A Social Media Ban Is Not Mental Health Policy

iPhone showing socil amedia pps

A social media ban for under-16s has an obvious political appeal. It sounds clear, tough, and protective. It also risks being a simple solution to a complex problem, which is precisely why Parliament should be very careful.

New Zealand is now facing the prospect of a bill that would ban young people under 16 from social media. National will not pass it without Labour’s support.

Labour should choose not to give it.

The under-16 social media ban sounds simple

None of this is to pretend that social media is harmless. Any parent, teacher, clinician, or teenager could tell you that online life can intensify bullying, social comparison, cause sleep disruption, create sexual pressure, expose peolpe to self-harm content, and exacerbate loneliness, and anxiety.

That is the appeal of a ban. Out of fear and a desire to protect we can draw a line at 16, tell platforms to keep children out, and claim to have acted.

But online relating can also provide friendship, humour, identity, creativity, support, and community, especially for young people who feel isolated in the offline world.

The research reflects this complexity. A range of studies have repeatedly pointed to a more complicated picture than the popular debate allows. Some young people are harmed by aspects of online life. Some appear largely unaffected. Some may even benefit, depending on what they are using, why they are using it, and what else is happening in their lives.

Some studies do find associations between heavy or problematic use and poorer wellbeing. Others point out that the effects are often small, and vary between individuals.  Effects are difficult to separate from existing distress, family stress, bullying, poverty, sleep, gendered pressures, and wider social conditions.

This complexity should be no surprise because adolescent development does not work in clean legislative lines. Nor does mental health. Social media can intensify anxiety, and social issues.  It can also be where young people maintain friendships, find information, explore identity, and seek support they may not have elsewhere.

These things can be true at the same time.  The technology matters, but it rarely creates the whole problem. It merely changes the setting in which ordinary human longings, conflicts and vulnerabilities play out.

That does not mean we do nothing. It means we should resist pretending that a blunt age ban is the same as a mental health strategy.

Why a social media ban is politically tempting

Politicians love policies that create the feeling of action. Parents are understandably frightened. Schools are exhausted. Mental health services are stretched. Young people are distressed, and adults are looking for somewhere to put the anxiety.

It’s also an election year.

Social media companies make an easy villain, and frankly, a deserving one. Their business models are not designed around the emotional development of children. They are designed around attention, data, advertising, and growth. Regulation is absolutely needed.

But banning teenagers from platforms is a different proposition from regulating the companies that profit from them. One places responsibility on children and families to comply with a prohibition that will be difficult to enforce. The other asks powerful corporations to make their products less harmful.

When we reach for a neat answer, we can also miss the wider system that created the problem in the first place: under-resourced schools, threadbare mental health services, poverty, family stress, bullying, reduced community connections and less safe accessible public spaces for young people.

What young people may hear

There is also a psychological question here. What do young people hear when adults say, in effect, that their online world is so dangerous they must be removed from it?

Some may feel protected. Many others may feel misunderstood, punished, or driven further underground. For many adolescents, social media is not separate from “real life”. It is where friendships are maintained, identities are tried on, jokes are shared, conflicts escalate, and belonging is negotiated. That may or may not make it healthy. It does make it socially real.

A ban may also be least effective for those most at risk. Young people in distress are often highly motivated to find connection, distraction, secrecy, or relief. If a platform is banned, they may move elsewhere, to less visible and less moderated spaces. That possibility should give lawmakers pause.

This is not an argument for leaving children alone with Silicon Valley. Quite the opposite. It is an argument for taking the problem seriously enough not to turn it into a slogan.

What would a serious response look like?

A more serious response would start with platform accountability: privacy protections, limits on addictive design, stronger moderation of harmful content, transparent algorithms, and real consequences for companies that fail to protect children.

It would also mean properly funding school counselling, youth mental health services, family support, digital literacy, and research that asks which young people are harmed, in what ways, and under what conditions. It would include parents and schools, but not dump the whole problem on them.

Labour should not help pass a bill because it sounds protective. It should ask whether it is likely to protect. Young people deserve policy that is curious, evidence-informed and honest about complexity.

A ban may very well be popular. That does not make it good mental health policy.

