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Chapter 3 - Social Exclusion: Applying the Paradigm to People with Mental Health Conditions – Key Aspects

from Section 1 - Social Exclusion, Poverty, and Inequality

Published online by Cambridge University Press:  24 November 2022

Jed Boardman ,
Helen Killaspy  and
Gillian Mezey
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

This chapter outlines concepts related to social exclusion that are relevant to people with mental health conditions. These concepts highlight the political and civil nature of exclusion (citizenship, equality and human rights, choice); the importance of material (poverty and deprivation), social (social capital, stigma, and discrimination) and individual factors (participation, choice, and agency); and a means of identifying and describing causal factors for social exclusion (agency and process, dynamic dimensions, multifactorial causes, life course, and longitudinal perspectives). It also covers personal recovery, which provides a bridge between the literature on social exclusion and that on mental health conditions.

Keywords

RecoveryCitizenshipEquality And Human RightsChoiceSocial CapitalStigmaDiscriminationAgencyLife Course
Type
Chapter
Information
Social Inclusion and Mental Health
Understanding Poverty, Inequality and Social Exclusion
 , pp. 35 - 56
Publisher: Cambridge University Press
Print publication year: 2022

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References

Anthony, W. A. (1993) Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16, 11–23.CrossRefGoogle Scholar
Anthony, W. A. (2004) The principle of personhood: The field’s transcendent principle. Psychiatric Rehabilitation Journal 27, 3, 205.Google Scholar
Bandura, A. (1997) Self-Efficacy in Changing Societies. Cambridge University Press.Google Scholar
Bandura, A. (2000) Exercise of human agency through cognitive efficacy. Current Directions in Psychological Science, 9, 75–8.Google Scholar
Barnes, C. (2000) A working social model? Disability, work and disability politics in the 21st century. Critical Social Policy, 20, 441–57.Google Scholar
Barnes, M., Harrison, S., Mort, M., et al. (1999) Unequal Partners: User Groups and Community Care. Polity Press.Google Scholar
Bartlett, P. (2012) The United Nations Convention on the Rights of Persons with Disabilities and Mental Health Law. The Modern Law Review 75, 5, 752–78.Google Scholar
Basok, T., Ilcan, S., & Noonan, J. (2006) Citizenship, human rights, and social justice. Citizenship Studies 10, 3, 267–73.Google Scholar
Beck, W., van der Maesen, L. & Walker, A. (1997) The Social Quality of Europe. Kluwer Law International.Google Scholar
Ben-Shlomo, Y. & Kuh, D. (2002) A life course approach to chronic disease epidemiology: Conceptual models, empirical challenges and interdisciplinary perspectives. International Journal of Epidemiology, 31, 2, 285–93.CrossRefGoogle ScholarPubMed
Berman, Y. & Phillips, D. (2000) Indicators of social quality and social exclusion at national and community level. Social Indicators Research, 50, 329–50.Google Scholar
Blaxter, M. (1980) The Meaning of Disability. Heinemann.Google Scholar
Boardman, J. (2003) Work, employment and psychiatric disability. Advances in Psychiatric Treatment, 9, 327–34.Google Scholar
Borg, M. and Davidson, L. (2008) The nature of recovery as lived in everyday experience, Journal of Mental Health, 17, 2,129-140. https://doi.org/10.1080/09638230701498382.Google Scholar
Burchardt, T. (2004) Capabilities and disability: The capabilities framework and the social model of disability, Disability & Society, 19:7, 735-751. https://doi.org/10.1080/0968759042000284213.Google Scholar
