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Meeting Boundaries: Exploring the Faces of Social Inclusion beyond Mental Health Systems

Author

Listed:
  • Carole Heather Walker

    (Health and Society Institute, UCLouvain, Belgium)

  • Sophie Thunus

    (Health and Society Institute, UCLouvain, Belgium)

Abstract

This article examines social inclusion in the context of the deinstitutionalisation of mental health care. It draws on a scientific evaluation of the Belgian reform of mental health care (2010), designed to assess the influence of organisational mechanisms on the social and care trajectories of service users. The findings highlight the ongoing challenge for mental health systems to support the inclusion of service users within the community, and the increasingly difficult access to mental health care for people with complex and chronic mental health problems. Drawing from Systems Theory (Luhmann, 2013) and the analysis of subjective experiences, this article delves into the complex processes of social inclusion using the empirically-grounded concepts of the patient role and the impatient role. By acknowledging the relational dimensions of social inclusion, this article argues that complementarities between two faces of the mental health system are key to achieving inclusion beyond the walls of institutions and within society at large.

Suggested Citation

  • Carole Heather Walker & Sophie Thunus, 2020. "Meeting Boundaries: Exploring the Faces of Social Inclusion beyond Mental Health Systems," Social Inclusion, Cogitatio Press, vol. 8(1), pages 214-224.
    • Handle: RePEc:cog:socinc:v8:y:2020:i:1:p:214-224
    DOI: 10.17645/si.v8i1.2193
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    File URL: https://www.cogitatiopress.com/socialinclusion/article/view/2193
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    References listed on IDEAS

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    1. Wilfred Dolfsma & John Finch & Robert McMaster, 2011. "Identifying Institutional Vulnerability: The Importance of Language, and System Boundaries," Journal of Economic Issues, Taylor & Francis Journals, vol. 45(4), pages 805-818.
    2. Dan Allman, 2013. "The Sociology of Social Inclusion," SAGE Open, , vol. 3(1), pages 21582440124, January.
    3. J. Cok Vrooman & SCP, The Netherlands & Stella J. M. Hoff & SCP, The Netherlands & Maurice Guiaux, 2015. "Descendants of Hardship: Prevalence, Drivers and Scarring Effects of Social Exclusion in Childhood," Social Inclusion, Cogitatio Press, vol. 3(4), pages 76-97.
    4. J. Cok Vrooman & Stella J. M. Hoff & Maurice Guiaux, 2015. "Descendants of Hardship: Prevalence, Drivers and Scarring Effects of Social Exclusion in Childhood," Social Inclusion, Cogitatio Press, vol. 3(4), pages 76-97.
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    Cited by:

    1. J. Cok Vrooman & SCP, The Netherlands & Marcel Coenders & SCP, The Netherlands, 2020. "Institutions of Inclusion and Exclusion," Social Inclusion, Cogitatio Press, vol. 8(1), pages 178-183.

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