Social psychiatry and social policy for the 21st century: new concepts for new needs ‐ the ‘Enabling Environments’ initiative
| Pages | 17-23 |
| DOI | https://doi.org/10.5042/mhsi.2011.0054 |
| Published date | 14 February 2011 |
| Date | 14 February 2011 |
| Author | Robin Johnson,Rex Haigh |
| Subject Matter | Health & social care |
Mental Health and Social Inclusion • Volume 15 Issue 1 • February 2011 © Pier Professional Ltd 17
SOCIAL POLICY
and to encourage new practice. Either way, the
recognition of the significance of related-ness
(Putnam, 2000; Christakis & Fowler, 2009; Norman,
2010), is central to any efforts to enhance mental
health and to improve the health of the nation. This
is the foundation of ‘the new social psychiatry’.
The first article in this series (Johnson &
Haigh, 2010) described one such concept: the
‘psychologically-informed environment’, or ‘PIE’. The
PIE originally arose out of the need to recognise
and to work with the levels of emotional trauma
that accompany, and in many cases precede, an
individual becoming homeless. It is a new approach
or framework whose original aim was to recognise
‘Health is created and lived by people within
the settings of their everyday life; where they
learn, work, play and love.’ (World Health
Organization, 1986)
Introduction
This paper describes a number of new ideas that
attempt to explore the central importance of the
social dimensions of health, and the healthcare
impacts of everyday life and practice for individual
and community well-being. Each of these new
concepts point simultaneously in two directions
– they aim both to embody current new thinking
Social psychiatry and
social policy for the 21st
century: new concepts for
new needs – the ‘Enabling
Environments’ initiative
Robin Johnson
Consultant, RJA Consultancy, UK
Rex Haigh
Consultant Psychotherapist, UK
Abstract
A ‘psychologically informed environment’, or PIE, is the first of many new concepts that have spun off from
the Royal College of Psychiatrists’ Enabling Environments (EE) initiative. Based on the early developments in
the therapeutic community movement, and adapting these values and principle to the 21st century world of
community mental health, the EE initiative attempts to identify the key features in any setting that fosters a
sense of connected belonging; and suggests a process by which these principles can then be customised for
specific settings. The implications for a new social psychiatry at the heart of any future public mental health
and social policy are clear; and to be pursued further in the final paper in this trilogy.
Key words
Enabling Environment; Mental well-being; Recovery; Social policy; Social psychiatry
10.5042/mhsi.2011.0054
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