{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:04:53Z","timestamp":1785420293698,"version":"3.56.0"},"reference-count":7,"publisher":"Royal College of Psychiatrists","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Welfare assessments can harm the mental health of neurodivergent individuals and people with intellectual disabilities, yet this remains under-recognised in clinical practice. This article integrates three perspectives: media reporting on private profit in UK disability assessments; a clinical case of an autistic man whose deterioration was triggered by Personal Independence Payment and Universal Credit reassessment; and research on the experiences of people with learning disabilities. Common themes include fear, shame, loss of agency and reactivated trauma. Psychiatrists should view welfare systems as determinants of mental health, adopt trauma-informed, neurodiversity-aware approaches and support patients through advocacy and interdisciplinary collaboration.<\/jats:p>","DOI":"10.1192\/bjb.2025.10190","type":"journal-article","created":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T07:47:36Z","timestamp":1764575256000},"page":"1-3","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Navigating the welfare system and mental health: clinical and ethical reflections on disability assessments"],"prefix":"10.1192","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8214-916X","authenticated-orcid":false,"given":"Bahaa","family":"Hassan","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03400ft78","id-type":"ROR","asserted-by":"publisher"}],"name":"Norfolk and Suffolk NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,12,1]]},"reference":[{"key":"S2056469425101903_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/jar.70000"},{"key":"S2056469425101903_ref2","unstructured":"2 Crerar, P , Adu, A . Starmer stands firm on welfare bill as Labour rebels grow. Guardian, 24 Jun 2025 (https:\/\/www.theguardian.com\/world\/2025\/jun\/24\/keir-starmer-says-government-will-stand-firm-on-disability-welfare-overhaul)."},{"key":"S2056469425101903_ref7","volume-title":"Equality Act 2010 c.15","year":"2010"},{"key":"S2056469425101903_ref5","volume-title":"What Welfare Reforms Mean for People with a Learning Disability","year":"2025"},{"key":"S2056469425101903_ref6","doi-asserted-by":"publisher","DOI":"10.31389\/jltc.59"},{"key":"S2056469425101903_ref3","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2020.79"},{"key":"S2056469425101903_ref1","unstructured":"1 Almeida, L . US firm testing eligibility for UK disability benefits reports 23% rise in profits. Guardian, 29 May 2025 (https:\/\/www.theguardian.com\/society\/2025\/may\/29\/us-firm-maximus-that-tests-eligibility-for-uk-disability-benefits-pays-out-10m-in-dividends)."}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056469425101903","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T07:47:38Z","timestamp":1764575258000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056469425101903\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,1]]},"references-count":7,"alternative-id":["S2056469425101903"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2025.10190","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,1]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}