Developing Socially Inclusive Practice Eastern Region

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Developing Socially Inclusive PracticeEastern
Region

• Wednesday 19 April 2006Bluntisham
• Tom Dodd CSIP

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Social and Economic Inclusion

• Social and economic EXCLUSION is based on the
  reality that a variety of conditions exist and
  interact to exclude or leave out people in
  many groups and subpopulations in our society.
• Economic inequality is frequently associated with
  conditions such as racism and vulnerability based
  on age, gender, sexual orientation, disability,
  and other life circumstances. Therefore, people
  experience inequality and get pushed to the
  margins of society in many ways.

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Social and Economic Inclusion

• Strategies for Social and economic INCLUSION
  focus on these multi-dimensional inequities and
  work to close the distance between excluded
  groups and the larger society in the following
  ways
• Economic by reducing gaps in income that create
  inequities in the sharing of societys wealth and
  that force people into poverty, including many
  children.
• Spatial by making public space more accessible
  to all community members and providing health and
  social support services close to where people
  live (e.g. community-based services for people
  with disabilities rather than institutions far
  away from family and friends).

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Social and Economic Inclusion

• Relational by promoting positive relationships
  among groups and individuals within communities
  and across sectors so that all identify with,
  feel they belong to, and are part of the
  community (i.e. not isolated or left out for
  lack of social connections nor rejected or
  alienated by stereotyping and labeling).
• Functional/Developmental by recognizing and
  valuing the worth and contributions of all
  members of the community and investing in the
  growth and developmental potential of all people
  (e.g. structuring learning/training environments
  for street youth in a way that motivates them
  and tailors education and training programs to
  their learning needs).

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Social and Economic Inclusion

• Participation/Political by ensuring that the
  structures and processes are in place so that
  everyone has a voice in the planning and
  decision- making that affects their quality of
  life.
• The Social Planning Network of Ontario
• www.closingthedistance.ca/index.jsp

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Dimensions affecting Social Inclusion and their
indicators

• Economic
• Long-term unemployment
• Job insecurity
• Workless households
• Income poverty
• Social
• Breakdown of traditional households
• Unwanted teenage pregnancies
• Homelessness
• Crime
• Disaffected youth
• Social disturbance/disorder

Political Disempowerment Lack of political
rights Low registration of voters Low voter
turnout Low levels of community activity
Alienation/lack of confidence in political
process
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Dimensions affecting Social Inclusion and their
indicators

• Individual
• Mental and physical ill health
• Educational underachievement/low skills
• Loss of self-esteem/ confidence
• Groups / Diversity
• Concentration of above characteristics in
  particular groups
• Disabled people
• Ethnic minorities
• Elderly etc.

• Locality
• Environmental degradation
• Decaying housing stock
• Withdrawal of local services
• Collapse of support networks
• Concentration/marginalisation of vulnerable
  groups
• Social Inclusion 2000

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Outcomes

• Measures to reflect on indicators of social
  inclusion/exclusion
• Talk to commissioners let them know!
• The DH recognises that in implementing policy in
  the future, it needs to move away from a system
  driven by national targets to one in which
• standards are the main driver for continuous
  improvements in quality
• there are fewer national targets
• there is greater scope for addressing local
  priorities
• incentives are in place to support the system
  and
• all organisations locally play their part in
  service modernisation.
• (DH 2004)

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Agenda for CMHTs?

• Top Ten issues by percentage of respondents who
  raised them
• Impact of Stigma/lack of understanding of MH
  issues 83
• Support to gain employment/overcoming
  barriers 72
• Benefits Issues 62
• Lack of social networks/access to social
  activities 53
• Access to employment more generally 53
• Lack of self confidence/social withdrawal 52
• Education/awareness raising of MH issues 49
• Employer focussed interventions 48
• Access to recreation leisure/sport/art/libraries
  38
• MH symptoms and side effects 34

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Business Case?

• Social Inclusion makes good business sense and
  should be an integral part of the organisation.
  Social inclusion strategies have to
• Form a part of the mission
• Be a part of the vision
• Be accepted by Board of Directors (or equivalent)
  
• Integrate into policies and procedures
• Include taking action within the organisation
• Be understood and practiced organisationally wide
  
• An iterative processes accepting never ending
  improvement as a concept

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What Helps.

• leadership and planning strong leadership and
  local political support effective strategic
  planning across sectors and, in particular,
  positive working relationships between statutory
  and voluntary sector agencies
• community involvement active service user groups
  at grass-roots level projects which built on
  capacity within local communities
• staff commitment and enthusiasm to make things
  happen
• underpinning philosophy of outreach,
  rights-based, holistic approaches as opposed to a
  focus on symptom reduction and risk management

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Tom.dodd_at_nimhe.wmids.nhs.uk 0788 774 3157
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Group Exercise

• What do we want?
• For first wave sites where to from here? How do
  we sustain whats currently happening? What
  lessons from this morning
• From new sites where do we start
• What can CSIP do to support further developments