Monday, May 20, 2019
Mental Health and Social Inclusion
Title An examination of hearty exclusion polity and its effect on adults of a influenceing age with serious psychical wellness paradoxs To begin, this essay impart briefly particularise the term hearty exclusion and its historical postground. It entrust then move on to the political history of hearty exclusion in the United Kingdom. Particularly the essay willing centralize on the reasons behind un conflict, and the resulting effect of excluding peck from society.The policies around interlocking and the bring in system will be discussed in some detail, and their consequences on pretending age adults, including those with serious long term mental health issues. The French socialist political science termed the phrase social exclusion in the 1980s it was used to define a group of population living on the edge of society whom did not call for nark to the system of social insurance (Room, 1995 citied in Percy-Smith 2000). The concept of social exclusion has been defi ned in umteen different ways since then.The European commission defines social exclusion as referring to the multiple and changing factors resulting in people being excluded from the normal exchanges, practices and rights of modern society (Commission of the European Communities, 1993 quoted in Percy-Smith 2000 p. 3). This was a move outdoor(a) from using the term underclass in the UK, which was not an acceptable phrase to some, as it was more than(prenominal) link to p overty (Lavallette et al, 2001). The term social exclusion pointed at a much more complicated problem rather than incisively money, if you were excluded something or somebody was excluding you and that could be sorted out.Although for some this overbold phrase just represented a new form of the word poverty (Room, 1995 citied in Lavallette). In the UK the New dig up government set up the interdepartmental social exclusion unit in 1997 (Percy-Smith, 2000). Its depends were to to find joined-up solutions to th e joined-up problems of social exclusion (No10 Website, 2004). The social exclusion task force tames within a number of government departments such as work and pension, children school and family and the ministry of justice (No10 Website, 2004)The social exclusion unit published a series of reports in 1997 that criticised the way both central and local government had failed deprived groups and areas (Batty, 2002). It found that deprived areas had fewer basic services such as GP surgeries and that lower-ranking causal agent had been made to reintegrate some who had been excluded through unemployment (Batty, 2002). Unemployment is seen as one of the main causes of social exclusion (Percy-Smith, 2000). beingness unemployed can have serious effects on a persons confidence, thought of purpose and motivation (Percy-Smith, 2000).The person who works is seen as a full citizen, paying tax and lend to society (Baldock et al, 1999). Unemployment can also be linked to mental health a perso n is twice as give carely to suffer from depression if they are not working. ( department of health, 1999). The period since the 1960s saw a distinct decline in the British manufacturing industry leading to a shift in the figure of work available, the service celestial sphere and takeice establish jobs replaced the manual jobs and altered the pattern of demand in the labour market. Baldock et al, 1999) The unemployment rate for semi skilled / unskilled workers if four times that compared to managerial / professional workers (Percy-Smith, 2000). Those people who live in areas with downcast demand for low skilled workers are passing likely to be unemployed for a very long time, leading to a near permanency in exclusion from the labour market (Percy-Smith, 2000). Welfare to work policies were the answer from the Labour government in 1997, They set out plans to encourage people back into the labour market.Labour came up with the New Deal family of policies. These where aimed at specific groups. For example young people, adults and new deal for people with a check (Percy-Smith, 2000). One of the results of this policy was to create Job centre plus from a merger of the Employment Service and the Benefits Agency. (Hoben, no betrothal given) The Tories previously had set up the job seekers allowance, which had changed the Insurance-based unemployment benefit. (Baldock et al, 1999).With this allowance you had to prove you were actively seeking employment or you would not get your allowance. People who became unemployed would have to go for an initial call into question where an adviser prepares an proceeding plan, then short interviews are conducted every two workweeks to review the demandants success at gaining new employment and to look at new job vacancies (Percy-Smith, 2000). New deal gateway is aimed at 18 24 stratum olds who had been out of work for 6 months. This offers subsidised work experience within the unbidden sector or with an employer with a ? 