The Money and Money Health Policy Institute is calling on the Government to step up efforts to prevent financial harm for people receiving secondary mental health care.
A new report shows that the annual average income of people with severe mental health problems is £6,500 lower than the wider population, due to factors such as reduced capacity to work and persistently low rates of benefits. The report is a partnership with the charity Mind and funded by Barclays examines the financial experiences of people receiving care from secondary mental health service
The research shows that many people face significant cuts to their income while being treated under secondary mental health services. In a survey of almost 200 people who have received care from secondary mental health services, the charity found that:
The research shows that a key factor contributing to these problems is the lack of support in secondary mental health care to help people with money problems, and to prevent them from falling into financial difficulty.
For example, eight out of ten (81%) survey respondents said their crisis or relapse prevention plan did not mention finances, while six in ten (58%) were not offered any support with their finances while under the care of secondary mental health services.
Furthermore, the report highlights concerns about the low uptake of existing financial support measures such as the Mental Health Breathing Space scheme, the government’s debt relief scheme for people receiving mental health crisis treatment. While the government predicted that 27,500 people would enter the scheme in 2021-22, official figures show that only 696 people did so in the nine months after it was launched in May last year.
Money and Mental Health is calling for the government and health care providers to step up efforts to prevent financial harm for people receiving secondary mental health care. Recommendations include:
The Department of Health and Social Care (DHSC) should automatically offer Mental Health Breathing Space to people detained in hospital due to their mental health, to ensure that more people experiencing a mental health crisis can benefit from this vital support.
The Money and Pensions Service (the government body responsible for promoting financial capability) should take steps to increase awareness of Mental Health Breathing Space among mental health nurses, social workers and health care assistants. Again, this will be critical in enabling more people with acute mental health problems to access the programme.
DHSC and NHS England should ensure that money worries are embedded in Care and Treatment plans, physical health checks and other support plans. This would see healthcare professionals routinely ask people about their financial position, and signpost and refer people to support services.
The Money and Pensions Service and Health Education England should fund and deliver a money and mental health training module for health care practitioners, to support professionals in secondary mental health settings to ask about financial difficulties. This would ensure health professionals are better equipped to support people experiencing mental health problems with their finances.
Helen Undy, Chief Executive of the Money and Mental Health Policy Institute, said “When you’re dealing with serious mental health problems, managing money and keeping up with bills can be an impossible task. Secondary mental health services can play a critical role in helping people in this position avoid serious financial harm, but too often that opportunity is being missed.
“This urgently needs to change, especially given the looming cost of living crisis which is going to hit people with mental health problems particularly hard. We know that debt makes mental health recovery harder, and we know that people in debt are more likely to have considered suicide. A failure to act now risks a tidal wave of mental health crises that services are not adequately resourced to support with.”
“Part of the answer is making sure that more people can access existing support measures like the Breathing Space debt respite scheme, which could make a huge difference in helping them avoid financial crisis. But we also want to see healthcare professionals routinely asking people with mental health problems about their finances as part of their Care and Treatment plans. The upcoming reform of the Mental Health Act offers a perfect opportunity to embed this as standard practice, and to ensure that fewer people have to face serious financial worries when also dealing with acute mental health problems.”
Vicki Nash, Head of Policy, Campaigns and Public Affairs at Mind, said “We know that poverty and mental health form a vicious circle, with those in poverty more likely to have a mental health problem, and those with a mental health problem more vulnerable to the effects of poverty. Pressures from the cost of living on people’s mental health will likely mean more people seeking help from mental health services – but these services are already stretched to breaking point.”
“The cost-of-living crisis will hit those on the lowest incomes the hardest, including people receiving benefits. Benefits have not been kept in line with inflation meaning that people with mental health problems who rely on benefits, many of who were struggling financially already, will suffer from increased financial distress. People reaching crisis point and facing problem debt need the time, space and support to address both their mental health and financial issues, but we also need to be protecting people from the very real risk of poverty.”