REACH 535 - What are your views on the debate on mental health? How else can we work together to ensure that those affected by mental health issues and their caregivers can receive the support they need?

(SK)

07 Feb 2024 (10am - 7pm)

REACH

7/2/24, 11:31 am - +REACH: *Dear Contributors,*

Welcome back! 😊

⏰ We will be opening the chat from *11.30am to 7pm* today. ⏰

*House Rules (short version of our Terms of Use) to keep in mind:* 

1. Be kind and respectful. We all want to be in a safe space to share our views. 

2. Any and all threatening, abusive, vulgar or racially, religiously and ethnically objectionable content is prohibited.

3. Consider the quiet ones among us and give them a chance to comment.

4. No need to repeat your comment or in different forms (including caps) - we heard you loud and clear the first time.

5. Let’s protect each other’s privacy and keep contact details in this group what it should always be - confidential. 

*Full set of Terms of Use:* https://go.gov.sg/reach-whatsapp-terms

We will strive to uphold these rules to ensure this is a safe space for all.

Please be assured that the points made by participants during the chat are aggregated and shared with relevant agencies.

The topic will be posted shortly.

Thank you

Megan 😊

7/2/24, 11:32 am - +REACH: 📢 *Topic* 📢

During Parliament on Tuesday (6 Feb), more than 20 MPs spoke on ways to improve care and raise societal acceptance in a debate on advancing mental health following the October 2023 launch of the National Mental Health and Well-being Strategy.

Throughout the debate, MPs touched on various aspects of the issue such as increased support for caregivers of persons with mental illnesses, support for parents with children with mental health needs, the mental well-being of students, challenges in obtaining insurance coverage for physical conditions for those with mental illness, and the role of employers and healthcare professionals. 

💭 *What are your views on the debate on mental health? How else can we work together to ensure that those affected by mental health issues and their caregivers can receive the support they need?*

📌 *_Individuals, families, caregivers_*

While individuals need to do their part to maintain their mental health, some may need more help. For instance, more resources can be channelled to support programmes for caregivers of persons with mental illnesses. In addition, MPs also called to deepen support to more vulnerable parents with children who have mental health needs, and Seniors who face challenges such as social isolation and navigating an increasingly digital world.

📌 *_Youth Mental Health_*

Many MPs suggested introducing ways to measure students’ well-being systematically. For example, schools can be more accommodating of students’ mental health needs, including at critical transition points, and there should be more consistency in how schools meet these needs instead of leaving it to the personal ambitions or dispositions of school leaders.

📌 *_Insurance and Costs_*

A few MPs brought up the challenge that Singaporeans with mental illnesses have in obtaining coverage for physical health conditions, such as ensuring that individuals with mental health conditions can get physical health coverage at a higher but appropriately priced premium, as well as assistance with medication costs and referrals for counselling therapy at general practitioners and counselling centres.

📌 *_Employers_*

MPs said employers can play a key role in encouraging employees with mental health conditions to seek help, such as by granting paid medical leave as clinics often operate during work hours and weekend slots fill up quickly. Suggestions include granting the option of a four-day work week for employees with mental health conditions to help them keep their jobs as they focus on their recovery.

📌 *_Healthcare professionals_*

MPs also highlighted that more psychiatrists are needed in Singapore where waiting times for psychiatric visits have increased over the years, as the number of psychiatrists here is relatively low, at an estimated 4.4 per 100,000 population in January 2020. MPs called for regulatory oversight of clinical psychologists to ensure they meet standards.

Political office-holders are expected to join the discussion today, where they will articulate the Government’s response.

👉https://www.straitstimes.com/singapore/politics/mps-propose-ways-to-fight-mental-health-stigma-improve-care

7/2/24, 11:34 am - ~ REACH Singapore changed this group's settings to allow all members to send messages to this group

7/2/24, 11:36 am - ~ REACH Singapore changed the group description

-----

7/2/24, 11:38 am - +Rama: Severe shortage of psychologist and psychiatric medical professionals need to be addressed ASAP

7/2/24, 12:27 pm - +Frankie Wee: https://www.straitstimes.com/tech/android-users-in-s-pore-to-be-blocked-from-sideloading-as-part-of-anti-scam-trial

7/2/24, 12:27 pm - +Frankie Wee: Safeguard

7/2/24, 12:43 pm - +Rama: Right move

7/2/24, 12:45 pm - +Smiley face: What's the ratio and the imbalanced areas of diagnostic? The top 5 common mental disorders as highlighted last week essay.

Second, what are the critical resources from infrastructures to medical know-how?

Third, psychologists perhaps only able to assess mental  patients Qualitative than actual diagnostic and treatments which is the forte of the psychiatrists.

Sum things up, our present IMH is over the hill in terms of adequate cares for all sorts of mental illnesses. In view of such short coming, it is unwise to kick the can to elsewhere such as community hospitals to deal with it.