Mental health strategy needs more than good intent

Ministry of Health Mental Health and Wellbeing Plan

The Government’s new mental health strategy was announced last week and if you missed it click here for a link to the full document.

In many respects, it is saying the right things. There is no question that a system that relies less on crisis, less on coercion, and ultimately eliminates seclusion is something we should all want.

But it is hard to greet yet another mental health strategy with uncomplicated optimism. Not because the goals are wrong. Quite the opposite. The problem is that these goals arrive in a system already stretched past what is reasonable, with too little money, too few staff, and too many people waiting too long for help.

A mental health strategy is not care

Strategies matter. They can set direction, create accountability, and remind large systems what they are meant to be for. But a strategy is not a therapy session, a hospital bed, a community support worker, a crisis team, or a safe place for someone to be when they are terrified, suicidal, psychotic, withdrawing, overwhelmed, or alone.

That distinction matters because mental health policy in New Zealand has too often been very good at producing aspiration, and much less good at producing access. We have become used to worthy language about wellbeing, early intervention, lived experience, integration, prevention and recovery. None of these words are wrong. In fact, they are often exactly right.

Yet if the person who needs help cannot get an appointment, or the family trying to keep someone safe is told there is no service available unless things get worse, the language starts to feel hollow.

Eliminating seclusion is the right goal

The commitment to eliminate seclusion is important. Seclusion is not a neutral clinical tool. It can be frightening, humiliating and traumatic, particularly for people who have already experienced violence, neglect, racism, institutional harm or loss of control over their own lives.

At the same time, simply declaring an end to seclusion does not make the conditions that lead to it disappear. Seclusion often happens at the sharpest edge of an under-resourced system: acute distress, fear, staff trying to manage risk, too few options, too much pressure, and not enough time or support to do the careful relational work that prevents escalation.

To be clear, this is not an argument for keeping seclusion. It is an argument for being honest about what it takes to stop using it. Services need enough trained staff, decent environments, strong clinical leadership, community alternatives, culturally safe care, and the time to build trust with people who may have every reason not to trust the system.

If those things are not funded and staffed, the risk is that coercion changes shape rather than disappears.

Trying to do too much with too little

One of the difficulties with broad mental health strategies is that they can become a container for almost every hope we have for society. Better prevention. Better addiction treatment. Better crisis care. Better workforce planning. Better support for children and young people. Better support for Māori, Pacific peoples, rural communities, rainbow communities, older people, families and whānau.

Again, none of these priorities are wrong. The problem is that when everything is a priority, the hardest choices can be avoided. And when those choices are avoided, frontline services are left to absorb the contradiction.

Clinicians and support workers are then asked to provide more responsive, more humane, more culturally appropriate and more accessible care while also carrying impossible caseloads, covering vacancies, managing risk, and coping with the moral distress of knowing what people need but being unable to provide it.

I have written before about the way institutions can fail without needing to imagine bad intent from every person inside them. The issue is often the culture and incentives of the system itself, something I explored in this earlier piece on institutional denial. Mental health services are full of people doing their best. That does not make the system adequate.

Good policy needs enough people to carry it

Workforce is not a side issue. It is the service. Without psychiatrists, psychologists, psychotherapists, nurses, peer workers, addiction practitioners, social workers, cultural workers, support workers and community organisations, a strategy remains a document.

And workforce cannot be conjured quickly. People need to be trained, supervised, retained and paid properly. Services need to be workplaces people can survive in, not just places sustained by goodwill and exhaustion.

So yes, we need a national mental health strategy. We need the ambition to end seclusion. We need a system that is more humane, more accessible and less dependent on crisis. But we also need the honesty to say that ambition without investment is not reform. It is another way of asking already stretched people to make the impossible look manageable.

That is why my response is not cynicism, exactly. It is concern, and disappointment. The direction may be right. But for the people waiting, the families frightened, and the workers exhausted, the question is not whether the strategy says the right things. It is whether anyone will give the system what it needs to actually do them.

Close up of a client talking to a therapist, showing only both pairs of hands

For original story by Jimmy Ellingham of RNZ, click here…

Staff at an Auckland mental health facility are rallying to save what they say is a vital service for people who otherwise fall through the cracks.

Health New Zealand is proposing to close Rauaroha Segar House, a publicly funded intensive programme for people with long-standing or chronic mental health problems.

