Graham Thornicroft

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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(More)
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(More)
BACKGROUND There is a need for a brief and simple screen for personality disorders that can be used in routine psychiatric assessments. AIMS To test the concurrent validity and test-retest reliability of a brief screen for personality disorder. METHOD Sixty psychiatric patients were administered a brief screening interview for personality disorder. On(More)
Resources for mental health include policy and infrastructure within countries, mental health services, community resources, human resources, and funding. We discuss here the general availability of these resources, especially in low-income and middle-income countries. Government spending on mental health in most of the relevant countries is far lower than(More)
BACKGROUND Many people with schizophrenia experience stigma caused by other people's knowledge, attitudes, and behaviour; this can lead to impoverishment, social marginalisation, and low quality of life. We aimed to describe the nature, direction, and severity of anticipated and experienced discrimination reported by people with schizophrenia. METHODS We(More)
BACKGROUND There exists no instrument specifically designed to measure comprehensively the needs of older people with mental disorders. AIM To develop such an instrument which would take account of patients', staff and careers' views on needs. METHOD Following an extensive development process, the assessment instrument was subjected to a test-retest and(More)
There is a growing interest in examining self-stigma as a barrier to recovery from schizophrenia. To date, no studies have examined mental health service user's experiences of self-stigma throughout Europe. This study describes the level of self-stigma, stigma resistance, empowerment and perceived discrimination reported by mental health service users with(More)
BACKGROUND Individuals often avoid or delay seeking professional help for mental health problems. Stigma may be a key deterrent to help-seeking but this has not been reviewed systematically. Our systematic review addressed the overarching question: What is the impact of mental health-related stigma on help-seeking for mental health problems? Subquestions(More)
We call for the global health community, governments, donors, multilateral agencies, and other mental health stakeholders, such as professional bodies and consumer groups, to scale up the coverage of services for mental disorders in all countries, but especially in low-income and middle-income countries. We argue that a basic, evidence-based package of(More)