One way in solving the chock point is to prioritise mild to severe cases and the interval of treatments both will help in relieving the overall daily operational challenges that IMH is facing today.

Medicine will only slow the patients deteriorating conditions.

7/2/24, 12:50 pm - +Smiley face: One assumption is "all human has some sort of mental disorder or disease, it's a matter of time..?.", whether it is contained or uncontrollable!

Stigmatisation is old thinking!

We need to search for New thinking to solve New challenges.

7/2/24, 12:52 pm - +Smiley face: If the brain is muscle like, then the muscle will shrink or stretch,...or shock too!

7/2/24, 12:53 pm - Your security code with +65 8468 4768 changed. Tap to learn more.

7/2/24, 12:54 pm - +Smiley face: Endorphins are natural pain relievers. They are “feel-good” chemicals because they can make you feel better and put you in a positive state of mind....just one deficiency and more others short and shock.

Let's treat the brain like a chemistry lab and chemical reactions happen 24/7...

7/2/24, 12:55 pm - +Rama: Prioritising is when there is insufficient medical practitioners.

7/2/24, 12:56 pm - +Smiley face: What a human eats will have profound implications and significance going down the path of ageing..

Eat what you know and DON'T over eat!

7/2/24, 12:57 pm - +Smiley face: Just in case!

When mental or brain concerns, you just cannot plan for it....it's like searching for coins in the sea?

7/2/24, 12:57 pm - +Smiley face: When a person touches the age of 50,   watch out!

7/2/24, 12:59 pm - +Rama: Shortage of manpower still the cause.

7/2/24, 12:59 pm - +Smiley face: Many may not feel what Elon Mask done by putting nanochips into a human brain... perhaps....

7/2/24, 12:59 pm - +Smiley face: Ramp it up.

7/2/24, 1:00 pm - +Smiley face: Preventive medical interventions, a critical metric in solving thousands of illnesses and diseases!

Investigative medical research is another one....

7/2/24, 1:03 pm - +Smiley face: Schizophrenia....is an interesting mental challenge!

Its multi dimensional aspects to the patient...there are valuable insights only if the correct methodology is applied through clinical trials and observations!

You will be shocked and surprised at what you will see at the end of the rainbow!

7/2/24, 1:04 pm - +Rama: Will be difficult but effort must be made

7/2/24, 1:05 pm - +Smiley face: Next is the quality of experts?

7/2/24, 1:05 pm - +Rama: How well is the mental support for civil servants and those in government link companies!?

7/2/24, 1:05 pm - +Rama: Yes

7/2/24, 1:06 pm - +Smiley face: Until proved its mental Cases....

7/2/24, 1:06 pm - +Rama: Mental support medical staff equally critical!

7/2/24, 1:07 pm - +Smiley face: Once classified as mental patients....you can say bye bye to your normal life and your livelihoods too!

7/2/24, 1:07 pm - +Rama: Think too about the care givers!

7/2/24, 1:12 pm - +Smiley face: Sweden

McLean in USA

Berkshire in UK

7/2/24, 1:14 pm - +Smiley face: anorexia...."thinking you are fat...?"

BPD

PPD

top mental illnesses that are higher suicidal !

7/2/24, 1:15 pm - +Smiley face: Turning into a stress and anxiety attack!

7/2/24, 1:17 pm - +Smiley face: Anxiety is the beginning of a mental disorder or something going out of control....

Mood swings....menopause is one enabler to mood or severe mood change!

7/2/24, 1:17 pm - +Frankie Wee: Take medical duty alway

7/2/24, 1:18 pm - +Frankie Wee: If forget take then mental condition will start nutcase

7/2/24, 1:18 pm - +Smiley face: Let's attempt harder to relrieve anxiety among our people....

7/2/24, 1:18 pm - +Smiley face: Forever take lor until nothing could help then...

7/2/24, 1:18 pm - +Rama: Yes

7/2/24, 1:19 pm - +Frankie Wee: Permanent till RIP

7/2/24, 1:19 pm - +Smiley face: Anxiety is the #1  Mental killer

7/2/24, 1:19 pm - +Rama: Better understanding and acceptance needed!

7/2/24, 1:19 pm - +Smiley face: Faster than RIP....

7/2/24, 1:19 pm - +Frankie Wee: It’s come out from who are ex-convert

7/2/24, 1:19 pm - +Rama: Yes

7/2/24, 1:21 pm - +Smiley face: We can conditions people to relax....how to do it?

It's a positive conditioning of the mind and mindsets!

7/2/24, 1:22 pm - +Smiley face: How to slow the mind Abit....just Abit

7/2/24, 1:22 pm - +Frankie Wee: Learn to help elderly friendly in environments or go service community. There nothing can help but person have learn to control ownself life is short

7/2/24, 1:23 pm - +Kenneth Lee WM: Yes indeed. A lot of care givers I know contracted cancer and died shortly after their ward.

