Mentalillness is at last getting the attention, if not the money, it needs
The prime minister makes a big speech but signs a small cheque
01 MENTAL health care has long been the poorrelation of its physical counterpart. The stigma of mental illness remains heavy. One in six adults in England has been diagnosed with a common mental disorder such as depression or anxiety. Yet at least two-thirds of people diagnosed receive no treatment for their condition. In 2012 the Health and Social Care Act created a legal responsibility for the government to give the same priority to mental health as it gives to physical health. Now the prime minister, Theresa May, has added her voice.
1. poor relation: （相似或从属但）相形见绌的东西 If you describe one thing as a poor relation of another, you mean that it is similar to or part of the other thing, but is considered to be inferior to it.
Eg: Watercolour still seems somehow to be the poor relation of oil painting.
2. stigma(/ˈstɪɡmə/): 耻辱;污名 If something has a stigma attached to it, people think it is something to be ashamed of.
Eg: There is very little stigma attached to crime and criminals.
02 In a speech on January 9th Mrs May warned that mentalhealth had been “dangerously disregarded”. She promised to transform attitudesto mental illness, including a special focus on children and young people.(Government figures show that three-quarters of mental-health problems startbefore the age of 18.) This will include teachers in every school being offeredmental health first-aid training, and better support in the workplace.
1. workplace: 工作场所 Your workplace is the place where you work.
Eg: ...the difficulties facing women in the workplace...
03 According to the Centre for Mental Health, a think-tank, the consequences of mental illness cost the British economy more than £100bn($120bn) a year in health care and lost economic output from sickness or unemployment. But the system is structured badly, with physical and mental care run and funded separately. This means treatment is not integrated and money wasted.
1. fund: (尤指为某一特定目的给予的)资金，钱款 Funds are amounts of money that are available to be spent, especially money that is given to an organization or person for a particular purpose.
Eg: The concert will raise funds for research into Aids.
2. from: 因为;由于;出于 You use from after some verbs and nouns when mentioning the cause of something.
Eg: The problem simply resulted from a difference of opinion.
04 Funding is a problem, too. Though mental illness represents 28% of the national disease burden in Britain, it accounts for only 13% of spending by the National Health Service (NHS). In 2011-12, for the first time in a decade, funding for mental health fell, says the King’s Fund, another think-tank. Even though the NHS mandated that such funding should increase in 2015-16 alongside increases for acute care, about 40% of mental-health trusts continue to experience year-on-year cuts to their budgets. Since government money for mental illness is not ring-fenced, it is often used to plug gaps in funding for emergency hospital care or other areas. Mrs May spoke of the need for better accountability. But “investment in mental health has been difficult to maintain when pressures on acute hospital care are so great,” says Helen Gilburt of the King’s Fund.
1. mandate: 批准;颁布;强制执行 To mandate something means to make it mandatory.
Eg: The proposed initiative would mandate a reduction of carbon dioxide of 40%.
2. ring-fence: 限制(拨款或资金)的用途;使…专门用于 To ring-fence a grant or fund means to put restrictions on it, so that it can only be used for a particular purpose.
Eg: The Treasury has now agreed to ring-fence the money to ensure that it goes directly towards helping elderly people.
3. plug the gap: to provide something that is needed, because there is not enough:
Eg: With so few trained doctors, paramedics were brought in to plug the gap.
4. paramedic: 急救医士；医务辅助人员 A paramedic is a person whose training is similar to that of a nurse and who helps to do medical work.
Eg: We intend to have a paramedic on every ambulance within the next three years.
5. accountability: 责任制; 有责任，有义务，可说明性; 会计责任; 可计量性
Eg: Good management in the police cannot be divorced from accountability.
6. acute: 急性的 An acute illness is one that becomes severe very quickly but does not last very long.
Eg: ...a patient with acute rheumatoid arthritis.
05 Those pressures have become even more evident in recent days. On January 7th the Red Cross claimed there was a “humanitarian crisis” in Britain’s hospitals. The NHS’s medical director for acute care denied this but admitted that staff were under “a level of pressure we haven’t seen before”. According to leaked documents seen by the BBC, nearly a quarter of patients waited longer than four hours in accident and emergency (A&E) rooms in the first week of this year. One in five patients admitted for further treatment endured a long wait on a trolley or in a hospital corridor—twice the rate normally seen. With not enough mental-health care provided in the community, recent research has found that the number of people with mental illness coming to A&E doubled between 2011-12 and 2015-16.