0 a week incentive. overly full time education/ develop is offered to those who did not have comfortable qualifications up the recognized NVQ level two. Young people also have an allocated personal advisor who offers assistance around job seeking, careers advice and in some circumstances drugs/homelessness advice (Percy-Smith, 2000). Anyone who refuses to get up these incentives will have their benefit cut. As Gordon Brown put it (the then Chancellor of the Exchequer) there will be no option to stay at home in bed and watch boob tube (Baldock et al, 1999 p149).For people aged twenty five and above who have been on job seekers allowance for over six months then become bailable for a different set of measures, before becoming eligible for the New Deal. This is called restart. Work trials are offered as well as overhaul with interview techniques and CVs writing skills. After twelve months if the mortal has not found work they assure a five-day job plan workshop to asse ss the individuals job prospects. This happens again at eighteen months. If later two years they are still unemployed this is when New Deal applies. New Deal offers prep grants as well as an employment credit similar to that of the new deal gateway of 60 pounds a week and the benefit of a personal advisor. The budget for this was ? 250 million for the three years mingled with 1999 and 2002 (Percy-Smith, 2000) It can be argued that jobseekers allowance forces people back to work or forces them to appear to be tone for work in a desperate attempt to keep their benefit. It can be seen as correctional (Percy-Smith, 2000) and with no option to opt out, and it does not actually increase the amount of jobs available.Without the creation of a sufficient number of jobs, people whitethorn lose their benefit, though not through lack of trying (Baldock et al, 1999). Also critics have commented on the cost of the new deal strategy with some say this money could be better used creating more jobs. (Percy-Smith, 2000) Other arguments against new deal look at the timescale difference between the young people and adult services, it cost a lot less to intervene early when someone becomes unemployed so why wait for two years in the case of the adult new deal. (Percy-Smith, 2000).The new deal policy has been quite effective, particularly at getting young people back into the labour market. However, for people with long term significant mental health problems conclusion paid work can be very difficult. (Layard, 2005) If social exclusion can be linked to unemployment then for people with mental health issues they are excluded by default, with not only unemployment only when with the social stigma associated with their mental health difficulties (Layard, 2005). There are now more mentally ill people on fatuity benefit than there are unemployed people on jobseekers allowance (Layard, 2005 p1).Evidence suggests that work can be very therapeutic for people with mental health pr oblems, but it seems doctors are sceptical about their patients finding and holding down jobs. (Layard, 2005) The problem gets worse the longer the person is on benefits, and as time passes social isolation increases and motivation decreases (Layard, 2005). Ninety percent of people on incapacity benefit say they would like to return to work but would find it very hard to find a job that pays as much as the benefit they receive (Layard, 2005).However, it has been an underlying trend in offbeat policy that low paid work should always be the better option than state handouts. This goes way back to the paltry law of 1832 where the workhouse provided the last option for very poor families, providing food and shelter for the exchange of labour. For most of those who lived in these workhouses life expectancy significantly dropped upon entering these desperate places (Higginbotham, 2008). In current times, however, sacrificing benefits and returning to work may mean a compromise in qualit y of life.People receiving incapacity benefit may also claim housing benefit, council tax benefit, free prescriptions and discretionary loans from the social fund to buy large more overpriced items (Alcock, 2003). With all this help in place it is quite lite to see why people with a mental illness are unlikely to want to go back to full time employment and run the risk of losing money. This is known as the benefit trap. There is another problem, people who have been on benefits for a long time lack the right qualifications to join the labour market (Dummigan, 2007), increasing social exclusion.If a mentally ill person wanted to find a job but had little or no skills, the choices are very narrow normally leading to a low charter job, again fashioning it unlikely for the individual to want to come off his/her benefits (Dummigan, 2007). The government has tried to tame this problem by offering further incentives to get people back to work, such as disability tax credits that offer a tax break should some one find work but there is limited awareness of the financial incentives to return to work (Percy-Smith, 2000).Pathways to work is a juvenile government initiative with the aim of getting the recipients of incapacity benefit back to work, the claimant will have to take a personal capability assessment which is used to determine whether or not the person is eligable for the benefit, but will focus on what the customer can do rather than what they cant ( discussion section of work and pensions, 2007).A mandatary work focused interview will also take place eight weeks after making the intial claim followed by a screening tool to establish who will have to have more work focused interviews and those who will be exempt from further manditory participation (Department of work and pensions, 2007). Pathways to work will offer a range of programmes to support the customer in preparing for work with a fourty pounds a week incentive or credit for twelve months if thei r salary is below fifteen thousand pounds a year (Department of work and pensions, 2007).Pathways to work is currently operating in fourty percent of the country. In an interesting move, the remaining threescore percent of pathway to work providers will be from the public sector leading to critism that the government is privatising the