School of Nursing University of Nottingham Duncan Macmillan House Porchester Road Mapperley Nottingham NG3 6AA UK.
J Psychiatr Ment Health Nurs. 2013 Feb;20(1):71-81. doi: 10.1111/j.1365-2850.2012.01889.x. Epub 2012 Feb 28.
Social inclusion and exclusion are concepts which have been widely associated with politics and policy in the first decade of the 2000s. People with mental health problems have become the focus of a range of social inclusion initiatives. A literature review was conducted to explore the peer-reviewed evidence relating social inclusion/exclusion and mental health. In total 36 papers were included in the review from the UK, Canada, Australia and Scandinavia. The papers had used a range of different approaches to research and evaluation. The included papers associated being socially included to: social roles and responsibilities such as employment, participation in social activities, environmental work and voting. Although some papers engaged in a critical discussion of the concept, many offered only simplistic accounts or definitions. Social inclusion is such a widely used term within political and policy discourses that it is surprising so little research is available within the mental health realm. There was a lack of clarity related to the concept of social exclusion and the qualitative studies focused entirely on the experiences of being excluded within an institutional or semi-institutional setting. The relationship between exclusion, inequality and injustice is identified and the relevance of the concept to current and future mental health policy is questioned.
社会包容和排斥是与 21 世纪头十年的政治和政策密切相关的概念。有心理健康问题的人成为了一系列社会包容举措的焦点。进行了文献回顾，以探讨与社会包容/排斥和心理健康相关的同行评议证据。从英国、加拿大、澳大利亚和斯堪的纳维亚共纳入了 36 篇论文。这些论文采用了一系列不同的研究和评估方法。纳入的论文将社会包容与以下方面联系起来：社会角色和责任，如就业、参与社会活动、环境工作和投票。尽管一些论文对该概念进行了批判性讨论，但许多论文仅提供了简单的解释或定义。社会包容是政治和政策话语中广泛使用的术语，令人惊讶的是，心理健康领域几乎没有可用的研究。与社会排斥概念相关的问题缺乏明确性，定性研究完全集中在机构或半机构环境中被排斥的经历。确定了排斥、不平等和不公正之间的关系，并质疑该概念对当前和未来心理健康政策的相关性。
