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Chapter 17 - Enabling Social Inclusion for People with Mental Health Conditions: The Role of Mental Health Services

from Section 3 - Including People

Published online by Cambridge University Press:  24 November 2022

Jed Boardman
Affiliation:
King's College London
Helen Killaspy
Affiliation:
University College London
Gillian Mezey
Affiliation:
St George's Hospital Medical School, University of London
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Summary

The final section of the book examines how the social exclusion of people with mental health conditions can be tackled. Health services can play a part in improving health, but these services have traditionally been focussed on treatment and have a limited effect on the broader social determinants. The health of a nation is highly dependent on social, economic, and political forces and broader government policies. The occurrence, course, and outcome of physical and mental health conditions are socially determined and are inequitably distributed in the population. Therefore, broader social, economic, and fiscal policies are needed to address these health inequalities and, in turn, the social exclusion of people with mental health conditions. A public mental health approach is also required. Mental health services play a crucial role in enabling social inclusion for the people they work with. There are continuing challenges for services in preventing the marginalisation of those with the most severe and complex needs. There is a growing evidence base for the effectiveness of specific social interventions that operate at the service or individual level on social inclusion outcomes. For successful implementation, authentic, multi-level stakeholder support and adequate investment is required.

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Chapter
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Social Inclusion and Mental Health
Understanding Poverty, Inequality and Social Exclusion
, pp. 347 - 358
Publisher: Cambridge University Press
Print publication year: 2022

