Hodges' Model: Welcome to the QUAD: ii 'GlobalMinds' - NHS study severe mental health problems

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Sunday, March 15, 2026

ii 'GlobalMinds' - NHS study severe mental health problems

GlobalMinds has clearly stated goals and objectives. Three challenges that are highlighted:

  1. Diagnosis can take years
  2. Treatments target symptoms, not underlying causes
  3. Half of the prescribed drugs cause severe side effects

These are, to put it mildly, highly contested issues. Diagnosis in mental health/illness is problematic in several respects, for example:

INDIVIDUAL
|
    INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
a) Lack of Theoretical, Practical and Philosophical(?) agreement between: 
  • Psychology
  • Psychiatry
b) Individuals are self diagnosing
c) Access to mental health services can be highly structure - single-point entry
d) The evidence-base for treatment of mental illness is growing,but remains contested.
e) Perhaps there is a phenomena of people getting stuck, with not just a label, but a mindset?

a) Loss of trust in classification/coding schemes:
  • DSM
b) Proposed alternatives in -
c) Data defined scientifically:
  • existing diagnosis
  • biomarker

a) Increased awareness of mental illness, ADHD..
b) Behavioural explanations for mental illness
c) The determinants of mental illness (unlike, health?) are poorly researched (hence understood)
d) The vocabulary of mental illness (psychiatry) is more widely disseminated, hence used; not necessarily with full contextual understanding
e) Stigma associated with mental illness is nevertheless ongoing.


a) Reduced economic productivity
b) The socio-economic phenomena of NEETs
c) Increased demand on welfare benefits
d) The role of primary care - GPs
     - fit / sick notes
     - 'functional assessors' (Who is best placed?)
e) Loss of mental health beds, community compensations incomplete.


This will be a space to watch: and related (global) initiatives? 

Viewed from Hodges' health career - care domains - model, it appears an individual's life chances and expectations (family, and educational experience?) can result in their life chances being frozen?