English: It's a pleasure to take part in this debate. It's one of a series we've had this afternoon when there is cross-party support for better services in a particular area. Last week, I sponsored for the Time to Change Wales campaign an event here in the Senedd. As you will know, the goal of that campaign is to end mental health stigma and discrimination in Wales. Only a week before - I'm sure many other colleagues did the same as I did - I took part in the Time to Talk Day, a day that promotes the message that any day, any minute, any time is a good time to talk about mental health. I actually tweeted, with the aid, I must say, of my very able researcher, but anyway, I won't - [ Laughter. ] You know, you can't transform someone completely, can you? Not over night, anyway. But anyway, half way down Lloyd George Avenue, by the public art there of two faces talking, or kissing maybe - I don't know; it depends on your interpretation - I stood in front, and I talked about my own experiences and how important it is just to speak about mental health and well-being and recovery. I do think that we could have even more world-class mental health services than we have at the moment, and we do have some. Let's acknowledge that. There is some great best practice in Wales. But I think, with a suite of really far-seeing legislation, such as the Well-being of Future Generations (Wales) Act 2015, the Social Services and Well-being (Wales) Act 2014, the Public Health (Wales) Act 2017 and, most recently, the parliamentary review, all highlighting a level of consensus across the Assembly, that we need more anticipation, more person-centred approaches, more inter-generational planning for what we should be delivering, and really ending barriers between physical and mental health in terms of what we're trying to achieve. So, we need to build, I think, on the better practice when it emerges. I learned recently of Mind Cymru and their work with GPs and local health boards to roll out early prevention services. Now, this does seem to me to be key, and they have active monitoring. I'm glad to see that the scheme of active monitoring has been supported by Welsh Government funding. So far, active monitoring has exceeded all initial expectations, with 38 GP surgeries across Wales offering patients services under active monitoring, and some 433 patients at the moment having help. Of those patients, 71 of people experiencing clinical levels of anxiety and panic attacks fully recovered, with 54 per cent of people experiencing clinical levels of depression fully recovering. Can I say, I suspect I'm not the only Assembly Member, but I'm certainly one, who has had a number of episodes of panic attack? It is horribly debilitating. It has a huge effect on your confidence and what you think you're going to be able to do. When you get through that, and when you've had the treatment, the support, whatever it is, the fulfilment you feel, the well-being you feel, and the stability you feel is something beyond measure. I think any services that get people to that better condition are to be hugely valued. They're not often very intensive. We're not talking about people in serious illness. Let's remember that. Anxiety and depression and panic attacks: they may accompany more serious illness, but people who are not seriously ill in terms of their mental health can still be prone to these things. So, mild to moderate ill health can be very, very debilitating, and has huge effects on the economy as well, and family life and all sorts of things.
