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Social Policy Review 19Analysis and debate in social policy, 2007$
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Karen Clarke, Tony Maltby, and Patricia Kennett

Print publication date: 2007

Print ISBN-13: 9781861349415

Published to University Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861349415.001.0001

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date: 21 August 2017

Structural stigma, institutional trust and the risk agenda in mental health policy

Structural stigma, institutional trust and the risk agenda in mental health policy

(p.200) (p.201) Ten Structural stigma, institutional trust and the risk agenda in mental health policy
Social Policy Review 19

Joanne Warner

Policy Press

This chapter begins with a brief analysis of the ‘changing work paradigm’ in globalised economies and the evidence for the impact of this on mental health outcomes, particularly in terms of those who are or may become ‘precariously distressed’. This is followed by an account of structural stigma within mainstream mental health policies and the way in which they continue to reflect a risk agenda. The chapter then identifies the relationship between networks of risk in mental health and the networks of trust that have been negotiated between major constituencies, particularly between the state and relatives of victims of so-called ‘community care homicides’. The fourth and final section analyses in more depth the power of the lobby that broadly represents the latter group through the ‘organising power of grief’. The chapter concludes by explicating the circular and paradoxical nature of current policies. It is argued that they are liable to fail not only those citizens who require mainstream mental health services, but also the much larger number of people who, regardless of the reality of the risks, consider their lives and livelihoods as precarious and insecure.

Keywords:   work paradigm, mental health, stress, mental health policies, health risk, community care homicides

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