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Simon Bratt, PhD.
Writer
author, researcher
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Join date: Dec 30, 2025
About
For twenty years, Simon worked at the points where systems fail, across NHS crisis services, forensic settings, and homelessness outreach. That experience now underpins his research, which examines how fragmented services cause harm and how justice-oriented design can repair them. He developed the Layered Care Model, a framework that moves beyond the dual-diagnosis paradigm and reframes pain as a meaningful, socially situated experience rather than individual pathology. The model integrates trauma, social determinants, and agency to show how care systems can be redesigned to be coherent, humane, and operationally viable.
Posts (2)
Oct 12, 2025 ∙ 4 min
The System Isn't Broken – It's Working As Designed
Integrated care keeps failing people with co‑existing mental health and substance use needs—not by accident, but by design. Simon Bratt outlines a practical, trauma‑informed model to change that.
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Jul 4, 2025 ∙ 7 min
Let’s Start A New Conversation: What if the Entire Treatment Conversation is Built on Incorrect Foundations?
It sounds radical, but what if substance use isn’t a disorder but a survival strategy for coping with trauma, poverty, or pain? The real issue isn’t in the brain or body but what’s happened to and around them. Recovery doesn’t require another diagnosis, but rather understanding, support, and meeting people where they are. Are we ready to have that conversation?
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