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References

Andresen, R., Oades, L., & Caputi, P. (2003) The experience of recovery from schizophrenia: Towards an empirically validated stage model. Australian and New Zealand Journal of Psychiatry, 37, 586594.Google Scholar
Anthony, W. A. (1993) Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16, 1123.CrossRefGoogle Scholar
Berry, K. & Haddock, G. (2008). The implementation of the NICE guidelines for schizophrenia: Barriers to the implementation of psychological interventions and recommendations for the future. Psychology and Psychotherapy-Theory Research Practice, 81, 419–36.Google Scholar
Buck, D. & Jabbal, J. (2014) Tackling Poverty: Making More of the NHS in England. King’s Fund.Google Scholar
Burchardt, T., Le Grand, J. & Piachaud, D. (2002) Degrees of exclusion: Developing a dynamic multidimensional measure. In Understanding Social Exclusion (ed. Hills, T., Grand, J. Le, & Piachaud, D.), pp. 3043. Oxford University Press.Google Scholar
Campion, J. (2019) Public Mental Health: Evidence, Practice and Commissioning. Royal Society for Public Health.Google Scholar
Campion, J., Bhugra, D., Bailey, S., & Marmot, M. (2013) Inequality and mental disorders: Opportunities for action. Lancet, 382, 183–4.Google Scholar
Campion, J., Javed, A., Sartorius, N., & Marmot, M. (2020) Addressing the public mental health challenge of COVID-19. Lancet Psychiatry 7, 657–9.CrossRefGoogle ScholarPubMed
Care Quality Commission (2018). Mental Health Rehabilitation Inpatient Services: Ward Types, Bed Numbers and Use by Clinical Commissioning Groups and NHS Trusts. CQC.Google Scholar
Chaplin, R. & Peters, S. (2003) Executives have taken over the asylum: The fate of 71 psychiatric hospitals. Psychiatric Bulletin 27, 227–9.Google Scholar
Collins, P. Y., Patel, V., Joestl, S. S., et al. (2011) Grand challenges in global mental health. Nature 475, 2730.Google Scholar
CSDH (2008) Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health. Final Report of the Commission on Social Determinants of Health. World Health Organization.Google Scholar
Department of Health (2012) Transforming care: a national response to Winterbourne View Hospital. Department of Health Review: Final Report. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/213215/final-report.pdf.Google Scholar
Friedli, L. (2009) Mental Health, Resilience and Inequalities. WHO Regional Office for Europe.Google Scholar
Friedli, L. (2015) The politics of tackling inequalities: The rise of psychological fundamentalism in public health and welfare reform. In Health Inequalities: Critical Perspectives (ed. Smith, K. E., Bambra, C., & Hill, S. E.). Oxford University Press, pp. 206–21.Google Scholar
Killaspy, H. (2012) Importance of specialisation in psychiatric services: Commentary on … How did we let it come to this? The Psychiatrist, 36, 10, 364–5.Google Scholar
Killaspy, H., Harvey, C., Brasier, C., et al. (2022) Community-based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence. World Psychiatry, 21, 1, 96123. https://doi.org/10.1002/wps.20940.Google Scholar
Leff, J. & Trieman, N. (2000) Long-stay patients discharged from psychiatric hospitals: Social and clinical outcomes after five years in the community. The TAPS Project 46. British Journal of Psychiatry, 176, 217–23.Google Scholar
Marmot Review (2010). Fair Society, Healthy Lives: Strategic Review of Health Inequalities in England Post 2010. www.instituteofhealthequity.org/resources-reports/fair-society-healthy-lives-the-marmot-review.Google Scholar
Marmot, M., Allen, J., & Goldblatt, P. (2010) A social movement, based on evidence, to reduce inequalities in health. Social Science & Medicine 71 (2010) 1254–8.Google Scholar
Marmot, M., Allen, J., Goldblatt, P., Herd, E., & Morrison, J. (2020). Build Back Fairer: The COVID-19 Marmot Review. The Pandemic, Socioeconomic and Health Inequalities in England. Institute of Health Equity.Google Scholar
Macdonald, A., Adamis, D., Craig, T., et al. (2019) Continuity of care and clinical outcomes in the community for people with severe mental illness. The British Journal of Psychiatry 214, 273–8.CrossRefGoogle ScholarPubMed
McDaid, D., Park, A.-L., & Wahlbeck, K. (2019) The economic case for the prevention of mental illness. Annu. Rev. Public Health 40, 8.1–8.17.Google Scholar
Melzer, D., Hale, A., Malik, S., Hogman, G. A., & Wood, S. (1991) Community Care for patients with schizophrenia one year after hospital discharge. BMJ (Clinical research ed.). 303. 1023–6. https://doi.org/10.1136/bmj.303.6809.1023CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence (2020) NICE Guideline 181; Rehabilitation for Adults with Complex Psychosis and Related Severe Mental Health Conditions. NICE.Google Scholar
Navarro, V. (2009) What we mean by social determinants of health? Global Health Promotion, 16, 516.Google Scholar
NHS (2019) The NHS Long Term Plan. www.longtermplan.nhs.uk/Google Scholar
NHS Health Scotland (2015) Health inequalities: What are they? How do we reduce them? Inequality Briefing 1. NHS Health Scotland.Google Scholar
Ormel, J., Cuijpers, P., Jorm, A. F., & Schoevers, R. (2019) Prevention of depression will only succeed when it is structurally embedded and targets big determinants. World Psychiatry 18, 1, 111–12.Google Scholar
Pickett, K. E., & Dorling, D. (2010) Against the organization of misery? The Marmot review of health inequalities. Social Science & Medicine, 71, 1231–3.CrossRefGoogle ScholarPubMed
Poole, R., Ryan, T. & Pearsall, A. (2002) The NHS, the private sector and the virtual asylum. BMJ, 325, 349–50.Google Scholar
Porter, R. (2002) Madness: A Brief History. Oxford University Press.Google Scholar
Powell, E. (1961) Address to the National Association of Mental Health Annual Conference, 9 March 1961. National Health Service History. www.nhshistory.net/watertower.html.Google Scholar
Priebe, S., Badesconyi, A., Fioritti, A., et al. (2005) Reinstitutionalisation in mental health care: Comparison of data on service provision from six European countries. BMJ, 330, 123–6.Google Scholar
Priebe, S., Burns, T., & Craig, T. K. (2013) The future of academic psychiatry may be social. British Journal of Psychiatry, 202, 5, 319–20.Google Scholar
Roberts, G. & Wolfson, P. (2004). The rediscovery of recovery: Open to all. Journal of Mental Health 10, 3749.Google Scholar
Royal College of Psychiatrists (2013) Whole-Person Care: From Rhetoric to Reality. Achieving Parity between Mental and Physical Health. Occasional paper OP88. Royal College of Psychiatrists.Google Scholar
Royal College of Psychiatrists (2021) Position Statement PS03/21: Our Planet’s Climate and Ecological Emergency. Royal College of PsychiatristsGoogle Scholar
Ryan, T., Pearsall, A., Hatfield, B., et al. (2004) Long term care for serious mental illness outside the NHS: A study of out of area placements. Journal of Mental Health, 13, 425–9.Google Scholar
Sutaria, S., Roderick, P., & Pollock, A. (2017) Are radical changes to health and social care paving the way for fewer services and new user charges? BMJ, 358, j4279Google Scholar
Tansella, M. & Thornicroft., G (2009) Implementation science: Understanding the translation of evidence into practice. British Journal of Psychiatry, 195, 4, 283–5.Google Scholar
Thornicroft, G., & Tansella, M. (2013) The balanced care model: The case for both hospital- and community-based mental healthcare. British Journal of Psychiatry, 202, 4, 246–8.Google Scholar
Warner, R. (1994) Recovery from Schizophrenia: Psychiatry and Political Economy. Routledge & Kegan PaulGoogle Scholar
Whitehead, M., & Popay, J. (2010) Swimming upstream? Taking action on the social determinants of health inequalities. Social Science & Medicine, 71, 1234–6.Google Scholar
WHO Regional Office for Europe (2014) Review of social determinants and the health divide in the WHO European Region: final report. Copenhagen: WHO Regional Office for Europe.Google Scholar
Wolff, G., Pathare, S., Craig, T., et al. (1996a) Public education for community care: A new approach. British Journal of Psychiatry, 168, 441–7.Google Scholar
Wolff, G., Pathare, S., Craig, T., & Leff, J. (1996b) Community attitudes to mental illness. British Journal of Psychiatry, 168, 183–90.Google Scholar
Wykes, T., Bell, A., Carr, S., et al. (2021) Shared goals for mental health research: What, why and when for the 2020s. Journal of Mental Health. https://doi.org/10.1080/09638237.2021.1898552.Google Scholar

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