs; they need particular support. They deal with young people who are away from home and away from their support networks. We know that GPs are under pressure—particularly in terms of recruitment, which is a debate for another day—and it is important they have the resources to deal with that.

I want to mention briefly one source of help that is available to GPs. I met a group of researchers yesterday who are part of the Avon and Wiltshire Mental Health Partnership NHS Trust and are based at Blackberry Hill hospital in my constituency. They do something called BEST—best evidence summaries of topics—in mental health, which is a web-based service. Basically, these experts look through all the information available and distil it down to easy paragraphs for clinicians, so that rather than having to wade through all the material on the internet, clinicians are given some guidance as to what they are likely to be looking at and the likely best treatments. The funding for that service is under threat. A cross-party group of MPs from the Avon and Wiltshire area met those researchers yesterday. We think that the service should at the very least be piloted, with a view to rolling it out nationally, because it is a really valuable resource. We are going to write to the Minister about that, but I wanted to flag it up today.

Finally, I was looking this morning at the NICE guidance on early intervention in psychosis access. It pays passing reference to substance abuse, saying:

“Around 40% of people with first episode psychosis misuse substances at some point in their lifetime.”

I would like to see more research done into cannabis-induced psychosis. It is clear to me—partly from anecdotal evidence, but there is research out there—that partly because of the stronger strains of cannabis that are now available, more people are presenting with cannabis-induced psychosis. There may be a connection between that and people going on to develop full-blown psychosis, or people may have a cannabis-induced psychotic episode and then recover. Speaking partly from personal observation, I think that in some cases drug use makes it more difficult to diagnose when people are suffering first-time psychotic episodes. I would like to see more research into that.

Horsemeat

Debate between Diane Abbott and Kerry McCarthy

Tuesday 12th February 2013 Commons Chamber

[Kerry McCarthy (Bristol East) (Lab)]

I congratulate the shadow DEFRA Front-Bench team on pursuing this issue relentlessly and on choosing it as a topic for today’s debate. We had a statement yesterday, but there is a lot more to be thrashed out on this issue. I therefore greatly welcome the opportunity to take part in the debate.

This issue is important not only because it has exposed the scandal of horsemeat adulterating our food chain, but because of the spotlight it throws on the meat industry more generally—what Felicity Lawrence referred to in The Guardian on Saturday as

“the hidden unsavoury food world, in which live animals are transported vast distances across borders for slaughter, before being shipped back again in blocks of frozen offcuts that may be stored for months on end before being ground down to unrecognisable ingredients in our everyday meals”.

Lord Haskins, a farmer and the former chairman of Northern Foods—someone who definitely knows his topic—has warned that there is “endemic, institutional fraud” in the food industry. It is not enough to get to the bottom of whether there is hitherto unidentified horsemeat—or is it donkey?—in meat products on sale in the UK, or to discover whether halal products are contaminated with pork; we need to look at the whole meat industry because who knows what other scandals have yet to come to light?

We are all familiar with the past controversy about beef hormones in our meat and the EU ban in the wake of mad cow disease some years ago. Some may be familiar, too, with the more recent controversy in the USA over what the meat industry likes to refer to as “lean finely textured beef” or “boneless lean beef trimmings”. That may sound fine, but this is more commonly known as “pink slime”, which sounds much less appetising. It is used as a filler in beef products and is produced by processing low-grade beef trimmings, cartilage, connective tissue and sinew, and mechanically separating the lean beef from the fat by heating it to 100° F.

[Ms Abbott]

Does my hon. Friend think that if people really knew what goes into some of these cheaper processed meat products, they would continue to buy them?

[Kerry McCarthy]

That is very much the point I am making. It is so important for people to know what goes into their food, but there is a conspiracy to keep that information from people.