welfare system. The governments chief welfare to work adviser, David Freud, said tardily I worked out that it is economically rational to exceed up to sixty thousand pounds on getting the average person on incapacity benefit into work, somebody will see a gap in the market and make their fortune. (Quoted in Vaux, 2008).Some voluntary sector organizations have criticized the rather aggressive approach taken by the public sector organizations in winning the contracts, and feel that the voluntary sector would be in a better position to tolerate the contracts (Vaux, 2008). Mind charity has criticized the pathways to work initiative stating it places all the emphasis on the individual to find work, yet, it saidtherewas no obligation on employers to actively recruit people with mental health problems. It would also seem that if you disclose to an employer that you have a mental health problem you are more likely to be sacked before your sane colleagues.Also there is a lack of support in the work place for mental health sufferers, which lead to higher sickness rate, which in turn puts off employers recruiting future pathways to work employees (Lombard, 2008). In the recent action plan on social exclusion stretch out the government recognizes the need for encouragement in the workplace for recruiting people with mental health issues and supports employer based anti-stigma campaigns. It also states that the government alone cannot address social exclusion, and that the wider community has a role to play.But most of all, the individual must want progress for themselves and those around them (Reaching Out, 2008). In the last five yea rs mental health services have improved greatly (Layard, 2005) Better treatment and early intervention have authorize people to control their own lives, but though these services have improved the medical condition, mentally ill people still suffer from exclusion from society. The association with dependency that being on benefits brings leads to a segregation (Percy-Smith, 2000). In conclusion, social exclusion is a far reaching problem and not an easy task to overcome.Evidence suggests that the government still identifies the problem with unemployment and poverty, and has taken a great deal of measures in providing policies that aim to get people back into the work place. Unfortunately for some, as has been shown, work is not always a viable or the best option, and people who fall under this category may stay on the boundaries of society due to no fault of their own, or be forced into working at the impairment of their health. The changes around the incapacity benefit rules may leave some people worse off than when on benefits and this may increase the chances of a relapse in mental ealth issues, which in turn will make them less employable, continuing the cycle of social exclusion. As we enter another recession and unemployment rises again, this is likely to be a huge focus, and the government will have to rethink existing policies around unemployment. Those who are recently unemployed must be given sufficient support to regain employment to avoid fall into the benefit trap in order to avoid the danger of becoming socially excluded. Bibliography Alcock, P (2003) brotherly policy in Britain, Basingstoke, PalgraveBaldock J, Manning N, Miller S & Vickerstaff S (1999) social Policy. Oxford University press, Oxford Lavalette,M & Pratt A (2001) Social Policy a conceptual and theoretical introduction. Sage publications London Percy-Smith, J (2000) Policy responses to social exclusion. Open university press. Oxford Batty, D (2002) Social exclusion the issue ex plained (Online), available at http//www. guardian. co. uk/society/2002/jan/15/socialexclusion1 (accessed on 28/10/08) Department for work and pensions, (2008) Pathways to work process. (Online) Available at http//www. dwp. gov. k/welfarereform/pathways_process. asp (accessed on 5/12/08) Department of health, (1999) National service framework for mental health, modern standards and service models. (Online) available at http//www. dh. gov. uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4009598 (accessed on 1/12/08) Dummigan, G (2007) The benefit trap. (Online) available at http//news. bbc. co. uk/1/hi/programmes/politics_show/6403329. stm (accessed on 4/12/08) Higginbotham, P (2008) Poor laws (Online) available from http//www. workhouses. org. uk(accessed on 4/12/08)Hoban,M & Thomas, J (No find given) DW response to welfare to work discussion paper. (Online) available at http//www. voicefromthewheelchair. co. uk/pages/dw-response-to-welfare-to-work (a ccessed on 1/12/08) Layard, R (2005) Mental health Britains biggest social problem? (Online) Available from http//cep. lse. ac. uk/textonly/research/mentalhealth/RL414d. pdf (accessed on 1/12/08) Lombard, D (2008) The replacement of incapacity benefit. (Online), available at http//www. communitycare. co. uk/Articles/2008/10/27/109795/incapacity-benefit-reform-will-leave-some-disabled-people-worse-off. tml (accessed on 5/12/08) Reaching out, (2006) An action plan on social exclusion (Online), available from http//www. cabinetoffice. gov. uk/media/cabinetoffice/social_exclusion_task_force/assets/reaching_out/chapter1. pdf (accessed on 28/10/08) Social exclusion trends show success (2004) Online, available from http//www. number10. gov. uk/page5544 (accessed on 28/10/08) Vaux, G (2008). Pathways to work, to help those unfit for work. (Online), available at http//www. communitycare. co. uk/Articles/Article. aspx? liArticleID=107551&PrinterFriendly=true (accessed on 1/12/08)
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