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Chamber

Meeting of the Parliament 24 June 2015

24 Jun 2015 · S4 · Meeting of the Parliament
Item of business
Mental Health (Scotland) Bill
Grant, Rhoda Lab Highlands and Islands Watch on SPTV

This bill is welcome and the changes that it makes to the law will make a positive difference to the lives of individuals. However, it is clear that much more needs to be done. We must give mental health the same focus and consideration as physical health. There is still a huge amount of misunderstanding and stigma surrounding mental health, and through the laws we make we need to tackle that.

Like other members I was disappointed that amendment 1, in the name of Jackie Baillie, was not accepted. It is clear that mental health legislation covers people who are not mentally ill but who have learning difficulties or other conditions such as autism. Those people need additional support, but their condition is not a mental illness, albeit that at times they may be predisposed to mental illness due to their isolation from wider society. We need laws that not only support and protect such people but go further to integrate them into society—perhaps we need laws to change societal attitudes and structures so that people do not face the barriers and attitudes that prevent them from playing their full part.

When I spoke to constituents about the bill, they told me about the lack of services available for people who have personality disorders. Those people do not receive crisis mental health support and they are often left for the police to deal with. Sadly, one constituent told me that that was not necessarily such a bad thing, given that the police often showed more compassion than those providing mental health services. Although I acknowledge the compassion that the police exercise when dealing with vulnerable people, that should not be the only help available for those with personality disorders who have become psychotic. There must be a better way of providing them with emergency mental health support through the health service.

There is also a lack of support for carers, especially when the cared-for person comes out of hospital. We all know that that transition is a time of the greatest risk of suicide, yet carers are often ignorant of that risk and how they can best support their loved ones. That is not right. Carers should have the information and support that they need to help recovery, especially during the early stages, when the risk is greatest.

That issue was raised with me recently by carers of people who had suffered brain injury. I reiterate that mental health services deal with illness rather than injury or disability. Carers are left to care for their loved ones, not knowing how the condition will progress, whether it will improve and what, if anything, they can do to enhance recovery. There must be a better way of supporting people in that situation.

We need to reassess what is covered by our mental health services and where the gaps are with regard to disabilities and brain injuries. We need to ensure that services are available to all and are compassionate and caring. I hope that the Government reviews the current legislation and renews it in order to make it fit for its intended purpose and to ensure that emergency provision is available for all.

I welcome the bill but hope that we will deal with the issues of mental health impairments and brain injuries before too long. Carers and patients cannot afford to wait much longer.

18:16  

In the same item of business

The Deputy Presiding Officer (Elaine Smith) Lab
The next item of business is a debate on motion S4M-13599, in the name of Jamie Hepburn, on the Mental Health (Scotland) Bill. I ask members who are leaving ...
The Minister for Sport, Health Improvement and Mental Health (Jamie Hepburn) SNP
The Mental Health (Scotland) Bill’s overarching objective is to help people with a mental disorder to access effective treatment quickly and easily. It does ...
Jenny Marra (North East Scotland) (Lab) Lab
I welcome the final stage of the Mental Health (Scotland) Bill. I thank the members who moved amendments this afternoon and who put all that work into consid...
Jamie Hepburn SNP
Will the member take an intervention?
Jenny Marra Lab
I would like to make progress first, thank you. A major review would have explored whether learning disability and autism should be considered mental disord...
Jamie Hepburn SNP
Ms Marra suggests that we have rejected the approach that will see a review of the inclusion of learning disability and autism within the scope of the 2003 a...
Jenny Marra Lab
I thank the minister for that assurance but it is my understanding that Jackie Baillie’s amendment was rejected by the Government. Will the minister clarify ...
Jamie Hepburn SNP
The debate was around the specifics of the amendment. We had the detailed debate. I am happy to go over it again in closing. Rejecting the amendment was not ...
Jenny Marra Lab
When the minister sums up, I hope that he might put a timeframe on that review and make a commitment to that. We welcome many of the well-thought-out steps ...
Nanette Milne (North East Scotland) (Con) Con
I add my thanks to the Health and Sport Committee clerks, the bill team, and the many witnesses and stakeholders who have been so helpful throughout the parl...
Jamie Hepburn SNP
I understand where Nanette Milne is coming from and I understand the frustrations that exist out there—that is one of the reasons why we have committed to un...
Nanette Milne Con
I understand and fully accept the intent, but we would really like to know when the process will end, rather than that it has begun. There are unresolved is...
Bob Doris (Glasgow) (SNP) SNP
I welcome the Mental Health (Scotland) Bill as amended at stage 2 and stage 3, which I very much hope and believe will be passed this evening. The bill is sp...
Rhoda Grant (Highlands and Islands) (Lab) Lab
This bill is welcome and the changes that it makes to the law will make a positive difference to the lives of individuals. However, it is clear that much mor...
Jim Hume (South Scotland) (LD) LD
I am pleased to see the Mental Health (Scotland) Bill at this final stage. I am hopeful about the positive changes that the bill will make to the Mental Heal...
Jamie Hepburn SNP
I praise the member for his consistency in raising that issue. I will not rehearse again the fact that there is already equality in law. Jim Hume suggests th...
Jim Hume LD
We looked into that but realised that the structure of the bill was such that we could not introduce an amendment seeking parity of status between mental hea...
Mark McDonald (Aberdeen Donside) (SNP) SNP
The bill is a very important piece of legislation, but it is close to me personally for a number of reasons. I have experience of close family members who ha...
Malcolm Chisholm (Edinburgh Northern and Leith) (Lab) Lab
I, too, welcome the bill. As ever at stage 3, we have to decide whether the glass is half empty or half full. On one hand, we certainly welcome the fact that...
Jamie Hepburn SNP
Does Malcolm Chisholm agree that that speaks to my collaborative and open approach at stage 2?
Malcolm Chisholm Lab
I think that we were collaborative in 2003, as well. Clearly, the bill is an amending bill, so in due course there might well be a need for a wider review, ...
Mary Scanlon (Highlands and Islands) (Con) Con
I, too, commend the members of the Health and Sport Committee for their sterling work on the bill, and give credit for all the progress that is contained in ...
Dr Richard Simpson (Mid Scotland and Fife) (Lab) Lab
The bill is modest but, as Mark McDonald and Jenny Marra said, it is important. It is based on the McManus report but, as Malcolm Chisholm reminded us, there...
Jamie Hepburn SNP
I thank members for their speeches. I will try and cover as much ground as I can. Although the bill has a relatively narrow focus, many of its provisions wi...
Mary Scanlon Con
I gave the example that Highland Council, which should, under the Adults with Incapacity (Scotland) Act 2000, provide a report by a mental health officer in ...
Jamie Hepburn SNP
It is important to clarify that it is £100 million, not £150 million, although that is still a substantial sum of money, as I am sure Mary Scanlon agrees. Th...