Archive for the ‘biopsychosocial (BPS) model of assessment’ Category

WHEN THE DWP DECIDE YOU ARE JUST NOT SICK ENOUGH-EVEN THOUGH YOU ARE!


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Photo provided by Family

Joanne Lee Stephens was utterly disgusted and posted on social media disability forum the plight of her brother Edward Lee failing his assessment.

 

This is my brother Edward Lee who was diagnosed with cancer of the jaw and Lymph Nodes.
On the 04/01/2017 my brother was admitted to hospital for an operation to save his life.
On the 5/01/2017 my brother had his operation and very ill when he left theatre.

On the 6/1/2017 ATOS did an telephone assessment to decide his fitness for work.

On the 23/02/2017 DWP wrote back stating that he had scored ZERO points even though he is on very high doses of Morphine as well as other Morphine tablets to kill the pain.

My brother is confined to bed unable to eat still and the cancer has made its way through his neck into the chest
His benefits were immediately stopped and any benefits that were owed were refused.
My brother also has a long list of health problems but ATOS told the DWP his cancer is not life threatening.

 

The appalling way this government treats very sick people is nothing short of criminal. Many are rightfully denied  support for the state when needed. The state peddles lies about languishing on the state while ‘hard working taxpayers foot the bill is just wrong and not true. Now if you don’t need a DS 1500  to state you have less than 6 months to live  you ain’t dying quick enough to garner state support.

Chronically sick people are being denied access to support even when they have medical evidence in front of them which is disregarded as they think behavioural changes need to happen with claimants to weed out the ones sponging off the state purse. There are many stories highlighted now where denial of support is common place among the corridors of power at DWP. In fact not once is chronic illness mentioned  which affect so many and which are often hidden disabilities. this week many changes were also announced to change PIP (Personal Independence Payments ) another benefit designed to support disabled and chronically sick people with the extra costs they face

How much longer can the general public turn a blind eye to the suffering of thousands of people without saying that’s enough this stops now? We also have later in year the prospect of further changes to the work capability process which was announced in the Green Paper ‘Improving Lives’ by the New Tory Minister for DWP Damien Green.  Labour minister Debbie Abrahams a former public health consultant called these new changes as dangerous. https://www.opendemocracy.net/ournhs/debbie-abrahams/dangerous-new-changes-planned-to-force-sick-people-into-work-or-into-poverty

Even Lib Dems Lords have motioned a Bill to stop these changes http://www.libdemvoice.org/lib-dem-lords-aim-to-kill-new-tory-restrictions-on-disability-benefits-53391.html

This is state sanctioned torture for those unfortunate to rely on the state for support during difficult times in their lives.

Meanwhile the WCA process continues to terrify those on Employment and Support allowance which has in some case resulted in fatalities, while making those with MH live in fear . It is time for public to stop believing the press and ministers and start to question their consciousness of whether they are going to defend the human rights of the very people they oppress and stand up and say enough is enough to those in the corridors of power whose aim is to demolish the welfare state so no one will be entitled to state support in the future with an ideological agenda to cut the welfare bill costs by any means necessary and ignore the suffering it is causing to those claiming and their families. There is plenty of research out there now both in HOC library ,DWP select committee evidence and Independent Research to highlight this flawed assessment process which should be scrapped  immediately.

 

This has to stop now.

 

UPDATE:  a second story in the matter of days  http://www.welfareweekly.com/terminally-ill-women-found-fit-for-work-by-callous-dwp-needs-your-help/

 

The Human Cost Of Austerity


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What is the Human Cost of Austerity?

Well for most working people it not affected them yet, they actually have been least hit, unless you’re on low pay poverty wages .The pensioners are ‘untouchable’ as far as political ideology is concerned,but for some of the most vulnerable groups they have been affected the most and they are ones least likely to be able to take the hit of both financial and personally as they have least means for survival. the last 6yrs has seen sick & disabled people penalised the most, resulting in fatalities that should shock anyone with a ounce of humanity in their souls.

Why has this been allowed to happen I hear people cry, well I will tell you why …because you allowed it to happen by not standing up for a fair society for all!

A colleague Kitty Jones summed up this in one of her thought provoking quotes Read more here ..  https://kittysjones.wordpress.com/

Neoliberalism is based on competitive individualism. In such a competitive system it’s inevitable that there will be a few “winners” and many “losers”. That’s what “competition” means. It means no rewards for most people – inequality and poverty for the 99%. It’s not possible to “work hard” to change this. It’s built into the very system. Therefore it’s hardly fair or appropriate for a government to blame and punish people for the failings of their own imposed dominant ideology – a political and economic mode of organisation – which most ordinary people did not intentionally choose.

