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Chapter 9 - Mental Health Inequalities and Exclusion

from Section 2 - Participation of People with Mental Health Conditions

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 introduces Section 2 of the book and briefly examines the social inequalities that are risk factors for mental health conditions. Not only do we find that inequalities are associated with the prevalence of mental ill-health, the most disadvantaged also tend to have reduced access to mental health and social services, and, when they do access help, the quality of their experiences and outcomes are often poorer. The chapters in Section 2 examine the social exclusion of people with mental health conditions in five areas of reduced participation: exclusion from material resources, productive activity, social relations and neighbourhoods, civic participation, and health and health services.

Keywords

Social InequalitiesService AccessSocio-economic StatusDeprivationInverse Care Law
Type
Chapter
Information
Social Inclusion and Mental Health
Understanding Poverty, Inequality and Social Exclusion
 , pp. 187 - 193
Publisher: Cambridge University Press
Print publication year: 2022

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References

Agerbo, E., Byrne, M., Eaton, W. W., et al. (2004) Marital and labor market status in the long run in schizophrenia. Arch Gen Psychiatry 61, 28–33.Google Scholar
Allen, J., Balfour, R., Bell, R., & Marmot, M. (2014) Social determinants of mental health. International Review of Psychiatry 26, 4, 392–407.CrossRefGoogle ScholarPubMed
Braveman, P. A., Cubbin, C., Egerter, S., et al. (2005) Socioeconomic status in health research: One size does not fit all. JAMA. 294, 2879–88. https://doi.org/10.1001/jama.294.22.2879.Google Scholar
Burns, J. K. Tomita, A., & Kapadia, A. S. (2014) Income inequality and schizophrenia: Increased schizophrenia incidence in countries with high levels of income inequality. Int J Soc Psychiatry 60, 2, 85–96. https://doi.org/10.1177/0020764013481426.Google Scholar
Butterworth, P., Rodgers, B., & Windsor, T. D. (2009) Financial hardship, socio-economic position and depression: Results from the PATH Through Life Survey. Social Science & Medicine 69, 229–37.CrossRefGoogle ScholarPubMed
Brown, A. S., Susser, E. S., Jandorf, L., & Bromet, E. J. (2000) Social class of origin and cardinal symptoms of schizophrenic disorders over the early illness course. Soc Psychiatry Psychiatr Epidemiol 35, 53–60.Google Scholar
Centre for Mental Health (2020a) Briefing 1: Determinants of mental health. Centre for Mental Health.Google Scholar
Centre for Mental Health (2020b) Briefing 2: Access to mental health support. Centre for Mental Health.Google Scholar
Compton, M. T., & Shim, R. S. (2015) The social determinants of mental health. Focus 13, 419–25.Google Scholar
Curran, C., Burchardt, T., Knapp, M., McDaid, D., & Li, B. (2007) Challenges in multidisciplinary systematic reviewing: A study on social exclusion and mental health policy. Social Policy and Administration 41, 3, 289–312.Google Scholar
Dalgard, O. D. (2008) Social inequalities in mental health in Norway: Possible explanatory factors. International Journal for Equity in Health, 7:27. https://doi.org/10.1186/1475-9276-7-27.CrossRefGoogle ScholarPubMed
Delgadillo, J., Asaria, M., Ali, S., & Gilbody, S. (2015) On poverty, politics and psychology: The socioeconomic gradient of mental healthcare utilisation and outcomes. British Journal of Psychiatry 209, 5, 429–30. https://doi.org/10.1192/bjp.bp.115.171017.Google Scholar
Dohrenwend, B. R. (1990) Socioeconomic status (SES) and psychiatric disorders. Are the issues still compelling? Soc Psychiatry Psychiatr Epidemiol 25, 41–7.Google Scholar
Dohrenwend, B. R. & Dohrenwend, B. S. (1969) Social Status and Psychological Disorder: A Causal Inquiry. Wiley.Google Scholar
Eaton, W. (1974) Residence, social class, and schizophrenia. J Health Soc Behav 15, 289–99.CrossRefGoogle ScholarPubMed
Eaton, W. W., Muntaner, C., Bovasso, G., & Smith, C. (2001) Socioeconomic status and depressive syndrome: The role of inter- and intra-generational mobility, government assistance, and work environment. J Health Soc Behav 42, 3, 277–94.CrossRefGoogle ScholarPubMed
Faris, R. E. L., & Dunham, H. W. (1939) Mental Disorders in Urban Areas: An Ecological Study of Schizophrenia and Other Psychoses. Chicago University Press.Google Scholar
Fryers, T., Melzer, D. & Jenkins, R. (2003) Social inequalities and the common mental disorders. Social Psychiatry and Psychiatric Epidemiology 38, 229–37.CrossRefGoogle ScholarPubMed
Fryers, T., Melzer, D., Jenkins, R., & Brugha, T. (2005) The distribution of the common mental disorders: Social inequalities in Europe. Clinical Practice and Epidemiology in Mental Health 1, 14.https://doi.org/10.1186/1745-0179-1-14.Google Scholar
Häfner, H, Nowotny, B., Löffler, W., der Heiden, W., & Maurer, K. (1995) When and how does schizophrenia produce social deficits? Eur Arch Psychiatry Clin Neurosci 246, 17–28.CrossRefGoogle ScholarPubMed