The proposal says not enough people are treated there and staff will be better deployed elsewhere, but staff say it can be saved.

RNZ has spoken to a clinician at Segar, who said the central city service must remain.

“Our main concern is that Segar House is a unique service. It’s actually one-of-a-kind in the North Island,” they said.

“It treats people with chronic suicidality and trauma. It’s offering gold-standard treatment for people who couldn’t get proper treatment in the community mental health service.”

The clinician requested anonymity because they feared speaking out following a recent directive from Health NZ reminding staff not to talk publicly.

The directive said Health NZ’s communications team could respond to media in a timely, accurate and consistent manner, while representing the organisation in a positive manner.

Despite that, the clinician said the public had a right to know what it stood to lose.

“It works. The clients that are coming to Segar House are probably clients who are bouncing between the urgent services [or have] longer admissions to the hospital inpatient units.

“Most of our clients, when they graduate the programme they don’t require any more mental health service inputs.”

The intensive programme is a mixture of individual and group sessions, and for the people attending it’s like a full-time job.

After a change in 2019 tightened the criteria of who could enter the programme, it was now for people who haven’t found a programme that worked elsewhere.

Staff said that’s limited the numbers of people the programme could see and Health NZ cited low numbers – there were about 10 people at any given time – as one of the reasons behind the proposal to close.

But the clinician said that could change.

“We’re calling for an immediate halt to the disestablishment proposal and for a revitalisation plan that will help us be responsive to the clients and the service’s need.

“I do think we should increase the number of clients that are being treated at Segar House.”

The staff proposal sent to Health NZ this week has called for a loosening of the programme’s entry criteria and said it could treat people drawn from a bigger area.

It was thought a decision on the proposal to close could be made as soon as Thursday – and Health NZ’s original proposal said it would happen this week – but mental health minister Matt Doocey has confirmed it now won’t be that soon.

‘Short-sighted move’

Kyle MacDonald, a psychotherapist who previously worked at Segar House, said closing it would mean more costs later.

“From the moment I first read the proposal I was both shocked and upset because I know not only how vital a service Segar House is, but also how high risk the clients they serve are.

“The reality is if we lose Segar House as a service there will not be a replacement service for these extremely high-risk, chronically suicidal patients who do very very well under this treatment.”

The service was operating on about half its full staff capacity of seven full-time equivalent positions, but was fully supporting its clients, he said.

“People will be there four or five days a week. They will attend three or four groups a week. Those will be skills groups, learning particular behavioural skills… around regulating your emotions and dealing with high levels of distress.

“It also includes things like mindfulness groups, and also trauma-focused group therapy, where people learn to manage and process past traumatic experiences.”

Health NZ group director of operations for Auckland Michael Shepherd said the proposal to close Segar House wouldn’t reduce the number of frontline mental health staff, and would instead mean their expertise was available to more people when they’re redeployed.

It had very low numbers of people access the programme and in other districts they would be treated in other individual and group-based programmes, which was proposed here.

“The consultation process is still under way and no decision as to the proposal has been made,” Shepherd said.

“While the consultation process is occurring people will continue to receive the same service and support that they are currently receiving.”

Labour spokeswoman for mental health Ingrid Leary said it felt like a decision had already been made to close the facility.

“The Minister for Mental Health, Matt Doocey, needs to show some leadership to pause the closure and get some proper independent advice before he rushes to make yet another cut, which will actually have serious safety and financial consequences.”

Staff from Segar House could end up in the private sector, where pay and conditions were better, and the service should stay open while it was properly reviewed, she said.

Doocey said he’d sought and received assurance from Health NZ it would take as long as needed to carefully consider feedback, and a decision was some time away.

“It would not meet my expectations for a decision to be made this week, days after consultation has closed,” he said.

“As I said previously at the time this was announced, I expect to be briefed on the outcome of the consultation.

“I would not want to get ahead of having the opportunity to consider the feedback and advice from officials, therefore I have nothing further to add at this stage.”

Segar House’s lease agreement on its Khyber Pass Road property runs out at the end of June.

Weekend Collective Photo of Tim Beveridge

A range of governments have flip flopped on mental health funding for years.  I joined Tim Beveridge on Sunday the 25th of May, on the Weekend Collective Health Hub, to talk about the potential loss of Segar House, and the wider funding issues in the mental health service.

