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Social inequalities and Child and Adolescent Mental Health

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Michael Fichtner

on 24 November 2014

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Transcript of Social inequalities and Child and Adolescent Mental Health

Should Child and Adolescent Mental Health Services Focus on Reducing social Inequalities for Children, Young People and Families?
4. Risk and protective factors
Examples: parental employment, parental support networks and neighborhood settings, school and community policies, mass media

Social inequalities and Child and Adolescent Mental Health SV1-SEM1

Unequal distribution of financial assets and material resources (Naidoo & Wills, 2008)
Disparities based on social-defined characteristics (Bell et al, 2013)
Indifferences in social background, employment, education, age, sex, national origin and place of residence (Currie et al, 2012; World Health Organization, 2005)

3. The State of Current Policy
10. Implications for Mental Health

1. What are Social Inequalities

Prominent focus in physical rather than mental health; overlook importance of mental health & well-being
Increasing levels of Government funding cuts for mental health services
Existing services look only at individual and family experiences and miss out wider environmental influences

6. Microsystems and Mesosystems
The factors of an individual’s life that have a direct influence on their day-to-day function, and the subsequent interactions between such factors.
Examples: family relationship and attachment, school and education, neighbourhood, childcare provisions, socioeconomic status linked to family income and debt, parental education and employment, and peer networks.
2. Social Inequalities: Influence on
Mental Health
7. Exosystems
Risk factors are individual or environmental conditions associated with a higher likelihood of poor or negative outcomes
Protective factors inverse the effects of individual or environmental risk factors and enhance the likelihood of positive outcomes
5. Bronfenbrenner's Ecological Model
(Santrock, 2007)
12. References
8. Macrosystems
9. Chronosystems
Presentation Overview
1 What are Social Inequalities
2 Social Inequalities: Influence on
Mental Health
3 The State of Current Policy
4 Risks and Protective factors
5 An Ecological Model to Explain Mental Health
6 Microsystems and Mesosystems
7 Exosystems
8 Macrosystems
9 Chronosystems
10 Implications for Mental Health Services
11 Conclusion
12 References

11 Conclusion
Macrosystems have no direct influence on a child or young person, however social inequalities at this level can have a profound influence on an individual at other levels of the ecological model.
Examples: poverty, race, housing, welfare support, governmental policy
Mental health services need to focus on the presence and impact of social inequalities within an individual’s life when designing and implementing interventions.
75% of adults who access mental health services already had a diagnosable condition before the age of 18.
Investment in early childhood is the most powerful investment a country can make, with returns over the life course many times the size of the original investment (Siddiqqi et al, 2007).
Interventions should be applied from an early age to support the child and their family and to inhibit the development of maladaptive behaviours that may later result in mental health issues (Royal College of Psychiatrists, 2010).
New strategies need to seek to create the conditions that enable and empower individuals to have more control over their health and wellbeing, through the reduction of social inequalities (Gamsu, 2012).
Population wide approaches, such as those currently employed across the UK, are not sensitive enough to meet the needs of equality groups (Goldie et al, 2013).
Exosystems are external to children’s experiences but can have profound, indirect influence on their social and emotional development.

4. Risk and protective factors
A presentation to argue in support of this matter.
Presented by Michael Fichtner, Natassja Jenson-Boon & Vasiliki-Aliki Nikopoulou
(Jessor et al, 1998)
Address social inequalities within the population in order to promote positive mental health and well-being, to prevent mental ill health and to promote recovery.

The interventions should be delivered through a lifelong and societal framework in order to enhance resilience and wellbeing of children and young people (Bell et al, 2013; World Health Organization, 2009).

By improving mental health from a young age, it will be possible to reduce social inequalities, improve physical health and increase qualitiy of life for children, young people and families across the country.
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