Dear Luciana Berger – Shadow Minister for Mental Health, England and Wales.
We are writing to you to raise our concerns and priorities for Governmental Mental Health care and provision in the UK. We enclose the first of a number of our “position statements” that we intend to send to you.
We are a User Led Mental Health Activist Facebook Group campaigning for Social Justice and Equality in MH care and practice, with a focus on critiquing and challenging mainstream ‘recovery’ ideology. At the time of writing our membership stands at 474 and this is growing by the day.
We believe ‘recovery’ has been colonised by MH services, commissioners and policy makers. We reject the new neoliberal intrusion on the word ‘recovery’ that has been redefined, and taken over by marketisation, language, techniques and outcomes. Some of us will never feel “Recovered” living under these intolerable and inhumane social pressures.
We believe access to quality housing and disability benefits designed for mental health claimants would give people a stable and secure environment to raise their quality of life and health. This would enable efforts towards going back to study, work IF people choose / aspire to this. Allowing people to volunteer indefinitely and claim benefits if this improves their quality of life and MH – and recognise how valuable this work is to society.
Our first “position statement” is about the Welfare State and Social Housing.
We will cover the following issues: –
- Work Capability Assessment (WCA)
- Benefit Sanctions
- Personal Independence Payment (PIP)
- Voluntary Work
- CBT in Job Centres
- Social Housing & Homelessness
We look forward to hearing from you about the matters we have raised.
Recovery In The Bin
Copy: Jeremy Corbyn MP and Leader of Labour Party.
John McDonnell MP and Shadow Chancellor.
Owen Smith MP, Shadow Secretary of State for Work and Pensions.
Mental Health Resistance Network.
Social Workers Action Network (SWAN).
Psychologists Against Austerity.
Critical Mental Health Nursing Network (CMHNN).
Critical Psychiatry Network.
Disabled People Against Cuts (DPAC).
The Peoples Assembly.
Welfare State and Social Housing
Work Capability Assessments (WCA)
- The Work Capability Assessments (WCA) for Employment Support Allowance (ESA) appear to be weighted in favour of those with physical disabilities, and often fails to take into account fluctuating conditions, common to mental distress, such as anxiety and depression.
- A Service User initiated judicial review of WCA found that MH claimants were at a “substantial disadvantage”. (http://www.rethink.org/…/unfair…/wca-judicial-review-faq). To date the DWP has failed to take concrete steps to address that disadvantage.
- Access to welfare advisors and advocacy workers has been severely reduced due to cuts to funding, services and the legal aid budget.
- We are aware of a number of deaths related to the “reforms”, including recent reports that a coroner has ruled that the WCA contributed directly to the suicide of a claimant, and that steps need to be taken by the DWP to prevent further such incidents. (The Independent 20.9.2015).
- We believe the WCA needs to be abolished as a matter of urgency.
- Sanctions remove the very means of existence, and as a consequence the related death toll is rising.
- Those in the ‘Work Related Activity Group’ face huge cuts to their benefits in the near future, even if they manage to avoid being sanctioned.
Personal Independence Payment (PIP)
- PIP is not MH orientated and self-harm/suicide risk factors have been removed from criteria.
- MH claimants struggle to obtain the necessary medical evidence because MH services are now short term, and once discharged no specialist reports can be secured.
- Loss of DLA/PIP to MH claimants who are not in receipt of ESA because they’re doing some part-time work or self-employment will be rendered unable to continue working or plunged into poverty, being under immense pressure to work more hours, which could lead to mental distress and deterioration.
- It’s a fact that 70% of working age adults with a mental health condition in England are unemployed (http://www.theguardian.com/…/cuts-threaten-mental-health-pr…).
- There are approximately 700,000 vacancies and 2 million (possibly more if you count those who are sanctioned/on Workfare) applying for those 700,000 vacancies, therefore the maths don’t work here.
- It’s evidenced that Workfare doesn’t work and only provides massive profits to private companies using public funds and plunges more people into sanctions/food banks.
- MH claimants have been and are being targeted as the ‘low hanging fruit’ (their description) in the full knowledge that MH (and Learning Difficulties) has the lowest employment rates.
- Temporary and zero contract hours shift work is evidenced as being bad for anyone’s mental (and physical) health, but this looks set to become more common for MH claimants who are at threat of sanction/workfare.
- We often carry out highly valued long term voluntary work within Trusts, University’s and Charities, so chosen voluntary work (with appropriate evidence) needs to be considered as an additional outcome to employment, as for some people that’s the most ‘doable’, maintaining the best ‘stability’.
- Voluntary work gives a person greater flexibility, and provides less pressure to work when s/he is not feeling up to it.
- MH claimants have had benefit claims stopped/reviewed for doing voluntary work (even when organised by own MH Trust & MH professionals have had to intervene by advocating that it’s part of their treatment).
Cognitive Behavioural Therapy (CBT) in Jobcentres.
- We do not support targeting MH conditions with CBT, where there is contradictory evidence that this therapy is effective, and its unproven in helping people back to work. https://www.gov.uk/…/attachment…/file/193382/812summ.pdf.
- We believe getting back to work, especially after many years of unemployment, due to MH complexities, is unlikely to be resolved by a “quick fix” such as CBT.
- Many of these initiatives are being piloted in Labour controlled authorities. For example, in June 2015, Service Users protested outside the Streatham Job Centre, which had been identified as a site for trialling the introduction of CBT inside Job centres.
Social Housing & Homelessness
- Some Councils/Housing Associations are losing over 90% of their stock, and letting agencies/private landlords don’t want tenants on housing benefit. This is a significant factor with respect to the increasing levels of homelessness that should not be acceptable for any Government.
- Very vulnerable mentally distressed people are ending up sleeping rough because of refusal to join groups in high support mental health housing, which means they have refused an offer of housing and are deemed voluntarily homeless.
Dear Recovery in the Bin Group,
Thank you so much for taking the time to get in touch with me.
Firstly, I want to apologise for the delay in getting back to you. Since my new role was recently announced I have been inundated with hundreds and hundreds of emails from people getting in touch to share their stories, and I want to get back to everyone individually.
I read your letter and your position statements with interest as I share many of the same concerns. The Labour Party has made a commitment to take a cross-departmental approach in addressing mental health challenges, and this is especially true when it comes to the impact of DWP policies on mental health. Many of the emails I have received since my appointment echo this.
Just before Christmas I opened Labour’s Opposition Day Speech on mental health, and highlighted a number of the things you mention in your letter, including capability assessments and benefit sanctions, and the fact that a majority of people on the Work Programme told Mind it made their mental health worse. You can watch it here.
I have also been using Parliamentary Questions to probe the Government’s policies, including on the services in Job Centres that you mentioned.
Currently, I am working with John Healey to ensure Labour’s policies on housing and homelessness are developed with mental health in mind.
The point you raised about volunteering having a detrimental impact on welfare claims is a concerning one, and something I plan to ask the Government to clarify their position.
My immediate priority is to hold ministers to account for their broken promises on mental health, and to speak up for people who are being let down. Thank you for sharing your ideas with me which I will feed in to the work I continue to do to hold the Government to account. We must work together to tackle taboos, challenge stigma, and redesign services to match the needs of so many people.
In the coming weeks and months I may circulate updates of what I have been doing in my shadow ministerial role on mental health. Please let me know if you would not like to be included in this mailing list.
Thank you again for getting in touch.
Very best wishes