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Mental health policy and practice across Europe: an overview

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46 <strong>Mental</strong> <strong>health</strong> <strong>policy</strong> <strong><strong>an</strong>d</strong> <strong>practice</strong><br />

Box 3.1<br />

A personal testimonial of work discrimination<br />

Mr Watkiss writes (speech to Mind Conference 2001):<br />

I received a curt letter from the personnel director stating that ‘my<br />

st<strong><strong>an</strong>d</strong>ard of <strong>health</strong> did not measure up to the job, <strong><strong>an</strong>d</strong> therefore the offer<br />

was being withdrawn’. A more intelligent, sober <strong><strong>an</strong>d</strong> kindly reaction<br />

would have been to enquire a little further: perhaps to have contacted me<br />

to find out more about this illness that the one sentence in the medical<br />

report revealed. To have contacted, perhaps, my doctor or psychiatrist or<br />

my then employer to find out a little more, <strong><strong>an</strong>d</strong> having done all this, then<br />

make a decision.<br />

My argument was that its [the comp<strong>an</strong>y] action had been contrary to<br />

the requirements of the DDA – which say that it is illegal to treat, in this<br />

case a c<strong><strong>an</strong>d</strong>idate for interview, less favourably th<strong>an</strong> <strong>an</strong>other solely on the<br />

grounds of disability. I argued that its reaction was based on ignor<strong>an</strong>ce<br />

<strong><strong>an</strong>d</strong> prejudice <strong><strong>an</strong>d</strong> was discriminatory. I applied for damages on the basis<br />

of loss of earnings <strong><strong>an</strong>d</strong> injury to feelings. And I won!<br />

My solicitor described it as a l<strong><strong>an</strong>d</strong>mark decision . . . I hope it will me<strong>an</strong><br />

that more people with mental illness apply for work <strong><strong>an</strong>d</strong> are successful in<br />

getting it . . . I would like to think that my case took a swipe at social<br />

prejudice as well as questioning the equation that mental illness equals<br />

incapacity.<br />

officer, for someone with a history of depression) will be ‘too stressful’. Often<br />

such risk assessments are based on stereotypes, not on a genuinely individual<br />

assessment of whether the person c<strong>an</strong> do the particular job, with adjustments<br />

(for example, extra support) if needed, as required by the DDA.<br />

The British DRC has <strong>an</strong>alysed the case law <strong><strong>an</strong>d</strong> recommended specific legal<br />

reform to government, including ch<strong>an</strong>ges to the list of ‘day-to-day activities’<br />

(Disability Rights Commission 2003). Evidence indicates that discrimination<br />

frequently occurs on the basis of unnecessary questions during recruitment<br />

such as ‘have you ever experienced mental illness?’. Therefore, the DRC<br />

proposes that questions about disability should only be permitted during<br />

recruitment (before job offer) in highly specified circumst<strong>an</strong>ces. In 2005<br />

the United Kingdom government did make it easier for people with mental<br />

<strong>health</strong> problems to secure their rights by removing the requirement that<br />

people with mental <strong>health</strong> problems – but not other types of disability – had to<br />

show their condition was ‘clinically well recognized’. Since 2004 direct discrimination<br />

c<strong>an</strong> no longer be justified, which should prove helpful to litig<strong>an</strong>ts<br />

in future.<br />

By the end of 2003, under the EU Directive on Employment, Article 13, countries<br />

(<strong><strong>an</strong>d</strong> new EU countries prior to membership) had to have passed legislation<br />

debarring employment discrimination on grounds including disability; <strong><strong>an</strong>d</strong><br />

to set up institutions to ensure enforcement. Research conducted for the EU<br />

suggests that by 2003 there were 21 institutions in 15 countries devoted to<br />

enforcing <strong>an</strong>ti-discrimination provisions, with some countries having more

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