Abstract

The aim of this paper is to stimulate debate around the concept of ‘social inclusion’ in the context of working in health care. A perusal of the literature shows the terms social inclusion, social capital and social participation are often used synonymously giving rise to questions as to what these terms actually mean. That is, are they all one and same thing, or are they different concepts, and how do they relate in the professional practice arena? To ensure there are core understandings about these terms initially some definitions of social inclusion and exclusion are offered. Some social issues are also briefly presented to illustrate how social, inclusion or exclusion, policies and practices can impact on individuals, families and communities.

Highlights

  • The aim of this paper is to stimulate debate around the concept of ‘social inclusion’ in the context of working in health care

  • Silver (2007) recognises that social exclusion is concerned with the lack of opportunity for full participation in all aspects of community and societal life and makes the point that individuals may be excluded in some areas, they may be included in others

  • If we look at research into health care, is it important to understand how the social determinants of health reflect the different conditions that people are born, grow up, work, live and age with and how these shape or constrain opportunities for social inclusion, across the lifespan

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Summary

Definition of Terms

Throughout the literature the concepts of social inclusion and exclusion are often used simultaneously and interchangeably. The United Nations Educational, Scientific and Cultural Organization (UNESCO, 2012), have defined social inclusion as representing an inclusive society where every individual has a part and an active role to play Such a society is based on fundamental values of equity, equality, social justice, and human rights and freedoms, as well as on the principles of tolerance and embracing diversity. Cappo (2002) refers to a socially inclusive society as being one where all people feel valued, their differences are respected and their basic needs are met which allows them to live with dignity This is an alternative definition to that offered for social exclusion whereby one is shut out from the social, economic, political and cultural systems that contribute to the integration of individuals in a community. The first is to what extent should the concept of social inclusion require a new approach for the health system? The second, in what ways can social workers and human service practitioners begin to contribute towards more inclusive policies and equitable outcomes for all Australians?

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