 

The fact is this Government blames anyone and everyone but themselves and they spout on about ‘people taking responsibility’ which is all well and good in ideal world but the one we live in now is a far more dark and frightening space. It uses behavioural conditioning to pit one section of society against the other  in a global hunger games like experiment you would see in an apocalyptic movie, but its not a movie , for many it a reality of daily struggle in some mind bending experiment of your nightmares.

Again Kitty Jones points this out well

The Tory mindset is very disciplinarian. In their view, everyone else needs “corrective treatment” to ensure that society is shaped and ruled the way they think it ought to be. The government believes that rather than addressing social problems – many of which are created and perpetuated by their own policies, such as growing inequality and absolute poverty – can be addressed by “incentivising” people to “behave” differently. In other words, they believe that people can be punished out of poverty, being ill, being out of work, and being less “competitive”, cost effective citizens, letting down the conservative’s constructed, overarching neoliberal state.

The government is conducting behavioural experiments on the public without their consent, to fulfil the needs of government, rather than the needs of the public. This turns democracy totally on its head. Citizens are being coerced to act as the government deems necessary to fulfil conservative notions of cost reduction and “efficiency” – such as their notion of a low tax, low welfare society. “Living within our means” means austerity for the poorest, tax cuts for the rich => growing inequality and poverty.

The government mindset: “Psychology as a behaviorist views it is a purely objective experimental branch of natural science. Its theoretical goal is … prediction and control.” From – https://gcs.civilservice.gov.uk/…/GCSBehaviourChangeGuideJu…

And: “Behaviour change is one of the primary functions of government communications – helping change and save lives, helping the government run more effectively as well as save taxpayer’s money.

Our approach is to use a mix of awareness raising, persuasion, practical help and behavioural theory, to demonstrate why changes in behaviour are important and to make these changes easy for the public to adopt.”

Making changes “easy to adopt” sounds like choices are being offered, however, the use of “incentives” includes rigid, coercive measures such as welfare sanctions and savage cuts to public support and services.

A government that imposes policies on citizens using coercion is not “democratic.” It’s a government displaying some very worrying totalitarian tendencies.

 

 

As this governments ideology marches on towards it goal of dismantling the Welfare State,NHS social care and redefining chronic sickness & disability (as in to eradicate it ) ,and  child poverty at alarming rates, a government which stokes racial disharmony , and homelessness which will swamp streets in every part of the UK then we are heading for very troubled waters indeed . In April the two child policy comes in, further cuts to a variety of benefits that people receive and the process of getting them made almost impossible to get, and enforced treatment of some claimants to make them fit for work with a very dangerous Health & Work programme  later this year,  will cause preventable harm to many and most likely more deaths that go hand in hand with Mental Health issues, poverty,malnutrition etc that we can barely see the apocalypse coming as so many are blinded by their own survival and greed.

 

What sort of legacy are we leaving our children and future generations? One where human life is deemed worthless and disposable, christ we only need to look at what damage we do to the planet we live on and the destruction that is causing to see this a road of no return.

Unless we wake up, Mad Max will become a reality and those left behind will not have the coping strategies to cope and the knowledge of their forefathers will be lost forever.

They say history repeats itself, well yes it does, because we still haven’t learned to value what’s precious and not repeat past horrors like both wars where humans are brutalised and then become emotionally disconnected because it is too painful to see or feel. This has to change if we are to make a real difference and that change can start with ourselves and join together to unite against what is wrong.

People think they do not have power to change things so become accepting but collectively we do have power  and thats what scares governments the most. It is time to wake from your slumber and rise up like lions to defend life and create a better world for all.

It is  time to put our differences aside and work together as a collective to achieve changes we wish to happen!

Psychological Wellbeing and Work-Mo Stewart


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Guest Blog by Mo Stewart

Dear Christian van Stolk

Re: Psychological Wellbeing and Work

Please excuse this unsolicited contact by an independent researcher in Cambridge.

I have read with interest the Psychological Wellbeing and Work report, as conducted by RAND Europe and funded by the Contestable Policy Fund and, FYI, please be advised that I am a former healthcare professional in my previous career.

I shall copy in the Secretary of State for Health, who now leads on mental health, and his Shadow together with the Secretary of State for Work and Pensions and his Shadow.

