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Social Inclusion and Mental Health
Social Inclusion and Mental
Health
Edited by Jed Boardman, Alan Currie,
Helen Killaspy and Gillian Mezey
Social inclusion
and mental health
Edited by Jed Boardman, Alan Currie,
Helen Killaspy and Gillian Mezey
RCPsych Publications
© The Royal College of Psychiatrists 2010
RCPsych Publications is an imprint of the Royal College of Psychiatrists,
17 Belgrave Square, London SW1X 8PG
http://www.rcpsych.ac.uk
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form
or by any electronic, mechanical, or other means, now known or hereafter invented, including
photocopying and recording, or in any information storage or retrieval system, without permission
in writing from the publishers.
British Library Cataloguing-in-Publication Data.
A catalogue record for this book is available from the British Library.
ISBN 978 1 904671 87 9
Distributed in North America by Publishers Storage and Shipping Company.
The views presented in this book do not necessarily relect those of the Royal College of
Psychiatrists, and the publishers are not responsible for any error of omission or fact.
The Royal College of Psychiatrists is a charity registered in England and Wales (228636)
and in Scotland (SC038369).
Printed by Bell & Bain Limited, Glasgow, UK.
Contents
List of contributors
v
List of tables, boxes and igures
vii
Foreword by Dinesh Bhugra
xi
Preface
xii
Acknowledgements
xiv
Scoping Group on Social Inclusion, Royal College of Psychiatrists
xvi
Part 1 – What is social exclusion?
1 Introduction
3
Jed Boardman, Alan Currie, Helen Killaspy and Gillian Mezey
2 Concepts of social exclusion
10
Jed Boardman
3 Social exclusion of people with mental health problems
and learning disabilities: key aspects
22
Jed Boardman
4 Policy and social exclusion
46
Jed Boardman
5 How is social exclusion relevant to psychiatry?
71
Jed Boardman and Helen Killaspy
6 Socially inclusive working across the psychiatric subspecialties
86
Helen Killaspy, Gillian Mezey, Jed Boardman and Alan Currie
Part 2 – Social exclusion: the scope of the problem
7 The extent of disadvantage, poverty and social exclusion
in the UK
101
Jed Boardman and Kwame McKenzie
8 How are people with mental health problems excluded?
135
Jed Boardman
iii
social inclusion and mental health
9 Social exclusion in speciic social groups and individuals
with mental health problems
173
Jed Boardman, Alan Currie, Helen Killaspy, Kwame McKenzie
and Gillian Mezey
10 Social exclusion and people with mental health problems:
developing a clearer picture
210
Jed Boardman
11 Finding acceptance: the experiences of people who use
mental health services
232
Rosemary Wilson, Mike Osborne and Susan Brook
12 Social inclusion from the carer’s perspective
259
David Chang, Mike Osborne, Rosemary Wilson and Susan Brook
Part 3 – Working towards inclusive psychiatry
13 Social inclusion: research and evidence-based practice
279
Geoff Shepherd, Michael Parsonage and Tom Scharf
14 Implications of social inclusion for individual practice
295
Alan Currie
15 Socially inclusive mental health services: what will they
look like?
311
Helen Killaspy and Jed Boardman
16 Training for socially inclusive practice
331
Jed Boardman, Alan Currie, Helen Killaspy and Gillian Mezey
17 Community mental health and the inclusion–exclusion seesaw 345
Tom K. J. Craig
18 Socially inclusive practice and psychiatry in the 21st century
359
Jed Boardman, Alan Currie, Helen Killaspy and Gillian Mezey
Index
376
iv
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