Social exclusion and mental health

Morgan, Craig; Burns, Tom; Fitzpatrick, Ray; Pinfold, Vanessa; Priebe, Stefan

doi:10.1192/bjp.bp.106.034942

Cited by 246 publications

(101 citation statements)

References 34 publications

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“…A critical stance can be taken, exposing current discourses in a different light (Morgan et al 2007;Secker 2009). Parr, Philo, and Burns (2004) suggested that much of what was considered to be 'social inclusion' at the time was in fact about 'economic inclusion', as if the two were synonymous.…”

Section: Discussionmentioning

confidence: 99%

Visualising a safe space: the perspective of people using mental health day services

Bryant

Tibbs

Clark

2011

Disability & Society

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Day services for people using mental health services have been required to refocus on social inclusion rather than building-based services. This research explored how this policy was perceived by people using such services, using photography to capture their experience of areas of a mental health resource centre. An action research group took the photographs and analysed them for themes. The second author created a model to summarise the findings. Having a safe space was essential for getting involved, forming social networks and moving on. Constant organisational and staff changes impacted on this process. The findings raise questions about social inclusion. A safe space has been identified as centrally important, giving people a refuge, social contact and meaningful occupation.

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Section: Discussionmentioning

confidence: 99%

Visualising a safe space: the perspective of people using mental health day services

Bryant

Tibbs

Clark

2011

Disability & Society

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“…Until now, no generally accepted and validated instrument has been developed to measure social exclusion in health research [3], [22]–[25], even though such an instrument is considered paramount to improve our understanding of how social exclusion influences health and health inequalities [2]–[4], [22], [26], [27]. The index discussed in this article is not only relevant for the Netherlands, but may be applied in other public health surveillance systems as well, such as the Centers for Disease Control and Prevention National Health Interview Survey [28], the Health Survey for England [29] and the Italian risk factor surveillance system PASSI [30].…”

Section: Discussionmentioning

confidence: 99%

Measuring Social Exclusion in Routine Public Health Surveys: Construction of a Multidimensional Instrument

et al. 2014

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IntroductionSocial exclusion is considered a major factor in the causation and maintenance of health inequalities, but its measurement in health research is still in its infancy. In the Netherlands the Institute for Social Research (SCP) developed an instrument to measure the multidimensional concept of social exclusion in social and economic policy research. Here, we present a method to construct a similar measure of social exclusion using available data from public health surveys.MethodsAnalyses were performed on data from the health questionnaires that were completed by 20,877 adults in the four largest cities in the Netherlands. From each of the four questionnaires we selected the items that corresponded to those of the SCP-instrument. These were entered into a nonlinear canonical correlation analysis. The measurement properties of the resulting indices and dimension scales were assessed and compared to the SCP-instrument.ResultsThe internal consistency of the indices and most of the dimension scales were adequate and the internal structure of the indices was as expected. Both generalisabiliy and construct validity were good: in all datasets strong associations were found between the index and a number of known risk factors of social exclusion. A limitation of content validity was that the dimension “lack of normative integration” could not be measured, because no relevant items were available.ConclusionsOur findings indicate that a measure for social exclusion can be constructed with available health questionnaires. This provides opportunities for application in public health surveillance systems in the Netherlands and elsewhere in the world.

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“…Poor mental health may be both a cause and a consequence of social exclusion (Morgan, Burns, Fitzpatrick, Pinfold & Priebe, 2007; Payne, 2006; Social Exclusion Unit, 2004). However, most research has investigated social exclusion among people with common mental disorders such as depression and anxiety (Boardman, Currie, Killaspy & Mezey, 2010).…”

Section: Introductionmentioning

confidence: 99%

The impact of psychosis on social inclusion and associated factors

Killaspy

White

Lalvani

et al. 2013

Int J Soc Psychiatry

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Background:People with mental health problems are known to be socially excluded but the contribution of pre-morbid characteristics, symptoms and needs, and the impact on quality of life is unknown.Aims:To investigate change in social inclusion after the development of a psychotic Illness and factors associated with this.Methods:A cross-sectional community survey of people with psychosis was carried out in three areas of London. Five domains of social inclusion (social integration, consumption, access to services, productivity, political engagement) were assessed prior to the onset of illness and currently using the Social Inclusion Questionnaire User Experience. Quality of life, symptoms and needs were also assessed using standardized measures. Factors associated with change in social inclusion were investigated using multiple regression.Results:Productivity and social integration among the 67 participants reduced after the onset of psychosis. Older age at onset and longer duration of illness were associated with greater reduction in productivity. Less reduction in social integration was associated with greater quality of life. Participants reported barriers to social inclusion that were directly related to symptoms of their illness, low confidence and poor self-esteem.Conclusions:A greater focus on interventions that can facilitate the occupation and the social networks of people with psychosis is required. Interventions that tackle ‘self-stigma’ may also prove useful in mitigating the social exclusion experienced by people with psychosis.

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Social exclusion and mental health

Cited by 246 publications

References 34 publications

Visualising a safe space: the perspective of people using mental health day services

Visualising a safe space: the perspective of people using mental health day services

Measuring Social Exclusion in Routine Public Health Surveys: Construction of a Multidimensional Instrument

The impact of psychosis on social inclusion and associated factors

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