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Fairer Welfare Systems for Better Mental Health
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18 February 2025

Our knowledge and awareness of mental health has never been greater. Yet little progress has been made in addressing a key cause of population mental ill-health: financial insecurity.
This book argues that tackling inequalities through the social security system could offer a new focus to help stop our current trajectory of worsening poverty and distress.
Featuring original research and focusing on three key areas: prevention, support and investment, it sets out how well-designed social security systems could play a central role in our collective mental health and discusses the changes that are needed to get there.
“Katie Pybus skilfully exposes the gaping holes in our social security net through which many people with mental ill-health fall and makes a compelling case to rethink this failing system.” Jed Boardman, Institute of Psychiatry and Centre for Mental Health
Introduction
1. Money on the Mind
2. ‘Constantly on Edge’
3. ‘Unseen Injuries’
4. ‘Sick Note’ Culture
5. A Fairer Welfare System
6. Investing in The Future
7. A New State of Mind
Conclusion
Afterword: The Budget