e-learningsite.com

free essays
Free essays

Mental Health Inequalities in Tower of Hamlet and New Ham

Mental Health Inequality in Tower of Hamlet and New Ham 4

Even before the modern epidemiology was born, inner cities wererecognized to have specific challenges to both individual and publichealth. The contemporary inner cities are characterized byovercrowding and extreme poverty which is juxtaposed with areas thathave considerable affluence. Majority of the population in the worldreside in the cities that have predominant inequalities in employmentopportunities, education, safe and affordable housing and nutritiousfood availability (Baggaley, Ali and Taylor 2012, Pg. 63). Healthinequalities are begot by these social inequalities especially themental health. This study looks at the inequalities that characterizemental health care in Tower of Hamlet and New Ham. Mental healthrefers to the state of psychological and emotion stability where aperson can use his/her emotional and cognitive capabilities, functionwell in the society and meet the daily ordinary life demands. InTower of Hamlet and New Ham, various researches have revealed a gapbetween the state of mental health care amongst the rich and thepoor.

This study shall revisit mental health inequalities by reviewing thefunctions of MIND organization. MIND organization was established inthe year 1946. MIND functions as a mental health charity organizationwith operations in England and Wales. The main function of Mind is tooffer advice to people with mental problems, as well as lobbying forsupport to the people with mental challenges from both the community,local authorities and the government (Harding et al, 2011 Pg.,231-241). The organization was formerly known as NAMH (The NationalAssociation for Mental Health). Currently, there more than 180 localaffiliates of Mind organization. These affiliates offer differenttypes of services that include floating support schemes, supportedhousing, supporting self-help groups and offer care homes. All, theaffiliates of Mind are unique, but they are united by the sameethical guidelines and shared ethics (Hatch, et al 2011, Pg. 96).

Background to Tower of Hamlet and New Ham

Mind Charity Organization has operations in New ham and Tower andHamlets boroughs of Tower of Hamlet and New Ham. Tower of Hamlet andNew Ham is often used to refer to the north -eastern area of theUnited Kingdom’s city of London. The area covers the Londonboroughs of Redbridge, Barking and Dagenham, Hackney, tower Hamlets,Waltham Forest, Newham, and Havering. The region is under thegovernance of London areas council of each borough stated. Theoverall region authority in the area is greater London authority(Silveira et al 2008, Pg. 801-812). The tower of Hamlet boroughcovers much of the traditional area of East End. The area coversDocklands areas which are much developed.

The year 2011 census shows that area has a population of 254000people. Tower of Hamlet borough has a high percentage of Bangladeshisethnic community, which is one of the minority population in thewhole city of London. The year 2011 census revealed that the area hasa very high population turnover, with turnover rate of 237 people forevery 1000. The borough has a young people population owing to thismobility where it has 37% of its population aged between 20 and 34years. The total average youth population in England is 20%, thus thearea has a high youth population than England. The borough has thelowest number of pensioners with an aged population making 7% of thetotal population (people with 65 and above years) (Kaye &ampHowlett, 2008, Pg.114). The children below 16 years make a fifth ofthe population with Bangladeshi ethnic community having more childrenthan white.

Tower of Hamlet of has 47% of its population from BME groups mainlyBangladeshi. This makes the area fifth highest BME group after Newhamwhich has a MBE group of 70%. Bangladeshi makes 30% of the totalpopulation in the area making it the biggest community. Four out ofevery ten of the population in Tower Hamlet borough were born outsideUK. 39% of the residents are Christian, 36% populations Muslim. Thefemale make up 49% while the male are 51%. Tower Hamlet borough hastwo constituencies in the national parliament that is, Poplar &ampLime house and Bethnal Green &amp Bow. In London Assembly, the areais within City and East constituency. Local the region is underLondon Council of Tower Hamlets.

On the other hand, Newham borough has a population of 308,000. Themajor centre of the area is Stratford centre. The area is under theLondon council of New Ham. The area has the lowest unemployment ratein London with 56.2% (Bartlett &amp Sandland, 2014 Pg. 612-712). Theunemployment for minority ethnic communities was 14.5% in the year2009 compared to 6.7% of the white. The area has the highest rate ofpoor paid jobs. The percentage of job seekers to workers in the year2011 in the borough of New Ham was 6.3%. The proportion of theworkless people in New Ham was 27.1% in the year 2011. The area hasthe highest rate of poverty amongst children in the entire LondonCity, with 55.7% of children living in poverty. In the year 2010, thearea had the highest crime rate in London (UK Glover et al 2012,89-96).

