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19 January 2024· 1 min readChronically

The Day Mental Health Is As Accessible As General Practice

What it would actually take for mental healthcare to work the way general practice does: same-day access, integrated records, no stigma, care where people already are.

Roi Shternin

Right now, anyone seeking mental health support runs into stigma, provider shortages, insurance barriers, high cost, and a system built around crisis response rather than ongoing human need. It doesn't have to stay that way, and it's worth being specific about what "better" actually looks like.

It looks like same-day appointments instead of a weeks-long wait, because a mental health need doesn't pause while a system catches up.

It looks like therapists and psychiatrists working in the same building, sharing records, coordinating a plan the way a care team does for a physical diagnosis, instead of two disconnected specialties that happen to treat the same person.

It looks like care available in schools, libraries, and community spaces people already use, not exclusively in a clinical office that requires taking a day off work to reach.

It looks like every provider treating the whole person: trauma-informed by default, starting from what a patient survived rather than only what's currently wrong, with people who have lived experience genuinely part of the care team.

It looks like insurance parity that's actually enforced, not a law with a loophole built in, so mental healthcare isn't rationed differently than a physical diagnosis would be.

And it looks like stigma gone enough that "I see a therapist" carries the same weight as "I see a doctor," said without a flinch.

None of this requires new technology. It requires treating mental health as core healthcare instead of an adjunct to it, and that's a policy and culture choice, not a resource constraint. The path there starts with people saying plainly that the current system isn't good enough, and refusing to accept crisis management as the ceiling.

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