Welsh: Mae'n bleser gennyf gymryd rhan yn y ddadl. Mae'n un o gyfres a gawsom y prynhawn yma lle y ceir cefnogaeth drawsbleidiol i wasanaethau gwell mewn maes penodol. Yr wythnos diwethaf, noddais ddigwyddiad ar gyfer yr ymgyrch Amser i Newid Cymru yma yn y Senedd. Fel y gwyddoch, nod yr ymgyrch honno yw rhoi diwedd ar stigma a gwahaniaethu ar sail iechyd meddwl yng Nghymru. Wythnos cyn hynny - rwy'n siŵr fod llawer o gyd-Aelodau eraill wedi gwneud fel y gwnes i - cymerais ran ar Ddiwrnod Amser i Siarad, diwrnod sy'n hyrwyddo'r neges fod unrhyw ddiwrnod, unrhyw funud, unrhyw amser yn amser da i siarad am iechyd meddwl. Mewn gwirionedd fe drydarais, gyda chymorth fy ymchwilydd galluog iawn, rhaid imi ddweud, ond beth bynnag, ni wnaf - [ Chwerthin.] Wyddoch chi, ni allwch drawsnewid rhywun yn llwyr, allwch chi? Nid dros nos, beth bynnag. Ond beth bynnag, hanner ffordd i lawr Rhodfa Lloyd George, wrth y gwaith celf cyhoeddus yno o ddau wyneb yn siarad, neu gusanu efallai - nid wyf yn gwybod; mae'n dibynnu ar eich dehongliad - sefais yno o'i flaen, a siarad am fy mhrofiad fy hun, a pha mor bwysig yw hi i siarad am iechyd a lles a gwellhad meddyliol. Rwy'n credu y gallem gael gwasanaethau iechyd meddwl o safon sydd hyd yn oed yn well na'r rhai o'r radd flaenaf sydd gennym ar hyn o bryd, ac mae gennym rai o safon felly. Gadewch inni gydnabod hynny. Mae yna ymarfer gwych yng Nghymru. Ond gyda chyfres o ddeddfau gwirioneddol bellgyrhaeddol, megis Deddf Llesiant Cenedlaethau'r Dyfodol (Cymru) 2015, Deddf Gwasanaethau Cymdeithasol a Llesiant (Cymru) 2014, Deddf Iechyd Cyhoeddus (Cymru) 2017 ac yn fwyaf diweddar, yr adolygiad seneddol, a phob un yn amlygu lefel o gonsensws ar draws y Cynulliad, credaf fod angen inni ddisgwyl mwy, dulliau sy'n canolbwyntio mwy ar yr unigolyn, mwy o gynllunio rhwng cenedlaethau ar gyfer yr hyn y dylem ei ddarparu, a rhoi diwedd go iawn ar rwystrau rhwng iechyd corfforol a meddyliol o ran yr hyn y ceisiwn ei gyflawni. Felly, rwy'n credu bod angen inni adeiladu ar yr ymarfer gwell pan ddaw'n amlwg. Dysgais yn ddiweddar am Mind Cymru a'u gwaith gyda meddygon teulu a byrddau iechyd lleol ar gyflwyno gwasanaethau atal yn fuan. Nawr, rwy'n ystyried bod hyn yn allweddol, ac maent yn monitro'n weithredol. Rwy'n falch o weld bod y cynllun monitro gweithredol wedi cael cefnogaeth ariannol gan Lywodraeth Cymru. Hyd yma, mae'r monitro gweithredol wedi rhagori ar yr holl ddisgwyliadau cychwynnol, gyda 38 o feddygfeydd teulu ar draws Cymru'n cynnig gwasanaethau i gleifion o dan y cynllun monitro gweithredol, a thua 433 o gleifion yn cael cymorth ar hyn o bryd. O'r cleifion hynny, gwellodd 71 o bobl a oedd wedi profi lefelau clinigol o bryder a phanig yn llwyr, gyda 54 y cant o'r bobl a oedd wedi profi lefelau clinigol o iselder yn gwella'n llawn. Os caf fi ddweud, rwy'n tybio nad fi yw'r unig Aelod Cynulliad, ond rwy'n sicr fy mod i'n un sydd wedi cael nifer o episodau o byliau o banig? Mae'n ofnadwy o nychus. Mae'n cael effaith enfawr ar eich hyder a'r hyn y credwch y byddwch yn gallu ei wneud. Wedi i chi fynd drwy hynny, a phan fyddwch wedi cael y driniaeth, y cymorth, beth bynnag ydyw, mae'r boddhad a deimlwch, y lles a deimlwch, a'r sefydlogrwydd a deimlwch yn rhywbeth tu hwnt i fesur. Rwy'n meddwl bod unrhyw wasanaethau sy'n galluogi pobl i gyrraedd y cyflwr gwell hwnnw yn werthfawr iawn. Nid ydynt yn aml yn ddwys iawn. Nid ydym yn sôn am bobl â salwch difrifol. Gadewch inni gofio hynny. Gorbryder ac iselder a phyliau o banig: gallant fod yn rhan o salwch mwy difrifol, ond gall pobl nad ydynt yn ddifrifol wael o ran eu hiechyd meddwl fod yn agored i'r pethau hyn. Felly, gall salwch ysgafn i gymedrol fod yn nychus tu hwnt, a chael effaith enfawr ar yr economi yn ogystal, a bywyd teuluol a phob math o bethau.