Now in my 8th year of independent research into the ongoing welfare reforms in the UK, as guided by neoliberal politics and strongly influenced by American social security policies which have had a detrimental impact on claimants, may I please draw your attention to the book ‘Cash Not Care: the planned demolition of the UK welfare state’, which has achieved critical acclaim since its publication in September 2016.

To that end, may I suggest you invite access to the research by contacting my publisher and inviting a review copy of the book.

 This recent book review may be helpful: http://www.disabilitynewsservice.com/disabled-researchers-book-exposes-corporate-demolition-of-welfare-state/

It is cause for continued concern that major DWP policies, often negatively impacting on the wellbeing of some very ill and vulnerable people, are invariably introduced using research commissioned by the DWP, whilst disregarding the vast catalogue of distinguished research evidence as provided by a variety of academic experts when not commissioned by the DWP and whose funding is not linked to political ideology.  Please see attached examples of academic excellence.

It is noted that your report refers to ‘work’, which exclusively identifies with paid employment and disregards the beneficial nature enjoyed by an army of volunteers in the UK, many of whom are chronically ill or profoundly disabled and for whom a return to paid employment is neither practical nor inducive to their wellbeing. As a volunteer, it is possible to benefit from a working environment with colleagues and a purpose when well enough and enjoying a ‘good day’.  There is no-one to make accusations when too ill to leave the house, with a diagnosed condition that will never improve regardless of DWP intimidation and threats.

In keeping with reported comments by David Freud, all DWP commissioned research seems to presume that anyone in receipt of out-of-work disability benefits should have access to the benefits for the short-term, with no acknowledgement at all that many, many health conditions are permanent, cannot improve  especially with endless intimidation and coercion by the DWP, and that there is no evidence whatsoever other than totally discredited DWP commissioned research of the claimed one million people on out-of-work disability benefit who should or could return to work.

It is also noted that a report identified as ‘Psychological Wellbeing and Work’ disregards the ongoing identified preventable harm created by the DWP, the relentless political manipulation of the public with claims for which there is no foundation, suggesting that 75% of claimants of out-of-work disability benefits are ‘inactive’,  ‘bogus’, ‘idle’, ‘skiving’, ‘workshy’ and ‘scrounging’.  This has created a situation where chronically ill people, who are not capable of paid employment, now live in fear of the DWP following relentless coercion and intimidation, aided by the national press, which led to a 213% increase in disability hate crimes in the UK during the Coalition government’s term in office, and genuine claimants now living in fear of applying for welfare funding to which they are entitled, to this nation’s everlasting shame.

There are now claimants who have starved to death in the UK, quite literally, as the unreserved and savage use of sanctions has been imposed by the DWP in an effort to force compliance of the unprecedented DWP welfare ‘reforms’ on those least able to protest.

The most vulnerable in society are paying a high price for the political ideology of neoliberalism, some with their lives.

Suicides and deaths are the tip of the iceberg of misery and suffering on an unimaginable scale experienced by those who

are physically or mentally unfit to work, as the government implements an increasingly punitive and authoritarian regime

against benefit claimants. Vulnerable people are left destitute by sanctions that suspend or end their benefits if they fail

to comply with orders to attend ‘assessments’, ‘training courses’, or submit the required number of job applications.

Psycho politics, neoliberal governmentality and austerity

Philip Thomas

Self & Society Journal

Volume 44, 2016 – Issue 4

Perhaps, when considering future interventions for mental health, Consultant Psychologists and Psychiatrists who are not politically motivated could be consulted as they actually have clinical experience of working with ‘common mental health’ problems, which should not imply that they are not serious problems, and they are less inclined to have the welfare budget as their top priority as opposed to the wellbeing of often very ill patients.

It seems unlikely that more coercion by Jobcentre Plus and the DWP, when masquerading as psychological support, is likely to benefit sufferers of mental ill health, who are not known to respond well to relentless intimidation with endless threats of sanctions and the possibility of starvation close to their lived experience.

The travesty of this ongoing government imposed human suffering, where chronically ill people in receipt of welfare benefits are presumed to be bogus, was adopted due to the introduction of neoliberal politics, the outsourcing to private companies very lucrative DWP contracts and the failure to audit the contracts.  Chronically ill people have suffered and died due to political ideology that is unrelated to the health or the welfare of the claimants, and was motivated by the desire to reduce welfare costs regardless of human consequences. The fact that the DWP have refused to publish updated mortality totals of those who have died following the totally discredited Work Capability Assessment may alert you to the ongoing problems, as faced by those least able to defend themselves against this ideological assault.

