Key Points
- Barking and Dagenham Council warns of a potential “substantial increase” in residents suffering from mental illness across the borough.
- A mental health needs assessment reveals 37,000 adults currently live with common mental health conditions like depression and anxiety.
- Projections indicate an increase of at least 5,299 additional cases before 2035 based on population growth alone, though actual rates may rise faster among young adults.
- High levels of deprivation, unemployment, financial insecurity, and poor physical health are identified as major drivers of local mental health challenges.
- Local health leaders highlight severe underdiagnosis, workplace stress, and social stigma—particularly within Asian and Afro-Caribbean communities—as key barriers to care.
Barking and Dagenham (East London Times) October 1, 2020 – As reported by local news reporters covering the Barking and Dagenham Health and Wellbeing Board, Barking and Dagenham Council has formally warned that the borough could face a “substantial increase in the number of people with mental illness.” The findings, presented during a board meeting on Tuesday, September 29, stem from a comprehensive mental health needs assessment detailing how widespread socio-economic pressures, population expansion, and entrenched health inequalities threaten to exacerbate psychiatric ill health across the East London authority.
- Key Points
- What scale of mental ill health does the borough currently face?
- How rapidly is the mental health burden expected to grow by 2035?
- How do deprivation and life building blocks drive local mental illness?
- How does physical health intersect with mental ill health in Barking and Dagenham?
- What role do social stigma and cultural barriers play in diagnosis?
- What solutions and interventions did the needs assessment recommend?
- Background of the particular development
- Prediction
What scale of mental ill health does the borough currently face?
According to the mental health needs assessment presented to the health and wellbeing board, approximately 37,000 adults residing in Barking and Dagenham currently live with a “common mental health condition,” such as depression or anxiety.
However, public health officials emphasize that official figures likely capture only a fraction of the total burden. As reported by local media covering the board meeting, Labour Councillor Maureen Worby, who holds responsibility for health within the borough, stated that
“there could be ‘thousands’ of people living with mental ill health in the borough ‘we don’t know about.'”
Expressing grave concern over the uncounted figures, Councillor Worby emphasized to the board:
“We have to remember the scale of the potential problem that we are trying to deal with.”
She added later in the meeting:
“Don’t forget how many people in our communities have mental health issues we don’t know about. We have to remember the scale of the potential problem that we are trying to address.”
How rapidly is the mental health burden expected to grow by 2035?
The assessment’s baseline projections indicate that the number of residents suffering from common mental health conditions could rise by 5,299 individuals before 2035, driven primarily by overall population growth. Nevertheless, the authors of the report cautioned that this estimate remains conservative.
The needs assessment document explicitly stated:
“Given recent trends, actual rates of mental illness may also increase faster than this, particularly among young adults.”
The convergence of demographic expansion and rising baseline prevalence suggests local health services will encounter heightened demand across both primary and secondary care sectors over the coming decade.
How do deprivation and life building blocks drive local mental illness?
The assessment highlighted a strong correlation between economic hardship and psychiatric vulnerability, pointing out that Barking and Dagenham exhibits high levels of deprivation, with a significant proportion of its population living in poverty.
As noted in the report presented to local health leaders, residents in deprived areas face a double burden: they are statistically more likely to require mental healthcare, yet less likely to receive appropriate support or achieve full clinical recovery.
Detailing the underlying determinants of health, the assessment noted:
“Having a strong foundation for the ‘building blocks’ of life – an affordable and stable home, a well-paid and stable job, a sense of belonging in your local area – promotes both physical and mental health.”
Conversely, the document explained:
“Contrastingly, facing financial insecurity, deprivation, homelessness and unemployment, can all contribute to poorer health outcomes.”
How does physical health intersect with mental ill health in Barking and Dagenham?
The mental health needs assessment drew a direct link between physical chronic illness and psychological distress, identifying the overlap as a critical vulnerability for the borough.
The report detailed:
“The overlap between physical and mental health is a particularly important issue for Barking and Dagenham, given the high level of long-term physical health conditions among the local population, and poor healthy life expectancy compared to other areas.”
Providing clinical evidence from local primary care, board member Dr Jagan John, a local General Practitioner, shared observations from his own practice. As reported from the meeting, Dr John stated that his surgery had recently run a drop-in session for individuals with high blood pressure, where clinicians diagnosed 50 per cent of attendees with underlying mental health issues. Dr John further identified workplace stress as a major driving factor behind the rise in mental ill health among working-age residents.
What role do social stigma and cultural barriers play in diagnosis?
In addition to economic and clinical factors, cultural dynamics present significant barriers to early intervention. As reported by journalists attending the health board session, Dr Jagan John warned that mental ill health continues to carry severe social stigma in specific local demographics, stating that mental illness could still be treated as a “stigma, particularly in some of the Asian communities and Afro-Caribbean communities.” This stigma frequently deters residents from seeking medical help until conditions reach severe or crisis stages.
What solutions and interventions did the needs assessment recommend?
To address the projected escalation, the needs assessment set out key strategic recommendations for public bodies and regional healthcare networks. The report recommended that Barking and Dagenham Council and partner health services work to:
- Improve community-based support structures to capture undiagnosed cases early.
- Train frontline workforce staff to identify signs of distress and refer residents to appropriate mental health services.
- Promote healthier lifestyle initiatives to address underlying physical health conditions.
- Review targeted support strategies for specific demographic groups identified as facing higher risk.
Background of the particular development
Barking and Dagenham has historically ranked among the most deprived local authority areas in Outer London and across England as a whole. Over the past two decades, the borough has experienced rapid demographic shifts, characterized by significant population growth, an increasingly diverse multi-ethnic demographic profile, and substantial urban regeneration projects.
Despite physical developments, key socio-economic indicators—including median household income, quality of housing, and healthy life expectancy—have consistently lagged behind regional and national averages. Local public health data continuously highlights high rates of long-term physical conditions, such as cardiovascular disease and diabetes, alongside elevated rates of childhood poverty and adult unemployment. The mental health needs assessment presented to the Health and Wellbeing Board represents part of a statutory requirement for local councils and NHS partners to conduct Joint Strategic Needs Assessments (JSNAs) to inform public health commissioning strategies and local healthcare resource allocation.
Prediction
Impact on local residents and health services
The trajectory outlined in the council’s assessment points to several key outcomes for local residents, community groups, and healthcare infrastructure in Barking and Dagenham:
- Increased pressure on NHS primary care and mental health trusts: Without immediate intervention and expanded funding, GP surgeries and regional mental health trusts will face mounting backlogs, longer referral waiting times, and strained crisis intervention teams as demand outpaces local capacity.
- Widen health inequalities in vulnerable communities: If cultural stigma and accessibility barriers remain unaddressed, minority ethnic groups—particularly within Asian and Afro-Caribbean populations—risk experiencing higher rates of late-stage psychiatric presentation and lower rates of recovery.
- Escalating economic and social costs: Persistently high levels of untreated common mental health conditions are likely to exacerbate local unemployment rates, increase workplace absenteeism, and heighten demand for council support services, temporary housing assistance, and social care infrastructure.
