Abstract
Purpose
This systematic review aimed to synthesise all quantitative literature on the association between social class and the effectiveness of interventions for mental health disorders.
Methods
Systematic literature searches (inception-March 2021) were conducted across 7 databases, and all quantitative studies meeting inclusion criteria, examining the impact of social class on access to treatment, or intervention effectiveness, or the impact of treatment on social mobility, were synthesised narratively.
Results
Evidence suggests that lower social class may be associated with reduced access to primary and secondary mental health care and increased likelihood of access via crisis services, and patients of lower social class may not benefit from all mental health interventions, with reduced effectiveness. While limited, there was some indication that psychosocial interventions could encourage increased employment rates.
Conclusion
Social class is associated with the effectiveness of psychological interventions, and should be considered when designing new interventions to prevent barriers to access and improve effectiveness.
| Original language | English |
|---|---|
| Journal | Social Psychiatry and Psychiatric Epidemiology |
| DOIs | |
| Publication status | Published - 23 Nov 2022 |
Bibliographical note
Funding Information:This work was funded by the Social Mobility Commission, an advisory non-departmental public body funded by the cabinet office.
Publisher Copyright:
© 2022, The Author(s).
Keywords
- Intervention
- Mobility
- Social
- Socio-economic status
- Systematic review
Access to Document
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This is the final published version of the article (version of record). It first appeared online via Spriger Nature at https://doi.org/10.1007/s00127-022-02378-9. Please refer to any applicable terms of use of the publisher.