This chapter covers the development of social policies and the modern Welfare State. Welfare states represent recognition that the key welfare needs of the country will be met by the state through the provision of income transfers and key public services. Their development has been closely associated with the expansion of citizenship and human rights. In the UK the Poor Law was a long-lasting historical core on which the nation’s welfare state was built, and was associated with the important infrastructure of local authorities, health systems, and education along with the provision of payments in times of need. A well-functioning welfare state is important for the wellbeing of the population and has valuable redistributive roles. They provide social investment in children’s early lives and guard against social risks such as unemployment and poverty. They have the potential to assist economic growth and to provide the infrastructure and support for human capital, such as through the creation of a ‘healthy workforce’. Generally, the more egalitarian states perform better on a range of well-being measures. They remain a central pillar of the maintenance and improvement of the quality of life of people with disabilities associated with mental health conditions.

Here we examine governmental policies that affect how people with mental health conditions are treated in society. The development of UK mental health services has been closely associated with the evolution of social policies, the increasing role of the state in the provisions for the population’s well-being, and the ‘Welfare State’. The provision of poor relief, dating from the Elizabethan Poor Law to its Victorian revision, has dominated the care of people with mental health conditions, both within and outside of institutions. Until the nineteenth century, the British state played a minimal role in the care of mental ill-health, and the 1800s witnessed a substantial growth in publicly funded asylums. These County Asylums were Poor Law institutions and remained so into the twentieth century. The UK’s modern mental health services arose from the Beveridge welfare state reforms but carried with them much of the baggage of the Victorian Poor Laws. The close relationship between the welfare state and mental health services illustrates the importance of social policy provision relating to income, employment, housing, education, health, and personal social services, to the broader provision of services for people with mental health conditions and the running of effective mental health services.

Chapter 2 shows how two Elizabethan and Jacobean engagements with problematic multitudes undermined the body politic as a framework for managing multitudes in a context of rapid population growth, economic change and political challenges beyond England. Turning first to growing anxieties about poverty and vagrancy in England, it examines how rogue literature constructed vagrants as a foreign and inherently idle counter-polity, rather than a displaced and degenerated multitude; it then shows how municipal ordinances, surveys and poor laws came to treat the mobile poor as inherently idle of quantification as well as regulation, for whom systematic intervention and routine management was necessary to instill the virtues of industry. Second, it follows late Tudor and early Stuart efforts to undo the degeneration (through mixture with the Irish) of the Old English in Ireland, and to civilize – through projects of plantation, conquest or legal reform – the putatively barbaric Gaelic Irish themselves. In both cases, problematic groups were no longer seen as displaced organs of a body politic but rather as populations that must be made governable in the first instance through policy.

Chapter 1 examines the tensions that erupted in the 1830s and 1840s in reaction to the Poor Law Commission’s ban on serving festive meals of roast beef and plum pudding to workhouse inmates. It demonstrates that, despite the new drive to centralize relief policies in the 1830s, local authorities frequently overrode and undermined directives that interfered with their right to dispense aid in traditional ways that they felt enhanced social stability. This chapter explores the symbolic meaning of roast beef to the institutionalized poor, the Boards of Guardians that superintended them, and the communities in which they were imbedded. It argues that a study of when and why paupers were and were not furnished with what was often termed “Old English Fare” in the early years of the New Poor Law reveals that the transition from moral economy to political economy was far from complete. The tensions that erupted amongst local and central government officials, paupers, and communities in reaction to the Poor Law Commission’s attempt to ban these meals suggests that debates over food were part of much broader negotiations about both the role of the modern state and the place of the poor within local and national communities.