Intended for healthcare professionals

Rapid response to:

Practice

A patient's journey: living with paranoid schizophrenia

BMJ 2006; 333 doi: https://doi.org/10.1136/bmj.38968.608275.AE (Published 21 September 2006) Cite this as: BMJ 2006;333:636

Rapid Response:

well done, Onemanmountain climber!

I have just read Mr. Barker-Brown's account of a courageous and
successful journey and his achievements, largely by his own efforts and
determination. I was however saddened to learn how long and how far he had
to travel to get the proper care and treatment that every person suffering
from such a devastating illness deserves.

I also agree with him that us, the "professionals" do not always show
the "guts" and courage needed to stand up and demand the appropriate
services in the community. We are rather bullied into accepting, at times,
a substandard service in order to meet the targets set by Management or
the government with different agenda.(also some of us do not like to rock
the boat for the fear of losing our medals!)

I believe that the continuity of care is the key factor in the
recovery which is often lost in the endless restructuring as noted in the
article (Damle A. Complete A-Z of community care: Hospital Doctor, 10
February 10 1994) sadly not much has changed in some services to date.

Good luck to Mr. Barker-Brown in his quest to climb the Everest!

Competing interests:
None declared

Competing interests: No competing interests

06 October 2006
Anita Damle
Consultant Psychiatrist
Northampton