My theory is that the stress weaken their body’s defences against cancer. <This message was edited>

7/2/24, 1:24 pm - +Frankie Wee: Caregiver only take care of disability or elderly 

But mental health illness very difficult

7/2/24, 1:25 pm - +Frankie Wee: Mental health need to take care themselves defending than violence

7/2/24, 1:26 pm - +Smiley face: Yes sir....getting closer in solving.... thank you!

7/2/24, 1:26 pm - +Smiley face: Let's talk about MENTAL ORDER....

7/2/24, 1:28 pm - +Frankie Wee: Mental order that body’s mind must accept it because alway keep rejects advise and avoid away. He or she thinking is great (like king)

7/2/24, 1:29 pm - +Frankie Wee: How about going to GYM make them a good sport world champion.

7/2/24, 1:32 pm - +Jimmy Chew: Wow. I didn't realize that

7/2/24, 1:33 pm - +Frankie Wee: https://www.healthhub.sg/live-healthy/10-essentials-for-mental-well-being

7/2/24, 1:34 pm - +Rama: Still must something be done!

7/2/24, 2:00 pm - +REACH: 📢 *Topic* 📢

7/2/24, 2:25 pm - +Bhavani: This message was deleted

7/2/24, 2:25 pm - +REACH: *Mental health a national priority, says DPM Wong; 28,000 more to be trained to help in community*

*More:* https://www.straitstimes.com/singapore/politics/mental-health-a-national-priority-says-dpm-wong-28000-more-to-be-trained-to-help-in-community

7/2/24, 2:26 pm - +Bhavani: First and foremost, we must reduce the homework load of our teens especially on days when they have CCAs and are too tired to do the homework. Homework needs to be submitted on time which makes it unbearably stressful for teens. My teen studies  whenever she has time and this is more than enough for her to get good grades which my teen is achieving. When we force homework on these already stressed teens, it does not help their mental health at all. Homework is the biggest source of arguments between me and my teen  as she sleeps so late because of homework as the teachers scold if the homework is not submitted on time and they even want to speak to parents about it.

7/2/24, 2:27 pm - +Bhavani: Despite the fact that my teen is getting good grades <This message was edited>

7/2/24, 2:28 pm - +Bhavani: Good grades

7/2/24, 2:28 pm - +Bhavani: due to hard work

7/2/24, 2:30 pm - +Bhavani: I get stressed whenever she sleeps late as lack of sleep even for a day affects the body badly

7/2/24, 2:30 pm - +Bhavani: I have read this in many articles

7/2/24, 3:21 pm - +Kenneth Lee WM: This is another cause of mental health stress for caregivers who are no longer working and are relying on passive incomes such as property rentals to survive.

Straits times today reported that residential property tax projected to grow $600m higher than projected.

Some non-residential property tax now doubled, ie: increased by 100%, government now say will give back 15% capped at $1000.

Just like LTA issue, will there be a parliamentary debate why IRAS got their calculations so way off that they are taxing the citizens more than necessary? <This message was edited>

7/2/24, 3:29 pm - +Frankie Wee: Mental health learn how to take care themselves when their parent grow older and gone. No one feed them nor depend on. 

Mental health is not disability…

7/2/24, 3:31 pm - +Smiley face: 7 February, 2024

"What's in your Primate mind?"

"Life: We human finding our fittings. Besides career or job or dreaming big, we have a long list of wishes, ideas and considerations to feed and to satisfy our self-esteem. At each small portions of life, in hope we trust, we will gain a sense of fulfilment, settlement and fitting in our mind and there on moving forward with stride and self confidence; anywhere and any moment beyond realisation or consciousness. You may leave your Brain to rest or leave it at home! It's beyond the science of non subatomic particles and still remains unknown. 

Out of Life: The numero uno with deep Intelligent: what about the Mind, the infinite Universe, the mystery and the Origin of the seeds of Life?"

- - anonymity

7/2/24, 3:32 pm - +Smiley face: Beyond science, clandestine, your digestive system works with your brain and not your mind ! You cannot command your toothless stomach to digest later or now!....

7/2/24, 3:44 pm - +Smiley face: "The normal being: What you think is what you will act and what your brain do is what not supposed to forget; let's fix the mind first and the brain is one struggling job to repair it! Make sense?"

- - anonymity

7/2/24, 3:46 pm - +Smiley face: Perhaps, at the psychologist table, let's attempt to "turn" the patients around!

Unless otherwise, the next intervention at IMH.... that's struggling job!

7/2/24, 3:47 pm - +Smiley face: Mind !

7/2/24, 3:47 pm - ☸️  Danny 心: 

1. Mental health problem like physical health problem - are illness - and will need correct diagnosis and take medication to be treated or keep in control.

This will require the professional assessment and intervention by qualified psychiatrists and mental medical doctors - similar to medical doctors for physical health problem.

