This short paper aims to add to the momentum for change, for good mental health to become ‘everybody’s business’, as well as a core objective for social policy. It is a short and selective study, unified around the theme of the links between mental health problems and social marginalisation. The paper considers the subject of work, because it is a key aspect of the inclusion agenda. It also looks at the role of community networks, which provide pathways to work and help give people a sense of future. It moves on to consider the different but related disadvantages experienced by some carers. Finally, the paper concludes with some recommendations for change.