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Shunned: discrimination against people with mental illness
- Author:
- THORNICROFT Graham
- Publisher:
- Oxford University Press
- Publication year:
- 2006
- Pagination:
- 301p.
- Place of publication:
- Oxford
People with mental illness commonly describe the stigma and discrimination they face as being worse than their main condition. The book presents clearly for a wide readership information about the nature and severity of discrimination against people with mental illness and what can be done to reduce this.
Patient preference randomised controlled trials in mental health research
- Authors:
- HOWARD Louise, THORNICROFT Graham
- Journal article citation:
- British Journal of Psychiatry, 188(4), April 2006, pp.303-304.
- Publisher:
- Cambridge University Press
The relationship between psychiatric patients’ preferences for different treatments and the outcome of interventions is unclear, as the few relevant trials have tended to be underpowered. Strong patient preferences result in patients refusing to enter a trial. This leads to bias and limits generalisability, and the patient preference randomised controlled trial (RCT) design has been proposed as an alternative. Limitations and advantages of patient preference RCTs are discussed.
Public knowledge, attitudes and behaviour regarding people with mental illness in England 2009-2012
- Authors:
- EVANS-LACKO Sara, HENDERSON Claire, THORNICROFT Graham
- Journal article citation:
- British Journal of Psychiatry, 202(s55), April 2013, pp.s51-s57.
- Publisher:
- Cambridge University Press
Public stigma against people with mental health problems is damaging to individuals with mental illness and is associated with substantial societal burden. This study investigates whether public knowledge, attitudes and behaviour in relation to people with mental health problems have improved among the English population since the inception of the Time To Change programme in 2009. Longitudinal trends in public knowledge, attitudes and behaviour between 2009 and 2012 among a nationally representative sample of English adults were examined. Results found improvements in intended behaviour and a non-significant trend for improvement in attitudes among the English population. There was, however, no significant improvement in knowledge or reported behaviour. The findings provide support for effectiveness of the national Time to Change programme against stigma and discrimination in improving attitudes and intended behaviour, but not knowledge, among the public in England. (Edited publisher abstract)
Actions speak louder: tackling discrimination against people with mental illness
- Author:
- THORNICROFT Graham
- Publisher:
- Mental Health Foundation
- Publication year:
- 2006
- Pagination:
- 77p.
- Place of publication:
- London
The report criticises the government's mental health anti-stigma campaign, entitled Shift and launched in 2004, for offering policymakers few recommendations for action to combat discrimination. Instead of pumping millions of pounds trying to change society's negative attitudes towards people with mental health problems, more effort should be made to ensure that anti-discrimination law actually protects such people against prejudice. Specifically, the Disability Discrimination Act should be used to protect those with a mental health diagnosis in the same way it does those with a physical disability. The act has been framed primarily in relation to physical disability, and does little to help people with mental health problems. The report lays out actions that policy-makers and campaigners, including Shift, which is run by the National Institute for Mental Health, should make to end discrimination against people with mental health problems. Suggestions include employers allowing the mentally ill not to work if impaired by medication, and providing them with an "external job coach" for counselling and support. The report also suggests modifying employment contracts for those people likely to be unwell for prolonged periods.
Service users' experience of violence within a mental health system: A study using grounded theory approach
- Authors:
- KUMAR Shailesh, GUITE Hilary, THORNICROFT Graham
- Journal article citation:
- Journal of Mental Health, 10(6), December 2001, pp.597-611.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This study attempts to elicit the experiences of six existing service users of mental health services at the Maudsley Hospital by running a focus group. These service users had experienced violence as perpetrators, victims or witnesses within the mental health service. Grounded theory approach was used to analyse the transcript, which identified 21 categories and six themes: imbalance of power; violence has psychological sequelae; mental Health Services are not geared to help victims of institutional violence; the present mental health system fosters violence; a radical change is needed in the infrastructure of the mental health system and reinforcement and reforms may come from parallel efforts. Significant similarities were noted in the recommendations made by the study participants about the factors that may reduce violence within the mental health system. The study demonstrates that people with mental illness do experience violence, and that they are capable of identifying measures that are known to reduce violence on the basis of their personal experiences.
Rationale and design: PRiSM Psychosis Study 1
- Authors:
- THORNICROFT Graham, et al
- Journal article citation:
- British Journal of Psychiatry, 173, November 1998, pp.363-370.
- Publisher:
- Cambridge University Press
This paper sets out the rationale for the research PRiSM Psychosis Study, and the research design used. The accompanying nine papers in this issue present the results of the study for the main outcome domains.
The last resort? Bed and breakfast accommodation for mentally ill people in a seaside town
- Authors:
- BARNES John, THORNICROFT Graham
- Journal article citation:
- Health Trends, 25(3), 1993, pp.87-90.
- Publisher:
- Office for National Statistics
Reports the findings of a survey in Southend, which compared living conditions and residents in bed and breakfast accommodation with those in sheltered accommodation for mentally ill adults. The results show that the former were living in less attractive and less well maintained surroundings, and were more likely to have been recently discharged from a psychiatric unit and to have less contact with a range of community mental health services, but were, however, closer to local amenities. Argues for local liaison schemes between health workers responsible for the continuing care of mentally ill people and the landlords of bed and breakfast accommodation to improve the quality of life for these residents.
From efficacy to effectiveness in community mental health services. PRiSM Psychosis Study 10
- Authors:
- THORNICROFT Graham, et al
- Journal article citation:
- British Journal of Psychiatry, 173, November 1998, pp.423-427.
- Publisher:
- Cambridge University Press
The PRiSM Psychosis Study investigated the outcomes of community mental health services for epidemiological representative cases of psychosis in London. The results presented in the other studies are interpreted. Concludes that the evidence supports a community-orientated rather than a hospital-orientated approach and there is little difference between the community mental health team models.
Credit where credit's due
- Authors:
- McCRONE Paul, THORNICROFT Graham
- Journal article citation:
- Community Care, 18.9.97, 1997, p.23.
- Publisher:
- Reed Business Information
Many people with mental health problems do not claim their full entitlement to benefits. The authors explain how computerised assessment helped identify the problem.
International outcome measures in mental health: quality of life, needs, service satisfaction, costs and impact on carers
- Authors:
- THORNICROFT Graham, et al
- Publisher:
- Gaskell
- Publication year:
- 2006
- Pagination:
- 172p.
- Place of publication:
- London
This book contains five practical scales for assessing the outcomes of mental healthcare. They are the European versions of: Camberwell Assessment of Need (for unmet and met needs); Client Socio-demographic and Service Receipt Inventory (for service costs); Involvement Evaluation Questionnaire (for impact of care on family members); Lancashire Quality of Life Profile (for quality of life); Verona Service Satisfaction Scale (for service satisfaction). Each scale has been standardised (in Danish, Dutch, English, Italian and Spanish), and has been shown to be reliable and valid in all these European languages.The book contains full details of the development of these scales, manuals for their use, the scales themselves and instructions on how to use the results. These new measures will be invaluable to all those in research, evaluation, audit and management who have an interest in evidence-based policy and practice in mental healthcare.