2. Patients of physical health problem is not mentally impaired, hence will be able to seek medical help of their own or get help from their caregivers to seek medical help.

3. Patients of mental health problem is mentally impaired and hence will not be able to understand the need to seek medical help - thus, caregiver's role become very important.

4. How does the caregivers able to assess :

a. Their loved ones need help from mental professionals

b. Where to get the help

c. Financial sustainability - to ensure their loved ones get regular consultation and medication (like those chronic patients who suffer from high blood pressure, diabetes, high chloresterol, etc) - to control their conditions and live normally.

d. Get treatment from psychiatrists. Once the mental patients condition is controlled by medication and regular consultation, they can live, study or work normally - and caregivers will no longer be stress out.

5. Hence, if the Government is able to facilitate and support caregivers and the likely mental patients to step through the various stages in 4 (a, b, c and d) - mental health issues can be arrested at the early stage - before it blow up to become a bigger problem.

6. Hence helping caregivers in this aspect become vital.

7. Currently, IMH has all the specialists and expertise in treating mental patients. But making 1st time caregivers and likely mental patients to go to IMH for treatment will be a hurdle because :-

a. 1st time patient - will be a shock to caregivers and resistance from the likely mental patient - as IMH is a stigma implicitly implanted to many people.

b. IMH - will be overwhelm (as I believe psychiatrists are short in supply as reported by news article) - since 1st time patient condition could be minor - and can be diagnose and treated by medical doctors.

8. Thinking aloud, should a Mental Medical Transit Centre be setup - to support the IMH - whereby this new centre has a consolidated records of the profile of all the mental health professionals - eg. Polyclinics, Restructured Hospitals, private clinics, private hospitals and lastly IMH.

a. This centre will do more than what IMH will be doing, whereby IMH is focus on medical treatment.

b. This centre should provide the following functions :-

i. Has mental medical professionals to perform initial assessment of the caregivers and likely patients conditions.

ii. Determine if the mental conditions is minor, treatable - and can recover fully if treated by medication or therapy. If short term treatment suffice, then this centre can perform treatment until the patients recover.

iii. However, if the mental conditions require longer medical attention and longer term regular consultation and medication - but treatable and can recover - then the centre can based on its record of the profile of mental medical professionals, medical fees charged and the financial positions of the caregivers and patients - be assigned to the appropriate psychiatrists in Polyclinics, Restructured Hospitals, private clinics and, private hospitals.

Only serious cases or those cases that need the specialists skills - be assigned to IMH.

iv. This centre should perform more than medical intervention, but also other perspectives of the caregivers and patients - such as caregiver support, financial support, ensure they go for regular consultations and take medications regularly so that there will be no relapse into an episode that need hospitalisation, harming themselves, harming caregivers or harming the Society at large.

v. Mental medical professionals for this centre - can also be staffed by psychiatrists on a rotational basis from Polyclinics, Restructured Hospitals, private clinics, private hospitals and IMH.

I somehow feel that such arrangement - can achieve a better outcome to tackle the mental health issues.

7/2/24, 3:47 pm - +Rama: Expect reply on so called iras mis calculations on taxes to be sugar coated.

7/2/24, 3:54 pm - +Kenneth Lee WM: Sure I expect them to give some sort of a reply but what i am interested is to see how they correct the situation. eg: why only one time rebate of 15% cap at $1000 when the property tax is going to go on forever?  i'm looking for something concrete like property tax will now be adjusted to 85% increase from now on instead of 100%.

just like LTA, when they discovered their polling and feedback process was flawed, they put back the old system until they figured out the correct path forward.

I'm not opposed to property tax but am opposed to gouging the citizens just because the gov can without impunity. <This message was edited>

7/2/24, 4:00 pm - +REACH: 📢 *Topic* 📢

7/2/24, 4:07 pm - +REACH: *Research to look at surge in youth mental health issues; causes could include social media use*

More: https://str.sg/sFCx

7/2/24, 4:12 pm - +Frankie Wee: Parent didn’t spoil the child boys or girls because they need learn lead path and what they want for future living in Singapore.

7/2/24, 5:18 pm - +REACH: *Dear Contributors*

We want to *HEAR MORE* from you! 

💭 *What are your views on the debate on mental health? How else can we work together to ensure that those affected by mental health issues and their caregivers can receive the support they need?*

We have had good feedback from this group, and we hope that we can keep the discussion robust and active!

Megan 😊

7/2/24, 5:34 pm - +Bhavani: For elderly with no income and relying on their savings, developers are charging maintenance unfairly this is causing unbearable anguish

7/2/24, 5:35 pm - +Rama: Business transaction has no means testing.

7/2/24, 5:36 pm - +Bhavani: Also 2 children died in traffic accidents just a few weeks apart this is causing me mental trauma

7/2/24, 5:36 pm - +Rama: The rest of us too.

