This article examines social inclusion in the context of the deinstitutionalisation of mental health care. It draws on a scientific evaluation of the Belgian reform of mental health care (2010), designed to assess the influence of organisational mechanisms on the social and care trajectories of service users. The findings highlight the ongoing challenge for mental health systems to support the inclusion of service users within the community, and the increasingly difficult access to mental health care for people with complex and chronic mental health problems. Drawing from Systems Theory (Luhmann, 2013) and the analysis of subjective experiences, this article delves into the complex processes of social inclusion using the empirically-grounded concepts of the patient role and the impatient role. By acknowledging the relational dimensions of social inclusion, this article argues that complementarities between two faces of the mental health system are key to achieving inclusion beyond the walls of institutions and within society at large.

中文翻译：

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会议边界：探索精神卫生系统以外的社会包容面

本文在精神卫生保健非制度化的背景下考察了社会包容性。它基于对比利时精神卫生保健改革的科学评估（2010年），旨在评估组织机制对服务使用者的社会和护理轨迹的影响。调查结果突显了精神卫生系统在支持社区中的服务使用者接受方面面临的挑战，以及患有复杂和慢性精神卫生问题的人越来越难以获得精神卫生服务。借鉴系统理论（Luhmann，2013年）和主观经验分析，本文使用基于经验的患者角色和非患者角色概念深入研究社会包容的复杂过程。