The online version of this article (https://doi.org/10.1007/s10597-020-00566-y) contains supplementary material, which is available to authorized users.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This paper examines differences in health-and-social care utilisation for individuals with physical and/or mental health problems. Logistic regression models are used to determine disparity in the percentage of General Household/Lifestyle Survey participants with physical compared to mental health problems receiving disability benefits or health care services between 2000 and 2011. Our findings of a relative underutilisation of secondary health care combined with a relative overutilization of out-of-work benefits by individuals with mental health problems is novel to the field of rehabilitative health care. These results provide evidence for the previously suspected disparity in health care utilisation of individuals with mental health problems and indicate problems in labour force integration. The findings support the political call for a ‘parity of esteem’, which, in Britain, was enshrined in the Health and Social Care Act of 2012.
Allison, P. D. (2012). Logistic regression using SAS: Theory and application. SAS Institute.
Barr, B., Kinderman, P., & Whitehead, M. (2015). Trends in mental health inequalities in England during a period of recession, austerity and welfare reform 2004 to 2013. Social Science & Medicine, 147, 324–331. CrossRef
Baxter, S., Johnson, M., Chambers, D., Sutton, A., Goyder, E., & Booth, A. (2018). The effects of integrated care: A systematic review of UK and international evidence. BMC Health Services Research, 18(1), 350. CrossRef
Bebbington, P. E., & McManus, S. (2019). Revisiting the one in four: the prevalence of psychiatric disorder in the population of England 2000–2014. The British Journal of Psychiatry, 216, 55–57. CrossRef
Berthoud, R. (2011). Trends in the employment of disabled people in Britain (No. 2011-03). ISER Working Paper Series.
Bond, G. R., & Drake, R. E. (2014). Making the case for IPS supported employment. Administration and Policy in Mental Health and Mental Health Services Research, 41(1), 69–73. CrossRef
Cooper, C., Bebbington, P., McManus, S., Meltzer, H., Stewart, R., Farrell, M., et al. (2010). The treatment of common mental disorders across age groups: Results from the 2007 adult psychiatric morbidity survey. Journal of Affective Disorders, 127(1–3), 96–101. CrossRef
Delgadillo, J., Farnfield, A., & North, A. (2018). Social inequalities in the demand, supply and utilisation of psychological treatment. Counselling and Psychotherapy Research, 18(2), 114–121. CrossRef
Dixon, A., Le Grand, J., Henderson, J., Murray, R., & Poteliakhoff, E. (2007). Is the British National Health Service equitable? The evidence on socioeconomic differences in utilization. Journal of Health Services Research & Policy, 12(2), 104–109. CrossRef
Docherty, M., & Thornicroft, G. (2015). Specialist mental health services in England in 2014: Overview of funding, access and levels of care. International Journal of Mental Health Systems, 9(1), 34. CrossRef
Firebaugh, G. (1997). Analyzing repeated surveys (No. 115). Sage.
Firth, J., Siddiqi, N., Koyanagi, A., Siskind, D., Rosenbaum, S., Galletly, C., et al. (2019). The Lancet Psychiatry Commission: A blueprint for protecting physical health in people with mental illness. The Lancet Psychiatry, 6(8), 675–712. CrossRef
Goddard, M., & Smith, P. (2001). Equity of access to health care services: Theory and evidence from the UK. Social Science & Medicine, 53(9), 1149–1162. CrossRef
Kilbourne, A. M., Beck, K., Spaeth-Rublee, B., Ramanuj, P., O'Brien, R. W., Tomoyasu, N., et al. (2018). Measuring and improving the quality of mental health care: A global perspective. World Psychiatry, 17(1), 30–38. CrossRef
Layard, R. (2005). Mental health: Britain’s biggest social problem?.
Levesque, J. F., Harris, M. F., & Russell, G. (2013). Patient-centred access to health care: Conceptualising access at the interface of health systems and populations. International Journal for Equity in Health, 12(1), 18. CrossRef
Liu, N. H., Daumit, G. L., Dua, T., Aquila, R., Charlson, F., Cuijpers, P., et al. (2017). Excess mortality in persons with severe mental disorders: A multilevel intervention framework and priorities for clinical practice, policy and research agendas. World Psychiatry, 16(1), 30–40. CrossRef
McCartney, G., Popham, F., Katikireddi, S. V., Walsh, D., & Schofield, L. (2017). How do trends in mortality inequalities by deprivation and education in Scotland and England & Wales compare? A repeat cross-sectional study. British Medical Journal Open, 7(7), e017590.
McManus, S. B., Bebbington, P., Jenkins, R., & Brugha, T. (2016). Mental health and wellbeing in England: Adult Psychiatric Morbidity Survey 2014. Retrieved January 22, 2018 from, https://digital.nhs.uk/catalogue. PUB21748. WebCite Cache ID 6weo5GNVB].
Mental Health Taskforce (2016) The five year forward view for mental health. London: NHS England (2016)
Morris, S., Sutton, M., & Gravelle, H. (2005). Inequity and inequality in the use of health care in England: An empirical investigation. Social Science & Medicine, 60(6), 1251–1266. CrossRef
Organisation for Economic Co-operation and Development (2003) Transforming Disability into Ability: Policies to promote work and income security for disabled people. Paris: Organisation for Economic Co-operation and Development (2003)
Pilgrim, D. (2012). Lessons from the Mental Health Act Commission for England and Wales: The limitations of legalism-plus-safeguards. Journal of Social Policy, 41(1), 61–81. CrossRef
Rinaldi, M., Miller, L., & Perkins, R. (2010). Implementing the individual placement and support (IPS) approach for people with mental health conditions in England. International Review of Psychiatry, 22(2), 163–172. CrossRef
Rowlingson, K., & Berthoud, R. (1996). Disability, Benefits and Employment: A Report of Research Carried Out (No. 54). Stationery Office/Tso.
Spicker, P. (2011). How social security works: An introduction to benefits in Britain. Policy Press.
Thomas, F., Hansford, L., Ford, J., Wyatt, K., McCabe, R., & Byng, R. (2018). Moral narratives and mental health: Rethinking understandings of distress and healthcare support in contexts of austerity and welfare reform. Palgrave Communications, 4(1), 39. CrossRef
Thomas, S., & Wannell, B. (2009). Combining cycles of the Canadian community health survey. Health Reports, 20(1), 53. PubMed
Twomey, C. D., Baldwin, D. S., Hopfe, M., & Cieza, A. (2015). A systematic review of the predictors of health service utilisation by adults with mental disorders in the UK. British Medical Journal Open, 5(7), e007575.
Viola, S., & Moncrieff, J. (2016). Claims for sickness and disability benefits owing to mental disorders in the UK: Trends from 1995 to 2014. BJPsych open, 2(1), 18–24. CrossRef
Walker, E. R., McGee, R. E., & Druss, B. G. (2015). Mortality in mental disorders and global disease burden implications: A systematic review and meta-analysis. JAMA Psychiatry, 72(4), 334–341. CrossRef
Wendt, M. (2007). Considerations before pooling data from two different cycles of the General Social Survey.
- Health and Social Care Diversity Among Individuals with Longstanding Physical and Psychological Health Problems: Pooled Repeated Cross Sectional Analyses
Peter W. F. Smith
- Springer US
Community Mental Health Journal
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789