7/2/24, 5:40 pm - +Bhavani: Aren't we supposed to go carlite? Why must bicycles encroach on pedestrian footpaths? Why can't cars go lite, and roads make way for bicycle paths instead instead of so many cars. Bicycles and pmds continue to speed with impunity

7/2/24, 5:40 pm - +Bhavani: on pedestrian paths and pedestrian cum cycling paths

7/2/24, 5:44 pm - +Bhavani: Pedestrian paths must be for pedestrians. It is impossible to keep looking back and watching out for cyclists when they are speeding, more so for elderly people with poor reflex

7/2/24, 5:45 pm - +Rama: Carline is not something that happens overnight. It takes years of policy adjustment to realise the desired end result.

7/2/24, 5:45 pm - +Rama: Improving

7/2/24, 5:46 pm - +Rama: Not possible as must accept shared space where applicable.

7/2/24, 5:47 pm - +Bhavani: 😌

7/2/24, 5:47 pm - +Rama: Carlite

7/2/24, 5:48 pm - +Bhavani: We can't accept shared space when cyclists are speeding

7/2/24, 5:49 pm - +Bhavani: They don't honk or bother to give way

7/2/24, 5:49 pm - +Rama: We all have to live with what we can't accept along the way in life.

7/2/24, 5:49 pm - +Rama: Maybe in Disney land.

7/2/24, 5:58 pm - ☸️  Danny 心: 

So as youth mental health issue if indeed is a trend - then a transit centre will be a better image to help the youth.

Also a transit center can be created to focus on what trigger youth mental health issues and other segments of the population affected by mental health, whereas IMH can concentrate on what it has done best.

Also transit centre provides a centralised redistribution and resource concentration centre - in consolidating mental health resources.

Also the name transit centre suggest youth mental health is in transit and can be healed if treated with less stigma attached to the youth that seek help there. <This message was edited>

7/2/24, 6:00 pm - +REACH: 📢 *Topic* 📢

7/2/24, 6:08 pm - +Bhavani: No we don't

7/2/24, 6:09 pm - +Rama: Dream On then!

7/2/24, 6:09 pm - +Bhavani: It's not just me talking about speeding cyclists

7/2/24, 6:10 pm - +Rama: Government is aware but must thread carefully

7/2/24, 6:11 pm - +Bhavani: There is nothing to tread carefully. If we want a safer pedestrian walkway, then cyclists and pmds must have their own pathway by we going carlite <This message was edited>

7/2/24, 6:12 pm - +Bhavani: This is no dream!

7/2/24, 6:12 pm - +Bhavani: This is the harsh reality we are facing on pedestrian pathways

7/2/24, 6:12 pm - +Rama: You lack indepth understanding of sub issues involved to make a reasonable statement.

7/2/24, 6:13 pm - +Rama: Only for you!

7/2/24, 6:13 pm - +Bhavani: Stop starting again your arguments with me

7/2/24, 6:13 pm - +Rama: Accommodate as best as possible.

7/2/24, 6:19 pm - +Bhavani: What do you mean accommodate as best as possible. Again you are talking as if you are an authority <This message was edited>

7/2/24, 6:20 pm - +Rama: You have to be somewhat current with how things are done and will work in Singapore.

7/2/24, 6:20 pm - +Bhavani: I already told you to stop giving me any advice <This message was edited>

7/2/24, 6:21 pm - +Rama: A rebuttal is necessary but not to be taken as an advice.

7/2/24, 6:21 pm - +Bhavani: Nobody is asking you to rebut me

7/2/24, 6:22 pm - +Bhavani: You are doing so by yourself

7/2/24, 6:22 pm - +Rama: It comes with the turf

7/2/24, 6:22 pm - +Bhavani: No it doesn't

7/2/24, 6:22 pm - +Rama: See, I don't mind your rebuttal.

7/2/24, 6:23 pm - +Bhavani: I do not want to talk to you any further I am only giving feedback

7/2/24, 6:23 pm - +Bhavani: to Reach

7/2/24, 6:23 pm - +Bhavani: Not to you

7/2/24, 6:23 pm - +Rama: Likewise feedback here not small talk.

7/2/24, 6:23 pm - +Bhavani: You're are always rebutting me

7/2/24, 6:23 pm - +Rama: Only if I don't agree

7/2/24, 6:24 pm - +Rama: Likewise

7/2/24, 6:24 pm - +Bhavani: Yours is not feedback your's is hurtful rebuttal

7/2/24, 6:24 pm - +Bhavani: Addressed mostly to me

7/2/24, 6:24 pm - +Rama: Take it with a pinch of salt

7/2/24, 6:24 pm - +Rama: That's democracy

7/2/24, 6:25 pm - +Bhavani: No stop directing your comments at me

7/2/24, 6:25 pm - +Rama: Be generic would help.

