Dr Simon Bratt (PhD) 💭

I research why people fall through the cracks when mental health and substance use collide—and what we can do about it.

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

New release alert: A Philosophical Critique of Co-existing Mental Health and Substance Use Challenges: “Pain Comes First, Drugs Come Later” 👀 Exploring how suffering underpins addiction, challenging dominant models and asking: what if the pain came first?
https://t.co/6wZDiIEnda

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

Listen to "The Invisible Architecture" by Layered Care https://t.co/a9OrdTQStW

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

When you are rich, distress is treated as urgent. When you are poor, distress is managed according to capacity.

https://t.co/DdTiWjQwBy

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

📘 A Philosophical Critique of Co-Existing #MentalHealth and #SubstanceUse Challenges: #Pain Comes First — #Drugs Come Later is now available. This book dismantles “dual diagnosis,” reframes pain as knowledge, and proposes a justice-grounded care model
https://t.co/hTMb7sbgKm

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

The System Isn’t Broken – It’s Working As Designed https://t.co/ajECbIZBWg

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

Thatcher at 100: The Ghost in the Care System https://t.co/JnyY3Ipyeu

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

No Wrong Door: What Layered Care Really Means https://t.co/zyid5YV4CL

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

👥 Imagine Wembley full: 90,000 people. Now picture 30–45k living with both mental health & substance use needs.This isn’t “marginal.” It’s mainstream.
Fragmented care misses people where it matters most. Integration isn’t optional—it’s life-saving. #systemchange #CoSUM

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

Most people in mental health care don’t fail services — the system fails them.
#layeredcare #mentalhealth #substanceuse

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

🚨 New Podcast 🎙️

Layered Care – Episode 1: Welcome

From a 6am doorway on the streets to the prison wing where I first met “Jayne,” this episode asks what happens when #MentalHealth and #SubstanceUse collide.
#Podcast #LayeredCare #Addiction #SocialWork
https://t.co/2MAzMeoIj6

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

What if falling through the cracks isn’t a failure of the system—
but the system working exactly as intended?
Services don’t just miss people.
They sort them. Filter them. Decide who is helpable—and who isn't.
That’s not dysfunction. That’s design.
#MentalHealth #Addiction

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

7/
Open access.
Free to share.
Grounded in practice.
Backed by theory.

Please read, cite, and tell me what you think.
Let’s build something better.

📄 https://t.co/NFc3vS8y7Z

#CEMS #DualDiagnosis #PublicHealth #SocialWork #CriticalRealism #TraumaInformedCare #MentalHealth

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

🧵 New paper out now (Open Access)
Structural and cultural barriers to integrated care for co-existing mental health and substance use: a morphogenetic analysis
🔗 https://t.co/NFc3vS8y7Z

Here’s what it’s about 👇

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

6/
This is for anyone working in or thinking about:
•Crisis teams
•Dual diagnosis care
•Public health reform
•Epistemic injustice
•Trauma-informed systems
•Ontology of care

Let’s rethink integration—at the level of structure, not just services.

[Dr Simon Bratt (PhD) 💭 @Simon_Brat]

Substance use carries an epistemic cost. It doesn’t just mark people as risky—it marks them as untrustworthy. Drug use becomes a reason to disbelieve, not just a behaviour to understand.
#EpistemicInjustice #SubstanceUse #MentalHealth #AddictionStigma #DualDiagnosis