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February 28th, 2008

ONE weekend - two very different routes to a hospital bed.

On the one hand, we have Arsenal striker Eduardo Da Silva, rushed to Selly Oak Hospital in Birmingham to repair a fractured left fibula and an open dislocation of an ankle joint.

On the other, we have former England international Paul Gascoigne, detained under the Mental Health Act at a hospital unit in Middleton St George.

Both can be deemed to have footballing injuries, but football is only comfortable dealing with one of them. Like the rest of wider society, the sport continues to regard mental illness as taboo.

Physical problems it can handle.

Eduardo's injury was a sickening example of what can go wrong on a football field, but it was also proof of just how adept the game has become at dealing with conditions that would once have ended a career.

The nation was repulsed by the graphic images of Eduardo's leg buckling under the force of Martin Taylor's mistimed tackle, but within 24 hours of the incident occurring, doctors were confidently predicting the Croatia international would be back to full fitness within nine months.

Such linearity is one of the main reasons why football is able to deal with physical injuries, no matter how appalling they may initially appear to be.

A player gets injured, undergoes a specific course of surgery, embarks on a prearranged recovery plan, and hey presto, within a predictable time frame, they are back to their best.

Unfortunately, mental illness doesn't work like that. There is no quick fix in an operating theatre, no tried-and-tested recovery plan, and no point trying to predict a point at which a patient will have completed their rehabilitation.

Mental illness is less structured and more difficult to be successful at, and for that reason, football has tended to either ignore the condition or pretend that it is none of its business.

Alcohol abuse? Well, lads will be lads. Behavioural problems?

This is a football club, not a creche. Anxiety and depression?

I don't think I would be depressed if I was receiving £50,000-a-week.

When Stan Collymore was diagnosed with clinical depression in 1999, he was hospitalised in the same manner he would have been if he had been suffering from a range of similarly serious physical ailments.

Yet groups at the very heart of the game treated his condition with a mixture of incredulity and contempt.

Few, if any, professional football clubs employ specialists adept at dealing with mental problems, and even the PFA, the respected players' union, appears unable to offer specialist help to those who need it most.

The Sporting Chance Clinic came to Joey Barton's rescue when his behavioural problems resurfaced at the end of last year, but that was an example of a very specific organisation offering very specific support to a high-profile client who had worked with them in the past.

For the majority of footballers in this country, a mental illness means a long and lonely struggle with little or no support.

For former footballers, like Gascoigne, the situation is even bleaker. Once a player has left the footballing fold, they are effectively cut adrift. And that, for a large number of former professionals, is when the mental problems start.

Retirement, as Gascoigne has found to his cost, creates a gaping void. Filling it, for some, is nigh on impossible, and an illness that began to take hold during a player's playing career can develop alarmingly as soon as their time on the field is at an end.

Is this football's problem?

Well, it should be. The game takes so much from someone like Gascoigne in terms of finance and kudos, that it should not be asking too much for it to give something back in return.

That does not mean Newcastle United, one of Gascoigne's former employers, feeling obliged to offer him a place on their coaching staff. It means a well-funded former players' organisation offering specialist support.

For that to happen the game will have to accept that the physical and mental variants are of equal concern. While Gascoigne's problems have raised awareness of mental illness, that day still seems a long way off.

REGARDLESS of what you think about the outcome of Middlesbrough's appeal against Jeremie Aliadiere's dismissal for violent conduct at Anfield, it has to be wrong that it was heard by a nameless commission of FA committee men.

Nobody knows who these men are - least of all Middlesbrough - and it is no longer acceptable for English football's governing body to hold their disciplinary hearings in private.

The FA are effectively running a kangaroo court, and such a glaring lack of transparency and accountability would be ridiculed if it was taking place in a less-developed region of the world.

The current system is wrong on so many levels, but what if Middlesbrough were to be involved in a relegation battle with Fulham and a self-confessed Fulham supporter just happened to be one of the men charged with the task of handing Stewart Downing a ban ranging from anything from one game to four? Would a complaint over that be deemed frivolous' as well?

9:37am Thursday 28th February 2008

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