Search results for ‘Subject term:"mental health problems"’ Sort:
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Sex, relationships and mental health
- Authors:
- PACITTI Richard, THORNICROFT Graham
- Journal article citation:
- A Life in the Day, 13(1), February 2009, pp.27-30.
- Publisher:
- Emerald
There is relatively little written about the sexuality of people with mental health problems. Staff are often unsure how to balance service users rights to live a full life with the need to protect people considered to be vulnerable. This article explores the issues of sex, relationships and mental health. The authors also mention a film, Unspoken, made by Mind in Croydon which covers these issues.
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.
The Draft Mental Health Bill in England: without principles
- Authors:
- THORNICROFT Graham, SZMUKLER George
- Journal article citation:
- Psychiatric Bulletin, 29(7), July 2005, pp.244-247.
- Publisher:
- Royal College of Psychiatrists
Apart from the support for advocacy, it seems reasonable to conclude that this Bill is lacking in the remaining principles enunciated in the key policy documents that have provided a framework for our discussion. The authors doubt that legislation not founded on the national and international principles underlying modern mental health services can further the objectives of those services. Instead we have concerns that such ungrounded law will undermine the aspirations of both users and providers of mental health services to act in accordance with fundamental principles such as dignity, autonomy, empowerment, access and non-discrimination. In this sense it may not only be without principles, but there is a danger that in some circumstances (for example, when there are pressures for increased social control) its use could become unprincipled.
Legal landmark for community care of former psychiatric patients
- Authors:
- THORNICROFT Graham, HALPERN Adina
- Journal article citation:
- British Medical Journal, 24.7.93, 1993, pp.248-250.
- Publisher:
- British Medical Association
A recent judgment of the Lands Tribunal has set an important precedent which should decrease the potential for restrictive covenants to thwart the development of the government's care in the community programme. In 1989 a Worthing couple were permitted to convert their own house into a residential care home for former psychiatric patients. A recent ruling found that the public interest outweighed a contractual stipulation that the property should be used only for residential, non-business purposes. This is a radical change in the Land Tribunal's view of mental illness.
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)
Stigma among people with dual diagnosis and implications for health services
- Authors:
- EVANS-LACKO Sara, THORNICROFT Graham
- Journal article citation:
- Advances in Dual Diagnosis, 3(1), February 2010, pp.4-7.
- Publisher:
- Emerald
Although we know that stigma and discrimination can be apparent in personal relationships, such as intimate partner or family relationships, and in organisational settings, such as work, health care and housing, current literature suggests that stigma and discrimination against people with mental illness and people with substance abuse problems is common and makes a significant impact on people’s lives. Yet firm evidence about whether stigma and discrimination are experienced differently, or at higher levels, for people with co-occurring mental illness and substance abuse is unclear. Given the high predominance of co-occurring disorders and the high levels of need among people with co-occurring disorders, understanding the varying levels of stigma and barriers to care encountered by this group is important for healthcare practitioners. The author concludes that despite the commonality of co-occurring disorders and high levels of need experienced by people with dual diagnosis, barriers to care may be even more prominent for this group compared to people with mental illness and substance abuse conditions alone. In summary, developing better understanding of the variations in experiences of stigma and discrimination and barriers to care will be important for meeting the needs of people with dual diagnosis.
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.
Emergency psychiatric services in England and Wales
- Authors:
- JOHNSON Sonia, THORNICROFT Graham
- Journal article citation:
- British Medical Journal, 29.7.95, 1995, pp.287-288.
- Publisher:
- British Medical Association
Describes how emergency services in England and Wales are currently organised and staffed, comparing patterns of provision outside office hours with those during the day.
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.