7/2/24, 6:26 pm - +Bhavani: Here I am an elderly person suffering on the pedestrian walkways and seeing many others suffer and I'm raising my genuine concern and there you are keep rebutting me <This message was edited>

7/2/24, 6:26 pm - +Frankie Wee: Ask Community outreach for youth club any outdoor or indoor activities for organised groups after school holiday or weekend events

7/2/24, 6:26 pm - +Frankie Wee: It’s help them teenage reduce stress

7/2/24, 6:27 pm - +Frankie Wee: Idea for project

7/2/24, 6:29 pm - +Rama: The government hears the concerns of the elderly, physically handicapped but changes cannot be solely one sided.

7/2/24, 6:29 pm - +Rama: Worth considering

7/2/24, 6:29 pm - +Bhavani: This message was deleted

7/2/24, 6:29 pm - +Rama: Not my expertise

7/2/24, 6:29 pm - +Bhavani: Look you can't speak on behalf of the government

7/2/24, 6:30 pm - +Bhavani: You are only allowed to provide feedback

7/2/24, 6:31 pm - +Rama: Which is being done.

7/2/24, 6:31 pm - +Bhavani: No you keep rebutting  me

7/2/24, 6:31 pm - +Bhavani: That's not feedback

7/2/24, 6:31 pm - +Rama: On point only

7/2/24, 6:32 pm - +Bhavani: If the government feels I'm one sided, the government will tell me.

7/2/24, 6:32 pm - +Bhavani: I don't need you to tell me

7/2/24, 6:32 pm - +Rama: I think you misunderstanding your feedback.

7/2/24, 6:32 pm - +Bhavani: You are the one keep rebutting me non stop

7/2/24, 6:33 pm - +Rama: Not really

7/2/24, 6:33 pm - +Bhavani: Just stop targeting me all the time

7/2/24, 6:33 pm - +Rama: Have to be practical in your feedback

7/2/24, 6:34 pm - +Bhavani: Your rebuttal is a waste of time <This message was edited>

7/2/24, 6:34 pm - +Rama: Kindly ignore

7/2/24, 6:34 pm - +Bhavani: I already told you to stop giving me advice

7/2/24, 6:37 pm - +Smiley face: Rest @Home?

Building second or third Mental Hospital is just not going to stamp out the demand for sick beds? 

For mental cases with mild and non-violence and controllable through medicines. Staying at home is one way to care for the patients. Arguably, it cost money to care for and the monthly maintainence will add up to the households disposable income which are understandably under stress and can also be over stretching for many people.

New problems need New thinking and New policy must be crafted sooner to allocate space for the more serious mental patients to be admitted to IMH or Nursing homes with designated ward for the less violent patients.

The support System are easily available and quick to implement just like the pandemic. Our SG health has the abilities and know-how to address such operational needs from ground zero, that's at your home sweet home!....

7/2/24, 6:38 pm - +Rama: Home base medical care and support must be strengthened.

7/2/24, 6:38 pm - +Smiley face: Yes, we have the learning Curve and low LC means the cost will be lowered!

7/2/24, 6:39 pm - +Smiley face: Nurse or Teledoctor

7/2/24, 6:39 pm - +Rama: Community must come together to grow a caring society without prejudice.

7/2/24, 6:40 pm - +Smiley face: In most cases, the human EYES is one Early indicator of Mental stability and the state of the Mind!

EYES!

7/2/24, 6:40 pm - +Frankie Wee: Each cost up to $300+++

7/2/24, 6:40 pm - +Rama: Agree

7/2/24, 6:41 pm - +Smiley face: NPO....

Stigmatisation needs common education!

7/2/24, 6:41 pm - +Rama: From various sources of revenue which must be sustained

7/2/24, 6:41 pm - +Rama: A difficult avenue to blend

7/2/24, 6:41 pm - ☸️  Danny 心: 

And this transit centre in addition to addressing mental health can also look into:-

1. Anxiety, depression arising from study stress, work stress, fear of job loss - which are not mental illness - but nevertheless are mental stress.

2. Addiction - eg. Gambling, social media addiction etc.

Hence IMH will mostly focus in treating genuine mental health problem while transit center with less stigma can look at mental stress that come with less stigma.

7/2/24, 6:42 pm - +Frankie Wee: Worrying financial burden

7/2/24, 6:43 pm - +Frankie Wee: Great Depression economic is not affected us

7/2/24, 6:44 pm - ☸️  Danny 心: 

Yes. Worrying financial burden can also be incorporated in the transit centre - on how to alleviate financial stress - a form of mental stress.

7/2/24, 6:45 pm - +REACH: *Dear Contributors,*

⏰ We will be closing the chat in *15 minutes* ⏰

Thank you very much for being part of our WhatsApp chat and participating actively.

Goodnight!

Megan 😊

7/2/24, 6:45 pm - +Bhavani: What are you talking about?

7/2/24, 6:45 pm - +Frankie Wee: The person thinking or dream money come so easy when it’s come bad things happened become mental illness. Money is wiser not alway take gamble

7/2/24, 6:48 pm - +Smiley face: All HDB dwellers will have subsidies greater than other types of dwelling...the key is HDB households physically staying in !

