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Avoidable Harm
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4. disruption to or lack of appropriate support

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  • Government and local authority funding cuts.

  • Loss of social care services and support package reduction.

  • Loss of benefit and housing advice services.

  • Loss of user-led organisations and independent advocacy services.

  • Decision making delays.

  • Needs dismissed, not met or deemed ineligible.

  • Inadequate assessment and inaccurate records.

  • Practitioner changes and little continuity.

  • Inconsistent or insufficient personal budgets/direct payments and ‘top up’ charges.

  • Lack of support for socially inclusive activities.

  • Bad experiences and disengagement from services. 

  • ‘Gatekeeping’ and rationing.

  • Negative effects of diagnostic labelling.

  • COVID-19 pandemic related disruptions.

Systemic    |    Relational

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"[In] my Council, there's a real lack of social inclusion or socially inclusive activities. So, you know, you really have to go to quite extreme measures to demonstrate that you've got domiciliary care needs"

"Being financially assessed, and someone coming back with such a high figure as a contribution towards your personal budget, that you can't afford to make the payment, because many people are on low incomes or...in receipt of benefits"

Please visit us on a desktop!

A model of service user experiences of avoidable harm in mental health social care, the impacts of harm caused and service user recommendations for ways to minimise harms.

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Principal Investigator: Dr Sarah Carr

Co-Investigator: Dr Angela Sweeney

Co-Investigator: Tina Coldham

Research Assistant: Georgie Hudson

Design & illustrations: Traumascapes

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This resource is based on independent research funded by

the National Institute for Health Research School for Social Care Research (NIHR SSCR). The views expressed are those of the authors and not necessarily those of the NIHR SSCR,the National Institute for Health Research or the Department

of Health and Social Care.

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