Graham Thornicroft
Dados Biográficos
| ID | 102097 |
|---|---|
| NOME | Graham Thornicroft |
| PRENOMES | Graham |
| SOBRENOME | Thornicroft |
| ASSINATURA | THORNICROFT G |
| AFILIAÇÕES | King's College London |
| ORCID | 0000-0003-0662-0879 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 115 |
| TOTAL DE CITAÇÕES | 128 |
| TOTAL COMO AUTOR | 115 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1992 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 6 |
Feasibility, acceptability, and pilot effectiveness of a social-contact-based intervention to reduce mental health-related stigma among primary care providers in China, Ethiopia, India, Nepal, and Tun…
Feasibility, acceptability, and pilot effectiveness of a social-contact-based intervention to reduce mental health-related stigma among primary care providers in China, Ethiopia, India, Nepal, and Tunisia: Findings from a multi-site pre-post study
Research Leadership Development and Academic Inequality
Research leadership is central to shaping research culture, advancing institutional excellence, and fostering innovation, yet opportunities for leadership development remain unevenly distributed across disciplines, career stages, and professional roles. Inequalities in access risk reproducing privilege in academic research, raising questions about how programmes can support equitable participation and career progression. This paper examines equal…
Development of the Indigo partnership knowledge exchange strategy
Background: Knowledge exchange, a process of equitable learning, is an important aspect of research. However, there is limited published evidence about whether and how researchers plan for and document this process. This paper describes the collaborative development of the knowledge exchange strategy for a mental health research programme (the INDIGO Partnership), including monitoring and evaluation methods. Method: Knowledge gaps and needs were …
Design of a mobile mental health stigma reduction application for depression and anxiety
Responding to experienced and anticipated discrimination training for health professionals working in mental health services (Read-MH)
BACKGROUND: Stigmatisation and discrimination towards people with mental health problems in low- and middle-income countries (LMICs) is pervasive. Health professionals working in mental health services can play a critical role in stigma reduction. This study examines the feasibility, costs, and potential effectiveness of READ-MH for such professionals in LMICs. METHODS: This multisite, nonrandomized pre–post mixed-methods feasibility study was co…
Lived experiences of mental health stigma and help-seeking among young Barbadians living with mental health conditions
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Recognition of depression by nurses in primary healthcare in Zimbabwe
Depression is underrecognized in primary care, which is a barrier to treatment. For the last decade, Zimbabwe has invested in increasing access to depression treatment within primary healthcare. This study describes depression recognition by nurses and referral to treatment in four primary care clinics in Zimbabwe. Research staff screened 200 patients after they attended a primary care visit at a study clinic. They assessed depression using the P…
Leadership and governance for integrating mental healthcare at the primary healthcare (PHC) level
Leadership and governance are key components of health systems, nevertheless research into leadership and governance of mental healthcare at the Primary Health Care (PHC) level is probably the least well researched and understood part of these systems. As part of assessing the integration of mental health at the PHC level in Ghana, the leadership and governance organisation and structures to ensure supervision and coordination were examined. A co…
Feasibility and Applicability of Implementing the Framework for Comprehensive Understanding of Structural Stigma in Mental Healthcare Systems
INTRODUCTION: Mental health-related structural stigma is a multifaceted issue that significantly impacts access to quality mental healthcare, particularly in low-resource settings like Nepal. Therefore, there is a clear need to understand the complexities and identify gaps for targeted interventions through evaluations of various dimensions of structural stigma within healthcare systems. This study aimed to assess the feasibility and applicabilit…
Cultural adaptation process of six stigma assessment scales among Kannada speaking population in South India
For several years stigma researchers in India have relied on Western instruments or semi-structured stigma scales in their studies. However, these scales have not been rigorously translated and adapted to the local cultural framework. In the current study, we describe the cultural adaptation of six stigma scales with the purpose of using it in the native language (Kannada) based on translation steps of forward translation, expert review and synth…
Establishing partnerships with people with lived experience of mental illness for stigma reduction in low- and middle-income settings
Social contact refers to the facilitation of connection and interactions between people with and without mental health conditions. It can be achieved, for example, through people sharing their lived experience of mental health conditions, which is an effective strategy for stigma reduction. Meaningful involvement of people with lived experience (PWLE) in leading and co-leading anti-stigma interventions can/may promote autonomy and resilience. Our…
Understanding mental health stigma and discrimination in Ethiopia
