tailieunhanh - DEBT AND MENTAL HEALTH - What do we know? What should we do?

For this reason, levels of mental distress among communities need to be understood less in terms of individual pathology and more as a response to relative deprivation and social injustice, which erode the emotional, spiritual and intellectual resources essential to psychological wellbeing. While psycho- social stress is not the only route through which disadvantage affects outcomes, it does appear to be pivotal. Firstly, psychobiological studies provide growing evidence of how chronic low level stress ‘gets under the skin’ through the neuro-endocrine, cardiovascular and immune systems, influencing hormone release . cortisol, cholesterol levels, blood pressure and inflammation . C-reactive proteins. Secondly, both. | DEBT AND mental health WHAT DO WE KNOW WHAT SHOULD WE DO Chris Fitch1 Sarah Hamilton2 Paul Basset3 and Ryan Davey1 PSYCH ROYAL COLLEGE OF PSYCHIATRISTS rethink Money Advice Trust 1 Royal College of Psychiatrists College Research and Training Unit 21 Mansell Street London E1 8AA cfitch@ 2 Rethink 15th-17th floor 89 Albert Embankment London SE1 7TP 3 Stats Consultancy Ltd Amersham Bucks Debt and mental health What do we know What should we do Contents Part 1 background Introduction 1 Methodology 2 Part 2 summary What do we know 3 What should we do 4 Part 3 supporting evidence Detailed review of evidence 7 Mortgage debt 8 Consumer debt 10 Mixed debt 11 Non-defined debt 12 Debt and self-harm or suicide 14 Debt and impact on seeking 16 accessing or acting on help Links between advice and 17 health services Part 4 conclusion Conclusion 18 Glossary 20 References 21 Notes 24 Debt and mental health What do we know What should we do Part 1 Background Introduction The relationship between the economic downturn and health has become a subject of political medical and media debate in many 2 These debates have often focused on the impact of unemployment on morbidity and mortality 3 predicted consequences of recession cuts for health services and staff 4 and the legacy of the economic downturn for existing health and social However consideration has only rarely been given to the health of individuals living with personal or household debt including the relationship between indebtedness and mental health. A significant gap This is a significant gap for three reasons. First a large number of individuals are already living with debt. On average 10 of European households surveyed in 2005 reported housing utility or credit arrears during the last 12 months ranging from 3 in Austria through 6 in the UK to 33 in In America 7 of households in 2007 reported arrears of 60 days or more on at least one bill or More households may .