Yes, I think some of it is attitudinal. If we categorize people's psychiatric illnesses as schizophrenia, you're born with it, or you have bipolar illness, etc., when you put the element of drug use and these particular substances together with that, the effects are actually exactly the same on the brain and the behaviours. Therefore, the treatment needs to be the same.
Some of our psychiatric colleagues do not share that urgency, unfortunately, and our systems are really not robust enough to keep people safe. A lot of these people, when they become very impaired, such as the patient I'm going to be tracking as soon as I leave here, actually need to be certified and be admitted to the hospital for a long time, to be stabilized and have a constant psychiatric team and treatment around them. They can't just sleep it off and go back to the same circumstance, because they've actually had chronic or permanent impairment of their brain. It's not just as case of, WI used this drug and I have this effect and behaviour”. People are now permanently psychotic. They are permanently dementing. They are losing their ability to speak. They have movement disorders. They are hoarding. They are fixated on their little bicycle parts, etc.
When they are in this state, which is now becoming permanent, it is very difficult for them to accept any sort of health care, let alone addiction care, because they have been permanently damaged. They are psychiatrically unwell and I need more of what we need.