See: http://www.disabilitynewsservice.com/green-party-calls-on-government-to-launch-benefit-deaths-inquiry/

I would alert you to the fact that a great deal of the identified increased mental health problems are due entirely to the DWP policies of recent years, where all chronically ill and disabled people in need of welfare benefits are presumed to be bogus unless proven otherwise, the constant savage rhetoric in the national press, the increases in disability hate crimes and the fact that the British public have been successfully misdirected on route to the UK eventually adopting private healthcare insurance to replace the welfare state.

Your research will no doubt benefit administrators in the DWP and the DoH, but will not benefit anyone suffering from a common mental health problem as enforced ‘therapy’ may well now be added to their many burdens for the enormous crime of being too ill to work. The fact that what was once guaranteed and vital financial support has been removed actually guaranteed an increase in the onset of mental health problems, for those who are physically disabled as well as for those with a mental health diagnosis as their primary health problem.

I trust this information may be helpful.

Best

Mo Stewart

Disabled veteran (WRAF)

Disability studies researcher

Retired healthcare professional

https://www.researchgate.net/profile/Mo_Stewart/publications

http://disability-studies.leeds.ac.uk/library/author/stewart.mo

www.whywaitforever.com/dwpatosveterans.html#documents

Academic confirmation we have all been waiting 7 years for- AYLWARD’S REPUTATION DESTROYED BY ACADEMIC EXCELLENCE


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 Courtesy of Mo Stewart July29th 2016

Re: Blaming the victim, all over again: Waddell and Aylward’s biopsychosocial (BPS) model of disability.

by Tom Shakespeare, Nicholas Watson and Ola Abu Alghaib

 

Critical Social Policy, May 25,2016: 0261018316649120

http://csp.sagepub.com/content/early/2016/05/25/0261018316649120.abstract

AS you all know, I have been exposing the dangerous WCA in my research since 2009.  Eventually, I was able to expose the use of the totally discredited biopsychosocial (BPS) model of assessment, used for the WCA and adopting a ‘non-medical’ assessment model to resist funding benefit.  Waddell and Aylward’s ‘research’ was based on the modified version of Engel’s BPS model as identified in the 1970s. They are responsible for the BPS model used for the WCA, which has destroyed countless lives.

 

Finally, the very long awaited academic support has arrived in the form of a blistering attack against Mansel Aylward and Gordon Waddell’s research ‘evidence’ who, historically, have written DWP ‘commissioned’ research that has influenced government policy, which led to the introduction of the WCA.

 

Originally published in Critical Social Policy Journal, Tom’s scathing attack against the BPS duo is now attached and is available via Tom’s website at UEA: https://ueaeprints.uea.ac.uk/58235/1/1351_Shakespeare.pdf

 

The Waddell-Aylward BPS has remained largely unexamined within academic literature, although it has not escaped critique by disability activists (e.g. Jolly 2012, Berger n.d., Lostheskold 2012, Stewart 2013). In this paper we build on these political challenges with an academic analysis of the model and the evidence used to justify it. We outline the chief features of the Waddell-Aylward BPS and argue that, contrary to Lord Freud’s comments above, there is no coherent theory or evidence behind this model. We have carefully reviewed claims in Waddell and Aylward’s publications; compared these with the accepted scientific literature; and checked their original sources, revealing a cavalier approach to scientific evidence. In conclusion, we will briefly outline the influence of the Waddell-Aylward BPS on contemporary British social policy, and the consequent effects on disabled people.” (p4) (My emphasis MS)

 

Waddell and Aylward slide between general statements that are scientifically valid, and specific statements that are matters of opinion or political prejudice. They also tend to cite their own, non-peer reviewed papers extensively. For example they claim ‘We have the knowledge to reduce sickness absence and long-term incapacity associated with common health problems by 30–50%, and in principle by even more’ (2010, 45). They underpin this claim by reference to one of their earlier publications, Concepts of Rehabilitation for the Management of Common Health Problems (Waddell & Burton 2004). However, there is no evidence cited in this 2004 work to support such a claim, in fact this publication even acknowledges the paucity of evidence in this area (Waddell and Burton 2004; 50).” (p20)

 

“In conclusion, the relationship of the advocates of the Waddell Aylward BPS to the UK government’s ‘welfare reform’ does not represent evidence-based policy. Rather, it offers a chilling example of policy-based evidence.” (p24)

 

The research ‘evidence’ used by the DWP to justify the dangerous WCA, using the discredited BPS model, is finally exposed as having ‘no coherent theory or evidence behind this model’, which is academic speak for being totally bogus.