Stigma and exclusion are prominent in the experiences of people with mental health conditions and their caregivers in this rural Ethiopian setting. Measurement of stigma and the development of interventions should consider how stigma is socially constructed. Anti-stigma interventions need to be implemented alongside expanded local access to mental healthcare
Pragmatic, feasibility randomized controlled trial of a recorded mental health recovery narrative intervention
The NEON Intervention is feasible and acceptable. Significant refinement of the NEON Intervention and trial processes is required to personalize and ensure applicability to carers. Further feasibility testing is recommended prior to a definitive trial
Cultural adaptation of Indigo mental health stigma reduction interventions using an ecological validity model in north India
Stigma reduction strategies with varied target groups, based on culturally appropriate adaptations, are more likely to be acceptable to the stakeholders involved in the intervention, and to be effective in terms of the program impact
Treatment System Adaptations during War
Background: The war in Ukraine has posed significant challenges to the healthcare system. This paper draws upon expert consultations, held between December 2022 and February 2023, focused on HIV/AIDS, addiction, and mental health service delivery during the first year of this war, and following the Global Mental Health Humanitarian Coalition panel discussion in May 2022. Objectives: This commentary presents the experiences of frontline healthcare…
Adapting and piloting a social contact-based intervention to reduce mental health stigma among primary care providers
Stigma among primary care providers (PCPs) is a barrier to successful integration of mental health services in primary healthcare settings globally. Therefore, cross-culturally adaptable and feasible strategies are needed to reduce stigma among PCPs. This protocol is for a multi-site pilot study that aims to adapt and evaluate cross-cultural feasibility and acceptability of a social contact-based primary healthcare intervention in 7 sites in 5 lo…
The development of mental health care in Guangzhou, China
As an upper-middle-income country, China has a vast territory, a large population and substantial variations in the nature of mental health service provision. Guangzhou, one of the five biggest cities in China, is considered as indicative of the current development of mental health services in a more economically developed part of China. In this paper, we first introduce mental health services in Guangzhou and their historical development: from t…
Experience of primary healthcare workers in using the mobile app-based WHO mhGAP intervention guide in detection and treatment of people with mental disorders
This study assessed perception and experience of trained primary health care workers in using a mobile app-based version of the WHO mental health gap action programme (mhGAP) Intervention Guide in the assessment and management of people with mental health conditions in primary care in Nepal. A qualitative study was conducted with primary healthcare workers who were trained in using the WHO mhGAP mobile application in Jhapa, a district in eastern …
Affiliate stigma and caregiving burden among family caregivers of persons with schizophrenia in rural China
BACKGROUND: Although stigma and caregiving burden are important in relation to mental health recovery, few studies have been conducted on affiliate stigma and caregiving burden among family caregivers of persons with schizophrenia (FCPWS) in rural China. AIMS: This study aimed to examine the severity level of affiliate stigma and caregiving burden, and identify the correlates among FCPWS in rural China. METHODS: = 253 FCPWS) in Xinjin county, Sic…
Expanding mental health services in low- and middle-income countries
This paper proposes a framework for comprehensive, collaborative, and community-based care (C4) for accessible mental health services in low-resource settings. Because mental health conditions have many causes, this framework includes social, public health, wellness and clinical services. It accommodates integration of stand-alone mental health programs with health and non-health community-based services. It addresses gaps in previous models incl…
Development and functioning of the mobile app-based mh-GAP intervention guide in detection and treatment of people with mental health conditions in primary healthcare settings in Nepal
This paper describes the development process of a mobile app-based version of the World Health Organization mental health Gap Action Programme Intervention Guide, testing of the app prototypes, and its functionality in the assessment and management of people with mental health conditions in Nepal. Health workers' perception of feasibility and acceptability of using mobile technology in mental health care was assessed during the inspiration phase …
Adverse sequelae of the Covid -19 pandemic on mental health services in Chile
Objective. This study seeks to describe the adverse effects of the COVID-19 pandemic on mental health services in Chile. Methods. This study is part of ongoing multicountry research known as the Mental Health Care – Adverse Sequelae of COVID-19 study (or the MASC study) that includes seven countries. Chile is the only one in Latin America. This study used a convergent mixed methods design. The quantitative component analyzed data about public men…
Perspectives of university health care students on mental health stigma in Nigeria
Mental illness is a significant public health burden in low- and middle-income countries. A wide treatment gap in mental health care exists within the Nigerian health care system and this gap is worsened by the presence of stigma associated with mental illness, which leads to delay in treatment or acts as a barrier to any care. In this study, our aim was to understand the factors that underlie mental illness stigma in order to inform the design o…