Burchardt, T. (2006) Foundations for Measuring Equality (A Discussion Paper for the Equalities Review). ESRC Research Centre for Analysis of Social Exclusion, London School of Economics.Google Scholar
Burchardt, T. & Vizard, P. (2007) Definition of Equality and Framework for Measurement. Final Recommendations of the Equalities Review Steering Group on Measurement. Paper 1. The Equalities Review.Google Scholar
Butler, R. & Bowlby, S. (1997) Bodies and spaces: An exploration of disabled people’s experiences of public space. Environment and Planning D: Society and Space, 15, 379–504.Google Scholar
Bynner, J., Ferri, E. & Shepherd, P. (1997) Twenty-Something in the 90s: Getting on, Getting by, Getting Nowhere. Dartmouth Press.Google Scholar
Care Services Improvement Partnership (2005) Our Choices in Mental Health. CSIP.Google Scholar
Centre for Longitudinal Studies (2008) Now We Are 50: Key Findings from the National Child Development Study. Centre for Longitudinal Studies.Google Scholar
Chamberlain, G., Philipp, E., Howlett, B. C., et al. (1978) British Births 1970. Vol. 2: Obstetric Care. Heinemann Medical Books.Google Scholar
Chamberlain, R., Chamberlain, G., Howlett, B. C., et al. (1975) British Births 1970. Vol. 1: The First Week of Life. Heinemann Medical Books.Google Scholar
Chamberlin, J. (2006) Foreword. In Thornicroft, G., Shunned: Discrimination against People with Mental Illness. Oxford University Press, pp. xi–xiii.Google Scholar
Cobigo, V. & Stuart, H. (2010) Social inclusion and mental health. Current Opinion in Psychiatry, 23, 5, 453–7.CrossRefGoogle ScholarPubMed
Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics. University of Chicago Legal Forum, 1989, 139–67.Google Scholar
Crow, G. (2004) Social networks and social exclusion: An overview of the debate. In Social Networks and Social Exclusion (ed. Phillipson, C, Allan, G, and Morgan, D). Ashgate, pp. 7–19.Google Scholar
Crow, G. & Allan, G. (1994) Community Life. Harvester Wheatsheaf.Google Scholar
Davidson, L., Rakfeldt, J., & Strass, J. (2010) The Roots of The Recovery Movement in Psychiatry. Wiley-Blackwell.CrossRefGoogle Scholar
Department of Health (2001) Valuing People: A New Strategy for Learning Disability for the 21st Century – Long Report (White Paper). HMSO.Google Scholar
Department of Health (2003) Developing Choice, Responsiveness and Equity in Health and Social Care: A National Consultation Exercise. Department of Health.Google Scholar
Department of Health (2004) Better Information, Better Choices, Better Health: Putting Information at the Centre of Health. Department of Health.Google Scholar
Dex, S. & Joshi, H. (2005) Children of the 21st Century: From Birth to Nine Months. Polity Press.Google Scholar
Douglas, J. W. B. (1964) The Home and the School. MacGibbon and Kee.Google Scholar
Drew, N., Funk, M., Tang, S., et al. (2011) Human rights violations of people with mental and psychosocial disabilities: An unresolved global crisis. Lancet 378, 1664–75.Google Scholar
Elder, G. H. (1974) Children of the Great Depression: Social Change in Life Experience. University of Chicago Press.Google Scholar
Elder, G. H. (1985) Perspectives on the life course. In Life Course Dynamics (ed. Elder, G. H. Jr., pp. 23–49). Cornell University Press.Google Scholar
Elder, G. H. (1994) Time, human agency, and social change: Perspectives on the life course. Social Psychology Quarterly 57, 1, 4–15.Google Scholar
Elder, G. H. (1998) The life course and human development. In Handbook of Child Psychology, Vol. 1 (ed. Lerner, R. M.). Wiley.Google Scholar
Equalities Review (2007) Fairness and Freedom: The Final Report of the Equalities Review. The Equalities Review (www.equalrightstrust.org/content/fairness-and-freedom-final-report-equalities-review).Google Scholar