7/2/24, 6:49 pm - ☸️  Danny 心: 

So the transit centre play an intermediate role - the source that trigger mental stress and if not properly address - can trigger mental problem like depression, anxiety, suicidal thoughts etc.

So transit centre handle -

somewhere between mental health problem and mental stress.

It is also a resource concentration centre as well as redistribution center to channel the different type of patients to the appropriate medical centre for appropriate treatment.

Now psychiatric treatment is more disperse - and by default will be push into IMH that are more focus in treating serious mental illness and with stigma attached to it. <This message was edited>

7/2/24, 6:49 pm - +Smiley face: Anxiety and compulsive....

7/2/24, 6:49 pm - +Rama: Inability to pay conservancy and maintenance fees.

7/2/24, 6:49 pm - +Smiley face: Case by case!

7/2/24, 6:49 pm - +Rama: Not for condo.

7/2/24, 6:50 pm - +Smiley face: Frankie just raised a good point..... gambling

7/2/24, 6:50 pm - +Rama: Yes

7/2/24, 6:50 pm - +Smiley face: Yes sir! EC ?

7/2/24, 6:50 pm - +Rama: EC is not private

7/2/24, 6:50 pm - +Smiley face: Let's simplify once at all....HDB...don't need means testing?

7/2/24, 6:51 pm - +Smiley face: Got extra money to buy EC...?

7/2/24, 6:51 pm - +Rama: Neither does private

7/2/24, 6:51 pm - +Rama: Some do

7/2/24, 6:51 pm - +Smiley face: Then still squeezing with others???

7/2/24, 6:52 pm - +Smiley face: Private is private.... concept time....lol

7/2/24, 6:52 pm - +Rama: 😳🤦‍♂️🤷‍♂️😞

7/2/24, 6:53 pm - +Smiley face: Single parents households living in HDB and parents need mental assistance and subsidies?

Maid Levy?

7/2/24, 6:53 pm - +Rama: Agree

7/2/24, 6:54 pm - +Smiley face: Domestic Helps is one way to  REDUCE nursing home beds and the escalating costs!

7/2/24, 6:54 pm - +Smiley face: Do the Maths....you save A LOT even hiring TWO help!

7/2/24, 6:55 pm - +~.@: i think this is a good step forward. collectively we need to normalize seeking help on mental health issues just like we do for fever and flu. when stigma associated with it is out of the way, then we can have people taking proactive steps to prevent further deteriorating condition

7/2/24, 6:55 pm - +Dan: I also feel that road rage in Singapore needs to be addressed.

7/2/24, 6:55 pm - +Smiley face: Mental....

7/2/24, 6:56 pm - +~.@: i know that nus u town students are often heard of having appointment for seeing counsellor like it's a normal occurrence, and that's a good way to remove stigma through normalizing it

7/2/24, 6:56 pm - +Smiley face: Kindly read the long and winding essay....soon... thanks...just so many things to include but....need to shorten it !

7/2/24, 6:57 pm - +Smiley face: Early interventions

7/2/24, 6:57 pm - +Dan: The way some of these drivers brake check, tailgating. These drivers can go back to driving school for refresher course on highway code.

7/2/24, 6:57 pm - +Jimmy Chew: This message was deleted

7/2/24, 6:58 pm - +Smiley face: Up the enforcement? Upping the demerit points and raise to the Fines?

7/2/24, 6:59 pm - +Smiley face: 7 February, 2024

"What's in your Primate mind?"

"Life: We human finding our fittings. Besides career or job or dreaming big, we have a long list of wishes, ideas and considerations to feed and to satisfy our self-esteem. At each small portions of life, in hope we trust, we will gain a sense of fulfilment, settlement and fitting in our mind and there on moving forward with stride and self confidence; anywhere and any moment beyond realisation or consciousness. You may leave your Brain to rest or leave it at home! It's beyond the science of non subatomic particles and still remains unknown. 

Out of Life: The numero uno with deep Intelligent: what about the Mind, the infinite Universe, the mystery and the Origin of the seeds of Life?"

- - anonymity 

Cognition and the opposites?

Beyond science, clandestine, your digestive system works with your brain and not your mind ! You cannot command your toothless stomach to digest later or now.

The order of the mind is the abilities to know and to organise the daily activity of living while simultaneously interacting with the living environment from plant, pet and or fellow human. Though in urban livings, our encounter and interaction tend to be more highly charged mental (re)conditionings both complex and sophisticated with multi-ways of stimulus from our mobile devices in transit from our home to the public space and into the workplace before we head home to sleep, Again we are connected to this addictive devices and importantly, the content we read, we watch, our emotion and feelings, we share with others; all of these daily bombardments of the brain requires our cognition and intuition to comprehend or something else that may suggest otherwise incomprehensible realm or the reality to reason. How about the abuse of drugs and the harms and reactions it brings inside the mind and the brain? That's just the tip of the iceberg! 