The state of health in Newham is very poor with low life expectancyand Circulatory diseases amongst the main cause of deaths. The regionhas the highest birth rate in the entire UK. In the year 2009, themental illness prevalence was 0.9%. The prevalence of mental illnessand schizophrenia is high than the average rate in London (Mind 2014,Pg. 1-7). Due to the disparity in the population, Tower of Hamlet andNew Ham boroughs, experiences inequality in the health careprovision. The rich have access to quality mental health while therest of the population do not have access to quality health care. Theresearch done on the state of mental health amongst the Turkishcommunity in the Tower of Hamlet and New Ham, more than 50% of thepeople suffering from mental health disorders are neglected or theydo not look for medical support another research by the Mindorganization reveals that the rate of mental health problems israising. Most of the public do not have awareness of recognizingmental problem hence many suffer without their knowledge. Mentalhealth problems include stress, depression, hallucinations and othermajor and minor problems that distort person’s mental wellbeing.The inequality in the access of the mental health care amongst thepopulation in Tower of Hamlet and New Ham formed the foundation ofthis study. The findings of the study shall equip the medicalprecaution the general population with the information that isnecessary in ensuring that all the stakeholders address all the casesof mental problems adequately. The study is interesting because itreveals the gap that exists in the health care provision and offersrecommendations on ameliorating this state. The main concentration ofthe study shall be the operations of Mind organization in New ham andTower and Hamlets.

Methodology

The study uses Secondary and primary data. Primary data is obtainedfrom the national government statistics. This includes the data onpopulation and regional demography. Secondary data was obtained fromthe earlier researches that have been conducted. Studies evaluateddealt with evaluating the extent of mental illness in London East andUnited Kingdom in general. Primary data helps to present the currentsituation of the Tower of Hamlet and New Ham. The demographicinformation is obtained from the national government census that wasconducted in the year 2011. The data was used selectively with biasedon the information that touches on the regions of London Eastboroughs.

The study started by analysis the historical perspective of the Mindorganization. The information about the organization is obtained fromthe company’s website. Evaluation of the study helps to relate thefunctions of the organization with the issue of inequality in mentalhealth care. The information obtained about the organization toucheson in its functions, the campaigns that it has successfully organizedand their impact and the general impact of the organization to thepopulation of the Tower of Hamlet and New Ham in as far as reducingthe inequality in mental health is concerned.

All the sources of both primary and secondary data are obtainedonline. After analysing the impact of Mind organization, the studyuses data from previous research to show the disparity that exist inthe offering of mental health care. The researchers offer informationon mental health statistics in Tower of Hamlet and New Ham. Inanalysing the data, the study evaluates the findings of differentresearchers. The study uses their findings to show the current stateand offer recommendations. The study draws the conclusion from theanalysis of the demographic and health statistics figures. Conclusionis also drawn from the findings of the earlier studies analysis.

Review

The focus of Mind organization is to ensure that people with mentaldistress has the needed support (World Health Organization 2008, Pg.23). The establishment of the organization was based on the lack ofsupport from the government, authorities and community to the peoplewith mental distress. The organization has organized many campaignsthat are aimed at eradicating inequality in mental health care. Someof the anti-mental health inequality campaigns are another assaultcampaign which was focused at advocating for the stoppage ofharassment of people with mental health. Taking care of businesscampaign was launched in 2010 aimed at making the working place bemore mentally health (DoH 2006, Pg. 23).

The campaign disseminated the top and middle level management on howto handle people with mental distress and how to avoid this distress.The campaign also urged the employers not to discriminate againstpeople with mental care by covering medical therapy for themanagement and leaving the subordinates (Broome 2005, Pg. 372-378).The campaign on mental health and financials status was establishedwith the aim of disseminating the public on the impact of thefinancial crisis on the mental health. The campaign addressed themain cause of mental distress and the methods that are used to dealwith it (WHO 2008, Pg. 12-48). The existence of the inequality in theprovision of mental health services has made the campaigns of theMind organization to concentrate more on the ways in which all thehospitals can offer quality mental health care to all the residentsof Tower of Hamlet and New Ham and UK in general.