Evans-Lacko, S., Courtin, E., Fiorillo, A., et al. (2014) The state of the art in European research on reducing social exclusion and stigma related to mental health: A systematic mapping of the literature. European Psychiatry 29, 381–9.Google Scholar
French, S. (1993) Disability, impairment or something in between? In Disabling Barriers – Enabling Environments (ed. Swain, J., Finkelstein, V. & Oliver, M.). Sage, pp. 17–25.Google Scholar
George, Linda K. (1993) Sociological perspectives on life transitions. Annual Review of Sociology 19, 353–73.CrossRefGoogle Scholar
Giele, J. Z. & Elder, Jr. G. H. (1998) Methods of Life Course Research: Qualitative and Quantitative Approaches. Sage.Google Scholar
Green, L (2017) Understanding the Life Course. 2nd ed. Polity.Google Scholar
Haegele, J. A. & Hodge, S. (2016) Disability discourse: Overview and critiques of the medical and social models, Quest, 68, 2, 193–206. https://doi.org/10.1080/00336297.2016.1143849.Google Scholar
Halliday, E., Popay, J., Anderson de Cuevas, R. & Wheeler, P. (2018) The elephant in the room? Why spatial stigma does not receive the public health attention it deserves. Journal of Public Health 42, 1, 38–43. https://doi.org/10.1093/pubmed/fdy214.Google Scholar
Halpern, D. (2005) Social Capital. Polity.Google Scholar
Hatzenbuehler, M. L., Phelan, J. C. & Link, B. G. (2013) Stigma as a fundamental cause of population health inequalities. American Journal of Public Health 103, 813–21. https://doi.org/10.2105/AJPH.2012.301069.Google Scholar
Heinz, A., Müller, S., Wackerhagen, C., & Sartorius, N. (2015) Inclusion as the goal of psychiatric care: Impact of the UN Convention on the Rights of Persons with Disabilities. Ethics, Medicine and Public Health 1, 300–5.Google Scholar
Hunting, G., Grace, D., & Hankivsky, O. (2015) Taking action on stigma and discrimination: An intersectionality-informed model of social inclusion and exclusion. Intersectionalities 4, 2, 101–23.Google Scholar
Huxley, P. & Thornicroft, G. (2003) Social inclusion, social quality and mental illness. British Journal of Psychiatry, 182, 289–90.Google Scholar
Inglis, G., McHardy, F., Sosu, E., McAteer, J. & Biggs, H. (2018) Health inequality implications from a qualitative study of experiences of poverty stigma in Scotland. Social Science & Medicine 232, 43–9.Google Scholar
Jackson-Best, F. & Edwards, N. (2018) Stigma and intersectionality: A systematic review of systematic reviews across HIV/AIDS, mental illness, and physical disability. BMC Public Health 18, 919–37. https://doi.org/10.1186/s12889-018-5861-3.Google Scholar
Kimberlin, S. E. (2009) Political Science Theory and Disability, Journal of Human Behavior in the Social Environment, 19, 1, 26-43. https://doi.org/10.1080/10911350802619870.Google Scholar
Leamy, M., Bird, V., Le Boutillier, C., Williams, J., & Slade, M. (2011) Conceptual framework for personal recovery in mental health: Systematic review and narrative synthesis. British Journal of Psychiatry 199, 445–52. https://doi.org/10.1192/bjp.bp.110.083733.Google Scholar
Le Grand, J. (2003) Choice and Social Exclusion (Case Paper 75). ESRC Research Centre for Analysis of Social Exclusion, London School of Economics.Google Scholar
Liberman, R. P. & Kopelowicz, A. (2002) Recovery from schizophrenia: A challenge for the 21st century. International Review of Psychiatry, 14, 245–55.Google Scholar
Lister, R. (2004) Poverty. Polity Press.Google Scholar
Maj, M. (2014) Social neuroscience as an ideal basic science for psychiatry. World Psychiatry 13, 2, 105–6.Google Scholar
Martin, J. & White, A. (1988) OPCS Surveys of Disability in Great Britain, Report 2: The Financial Circumstances of Disabled Adults Living in Private Households. HMSO.Google Scholar