Harrison, G., Gunnell, D., Glazebrook, C., Page, K., & Kwiecinski, R. (2001) Association between schizophrenia and social inequality at birth: Case-control study. Br J Psychiatry 179:346–50. https://doi.org/10.1192/bjp.179.4.346.Google Scholar
Hart, J. T. (1971) The inverse care law. Lancet 1, 7696, 405–12.Google Scholar
Henderson, C., Thornicroft, G., & Glover, G. (1998) Inequalities in mental health. British Journal of Psychiatry 173, 105–9.Google Scholar
Hollingshead, A. B., & Redlich, F. C. (1958) Social Class and Mental Illness. Wiley.Google Scholar
Jarvis, E (1971) Insanity and Idiocy in Massachusetts: Report of the Commission of Lunacy, 1855. Harvard University Press.Google Scholar
Knifton, L. & Inglis, G. (2020) Poverty and mental health: Policy, practice and research implications. BJPsych Bulletin 44, 193–6. https://doi.org/10.1192/bjb.2020.78.Google Scholar
Leighton, D. C., Harding, J. S., Macklin, D. B., Macmillan, A. M, & Leighton, A. H. (1963) The Character of Danger: The Stirling County Study of Psychiatric Disorder and Sociocultural Environment, vol 3. Basic Books.Google Scholar
Lorant, V., Deliège, D., Eaton, W., Robert, A., Philippot, P, & Ansseau, M. (2003) Socioeconomic inequalities in depression: A meta-analysis. Am J Epidemiol 157, 98–112.CrossRefGoogle ScholarPubMed
Marryat, L. & Frank, J. (2019) Factors associated with adverse childhood experiences in Scottish children: A prospective cohort study. BMJ Paediatrics Open 3: e000340. https://doi.org/10.1136/bmjpo–2018–000340.CrossRefGoogle ScholarPubMed
Melzer, D., Fryers, T. & Jenkins, R. (2004) Social inequalities and the distribution of the common mental disorders (Maudsley Monographs 44). Psychology Press.Google Scholar
Mezey, G., White, S., Thachil, A., et al. (2013) Development and preliminary validation of a measure of social inclusion in mental health settings. Int J Soc Psychiatry 59, 5, 501–7. https://doi.org/10.1177/0020764012443752.Google Scholar
Mezey, G., White, S., Killaspy, H., et al. (2020) Validity, reliability acceptability and utility of the Social Inclusion Questionnaire User Experience (SInQUE): A clinical tool to facilitate social inclusion amongst people with severe mental health problems. Social Psychiatry and Psychiatric Epidemiology 55, 953–64.Google Scholar
Muntaner, C., Borrell, C., & Chung, H. (2007) Class relations, economic inequality and mental health: Why social class matters to the sociology of mental health. In Mental Health, Social Mirror (ed. Avison, W. R., McLeod, J. D., and Pescosolido, B. A.) Springer, pp. 127–41.Google Scholar
Muntaner, C., Eaton, W., and Diala, C. (2000) Socioeconomic inequalities in mental health: a review of concepts and underlying assumptions. Health 4, 82–106.Google Scholar
Muntaner, C., Eaton, W. W., Miech, R., and O’Campo, P. (2004) Socioeconomic position and major mental disorders. Epidemiologic Reviews 26, 53–62. https://doi.org/10.1093/epirev/mxh001.Google Scholar
NHS Health Scotland (2019) Adverse Childhood Experiences in Context. NHS Health Scotland.Google Scholar
Pickett, K. E. and Wilkinson, R. G. (2010) Inequality: an underacknowledged source of mental illness and distress. British Journal of Psychiatry 197, 6, 426–428. https://doi.org/10.1192/bjp.bp.109.072066.Google Scholar
Platt, S. Stace, S., and Morrissey, J. (2017) Dying from Inequality: Socioeconomic Disadvantage and Suicidal Behaviour. Samaritans.Google Scholar
Rogers, A. & Pilgrim, D. (2003) Mental Health and Inequality. Palgrave Macmillan.Google Scholar
Samele, C., van Os, J., McKenzie, K., et al. (2001) Does socioeconomic status predict course and outcome in patients with psychosis? Soc Psychiatry Psychiatr Epidemiol 36, 573–81.Google Scholar
Scott, K. M., Al-Hamzawi, A. O., Andrade, L. H., et al. (2014) Associations between subjective social status and DSM-IV mental disorders: Results from the World Mental Health Surveys. JAMA Psychiatry. 71, 12, 1400–8. https://doi.org/0.1001/jamapsychiatry.2014.1337.Google Scholar
Silva, M., Loureirob, A., & Cardosoa, G. (2016) Social determinants of mental health: a review of the evidence. Eur. J. Psychiat. 30, 4, 259–92.Google Scholar
Srole, L., Langner, T. S., Michael, S. T., Opler, M. K., & Rennie, T. A. C. (1962) Mental Health in the Metropolis: The Midtown Study, Vol 1. McGraw-Hill.Google Scholar
Stansfeld, S. A., Head, J., Fugrer, R., Wardle, J., & Cattell, V. (2003) Social inequalities in depressive symptoms and physical functioning in the Whitehall II study: Exploring a common cause explanation. Journal of Epidemiology and Community Health, 57, 361–7.CrossRefGoogle ScholarPubMed
Titmuss, R. (1976) A Commitment to Welfare. 2nd ed. Allen & Unwin.Google Scholar
Watt, G. (2018) The inverse care law revisited: A continuing blot on the record of the National Health Service. British Journal of General Practice 68, 62–3. https://doi.org/10.3399/bjgp18X699893.CrossRefGoogle ScholarPubMed
Wilkinson, R. & Pickett, K. (2009) The Spirit Level: Why More Equal Societies Almost Always Do Better. Penguin.Google Scholar

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