Social inclusion is a leading concept in mental health practice. Multiple definitions exist and it is often assumed that full participation is required to achieve full inclusion. Challenging this assumption is the notion of ‘middle-ground’, a personally defined position where an individual feels socially included regardless of his or her physical involvement in the community. Occupational therapists can address this area of inquiry by recognising an alternative to the polar extremes of social inclusion. A practical tool is provided, which views social inclusion as a multidimensional system and promotes reflection on what it really means to be socially included.
CarrS (2008) Personalisation: A rough guide. London: Social Care Institute for Excellence.
2.
College of Occupational Therapists (2005) College of Occupational Therapists' Code of ethics and professional conduct. London: COT. College of Occupational Therapists (2006) Recovering ordinary lives: The strategy for occupational therapy in mental health services 2007–2017. London: COT.
3.
Department of Health (2006a) From segregation to inclusion: Commissioning guidance on day services for people with mental health problems. London: HMSO.
4.
Department of Health (2006b) Our health our care our say: A new direction for community services. London: HMSO.
5.
Department of Health (2007) Mental health: New ways of working for everyone. Developing and sustaining a capable and flexible workforce. London: HMSO.
6.
Department of Health (2008) High quality care for all: NHS next stage review final report. London: HMSO.
7.
FortuneT (2000) Occupational therapists: Is our therapy truly occupational or are we merely filling gaps?British Journal of Occupational Therapy, 63(5), 225–30.
8.
HackingSBatesP (2008) The inclusion web: A tool for person-centred planning and service evaluation. Mental Health Review Journal, 13(2), 4–15.
9.
HarrisonDSellersA (2008) Occupation for mental health and social inclusion. British Journal of Occupational Therapy, 71(5), 116–19.
10.
LabonteR (2004) Social inclusion/exclusion: Dancing the dialectic. Health Promotion International, 19(9), 115–21.
11.
LloydCTseSDeaneFP (2006) Community participation and social inclusion: How practitioners can make a difference. Australian e-journal for the Advancement of Mental Health, 5(3).
12.
LloydCWaghornGWilliamsPL (2008) Conceptualising recovery in mental health rehabilitation. British Journal of Occupational Therapy, 71(8), 321–28.
13.
MezzinaRDavidsonLBorgMMarinIToporASellsD (2006) The social nature of recovery: Discussion and implications for practice. American Journal of Psychiatric Rehabilitation, 9(1), 63–80.
14.
MolineuxM (2004) Occupation in occupational therapy: A labour in vain? In: MolineuxM, ed. Occupation for occupational therapists. London: Blackwell Publishing, 1–14.
15.
MorganCBurnsTFitzpatrickRPinfoldV (2007) Social exclusion and mental health: Conceptual and methodological review. British Journal of Psychiatry, 191(6), 477–83.
16.
O'BrienTBanniganK (2008) Making informed choices in the context of service user empowerment and the Mental Capacity Act 2005. British Journal of Occupational Therapy, 71(7), 305–07.
17.
Office of the Deputy Prime Minister (2004) Mental health and social exclusion: The Social Exclusion Unit Report. London: Stationery Office.
18.
OnkenSCraigCRidgwayPRalphRCookJ (2007) An analysis of the definitions and elements of recovery: A review of the literature. Psychiatric Rehabilitation Journal, 31(1), 9–22.
19.
ParrH (2008) Mental health and social space: Towards inclusionary geographies?London: Wiley-Blackwell.
20.
PinfoldV (2000) ‘Building up safe havens … all around the world’: Users' experiences of living in the community with mental health problems. Health and Place, 6(3), 201–12.
21.
Prime Minister's Strategy Unit (2007) HM Government policy review: Building on progress: Public services. London: HM Government.
22.
PrincePNGerberGJ (2005) Subjective well being and community integration among clients of assertive community treatment. Quality of Life Research, 14(1), 161–69.
23.
PrincePNPrinceCR (2002) Perceived stigma and community integration among clients of assertive community treatment. Psychiatric Rehabilitation Journal, 25(4), 323–31.
24.
RepperJPerkinsR (2003) Social inclusion and recovery: A model for mental health practice. London: Bailliere Tindall.
25.
SayceL (2000) From psychiatric patient to citizen: Overcoming discrimination and social exclusion. Hampshire: Macmillan Press.
26.
SayceL (2001) Social inclusion and mental health. Psychiatric Bulletin, 25(4), 121–23.
27.
SellsDJStaynerDADavidsonL (2004) Recovering the self in schizophrenia: An integrative review of qualitative studies. Psychiatric Quarterly, 75(1), 87–97.
28.
ShepherdGBoardmanJSladeM (2008) Making recovery a reality. London: Sainsbury Centre for Mental Health.
29.
SladeM (2009) Personal recovery and mental illness: A guide for health professionals. Cambridge: Cambridge University Press.
30.
TownsendE (2003) Reflections on power and justice in enabling occupation. Canadian Journal of Occupational Therapy, 70(2), 74–87.
31.
TownsendEWilcockAA (2004) Occupational justice and client centred practice: A dialogue in progress. Canadian Journal of Occupational Therapy, 71(2), 75–87.
32.
WareNCHopperKTugenbergMDickeyBFisherD (2007) Connectedness and citizenship: Redefining social integration. Psychiatric Services, 58(4), 469–74.
33.
WilcockA (2006) An occupational perspective of health. 2nd ed.Thorofare, NJ: Slack.