Matthews, E. (2013) Mental disorder: Can Merleau-Ponty take us beyond the ‘mind-brain’ problem? In The Oxford Handbook of Philosophy and Psychiatry (ed. Fulford, K. W. M., Davies, M., Gipps, R. G. T., et al.). Oxford University Press, 531–44.Google Scholar
McMillan, D. & Chavis, D. (1986) Sense of community: A definition and theory. Journal of Community Psychology, 14, 6–23.3.0.CO;2-I>CrossRefGoogle Scholar
Morgan, C., Burns, T., Fitzpatrick, R., et al. (2007) Social exclusion and mental health: Conceptual and methodological review. British Journal of Psychiatry, 191, 477–83.CrossRefGoogle ScholarPubMed
Mulvany, J. (2000) Disability, impairment or illness? The relevance of the social model of disability to the study of mental disorder. Sociology of Health and Illness, 22, 582–601.Google Scholar
Nash, K. (2009) Between citizenship and human rights. Sociology 43, 6, 1067–83.Google Scholar
NHS England (2014) Five Year Forward View. NHS England.Google Scholar
Nind, M. & Seale, J. (2009) Concepts of access for people with learning difficulties: towards a shared understanding. Disability & Society, 24, 3,273–87. https://doi.org/10.1080/09687590902789446.Google Scholar
Oliver, M. (1983) Social Work and Disabled People. Macmillan.Google Scholar
Oliver, M. (1990) The Politics of Disablement. Macmillan.Google Scholar
Oliver, M. (1996) Understanding Disability: From Theory to Practice. Palgrave Macmillan.Google Scholar
Oliver, M. (2013) The social model of disability: Thirty years on. Disability & Society, 28, 7, 1024–26. https://doi.org/10.1080/09687599.2013.818773.Google Scholar
Oliver, M. & Barnes, C. (2010) Disability studies, disabled people and the struggle for inclusion. British Journal of Sociology of Education, 31, 5, 547–60. https://doi.org/10.1080/01425692.2010.500088.Google Scholar
Osborn, A. F., Butler, N. R. & Power, C. (1984) The Social Life of Britain’s Five-Year-Olds: A Report of the Child Health and Education Study. Routledge and Kegan Paul.Google Scholar
Perkins, R. & Repper, J. (1998) Dilemmas in Community Mental Health Practice: Choice or Control? Radcliffe.Google Scholar
Phillipson, C., Allan, G. & Morgan, D. (2004) Social Networks and Social Exclusion. Ashgate.Google Scholar
Putnam, R. D. (1993) The prosperous community: Social capital and public life. The American Prospect, 13, 35–42.Google Scholar
Putnam, R. F. (2000) Bowling Alone: The Collapse and Revival of American Community. Simon & Schuster.Google Scholar
Ramon, S. (2015) Intersectionalities: Intimate partner domestic violence and mental health within the European context. Intersectionalities 4, 2, 76–100.Google Scholar
Rankin, J. (2005) Mental Health in the Mainstream: A Good Choice for Mental Health (Working Paper 3). Institute for Public Policy Research.Google Scholar
Repper, J. & Perkins, R. (2003) Social Inclusion and Recovery: A Model for Mental Health Practice. Ballière Tindall.Google Scholar
Riley, M. W. (1979) Introduction: Life course perspectives. In Aging from Birth to Death (ed. Riley, M. W., pp. 3–13). Westview Press (for the American Association for the Advancement of Science.Google Scholar
Roberts, G. & Wolfson, P. (2004) The rediscovery of recovery: Open to all. Advances in Psychiatric Treatment, 10, 37–49.Google Scholar
Roberts, G., Davenport, S., Holloway, F., et al. (2006) Enabling Recovery: The Principles and Practice of Rehabilitation Psychiatry. Gaskell.Google Scholar
Rowe, M., Clayton, A., Benedict, P. et al. (2012) Going to the source: Creating a citizenship outcome measure by community-based participatory research methods. Psychiatric Services 63, 445–50. https://doi.org/10.1176/appi.ps.201100272.CrossRefGoogle Scholar
Rutter, M. (1989) Pathways from childhood to adult life. Journal of Child Psychology and Psychiatry, 30, 23–61.Google Scholar