What is awareness and how normal people process such large chunk of data points compact into information of intent for people to reach into these content. The overdrive of the brain and the conscious mind be will degenerate all future encounters regardless of the content itself containing either positive or negative cognitive dissonance or neutral in the making of yet another wire or string of thoughts in one's mind.

Mind or Brain? 

How birds migrate their way and how honey bees know where to land and where is the honeycomb?

Mind can be called the software and the Brain the hard drive for processing & storing of  experiences and in synchronise with thinking, feeling, talking, actions all in seconds. What if the Brain is disabled due to inborn or due to injuries? Stephen Hawkings demonstrated to the world that his life including perception, emotion and limited behaviors are all possible with the aid of machine. Simply to say, with machine help, a human acts independently without the Brain nor does it needs the nervous system to function (like hard-wirings) ! 

"The normal being: What you think is what you will act and what your brain do is what not supposed to forget; let's fix the mind first and the brain is one struggling job to repair it! Make sense & tomorrow may not make any sense?"

- - anonymity 

Mind is set as the controller of the mental activity.  So the order of the mind or mentality lies in cognition and life itself! When you have a rough patch in your life journey, you will set your mind either to accept or to reject or to abstract these negative happenings to your life and it will profoundly changed your future as your cognition processed and memorized all of it; the good time, the bad ones and the ugliest moments of your life(time).

What is intricacy?

Psychologists will know how to probe and first of all, be an intricate listener to listen carefully to your mental patient's pouring their thoughts though it may not be logical or the mental orientations are always dislocated and disorganised, its the unconscious mind in talking. It's from hours and hours of detailed recording of the actual actions and verbosity of the patients, the clinical psychologists will begin to see and qualify the patient's mental disorder(s). In many cases, patients can be silent and in the mind of their own. The opportunity to listen is almost nil. Perhaps, using siimple sign language or nouns or adjectives to hopefully engage a one way conversation with occasional targeted and simplest questions from the psychologist. Don't stress the brain and stretch the mind!

Generation & Generative?

Geneticists who believe in the human hereditary and genome. Well, in some cases,  its true to a certain extend that one's ancestry lineages. Let's say two generations prior shared part of or small slice of this human helix embedded X cross lineage, that's to say your great great grand parents/relatives from either your paternal or maternal side has a tiny or a chuck of their DNA in the present you. These complex algorithmic of biology (seeds) goes further in identifying your parents siblings and your siblings or close relatives; in X opposite gender and or physical and or mental behaviors and abilities) disabilities. All can be retraced to these ancestry medical records and unless records are carefully archived, you will never know your roots. In today's technology of DNA testings, it's begining to unfold part of your future medical challenges and it's one preventive medical interventions for the sake of peace of mind.

Rays of hope and ethics?

With the rapid understanding in robotics, nanotech, nanoscience and through deep research in reverse engineering of the mind and brain. Perhaps in the next two decades, scientists with ethical robots will be able to repair the neurons or to rewire and to replac with new nano-neurons just to cure mental illnesses and in the course of it unlocked the secrets of human consciousness and together with the nanotech, human can wash their brain and mindsets to reset a brand new mind that is full of positive vibes. Generatively, once again, lives life heathier and younger! Is it rightfully right to live longer as supposed to shorten lifespan? Ethhical point of view, is it rightfully right to reset yor biorhythm and live longer as supposed to shorten lifespan?

As for those who facing many daily tough decisions, you can sleep on it overnite because you don't really need your Brain to overwork but please be Mindful of tomorrow chores and challenges! And AI is the Mastermind of the future!

Before we conclude, Winston Churchill once said, " the empires of the future will be empires of the mind." Will it comes true? If it so, it will change human history and anthropology shall rest in peace!

Afterwords:

Rest @Home?

Building second or third Mental Hospital is just not going to stamp out the demand for sick beds? 

For mental cases with mild and non-violence and controllable through medicines. Staying at home is one way to care for the patients. Arguably, it cost money to care for and the monthly maintainence will add up to the households disposable income which are understandably under stress and can also be over stretching for many people.

New problems need New thinking and New policy must be crafted sooner to allocate space for the more serious mental patients to be admitted to IMH or Nursing homes with designated ward for the less violent patients.

The support System are easily available and quick to implement just like the pandemic. Our SG health has the abilities and know-how to address such operational needs from ground zero, that's at your home sweet home!         

              - - in progress - -

7/2/24, 7:00 pm - +REACH: *Dear Contributors,*

We will be closing the chat for today.

Thank you very much for being part of our WhatsApp chat and participating actively.

Goodnight!

Megan 😊

7/2/24, 7:00 pm - ~ REACH Singapore changed this group's settings to allow only admins to send messages to this group

====