ConclusionsAlternatives to standard acute psychiatric wards represent an important, but previously undocumented and unevaluated, sector of the mental health economy. Further evidence is needed to assess whether they can improve the quality of acute in-patient care.
Declaration of interestNone.
Purpose-This paper aims to provide an overview of social exclusion and the way in which people with mental health problems are excluded from mainstream society in contemporary Britain. Design/methodology/approach-The paper presents the main findings of the work of the Royal College of Psychiatrists Scoping Group on Social Exclusion and Mental Health. Findings-An individual is socially excluded if he or she does not participate in key activities of the society in which he or she lives. People with mental health problems, particularly those with long-term psychoses, are among the most excluded groups in the UK. They may be excluded from material resources (poverty), from socially valued productive activity, from social relations and neighborhoods, from civic participation and from health and health services. Originality/value-The findings of the Scoping Group provide an up to date view of the exclusion in people with mental health problems in the UK.
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