Search results for ‘Subject term:"mental health problems"’ Sort:
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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.
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.
Integrated care for people with long-term mental and physical health conditions in low-income and middle-income countries
- Authors:
- THORNICROFT Graham, et al
- Journal article citation:
- Lancet Psychiatry, 6(2), 2019, pp.174-186.
- Publisher:
- Elsevier
Integrated care is defined as health services that are managed and delivered such that people receive a continuum of health promotion, disease prevention, diagnosis, treatment, disease management, rehabilitation, and palliative care services, coordinated across the different levels and sites of care within and beyond the health sector and, according to their needs, throughout the life course. In this Review, we describe the most relevant concepts and models of integrated care for people with chronic (or recurring) mental illness and comorbid physical health conditions, provide a conceptual overview and a narrative review of the strength of the evidence base for these models in high-income countries and in low-income and middle-income countries, and identify opportunities to test the feasibility and effects of such integrated care models. We discuss the rationale for integrating care for people with mental disorders into chronic care; the models of integrated care; the evidence of the effects of integrating care in high-income countries and in low-income and middle-income countries; the key organisational challenges to implementing integrated chronic care in low-income and middle-income countries; and the practical steps to realising a vision of integrated care in the future. (Edited publisher abstract)
Psychosocial characteristics and needs of mothers with psychotic disorders
- Authors:
- HOWARD Louise M., KUMAR Howard R., THORNICROFT Graham
- Journal article citation:
- British Journal of Psychiatry, 178, May 2001, pp.427-432.
- Publisher:
- Cambridge University Press
It is not known whether mothers with psychotic disorders are clinically and socially distinct from women with psychoses who have not had children. Article aims to determine the proportion of mothers in an epidemiologically representative population of women with psychotic disorders, to examine the factors associated with having children, and to examine the factors associated with having children 'looked after' by social services. Sixty-three per cent of women with psychotic disorders in the study were mothers. There were no clinical differences between women with or without children, but mothers were more likely to be older and live in unsupported accommodation. Having had a 'looked after' child was associated with Mental Health Act detention, younger age, a forensic history and being Black African. Concludes that many women with psychoses are mothers. Mothers with psychoses are as disabled and have as many needs as women with psychoses without children.
How many psychiatric beds?
- Authors:
- THORNICROFT Graham, STRATHDEE Geraldine
- Journal article citation:
- British Medical Journal, 15.10.94, 1994, pp.970-971.
- Publisher:
- British Medical Association
Argues that without more information the debate about how many psychiatric beds are needed will be guided more by moral and political than by clinical or research considerations.
Social inclusion, social quality and mental illness
- Authors:
- HUXLEY Peter, THORNICROFT Graham
- Journal article citation:
- British Journal of Psychiatry, 182(4), April 2003, pp.289-290.
- Publisher:
- Cambridge University Press
This article argues that it is possible to derive two quite different meanings for social exclusion, with different evidential bases, and with different implications for social and clinical action. The first concept of social exclusion, Demos, has implications for citizens' rights; the other, Ethnos, has more-significant implications for the practising clinician. Demos refers to the range of access rights which are offered by citizenship of a given nation state. By contrast, Ethnos refers to a shared cultural community rather than a national community, and to the shared values, identification and sense of cohesion that are engendered by membership of particular social groups and communities. Interventions designed to have an impact upon social inclusion through Demos channels would include enhancing structures that promise and deliver greater access to services. Actions by psychiatrists to achieve service improvement through Ethnos-related measures would, for example, relate to greater emphasis within the psychiatric training curriculum on understanding the interrelationships between ethnic minority culture and the experience of mental illness. There is in turn an interplay between these two domains: Ethnos-related measures are unlikely to be effective without concurrent Demos-related changes.