Click here to skip to content

Welfare Reform on the Web (October 2011): Mental health services - UK

Access to healthcare services by people with intellectual disabilities: a rural-urban comparison

L. Nicholson and S.A. Cooper

Journal of Intellectual Disabilities, vol.15, 2011, p. 115-130

A number of recent reviews and consultation documents have highlighted the fact that access to healthcare services is poorer in rural areas. There is also considerable evidence that people with intellectual disabilities have poorer access to a wide range of services including healthcare. It was therefore hypothesised that adults with intellectual disabilities would have particular difficulties accessing healthcare services in rural areas. This study compared access to a range of healthcare services by rural and urban adults with an intellectual disability in Scotland. Contrary to the original hypothesis, adults with intellectual disabilities living in rural areas were not found to be disadvantaged.

Assessing the impact of social exclusion on mental health in Gypsy, Roma and Traveller communities

A. Y.-H. Lau and M. Ridge

Mental Health and Social Inclusion, vol.15, 2011, p.129-137

Gypsy, Roma and Traveller communities are some of the most excluded groups in contemporary Britain. This article draws on psychiatric and social work perspectives to review key areas in which social exclusion impacts on the mental health of members of these communities. The context of significant cuts in public sector budgets and changes to the commissioning landscape mean that there are serious risks of these vulnerable communities being further marginalised. It is concluded that the new health and wellbeing boards that will be responsible for service commissioning need to reach out to and engage with Gypsy, Roma and Traveller communities. Culturally sensitive and informed counselling services, moves to reduce distrust of statutory social services, and expansion of caravan site provision for travellers are proposed.

Compounding conditional citizenship: to what extent does Scottish and English mental health law increase or diminish citizenship?

K. Mackay

British Journal of Social Work, vol. 41, 2011, p. 931-948

English and Scottish mental health legislation has diverged since devolution. The 2003 Mental Health (Care and Treatment) (Scotland) Act is regarded as taking a more rights based approach than England's 2007 Mental Health Act. This article looks at how the conditional citizenship of people defined as having a mental disorder might be further compounded by definitions and decision-making processes within the statute in England and Scotland using a judging-with-care approach. The comparison demonstrated that the Scottish statute compounded the already conditional nature of citizenship to a lesser degree due to tougher grounds for compulsion, use of an independent legal decision-making forum for compulsory treatments and therefore greater procedural rights. It also revealed that the Scottish government had given wider participation rights and created the potential for the pursuit of social rights.

Learning disabilities: towards inclusion, 6th ed.

H. Atherton and D. Crickmore (editors)

[Edinburgh]: Churchill-Livingstone-Elsevier, 2011

This is one of the leading textbooks in the field. It offers real ways to improve quality of experience for people with learning disabilities in all areas of life. This new edition brings together a comprehensive and coherent collection of material from eminent authors with a wealth of professional backgrounds and roles. Its contemporary focus reflects practice developments including the impact of changing policy and legislation on the nature and configuration of services.

Mental Capacity Act 2005: not the Children Act for grown-ups: the procedural hurdles

N. Pearce and S. Jackson

Family Law, Aug. 2011, p. 856-862

This article explores how court procedure under the Children Act 1989 and the Mental Capacity Act 2005 differs. It warns practitioners and the courts against treating the law as it relates to adults who lack capacity in the same way as proceedings under the Children Act. The Mental Capacity Act 2005 promotes the empowerment and participation of those lacking capacity in decision-making rather than simply providing dispute resolution between competing litigants. Its effectiveness must not be diminished through the import of practice and procedures based on the Children Act.

Promoting wellbeing in young people

W. Mistral

British Journal of Healthcare Management, vol. 17, 2011, p. 334-338

Half of mental health disorders begin before the age of 14, and 10% of UK children have a diagnosable mental health disorder. There is good evidence that the social environment, in families and in school, mediates risks for psychological problems. It is necessary for mental health services to work with schools and families both to relieve current suffering and to reduce the likelihood of future problems.

Reflections upon the development of a dementia screening service for individuals with Down's syndrome across the Hyndburn and Ribble Valley area

V. Cairns, I. Lamb and E. Smith

British Journal of Learning Disabilities, vol. 39, 2011, p. 198-208

People with Down's Syndrome are at high risk of developing dementia, and as such research encourages services to take a proactive approach by providing baseline and regular screening assessments to this population. This paper describes the process of development of the Down's Syndrome and Dementia Service currently operating in the Hyndburn and Ribble Valley area of East Lancashire. The service conducts routine screening assessments, provides interventions for individuals where concerns arise, and delivers training to carers.

Social exclusion and mental health: how people with mental health problems are disadvantaged: an overview

J. Boardman

Mental Health and Social Inclusion, vol. 15, 2011, p. 112-121

This paper presents an overview of social exclusion and the ways in which people with mental health problems are excluded from mainstream society in contemporary Britain. It summarises the main findings of the Royal College of Psychiatrists Scoping Group on Social Exclusion and Mental Health. 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 neighbourhoods, from civic participation, and from health and health services.

Work and the mental health crisis in Britain

C. Walker and B. Fincham

Chichester: Wiley, 2011

Based on recent data gathered from employees and managers in the UK, this book challenges the cultural maxim that work benefits people with mental health difficulties, and illustrates how particular cultures and perceptions can contribute to a crisis of mental wellbeing at work. It meets a need for an up-to-date, detailed work that explores the ways that mental health and work experiences are constructed, negotiated, constrained and at times, marginalised.

Search Welfare Reform on the Web