Textbook of Community Psychiatry
The Lancet Commission on ending stigma and discrimination in mental health
Mental Illness Stigma, Help Seeking, and Public Health Programs
Globally, more than 70% of people with mental illness receive no treatment from health care staff. Evidence suggests that factors increasing the likelihood of treatment avoidance or delay before presenting for care include (1) lack of knowledge to identify features of mental illnesses, (2) ignorance about how to access treatment, (3) prejudice against people who have mental illness, and (4) expectation of discrimination against people diagnosed w…
Post-migration geographical mobility, mental health and health service utilisation among Somali refugees in the UK
Experiences of stigma and discrimination of people with schizophrenia in India
Strengthening mental health system governance in six low- and middle-income countries in Africa and South Asia
Poor governance has been identified as a barrier to effective integration of mental health care in low- and middle-income countries. Governance includes providing the necessary policy and legislative framework to promote and protect the mental health of a population, as well as health system design and quality assurance to ensure optimal policy implementation. The aim of this study was to identify key governance challenges, needs and potential st…
Experiences of stigma and discrimination faced by family caregivers of people with schizophrenia in India
Stigma associated with schizophrenia significantly affects family caregivers, yet few studies have examined the nature and determinants of family stigma and its relationship to their knowledge about the condition. This paper describes the experiences and determinants of stigma reported by the primary caregivers of people living with schizophrenia (PLS) in India. The study used mixed methods and was nested in a randomised controlled trial of commu…
Mental Health Service Users’ Perceptions of Stigma, From the General Population and From Mental Health Professionals in Mexico
Negative attitudes towards people with mental health disorders have been widely studied and identified in the general population, and even within health care professionals. Moreover, studies focused on service users have also identified mental health professionals, including psychiatrists, as a source of stigma. However, in Mexico and Latin America few studies have been conducted addressing this issue. To explore mental health service users' perc…
Including culture in programs to reduce stigma toward people with mental disorders in low- and middle-income countries
Stigma is one of the main barriers for the full implementation of mental health services in low- and middle-income countries (LMICs). Recently, many initiatives to reduce stigma have been launched in these settings. Nevertheless, the extent to which these interventions are effective and culturally sensitive remains largely unknown. The present review addresses these two issues by conducting a comprehensive evaluation of interventions to reduce st…
Conditional Disclosure on Pathways to Care
The interrelationship between stigma and help-seeking is under-researched among children and adolescents. This study explored stigma in relation to pathways to care among young people putatively in an early stage of increased risk of developing psychotic disorders. "Pathways to care" was defined as help-seeking and support from informal and formal resources, and increased risk was determined through the presence of persistent psychotic-like exper…
Improving Therapeutic Relationships
Outcomes for individuals with psychosis remain far from acceptable. Recently, prominent psychiatrists have called for an improved understanding of the impact of social contexts, and how social contexts might influence the development and maintenance of mental health problems. A key social context for individuals with psychosis is the therapeutic relationship. As part of a trial of joint crisis planning in England, this qualitative study aimed to …
Perspectives of university health care students on mental health stigma in Nigeria
Mental illness is a significant public health burden in low- and middle-income countries. A wide treatment gap in mental health care exists within the Nigerian health care system and this gap is worsened by the presence of stigma associated with mental illness, which leads to delay in treatment or acts as a barrier to any care. In this study, our aim was to understand the factors that underlie mental illness stigma in order to inform the design o…
Mexican Psychiatric Trainees’ Attitudes Towards People with Mental Illness
Despite their training, psychiatrists have been found to have negative attitudes towards people with mental illness, including the patients they treat. Similarly, studies focused on service users have identified psychiatrists as a source of stigma. Even though negative attitudes in psychiatrists have been identified in different countries and settings, in Mexico the attitudes of these professionals have never been assessed. Because of this, we in…
The Evita framework for evidence-based mental health policy agenda setting in low- and middle-income countries
The burden of mental illness is excessive, but many countries lack evidence-based policies to improve practice. Mental health research evidence translation into policymaking is a ‘wicked problem’, often failing despite a robust evidence base. In a recent systematic review, we identified a gap in frameworks on agenda setting and actionability, and pragmatic, effective tools to guide action to link research and policy are needed. Responding to this…
Barriers to Family Caregivers' Coping With Patients With Severe Mental Illness in Iran
