ABSTRACT
In this chapter I discuss some of the ways in which the unequal distribution of economic and social resources can have a profound adverse influence on mental health and how this can be passed down from one generation to the next. There is a general consensus in the studies that I refer to on how the chronic stress of struggling with material disadvantage is intensified to a very considerable degree by doing so in more unequal societies. The emotional, cognitive and physical effects of high levels of differentiation in social status are profound and far-reaching. They heighten status competition and status insecurity across all social and income groups and among both adults and children.
I also illustrate with a case study how the CAT model provided a useful structure for the development of a Consultation Service for professionals working in an NHS mental health trust. I have illustrated how the approach promoted the development of a more collaborative and empowering understanding of the variety of roles that we play as health care providers when confronted with the cultural, social and political factors influencing the context within which the patients and their families experience their mental health difficulties.
