Hundreds of thousands of employment and support allowance (ESA) claimants face being stripped of their benefits if they refuse to undergo treatment for anxiety and depression, under radical plans being proposed by ministers.
Existing welfare rules mean it is not possible to require claimants to have treatment, such as therapy or counselling, as a condition of receiving ESA. However, it has emerged that the roll-out of further mandatory pilot schemes are planned over the next few weeks.
One trial began last month, looking at combining “talking therapies” with employment support. Three further trials being launched this summer are intended to test different ways of linking mental health services with support for benefit claimants seeking work:
- Using group work “to build self-efficacy and resilience to setbacks” faced by job seekers
- Providing access to online mental health and work assessment and support
- Third parties, commissioned by Jobcentre Plus, to provide telephone-based psychological and employment-related support
The aim is to get people with mental health problems off benefits and back into work, so saving the government crucial spending on the welfare bill.
The proposal will, however, raise ethical questions about whether the state should have the power to force patients to undergo treatment. According to the statistics, 46% of ESA claimants have mental health problems.
The Telegraph claims a senior government source told them:
“We know that depression and anxiety are treatable conditions. Cognitive behavioural therapies work and they get people stable again but you can’t mandate people to take that treatment.
“But there are loads of people who claim ESA who undergo no treatment whatsoever. It is bizarre. This is a real problem because we want people to get better.
“These are areas we need to explore. The taxpayer has committed a lot of money but the idea was never to sustain them for years and years on benefit. We think it’s time for a rethink.”
Tom Pollard, policy and campaigns manager at Mind, the mental health charity, said:
“If people are not getting access to the support they need, the government should address levels of funding for mental health services rather than putting even more pressure on those supported by benefits and not currently well enough to work.
“Talking therapies can be effective, but it is often a combination of treatments which allow people to best manage their symptoms and engaging in therapy should be voluntary.”
Norman Lamb, the Lib Dem health minister, said mandating mental health treatment for benefit claimants would not work and was “not a sensible idea”.
“The idea that you frogmarch someone into therapy with the threat of a loss of benefits simply won’t work,” he said. “It is not a question of whether tough love is a good concept.
“You actually need someone to go into therapy willingly.”
Read the full story in The Telegraph
Source – Benefits & Work, 14 July 2014