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    Harold A Maio

    —gaps and barriers included “stigma” 

    When begins the social training to say there is a stigma to mental illnesses?

    How broad is that training?

    When did it begin with you?

    I cannot tell you precisely when the social training to say there is a stigma to rape began with me, now 83, I can tell you when it ended.

    When will the above version end with you? 

    Harold A Maio, retired mental health editor

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    This all has been the result of the closure of mental health facilities all over this country.

    Between 1955 and 1994, roughly 487,000 mentally ill patients were discharged from state hospitals. That lowered the number to only 72,000 patients. 3 States closed most of its hospitals. That permanently reduced the availability of long-term, in-patient care facilities.

    These facilities needed re-engineering, certainly overhauled but not closed. This was a fundamental failure of government.

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    Few vital things missing, such as,

    *The training and qualifications content for frontline workers and other health professionals already in, or entering into, the industry- a trauma informed approach MUST be foundational.
    *The best practice strategy for the (effective) early intervention, of mental illness and trauma health, needs to be at grassroots level of the childhood development..
    Mental and emotional health, needs to be implemented into both the public and private education curriculum, as a compulsory life skill at the earliest age of childhood development ASAP!


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