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Mental health and debt: challenges for knowledge, practice and identity

Fitch, C.; Simpson, A.; Collard, S. and Teasdale, M. (2007). Mental health and debt: challenges for knowledge, practice and identity. Journal of Psychiatric and Mental Health Nursing, 14(2) pp. 128–133.

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People with mental health problems (MHPs) in Britain are nearly three times more likely to report debt compared with individuals without similar conditions.With one-in-four respondents with MHPs reporting personal debt, this may be equivalent to eight or nine clients in the recommended national community mental health nurses’ (CMHNs) caseload of 35. Although client debt is not a new problem for CMHNs, it can pose significant difficulties for client well-being and nursing practice. This paper reviews the published literature on debt and mental health, then considers three of the challenges that client debt can present to: (1) nursing knowledge – moving away from understandings of client debt based on crisis, and towards those focused on process and prevention; (2) nursing practice – reworking the collaborative relationship between CMHNs and external debt advice agencies; and (3) nursing identity – managing the role conflicts that engaging with client debt can bring. The paper concludes by contending that nurses should raise and monitor debt issues among clients, but cannot be expected to become proxy ‘debt advisors’, with CMHNs being encouraged to increasingly collaborate with debt advisors (rather than simply referring on clients).

Item Type: Journal Item
Copyright Holders: 2007 The Authors, 2007 Blackwell Publishing Ltd. (Journal compilation)
ISSN: 1365-2850
Keywords: credit; debt; intervention; mental health; money; nursing
Academic Unit/School: Faculty of Business and Law (FBL) > Business > Department for Accounting and Finance
Faculty of Business and Law (FBL) > Business
Faculty of Business and Law (FBL)
Item ID: 40164
Depositing User: Sharon Collard
Date Deposited: 20 May 2014 13:18
Last Modified: 07 Dec 2018 10:23
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