Work, welfare, and wellbeing: The impacts of welfare conditionality on people with mental health impairments in the UK
Work, welfare, and wellbeing: The impacts of welfare conditionality on people with mental health impairments in the UK
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DOI：
10.1111/spol.12560
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发表时间：
2019-11-19
影响因子：
3.2
通讯作者：
Stewart, Alasdair B. R.
中科院分区：
文献类型：
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作者：
Dwyer, Peter;Scullion, Lisa;Stewart, Alasdair B. R.
许多政府和国际组织日益认识到精神疾病的个人、经济和社会代价。与此同时，在高收入国家，作为正在进行的福利改革的一部分，福利条件的影响范围已经扩大到包括许多精神健康受损的人。在英国尤其如此，特别是自2008年引入就业和支助津贴以来，残疾人的权利和责任一直受到争议和重新定义。在回顾了关于心理健康和福利制约的国际新兴证据之后，本文探讨了两个具体的问题。第一，福利条件的适用对有精神健康损害的福利申索人的影响。第二，福利条件在支持有精神疾病经历的人从事有偿工作方面的有效性。在考虑这些问题时，本文提出了对207名具有一系列精神健康问题经验的英国社会保障福利接受者进行定性纵向访谈所产生的数据的原始分析。证据表明，福利条件在将精神健康受损的人转移到或更接近于有偿工作方面基本上是无效的。事实上，在许多情况下，它会引发负面的健康后果，从而降低未来就业的可能性。结论是，对有精神健康问题的人适用条件是不合适的，应该停止。
The personal, economic, and social costs of mental ill health are increasingly acknowledged by many governments and international organisations. Simultaneously, in high-income nations, the reach of welfare conditionality has extended to encompass many people with mental health impairments as part of on-going welfare reforms. This is particularly the case in the UK where, especially since the introduction of Employment and Support Allowance in 2008, the rights and responsibilities of disabled people have been subject to contestation and redefinition. Following a review of the emergent international evidence on mental health and welfare conditionality, this paper explores two specific issues. First, the impacts of the application of welfare conditionality on benefit claimants with mental health impairments. Second, the effectiveness of welfare conditionality in supporting people with experience of mental ill health into paid work. In considering these questions, this paper presents original analysis of data generated in qualitative longitudinal interviews with 207 UK social security benefit recipients with experience of a range of mental health issues. The evidence suggests that welfare conditionality is largely ineffective in moving people with mental health impairments into, or closer to, paid work. Indeed, in many cases, it triggers negative health outcomes that make future employment less likely. It is concluded that the application of conditionality for people with mental health issues is inappropriate and should cease.