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Wolverhampton Intellectual Repository and E-Theses > School of Health & Wellbeing > Centre for Health and Social Care Improvement > Mental health, social inclusion and the green agenda: an evaluation of a land based rehabilitation project designed to promote occupational access and inclusion of service users in North Somerset, UK.

Please use this identifier to cite or link to this item: http://hdl.handle.net/2436/29502
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Title: Mental health, social inclusion and the green agenda: an evaluation of a land based rehabilitation project designed to promote occupational access and inclusion of service users in North Somerset, UK.
Authors: Stepney, Paul M.
Davis, Paul
Citation: Social Work in Health Care, 39 (3-4): 375-97
Publisher: Haworth Press
Journal: Social Work in Health Care
Issue Date: 2004
URI: http://hdl.handle.net/2436/29502
DOI: 10.1300/J010v39n03_10
PubMed ID: 15774402
Additional Links: http://haworthpress.com/store/ArticleAbstract.asp?ID=42474
Abstract: The current debate about social inclusion in the field of mental health reveals a tension between the political and economic objectives of social policy. The former utilises the language of citizen empowerment and rights, whilst the latter is concerned with reducing welfare dependency through labour market activation. A central question here is whether a suitable programme of therapeutic work, training and support will produce better outcomes than those predicted by either a clinical diagnostic assessment or indeed open employment in the labour market. This article evaluates a research project with mental health users designed to develop pathways towards inclusion. The principal means for achieving this was a programme of 'green' land-based activities, training and social support. The researchers employed a mixed method approach, utilising a quasi-experimental design with a hypothetical control and standardised testing. This was followed by interviews with users, staff and focus group discussion. The evaluation produced some unexpected findings; for example, it was found that no strong correlation existed between diagnosis and performance. Many users performed better than had been predicted by their diagnostic assessment. However, the reasons for this remained unclear until the qualitative interviews enabled users to give accounts of the problems they faced, explain what inclusion meant for them, and outline how the project had brought gains in confidence, motivation and self belief. The data gathered during the research derived from different epistemological positions. This can be seen as representing two ways of 'slicing the reality cake' rather than producing one complete view of mental health users reality. One construction related to how 'the system' diagnosed, processed, and 'objectively' managed them. The other was about how users' responded to their situation, utilised the opportunities available, and made 'subjective' sense of their experience.
Type: Article
Language: en
Keywords: Mental health
Social inclusion
Project evaluation
Mixed method research
Horticulture
Rehabilitation
Empowerment
MeSH: Agriculture
Attitude to Health
Employment, Supported
Environment
Female
Focus Groups
Great Britain
Humans
Male
Mental Disorders
Outcome Assessment (Health Care)
Power (Psychology)
Prognosis
Rehabilitation, Vocational
Social Support
Social Welfare
ISSN: 0098-1389
Appears in Collections: Centre for Health and Social Care Improvement

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