Mental Health and Inequality.There is a growing recognition that although statistically 1 in 4 people in Scotland will experience a mental health problem in our lives, it will not be just any 1 in 4 who are affected.

This was one of the main issues that Towards a Mentally Flourishing Scotland (TAMFS) consultation addressed, and tackling mental health inequalities is Government focus for 2008-11. There are several possible broad groups who might be more at risk of developing mental health problems, and the TAMFS consultation listed a few:

• People in institutional settings, such as those in secure care or subject to detention, or people living in care homes or long-term nursing care settings.
• People in non-health care settings, such as veterans or the homeless, who may not otherwise be reached by traditional health care or health improvement approaches.
• People with physical and/or mental illness, people with alcohol problems, people misusing drugs, people who are victims of violence and abuse, people who are perpetrators of violence and abuse.
• Looked after and accommodated children, children whose parents have problems with drugs and/or alcohol, children whose parents have a mental illness.
• People without access to key assets or resources.
• People and groups who experience discrimination.

In the same way as mental health problems not affecting people equally, there are some people and groups who may be more at risk of experiencing stigma and discrimination due to their mental health problems.

‘see me’ is committed to working with partners in order to address this through research and implementation of targeted social marketing campaigns as part of Objective 2 of our 2008 – 2011 national plan.

‘see me’ was one of the lead partners between 2005 and 2011 in collaborative work to research and address the stigma associated with mental health problems amongst black and minority ethnic (BME) communities in Glasgow. The rich and complex information that the partners learned during the research led to the pertinent name for this, Mosaics of Meaning (download summary report PDF 1.45Mb). Mosaics of Meaning full report is also available to download (PDF 1.45Mb). The different interventions that followed over the years are discussed in the Mosaics of Meaning Handbook.

Mosaics of Meaning quickly become an internationally recognised piece of work, and has been discussed in various conferences from Scotland to Denmark and Canada. It has provided us with a lot of learning and information for the future when we shape our general campaign to capture a wider range of Scottish public. The programme is now finished, but we have created a legacy website for the programme where you can find more information about Mosaics of Meaning.