1. humanitarian(/hjuːˌmænəˈteəriən/): 人道主义的;博爱的 If a person or society has humanitarian ideas or behaviour, they try to avoid making people suffer or they help people who are suffering.
Eg: Air bombardment raised criticism on the humanitarian grounds that innocent civilians might suffer.
2. endure: 忍耐;忍受 If you endure a painful or difficult situation, you experience it and do not avoid it or give up, usually because you cannot.
Eg: ...unbearable pain, which they had to endure in solitude because not even the doctors could get near them.
3. trolley(/ˈtrɒli/): 1) (购物或装行李用的)手推车 A trolley is an object with wheels that you use to transport heavy things such as shopping or luggage.
Eg: A porter relieved her of the three large cases she had been pushing on a trolley.
2) 担架车 A trolley is a bed on wheels for moving patients in hospital.
Eg: She was left on a hospital trolley for 14 hours without even a glass of water.
06 The fact that the prime minister herself has chosen to highlight the issue marks an important step, says Graham Thornicroft of King’s College London. Talking about mental health used to be seen as a vote loser. Now, he says, not only are more celebrities unafraid to talk openly about their mental illness, but it appears to have entered the mainstream as a political issue. “We now need to see if this policy priority is backed up by substantial extra resources to make sure these aspirations become reality,” he adds.
1. substantial(/səbˈstænʃəl/): 大量的;相当程度的;重大的 Substantial means large in amount or degree. →see usage note at: important
Eg: The party has just lost office and with it a substantial number of seats.
2. aspiration: 抱负；志向；渴望 Some-one's aspirations are their desire to achieve things.
Eg: He is unlikely to send in the army to quell nationalist aspirations.
3. quell: 消除，祛除(害怕、愤怒等) If you quell an unpleasant feeling such as fear or anger, you stop yourself or other people from having that feeling.
Eg: The Information Minister is trying to quell fears of a looming oil crisis.
07 On that front, Mrs May is implementing a pledge made last year by her predecessor, David Cameron, to spend £1bn on adult mental health and £1.4bn on youth mental health during this parliament. That money is being spent on both acute mental health care, such as specialists at every A&E unit, and on community care. New rules limit how long a patient with acute mental illness should wait, just like the four-hour limits for physical maladies in A&E. But this week’s announcements added up to additional funding of only £15m for community care, and £67m for digital services like online therapy—small beer considering the scale of the problems and of the prime minister’s avowed ambitions.
1. malady(/ˈmælədi/): 病；疾病 A malady is an illness or disease.
Eg: He was stricken at twenty-one with a crippling malady.
2. small beer: 无关紧要的事情;琐事 If you say that something is small beer, you mean that it is unimportant in comparison with something else.
Eg: Such roles are small beer compared with the fame she once enjoyed.
3. avowed(/əˈvaʊd/):（信念、目标）公开宣布的 An avowed belief or aim is one that you have declared formally or publicly.
Eg: ...the council's avowed intention to stamp on racism.
4. stamp on: 阻止，压制(不良行为) If someone stamps on a dishonest or undesirable activity, they act immediately to stop it happening or spreading.
Eg: The government's first duty is to defend the currency by stamping on inflation.
5. front: (某个)方面，领域 If you say that something is happening on a particular front, you mean that it is happening with regard to a particular situation or field of activity.
Eg: We're moving forward on a variety of fronts.
08 Demand is growing. The NHS found that the proportion of people with anxiety and depression receiving treatment increased from 24% in 2007 to 37% in 2014. This may show that people are feeling confident enough to seek help as the stigma of mental illness decreases, says Mr Thornicroft. But the NHS also found that the proportion of the population reporting self-harm trebled between 2000 and 2014, to 6%, including one in five 16- to 24-year-old women. With such a tide, money to match the great promises for mental health cannot come soon enough.
1. tide: (观点等的)潮流，趋势 The tide of opinion, for example, is what the majority of people think at a particular time.
Eg: The tide of opinion seems overwhelmingly in his favour.