Thanks, Clive
Interesting article showing people stayed in some form of institutional care. The age profile would have been likely to get older as there had been talk of community-based care for a long time - peculiarly the National Archives have the Cabinet paper from a Barbara Castle 1975 white paper more easily available than the final printed version.
However, the financing of the other forms of institutional care is less clear, which bears on the benefits issue.
One of the recent welfare 'reform' issues has been that hostels for the homeless have been financed through Housing Benefit payments (based on rents including support elements), while the residents also claim DWP benefits if they are not working (the vast majority). The labour government had split some of the funding out into a 'supporting people' budget, but this has now been merged into general local authority funds.
As far as I know, and I may be completely wrong, a fair amount of group home or suchlike provision is funded the same way, with DWP benefits (principally Housing Benefit) covering a lot of the funding. This is certificated following successful claims for Incapacity Benefit and now Employment and Support Allowance.
Those who live in their own flats with visits from CPNs etc would also mostly be claiming these.
I'm interested to see just how much of the rise in health-related benefit claims (and the costs) came from moves from the NHS budget rather than a growth in the incidence of mental ill-health. Which is not to say that increasing inequality and decreasing empowerment (e.g. attacks on trade unions) under M. Thatcher might not have had its own impact on the mental health of the population.
Paul
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-----Original Message-----
From: Clive Durdle [mailto:[log in to unmask]]
Sent: 30 October 2012 18:17
To: Paul Bivand
Cc: [log in to unmask]
Subject: Re: Care in the Community ane mental health benefit claims
Long stay patients were generally moved into other institutions, care homes, group homes and similar, often with dowries and have always been a small part of the total population of people with mental health problems
"It is important to note the high rate of death among this patient group. The long-stay population in psychiatric hospitals is elderly."
http://www.mentalhealth.freeuk.com/outcome2.htm
This report mentions Claybury, where I worked in 1975!
The linked article in the Telegraph is very weak, mental health did not start in 1995!
Clive Durdle
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On 30 Oct, 2012,at 01:49 PM, Paul Bivand <[log in to unmask]> wrote:
Dear all
Neil O'Brien of Policy Exchange has a bog post in the Telegraph on mental health benefit claims. http://blogs.telegraph.co.uk/news/neilobrien1/100186974/the-remarkable-rise-of-mental-illness-in-britain/.
The subtext seems to be that these can't be real.
However, does anyone have any figures on the numbers of people who used to be in mental hospitals/mental handicap hospitals before Care in the Community?
It's reasonably obvious that Care in the Community moved people from (expensive) NHS support to the benefit system, in many cases with support services paid for through Housing Benefit.
However, what I don't have access to is anything on the numbers (and costs) involved in that change - which obviously inflated the benefit costs and numbers.
Of course, the sort of rhetoric going on now went on in the 1830s, where paupers were deemed to be idle, and put into workhouses, which of course turned into mental hospitals and old people's accommodation quite naturally as they were always a major part of the poor.
Paul
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Paul Bivand
Associate Director of Analysis and Statistics
Direct Line: 020 7840 8335
Inclusion
3rd floor, 89 Albert Embankment, London SE1 7TP
Tel: 020 7582 7221
Fax: 020 7582 6391
Inclusion website www.cesi.org.uk
See Inclusion's www.indusdelta.org.uk for the latest news and opinions in welfare to work
Consider the environment - do you really need to print this email?
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