Ryder, Norman B. (1965). The cohort as a concept in the study of social change. American Sociological Review, 30, 6, 843–61.Google Scholar
Sainsbury Centre for Mental Health (2006) Choice in Mental Health Care (Briefing Paper 31). Sainsbury Centre for Mental Health.Google Scholar
Sainsbury Centre for Mental Health (2009) Childhood Mental Health and Life Chances in Post-War Britain: Insights from Three National Birth Cohort Studies (Executive Summary). Sainsbury Centre for Mental Health.Google Scholar
Samele, C., Lawton-Smith, S., Warner, L., et al. (2007) Patient choice in psychiatry. British Journal of Psychiatry, 191, 1–2.CrossRefGoogle ScholarPubMed
Sayce, L. & Boardman, J. (2008) Disability rights and mental health in the UK: Recent developments of the Disability Discrimination Act. Advances in Psychiatric Treatment, 14, 265–75.Google Scholar
Schneider, J. & Bramley, C. J. (2008) Towards social inclusion in mental health? Advances in Psychiatric Treatment, 14, 131–8.CrossRefGoogle Scholar
Schwartz, B. (2004) The Paradox of Choice: Why More is Less. HarperCollins.Google Scholar
Sen, A. (1985) Commodities and Capabilities. North-Holland.Google Scholar
Sen, A. K. (1992) Inequality Re-Examined. Clarendon PressGoogle Scholar
Sen, A. (1999) Development as Freedom. Oxford University Press.Google Scholar
Shepherd, G., Boardman, J. & Slade, M. (2008) Making Recovery a Reality. Sainsbury Centre for Mental Health.Google Scholar
Slade, M. (2009) Personal Recovery and Mental Illness. Cambridge University Press.Google Scholar
Smith, N. & Middleton, S. (2007) A Review of Poverty Dynamics Research in the UK. Joseph Rowntree Foundation.Google Scholar
Social Exclusion Unit (2000) Minority Ethnic Issues in Social Exclusion and Neighbourhood Renewal. Cabinet Office.Google Scholar
Szmukler, G., Daw, R., & Callard, F. (2014) Mental health law and the UN Convention on the rights of persons with disabilities. International Journal of Law and Psychiatry 37, 245–52.CrossRefGoogle ScholarPubMed
Taylor, Y., Hines, S., & Casey, M. E. (2010) Theorizing Intersectionality and Sexuality. Palgrave MacmillanGoogle Scholar
Thornicroft, G. (2006) Shunned: Discrimination against People with Mental Illness. Oxford University Press.Google Scholar
Turan, J. M., Elafros, M. A., Logie, C. H., et al. (2019) Challenges and opportunities in examining and addressing intersectional stigma and health. BMC Medicine 17, 7–21. https://doi.org/10.1186/s12916-018-1246-9.CrossRefGoogle ScholarPubMed
United Nations (2006) Convention on the Rights of Persons with Disabilities and Optional Protocol. United Nations: www.un.org/development/desa/disabilities/convention-on-the-rights-of-persons-with-disabilities.html.Google Scholar
Vizard, P. & Burchardt, T. (2007) Developing a Capability List: Final Recommendations of the Equalities Review Steering Group on Measurement, Paper 2. The Equalities Review.Google Scholar
Wadsworth, M. (1991) The Imprint of Time. Clarendon Press.Google Scholar
Walker, A. (ed.) (1996) The New Generational Contract. UCL Press.Google Scholar
Walsh, K., Scharf, T., Van Regenmortel, S., and Wanka, A. (2021) The intersection of ageing and social exclusion. InSocial Exclusion in Later Life: Interdisciplinary and Policy Perspectives (ed. Walsh, K., Scharf, T., Van Regenmortel, S., and Wanka, A.). Springer, pp. 3–24.CrossRefGoogle Scholar
Wilkinson, R. (2005) The Impact of Inequality: How to Make Sick Societies Healthier. The New Press.Google Scholar
Williams, G. H. (1991) Disablement and the ideological crisis in health care. Social Science and Medicine, 33, 517–24.Google Scholar
World Health Organisation (2011) World Report on Disability 2011. World Health Organisation.Google Scholar

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