Mind organization work in partnership with Tower of Hamlet and NewHam community in projects that aim at promoting the wellbeing andreduce discrimination and stigma to the mentally ill. Manyinstitutions, groups and authorities fund the projects of theorganization in the Tower of Hamlet and New ham. The partnersinclude, NHS Tower of Hamlet and New Ham, Big Lottery, LocalAuthority (CCG), Henry Smith, Reaching Community, British HeartFoundation and IAPT amongst others. Some of the services that Mindhas been able to deliver to New Ham and Tower Hamlet include,advocacy, mental health support, training and counselling communityleaders, employers and schools, Card and recipe project and artproject. Other initiatives include employment projects, cyclingprojects, drug misuse project, dance movement, relaxation project andexhibitions. All these projects are aimed at ensuring that thecommunity in New Ham and Towers Hamlet have access to mental healthcare.

New Ham and Hamlet Tower has a very high population of immigrantswho reside in the area. People move to the city of London fromdifferent regions of the world in search for education, jobs orrunning from conflict zones in their countries. The heavy presence ofimmigrants destabilizes the earlier state of mental health in Towerof Hamlet and New Ham. A research done by Higgins (2012, Pg. 108),revealed that, in Tower of Hamlet and New Ham, much of the mentalhealth complications are caused by other physical health and,therefore, mental health care has been identified as a prerequisiteto good health care. Other factors that have been considered as themain course of mental health problems are substance and drug abuse.Drug and substance abuse causes high economic costs, socialdisintegration and morbidity. Low-income people are the most affectedby mental illness resulting from the abuse of drugs and substance(Ryan 2009, Pg., 56).

The difficult financial times owing to the Euro crisis, lack of jobopportunities and other social pressures pushes the low-income peopleto alcohol and drug abuse. Government and local authorities have notput effort in ensuring that this group of people has access totherapy (Priebe 2005, Pg. 56-96). Therapy assists the victims toovercome the mental distress. There is also inequality in the accessof information on the effect of different factors on mental health.Mind organization functions to bridge this gap. The organization aimsat ensuring that every person has the required knowledge on the wayto support people with mental distress and how to avoid mentalrelated complications (Thomas 2012, Pg. 53) the organizations educatethe Tower of Hamlet and New Ham community and calls for support fromthe government.

Mental health is very important to the people in Tower Hamlet andNew Ham. The locals have been affected by externalities of mentalhealth. The population of Tower of Hamlet and New Ham is aging. Agingpopulation give rise to mental illness such as dementia. The socialand health care act of 2011 that advocates health care that ispreventive, clinically driven and outcome focused. The act affectedthe strategies of mental health care unit that designed a newstrategy that aims at ensuring improvement in the mental health carespecifically to the people of Tower of Hamlet and New Ham. Mentalhealth in Tower of Hamlet and New Ham is currently facing challengesto deliver services in a more personalized way and improveproductivity. Research done by Bosworth (2012, Pg 41), revealed thatthere are many initiatives that have been put in place to overcomethe mental health inequality in Tower of Hamlet and New Ham, butthese indicatives should be directed to educating the localcommunities.

Mind organization raises money from in different forms. Theorganization uses, the money, obtained to fund community programmesthat are aimed at ensuring the London and UK population have thestable life. The organization organizes various marathons to raisethe fund such as run for mind marathon. Other forms of income includecharity donations, member subscription and students fundraising(Genley 2010, Pg. 90). The organization envisions a community thatdoes not have health distress that include anger, stress, anxiety,body dysmorphic, drugs and other mental health problems. Some of theinitiatives of Mind that helps in eradicating mental healthcomplications include organization and individual training andvisiting the hospital to gauge the way in which they handle mentalillnesses. Mind promotes understanding of mental health care, createsawareness on inequalities in mental health services at differentregions and campaigns for the improvement of services in this area(Marriott 2011 Pg. 120).

Conclusion

Mental help is very essential in ensuring that the community isproductive. Effort has been put in place in Tower of Hamlet and NewHam to ensure that the community in this area gets quality healthcare medical attention. Despite, various initiatives, there isinequality in the provision of mental care. Mind organization hasinvested fund to ensure that people with mental problems haveadequate health care. In Tower of Hamlet and New Ham, variousinitiatives that have been conducted include social dissemination andappeal to the local authorities to formulate solid policies that willensure that mental health care inequality is dealt with effectively.Majority of the population in the Tower of Hamlet and New Ham areforeigners, immigrants and youths who are seeking for jobs andeducation. Various strains in life cause this part of the populationin engaging in such activities like drug abuse, excessive alcoholtaking and other ate-social activities. This creates pressure to themfinancially, which creates room for mental health illnesses.

