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News, Research & Ideas
Analysis, commentary, and research shaping Layered Care and the future of integrated responses to complexity.
The Separation Myth
Why mental health and substance use are not two problems but one co-emergent pattern
CoSUM Framework Analysis
A critical-realist reading of NHS England’s new co-occurring guidance.
Poverty, Place, and Monkey Dust
How deprivation shapes risk, distress, and the local drug market in Stoke.
Why Systems Fail (Critical Realist Perspective)
Structural, cultural, and agential barriers to integrated care.
Labour’s Overlooked Opportunity in Addressing Substance Use Services
As Labour positions itself as the harbinger of change and renewal in its 2024 manifesto, a critical oversight threatens to undermine its vision for a more inclusive and supportive healthcare system. While the manifesto admirably outlines plans to enhance mental health services and integrate healthcare provision, it conspicuously neglects the fragmented and underfunded landscape of […]
simon03992
Jun 14, 20243 min read


Beyond the Stigma: Lessons Learned from the Heart of a Homeless Hub
First Impressions: A Warm Welcome in the Midst of a Storm Upon my initial visit to the homeless hub, I was immediately struck by the palpable sense of warmth and empathy exuded by the staff. As I approached the entrance, I could see a queue of individuals braving the harsh elements, waiting patiently for the […]
simon03992
Apr 15, 20245 min read


Through the Cracks: A Journey Through Mental Health and Substance Use Struggles
In the heart of storytelling lies the power to evoke empathy, inspire change, and illuminate the often unseen struggles many face. My upcoming book, “Through the Cracks: A Journey Through Mental Health and Substance Use Struggles,” aims to do just that. This narrative embarks on the poignant journey of Danny, whose life is marred by […]
simon03992
Feb 26, 20241 min read


Bridging the Divide in Mental Health and Addiction Care
Hey there! If you’ve been following my blog, you’ll know I’m pretty passionate about a topic that’s both close to my heart and critical in the world of healthcare: the intricate dance between mental health and addiction. It’s not just two areas overlapping; it’s a complex tangle where understanding and action need to go hand […]
simon03992
Jan 21, 20245 min read


Beyond Aid: A Mental Health Social Worker’s Reflections on Food Banks and Community Resilience
In my journey as a mental health social worker, I’ve encountered many facets of human resilience and vulnerability. Yet, nothing quite prepared me for the profound lessons I would learn at a local food bank. Amidst the quiet walls of this sanctuary, I witnessed a vivid tapestry of life – stories of struggle, strength, and the indomitable human spirit. From the retired teacher turned volunteer, offering more than just food but a listening ear and hope, to the hardworking indiv
simon03992
Jan 3, 20245 min read


Beyond Labels: Understanding the Impact of ‘Misuse’ and ‘Abuse’ in Addiction Narratives
In the complex world of addiction, where the battle against substances is often silent but fierce, words are not just tools of communication; they are architects of our reality. The terms we choose to describe the experiences of individuals with addiction challenges can either illuminate their journey towards recovery or cast a shadow of stigma and misunderstanding.
In this exploration, we embark on a journey through the intricate labyrinth of language, dissecting two particu
simon03992
Dec 3, 20239 min read


Echoes of the Past: The Self-Medication Hypothesis Through De Quincey’s Eyes”
Introduction: In the tapestry of human experience, the intricate dance between suffering and solace has long been choreographed with substances as partners. This is not a new partner in our waltz of life; it’s a relationship as old as history itself. But why do we turn to such partners? The self-medication hypothesis (SMH) offers one […]
simon03992
Nov 3, 20239 min read


The Power of Words: A Deep Dive into the Language of Addiction
Language is a curious thing, isn’t it? It acts as both a window and a wall in human communication. Through words, we can peer into people’s deepest beliefs, seeing the cultural, historical, and personal foundations that shape them. But here’s the kicker: language doesn’t just reflect our thoughts; it actively shapes them. Words are far […]
simon03992
Oct 28, 202313 min read


Breaking Misconceptions: The Unique Role of Social Workers in Mental Health Crisis Management
The Indispensable Role of Social Workers in Mental Health Crises There is a misconception in mental health services when referring to the role of a social worker. For many, the role of a social worker in mental health services is to address the individual’s economic and housing needs. This is a misconception. The reality is […]
simon03992
Aug 12, 20234 min read
Re-Examining Mental Illness: Have We Gotten It Wrong?
Since the work of Emil Kraepelin, the concept of mental illness has dominated western society. In recent years, there has been a notable increase in diagnosed mental health conditions, with around 20% of the world’s children and adolescents now being labeled with a disorder. However, the more that psychiatric theory and practice are promoted, the […]
simon03992
Aug 1, 20233 min read


The Intersection of Individualism and Mental Health: A Delicate Balance
Throughout the course of human history, societal norms and values have shaped the way we view ourselves and interact with the world around us. One such societal norm, deeply rooted in Western cultures, is individualism—the idea that emphasizes the moral worth of an individual over a community or collective group. While individualism fosters personal freedom, […]
simon03992
Jul 30, 20232 min read


How Neoliberalism destroyed collectivism
In 1979, Margaret Thatcher was elected prime minister of the United Kingdom. Thatcher’s neoliberal ideas helped her win the election, and she promptly decimated the welfare state and changed British culture from collectivism to individualism in the years that followed. Thatcher’s acceptance speech after her election provided clear evidence of this: I think we have […]
simon03992
Mar 5, 20235 min read


Have we got it all wrong?
Since the work of Emil Kraepelin, mental health or illness has dominated western society. The last decade has seen a 13% increase in mental health and substance use conditions, with around 20% of the world’s children and adolescents being given a mental health condition. In fact, the more that psychiatric theory and practice are promoted, […]
simon03992
Oct 20, 20227 min read


Culture is the Solution and the Problem
Here are a few thoughts as i progress through my thesis.
simon03992
Jul 12, 20229 min read


Addiction, what’s it all about?
Reflecting on the start of the PhD, i was very much focused on what some may see as the medical model or a positivist stance. Terms like dual diagnosis and substance misuse/abuse were floating around my head constantly. I adopted the conventional way of looking at people with co-existing mental health and substance use difficulties, […]
simon03992
Apr 22, 20229 min read


The Beginning
“It’s not about what you write, it’s about who you write it for” I had planned to start a blog several years ago. In fact, I created one. But unfortunately, I paid the fees and then forgot all about it in the midst of doing a PhD. So, the initial purpose of a blog was […]
simon03992
Apr 19, 20223 min read
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