Welcome to the Reach Out Pro blog

An international perspective

Share |
Monday, 13 September 2010 by Administrator

Jenna Denley is an Inspire Foundation Youth Ambassador and Research Study Champion. She is also a Student Paramedic in her final weeks of university.

Having recently returned from 5 weeks in the USA completing a clinical placement in Minnesota with Gold Cross Ambulance, I have been left to ponder a few similarities and differences in the way that young people are treated and perceived in the health system when suffering from a mental health issue.
My first shift in Rochester, Minnesota presented me with 2 mental health cases, both young women under the age of 25. This shift set the scenario for the rest of my placement, with all bar 2 of the psych cases we were called to being for young women under the age of 25. The psychology of young people and mental illness is still the same on the other side of the world, young women are more likely to engage in help-seeking behaviours and methods of self-harming behaviours are almost identical to those here
in Australia.
One thing that stood out as being dramatically different was just how many young people fly 'under the radar' so to speak. In Minnesota, if a young person is admitted, they can only be held for 72 hours before being released into the care of their guardian or before being admitted to a residential treatment facility, a very expensive option in a country where many people do not have access to, or are ineligible for private
health care. After talking to one of my patients' guardians, they stated that it was easier financially for them to take full care themselves rather than seeking support from professionals.
From my experiences with the Australian system I know that there is a lot more to be done in making the system more friendly for young people. My experiences in Minnesota taught me much more about the struggles that the population suffering from mental illness in the USA face in accessing care and the major stigma barrier that is still there in the US, one that is beginning to be broken down here in Australia. That there is next to no support for young people suffering from a mental illness and that health
care professionals are fighting hard for changes to the health care system as a whole, particularly in the area of mental health.
I guess the main thing I took away from all of this is the need to continue fighting for better, more accessible services. The need for clear training packages for health care professionals, the need for us to continue breaking through the stigma barrier and the need to make sure that everyone involved in a patient's care is up-to-date with treatment plans, care plans etc.

Having recently returned from 5 weeks in the USA completing a clinical placement in Minnesota with Gold Cross Ambulance, I have been left to ponder a few similarities and differences in the way that young people are treated and perceived in the health system when suffering from a mental health issue.

My first shift in Rochester, Minnesota presented me with 2 mental health cases, both young women under the age of 25. This shift set the scenario for the rest of my placement, with all bar 2 of the psych cases we were called to being for young women under the age of 25. The psychology of young people and mental illness is still the same on the other side of the world, young women are more likely to engage in help-seeking behaviours and methods of self-harming behaviours are almost identical to those here in Australia.

One thing that stood out as being dramatically different was just how many young people fly 'under the radar' so to speak. In Minnesota, if a young person is admitted, they can only be held for 72 hours before being released into the care of their guardian or before being admitted to a residential treatment facility, a very expensive option in a country where many people do not have access to, or are ineligible for private health care. After talking to one of my patients' guardians, they stated that it was easier financially for them to take full care themselves rather than seeking support from professionals.

From my experiences with the Australian system I know that there is a lot more to be done in making the system more friendly for young people. My experiences in Minnesota taught me much more about the struggles that the population suffering from mental illness in the USA face in accessing care and the major stigma barrier that is still there in the US, one that is beginning to be broken down here in Australia. That there is next to no support for young people suffering from a mental illness and that health care professionals are fighting hard for changes to the health care system as a whole, particularly in the area of mental health.

I guess the main thing I took away from all of this is the need to continue fighting for better, more accessible services. The need for clear training packages for health care professionals, the need for us to continue breaking through the stigma barrier and the need to make sure that everyone involved in a patient's care is up-to-date with treatment plans, care plans etc.