To listen to the show, click here…

This interview aired last Monday, the 28th April, 2025 on RNZ click here to see the original story…

Listen to the interview below  

For decades Segar House has helped people in Auckland experiencing self-harm, early life trauma, long-standing depression or chronic suicidality.

It offers a publicly-funded, intensive psychotherapy day programme – the only one of its kind in the country.

But under a change proposal from Te Whatu Ora-Health New Zealand the programme is set to be disestablished; its resources and staff “re-invested” elsewhere.

The proposal cites low participant numbers, transport barriers to access and Covid having an impact on a revamp of the day programme.

But Kyle MacDonald, a psychotherapist who worked at Segar House for a number of years, says the closure is short-sighted – the programme was always designed to be resource-intensive up front, to prevent people needing further therapy down the line.

He joins Kathryn, along with a former patient who says the Segar House programme helped save her life.

Matt Doocey Minister of Mental Health

To email Minister of Mental Health Matt Doocey, click here…

Last week it was announced to the clinical team at Segar House – Rauaroha – the specialist psychotherapy service in Auckland, – that they were to be shut down.

What is Segar House? It’s a highly skilled team of therapists that provide treatment for the most chronically suicidal clients in the Auckland and Waitemata districts. These are people that generally have horrific trauma backgrounds, and have not been able to be helped by standard community based, one appointment a week type mental health treatment.

Instead, Segar House offers a five day a week, group based programme using the most up to date, and empirically supported treatment approaches for people with Borderline Personality Disorder, and complex post traumatic stress disorder.

And it works. It works for the clients, whose lives are improved, who can move onto living a life with meaning and purpose.

It works for the system as people who are as highly distressed as the people who wash up at Segar House use a lot of health services – inpatient hospital care, crisis services, and emergency department time.

And it works for the therapists, who get to do meaningful, effective therapy with people who absolutely need it, without the revolving door approach of a community, crisis driven service.

So if it works for the clients, the system and the staff, why is it being shut down?

Because the assessment of Te Whatu Ora is fatally flawed, and driven only by the austerity mindset of our current government. A mindset that can only see the total number of clients seen as numbers on a spreadsheet to be maximised. And having reduced people down to a number, then declare, based on no knowledge (or conversation with the experts either for that matter) that the numbers aren’t good enough.

Te Whatu Ora is proposing to simply shift the existing staff team (less than four full time equivalents, this place runs already on the smell of an oily rag) and reallocate them to community services. They also make the bold claim this will enable the clinicians to be better utilised, and that the clients will still receive the same treatment approach in the community. Which is utter rubbish.

It’s a bit like claiming we could just shut down the cardiac unit at Auckland hospital, put the cardio-thorassic surgeons into GP’s clinics, and there would be no change to the service people received. Oh, and GP’s see more patients, so the cardiac specialists should also up their case load!

We have our first ever Mental Health Minister with this Government, and of course I have been keenly following the various creative and necessary ways the Minister’s Innovation fund has been spread around to genuinely good pilot programmes.

To email Minister of Mental Health Matt Doocey, click here…

But given the relatively paltry amounts of money required to keep this service going and the incredible return on investment- financially and morally – Segar House provides, surely this service cannot just be allowed to slide into oblivion?

So I’m calling on Mental Health Minister Hon. Matt Doocey, who has repeatedly said that no frontline mental health and addiction jobs will be lost throughout any change process, to step in and direct Te Whatu Ora to halt this proposal and guarantee Segar House’s funding.

And, I’m asking everyone (including you!) to email the Minister and let him know you oppose the closure as well. Now is the time to keep the pressure up and get him to stop this closure NOW.

Simply click on this link, and tell him what you think (be polite!) To email Minister of Mental Health Matt Doocey, click here…

TVNZ Breakfast Segar House Interview

Still shot of interview with Kyle MacDonald

Interview aried Monday the 28th of April, 2025

Segar House Change Proposal for download

Te Whatu Ora

To download and view the Segar House Change Proposal click here…

TO BUY MY BOOK "Shit Happens: Lessons for Dealing with Life's Ups and Downs"... CLICK HERE