It would be recommendable for the government to formulate policiesthat address not only the mental health condition, but also factorsthat lead to the situation. The population of the Tower of Hamlet andNew Ham should have awareness on how to handle the mentally illpeople. It is also recommendable for the charity organizations likeMind to educate the community on the need to seek therapy earlierbefore the mental illness. The mental health care should be morepersonalized. In conclusion, Tower of Hamlet and New Ham stands in abetter position to address mental health care inequalities by havingcommunity support programmes, youth’s groups support anddevelopment of a strategic alliance between charity organization,region authorities and the local community.

Reference List

Baggaley M., Ali M and Taylor C, (2012). Mental health models ofcare for London. Accessed on 21st Aopril Fromhttp://www.londonhp.nhs.uk/wp-content/uploads/2011/03/2.-Models-of-care-low-res.pdf

Bartlett, P. &amp Sandland, R. (2014). Mental health law: policyand practice. Oxford, United Kingdom, Oxford University Press.

Bosworth, G. (2012). Tower of Hamlet and New Ham. Cambridge,Cambridge University Press.

Broome, M. R., Woolley, J. B., Johns, L. C., Valmaggia, L. R.,Tabraham, P., Gafoor, R., … &amp McGuire, P. K. (2005). Outreachand support in south London (OASIS): implementation of a clinicalservice for prodromal psychosis and the at risk mental state.European Psychiatry, 20(5), 372-378.

Butler, T. &amp Hamnett, C. (2011). Ethnicity, class andaspiration: understanding London`s new East End. Bristol, PolicyPress.

DoH (2006). Public expenditure on health and personal socialservices 2005 : memorandum received from the Department of Healthcontaining replies to a written questionnaire from the Committee.London, Stationery Office.

Genley T. (2010). London`s population and the 2011 census : firstreport of session 2009-2010 : report, together with formal minutesand oral and written evidence. London, Stationery Office.

Glover, G. R., Robin, E., Emami, J., &amp Arabscheibani, G. R.(2012). A needs index for mental health care. Social psychiatryand psychiatric epidemiology, 33(2), 89-96.

Harding, T. W., De Arango, M. V., Baltazar, J., Climent, C. E.,Ibrahim, H. H., Ladrido-Ignacio, L., … &amp Wig, N. N. (2011).Mental disorders in primary health care: a study of their frequencyand diagnosis in four developing countries. Psychol Med,10(2), 231-41.

Hatch S.L., et al (2011). Identifying socio-demographic andsocioeconomic determinants of health inequalities in a diverse Londoncommunity: the South Tower of Hamlet and New Ham Community Health(SELCoH) study. Accessed on 21st April Fromhttp://www.biomedcentral.com/1471-2458/11/861

Higgins, J. P. (Ed.). (2008). Cochrane handbook for systematicreviews of interventions (Vol. 5). Chichester, Wiley-Blackwell.

Kaye, C. &amp Howlett, M. (2008). Mental health services todayand tomorrow. Oxford New York, Radcliffe Publishing.

Marriott, J. (2011). Beyond the Tower a history of Tower of Hamletand New Ham. New Haven, Yale University Press.

Mind (2014). About Mind Organization. Accessed on 21stApril from http://www.mind.org.uk/about-us/what-we-do/our-mission/

Priebe, S., Badesconyi, A., Fioritti, A., Hansson, L., Kilian, R.,Torres-Gonzales, F., … &amp Wiersma, D. (2005).Reinstitutionalisation in mental health care: comparison of data onservice provision from six European countries. Bmj 330(7483),123-126.

Ryan, T. (2009). Managing crisis and risk in mental healthnursing. Cheltenham, U.K, Stanley Thornes.

Silveira, E. R., &amp Ebrahim, S. (2008). Social determinants ofpsychiatric morbidity and well‐beingin immigrant elders and whites in Tower of Hamlet and New Ham.International journal of geriatric psychiatry, 13(11),801-812.

Thomas, N. (2012). Reconstructing mental health law and policy.London, Butterworths LexisNexis.

WHO (2008). Integrating mental health into primary care: a globalperspective. Geneva, Switzerland London, World HealthOrganization Wonca.

World Health Organization, World Organization of National Colleges,Academies, &amp Academic Associations of GeneralPractitioners/Family Physicians. (2008). Integrating mental healthinto primary care: a global perspective. New York,World HealthOrganization.