One problem has always been the impact of the day labeling.
As someone who works in the trade, the nuances are unbelieveable to navigate. I can sit here and talk about how hard from a clinical perspective diagnostic labels are hard to shake. How the wrong label, especially with pharmaceuticals involved, can be crippling. How the right label, with pharmaceuticals involved can be crippling due to side effects. How even in a place like NYC that offers more services its still a fight to access quality care across all levels. How some people rather not use insurance as that label sticks going forward and whether diagnosed correctly or not can have certain implications.
That's not even talking about the massive psychiatrist shortage nationally because of how ****ty the reimbursement rates are comparatively to other medical specialists, among other reasons. That's not even talking about the inherent small groups of knuckleheadedness that happens with people sleeping with clients or overprescibing medications to commit insurance fraud (typically defrauding the state's Medicaid).
That's not even talking about some of the societal costs of inappropriately treating mental health - legal, medical (high ER utilizations, etc), economics - lost productivity, lost taxable income.
That's not even talking a out the disparities in experiences of brown people vs non brown folks navigating these complex and cluster**** filled systems to access care.
I won't even get into my own professional responsibilities as a mandated reporter for certain things. How hard it is seeing lots of mental health issues walking around when you see some outburst or some situations assessing to see if it's at the level to alert 911.
The reason why I like the mental health first aid training is simply as a great way to start the conversation, if you're comfortable with it. Not saying if fixes all or accessing support will be smooth, but for what it's worth, there are still good providers in the system doing good work to help people.