The broad spectrum of problems caused by caring for a patient with mental illness imposes a high burden on family caregivers. This can affect how they cope with their mentally ill family members. Identifying caregivers' experiences of barriers to coping is necessary to develop a program to help them overcome these challenges. This qualitative content analysis study explored barriers impeding family caregivers' ability to cope with their relatives…
Mental health disability discrimination
This article analyses data collected on mental health discrimination (MHD) litigation in Britain between 2005 and 2012. The data on MHD litigation are presented by an examination of the following: population of cases reaching the Employment Appeal Tribunal and the additional (to MHD) claims brought in the cases, findings relating to the characteristics of the claimant and respondent and the workplace and organizational context from which the lega…
The Development and Psychometric Properties of the Humanitarian Emergency Settings Perceived Needs (Hesper) Scale
Objectives. We developed the Humanitarian Emergency Settings Perceived Needs (HESPER) Scale, a valid and reliable scale to rapidly assess perceived needs of populations in humanitarian settings in low- and middle-income countries. Methods. We generated items through a literature review; reduced the number of items on the basis of a survey with humanitarian experts; pilot-tested the scale in Gaza, Jordan, Sudan, and the United Kingdom; and field-t…
The Evaluation of Mental Health Care Transformation in the Cities of Europe
At the WHO International Conference 'Changing Mental Health Care in the Cities of Europe' an invitational workshop was organised for participants interested in evaluation research. This report of the workshop first summarises the activities of the Commission of European Communities working on the 'Evaluation of Compre hensive Care of the Mentally III'. Secondly current issues which arose in the discussions on problems of scientific evaluation of …
The Camberwell Assessment of Need
BACKGROUND: People with severe mental illness often have a complex mixture of clinical and social needs. The Camberwell Assessment of Need (CAN) is a new instrument which has been designed to provide a comprehensive assessment of these needs. There are two versions of the instrument: the clinical version has been designed to be used by staff to plan patients' care; whereas the research version is primarily a mental health service evaluation tool.…
A Brief Mental Health Outcome Scale
BACKGROUND: The Global Assessment of Functioning (GAF) is a quick and simple measure of overall psychological disturbance. However, there is little research on the reliability and validity of this measure in severely mentally ill populations. METHOD: Multidisciplinary keyworkers assessed 103 patients at monthly intervals over a 6-month period. Overall GAF scores were obtained, with additional separate ratings for symptoms and disability. These we…
Social networks and service utilisation in patients with severe mental illness
In a seminal study, Elizabeth Bott (1957) investigated relationships between family roles and social networks in a small group of families in London. The author was an anthropologist, and the field of social network research, in psychiatry, has received major input from methods of social anthropology. Tolsdorf (1976) investigated social networks of patients with schizophrenia. Since then, many studies have focused different aspects of social netw…
Social Networks and Mental Health Service Utilisation - a Literature Review
Social networks have been shown to be smaller in individuals with severe mental illness than in the general population. Patients' social networks and social support may impact on their utilisation of psychiatric services. This literature review focuses on social networks, social support and mental health service use in patients with mental illness. Most studies suggest that smaller social networks or less social support are associated with more f…
Definition and prevalence of severe and persistent mental illness
BACKGROUND: There is little consistency in how severe mental illness (SMI) is defined in practice, and no operational definitions. AIMS: To test two operationalized definitions, based on the National Institute of Mental Health (1987) definition: the first uses three criteria (diagnosis of psychosis; duration of service contact > or = 2 years; GAF score < or = 50), the second only the last two. METHOD: Annual prevalence rates of SMI in two Europea…
Reducing psychiatric stigma and discrimination
BACKGROUND: The persistent and disabling nature of psychiatric stigma has led to the establishment of global programmes to challenge the negative stereotypes and discriminatory responses that generate social disability, but these initiatives are rarely evaluated. AIMS: To assess the effectiveness of an intervention with young people aimed at increasing mental health literacy and challenging negative stereotypes associated with severe mental illne…
Components of a modern mental health service: a pragmatic balance of community and hospital care
BACKGROUND: There is controversy about whether mental health services should be provided in community or hospital settings. There is no worldwide consensus on which mental health service models are appropriate in low-, medium- and high-resource areas. AIMS: To provide an evidence base for this debate, and present a stepped care model. METHOD: Cochrane systematic reviews and other reviews were summarised. RESULTS: The evidence supports a balanced …
Post-migration geographical mobility, mental health and health service utilisation among Somali refugees in the UK
Mental disorders among Somali refugees
