Psychosis: Early Intervention

Debate between Lisa Cameron and Kerry McCarthy

Wednesday 7th September 2016 Westminster Hall

[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.

[Dr Lisa Cameron]

The hon. Lady is making an extremely valid point in terms of comorbidity. Comorbid substance abuse often precludes people from treatment, and they can be turned away from treatment centres. As she said, it is very common and should not mean that people cannot access treatment.

[Kerry McCarthy]

There is also the issue of whether people feel they are self-medicating by smoking. They may feel that it helps their symptoms, whereas it quite often exacerbates their symptoms.

Dog Fighting

Debate between Lisa Cameron and Kerry McCarthy

Wednesday 29th June 2016 Westminster Hall

[Dr Cameron]

I thank the hon. Lady for her intervention and for paying tribute to those dogs who have worked for this country in such an admirable way.

What are the facts as we know them? Research, including that from the influential Project Bloodline, indicates that a dog fight occurs somewhere in the UK every day. Dogs involved in fighting are pitted against each other, with the aim of inflicting as much pain and damage as possible. For dogs that fall into the hands of dog fighters, life is full of pain, suffering and violence. Dogs are left with horrific injuries, and rather than taking them to a vet and risk being caught, dog fighters perform crude surgeries without anaesthetic, adding to suffering. Most dogs used for fighting ultimately are killed in the fight, dying as a result of their injuries or just killed and discarded.

[Kerry McCarthy (Bristol East) (Lab)]

The hon. Lady is being generous with her time. She mentioned Project Bloodline, which is an excellent initiative by the League Against Cruel Sports. I see signs in my constituency on trees, where dogs have been hung from trees to strengthen their jaws, but dog fighting is done very much under cover and it is difficult to track down. Will she join me in congratulating the league’s initiative under Project Bloodline to offer a £1,000 reward to people in Luton under a pilot where people can come forward with any information they have about illegal dog fighting in their area?

[Dr Cameron]

That sounds like an excellent pilot, and I would like to see it expanded throughout the country if it is successful.

During training, dogs are usually kept penned or chained. They are raised in isolation, yet we know they are man’s best friend. They are starved and taunted to trigger extreme survival instincts and to encourage aggression. They may be forced to tread water in pools, to run on a treadmill, while another terrified animal is dangled in front of them as bait, or to hang, as described, from their jaws, while dangling from a chain or tree baited with meat. They are slammed against walls to toughen them up. Many may be injected with steroids. Some dog fighters sharpen their dogs’ teeth, cut off their ears to prevent latching during fights or even add roach poison to their food, so that their fur tastes bad to other dogs.