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Chapter 13 - Exclusion from Health and Health Services

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

In this chapter we look at the social inequalities of physical health in relation to the poorer physical health experienced by people with mental health conditions and their access to health services. People with mental health conditions often experience a ‘triple jeopardy’: they experience an excess of physical health problems relative to their peers in the general population, are more likely to get serious forms of physical illness, and, once diagnosed, are more likely to die within five years. They face greater difficulties accessing good-quality healthcare than people without mental health conditions. These distinct findings also give us an illustration of the complex pathways involved in the exclusionary processes, this time linking mental and physical health conditions and outcomes through a synchrony of broader structural factors, social inequalities, early life experiences, life course adversities, risky health behaviours, the nature of the mental health condition, the medications prescribed, and the discriminatory attitudes prevalent in public services and in broader society. They also point to the need to clearly appreciate the disabilities associated with mental health conditions and to develop broad public health approaches to address these inequalities in health outcomes.

Keywords

Health InequalitiesService AccessSocial inequalitiesDiscriminationDisabilityImpairmentFunctioningSyndemicsAdverse Childhood ExperiencesLife Course
Type
Chapter
Information
Social Inclusion and Mental Health
Understanding Poverty, Inequality and Social Exclusion
 , pp. 274 - 289
Publisher: Cambridge University Press
Print publication year: 2022

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