A Brief Foray into Social Inclusion- what does it mean for professional health practice?

Abstract

The aim of this paper is to stimulate debate around the concept of 'social inclusion' in the context of working in health care. A perusal of the literature shows the terms social inclusion, social capital and social participation are often used synonymously giving rise to questions as to what these terms actually mean. That is, are they all one and same thing, or are they different concepts, and how do they relate in the professional practice arena? To ensure there are core understandings about these terms initially some definitions of social inclusion and exclusion are offered. Some social issues are also briefly presented to illustrate how social, inclusion or exclusion, policies and practices can impact on individuals, families and communities.

How the personal support networks of people with intellectual disability promote participation and engagement

“…Also, the important relationships between these factors and the subtle and complex ways in which these factors can be mediated to promote a 'good life' for the person. While some of these factors have been identified in previous research (Arvidsson et al, 2008;Axelsson et al, 2014;Briggs, 2017;Forrester-Jones et al, 2006;Meininger, 2013;Verdonschot et al 2009b), network members in this study described the actual processes and mechanisms involved (Schofield, 2015). Network members valued, looked for and celebrated the person's contribution.…”

“…Due to the diverse theoretical and discipline perspectives engaged with the concept of social inclusion, there is ongoing debate regarding what defines social inclusion (Briggs & Harris, 2017). In a systematic review of the literature, key domains of social inclusion were identified as: participation; social connectedness and a sense of belonging; and citizenship and rights (Cordier, et al, 2017, p. 4).…”

“…In a systematic review of the literature, key domains of social inclusion were identified as: participation; social connectedness and a sense of belonging; and citizenship and rights (Cordier, et al, 2017, p. 4). People with intellectual disabilities experience significant risk of social exclusion and segregation from the formal structures and institutions of the economy, society and state (Somerville, 1998), including social isolation and impoverished interpersonal interaction and community participation (Asselt-Goverts, Embregts & Hendricks, 2013;Bigby, 2008;Briggs & Harris, 2017;Emerson, 2011;Forrester-Jones et al, 2006;McConkey & Collins, 2010;McVilly, Stancliffe, Parmenter & Burton-Smith, 2006;Milner & Kelly, 2009). The focus of this inquiry was on the relationship between two key dimensions of social inclusion in the lives of people with an intellectual disability: social connectedness and community participation.…”

From ‘Us and Them’ to ‘Me and You’: Fostering Inclusion in Daily Care Practice in Terms of Equal Partnership

“…In this journal, Briggs and Harris (2017) argued for more debate about the meaning of the concept of inclusion in different settings, including health care practices. According to them social inequities in health, for example unfair differences in health status across groups in society, result from an uneven distribution of social goods, resources and from social exclusion.…”

“…Participation in community life is vital for health and wellbeing, for promoting a sense of belonging, networks of social support and opportunities for physical activity (Carroll et al 2018). Briggs and Harris point at the question how professionals address specific inclusion and exclusion issues, and contribute to more inclusive policies and equitable outcomes in their work (Briggs & Harris 2017).…”