The development of a Local Index of Need (LIN) and its use to explain variations in social services expenditure on mental health care in England
Wide variations in deprivation exist across England and it is likely that these variations translate into differences in the need for mental health care. Social Services Departments in England account for a substantial proportion of mental health expenditure. It is important that the distribution of expenditure reflects mental health needs. This paper's aims are to (1) describe the development of a new indicator of mental health needs, (2) use th…
Discrimination in health care against people with mental illness
This paper discusses factors associated with low rates of help-seeking and poorer quality of physical healthcare among people with mental illnesses. Evidence is reviewed on the associations between low rates of mental health literacy, negative attitudes towards people with mental illness, and reluctance to seek help by people who consider that they may have a mental disorder. People with mental illness often report encountering negative attitudes…
Stigma
The term stigma refers to problems of knowledge (ignorance), attitudes (prejudice) and behaviour (discrimination). Most research in this area has been based on attitude surveys, media representations of mental illness and violence, has only focused upon schizophrenia, has excluded direct participation by service users, and has included few intervention studies. However, there is evidence that interventions to improve public knowledge about mental…
Resources for mental health
Le statut de la désinstitutionnalisation en Grande-Bretagne
Pour expliquer le statut actuel de la désinstitutionnalisation1 et du développement des soins communautaires, on examine dans quelle mesure ces soins peuvent ou pourraient assumer les fonctions de l'asile. Ces fonctions incluent celles qui sont manifestes ou explicites, et celles qui sont latentes ou non intentionnelles mais implicites (Bachrach, 1976). La pertinence toujours actuelle de ces deux types de fonctions exerce une influence importante…
Stigma and discrimination limit access to mental health care
This editorial provides an overview of how far access to mental health care is limited by perceptions of stigma and anticipated discrimination. Globally over 70% of young people and adults with mental illness receive no treatment from healthcare staff. The rates of non-treatment are far higher in low income countries. Evidence from some descriptive studies and epidemiological surveys suggest that potent factors increasing the likelihood of treatm…
Better Mental Health Care
Global pattern of experienced and anticipated discrimination against people with schizophrenia
The Camberwell Elderly Mentally Ill and Their Needs for Services
Background: Previous studies on the elderly mentally ill (graduates) have been undertaken in mental hospital settings and on populations being resettled from hospitals. This paper aims to assess the characteristics and service needs of an epidemiological sample of elderly mentally ill. Aims: The aim of this study was to identify the characteristics, problems, service utilization and needs of a sample of elderly patients with functional psychosis …
Implications of long-term conditions for both mental and physical health
Experiences of mental illness stigma, prejudice and discrimination
BACKGROUND: There has been a substantial increase in research on mental illness related stigma over the past 10 years, with many measures in use. This study aims to review current practice in the survey measurement of mental illness stigma, prejudice and discrimination experienced by people who have personal experience of mental illness. We will identify measures used, their characteristics and psychometric properties. METHOD: A narrative literat…
Development and Psychometric Properties of the Mental Health Knowledge Schedule
Methods: We describe the development of the MAKS in addition to 3 studies that were carried out to evaluate the psychometric properties of the MAKS. Adults aged 25 to 45 years in socioeconomic groups: B, C1, and C2 completed the instrument via face-to-face interview ( n = 92) and online ( n = 403). Results: Internal reliability and test-retest reliability is moderate to substantial. Validity is supported by extensive review by experts (including …
Evaluation of a brief anti-stigma campaign in Cambridge
Although these results only reflect the impact of one small scale campaign, these preliminary findings suggest several considerations for mass-media campaign development and evaluation strategies such as: (1) Aiming to influence outcomes pertaining to knowledge in the short term; (2) Planning realistic and targeted outcomes over the short, medium and long term during sustained campaigns; and (3) Monitoring indirect campaign effects such as social…
Scale up of services for mental health in low-income and middle-income countries
Development and psychometric properties of the Reported and Intended Behaviour Scale (Ribs)
Background. Although stigma in relation to mental health has been defined as including components of knowledge, attitudes and behaviour, no psychometrically tested instrument to assess behavioural discrimination at the population level has been developed. This paper presents details of the development and psychometric properties of the Reported and Intended Behaviour Scale (RIBS), an instrument based on the Star Social Distance Scale, to assess r…
Psychiatry (94 obras) · Mental health (91 obras) · Medicine (85 obras) · Psychology (83 obras) · Mental Health Treatment and Access (82 obras) · Mental illness (38 obras) · Nursing (37 obras) · Political science (34 obras) · Psychological intervention (34 obras) · Clinical Psychology (32 obras)