J. Boardman - Academia.edu (original) (raw)

Papers by J. Boardman

Research paper thumbnail of North Staffordshire Community Beds Study: longitudinal evaluation of psychiatric in-patient units attached to community mental health centres. 2: Impact upon costs and resource use

The British Journal of Psychiatry, 1999

BackgroundInnovative approaches to the provision of psychiatric care must justify their ability t... more BackgroundInnovative approaches to the provision of psychiatric care must justify their ability to improve the quality of life within the resource constraints imposed on psychiatry.AimsTo examine the average costs per patient of the experimental and control group services.MethodAn individual patient costing methodology that identified, measured and valued all public and private resources.ResultsThe experimental group was more likely to remain in contact with services over a 12-month period, had fewer acute readmissions and spent less time in acute in-patient units. There were significantly different levels and patterns of resource consumption between the groups and between the two separate catchment areas.ConclusionThe cost analysis should be assessed in the context of the previous outcome analysis. It is likely, but not inevitable, that such units will increase the overall costs of care provision; this largely depends on the effectiveness with which such units are integrated into e...

Research paper thumbnail of The Role of Probative Statistics in Employment Discrimination Cases

Law and Contemporary Problems, 1983

Research paper thumbnail of Social exclusion and mental health -how people with mental health problems are disadvantaged: an overview

Mental Health and Social Inclusion, 2011

Purpose-This paper aims to provide an overview of social exclusion and the way in which people wi... more Purpose-This paper aims to provide an overview of social exclusion and the way in which people with mental health problems are excluded from mainstream society in contemporary Britain. Design/methodology/approach-The paper presents the main findings of the work of the Royal College of Psychiatrists Scoping Group on Social Exclusion and Mental Health. Findings-An individual is socially excluded if he or she does not participate in key activities of the society in which he or she lives. People with mental health problems, particularly those with long-term psychoses, are among the most excluded groups in the UK. They may be excluded from material resources (poverty), from socially valued productive activity, from social relations and neighborhoods, from civic participation and from health and health services. Originality/value-The findings of the Scoping Group provide an up to date view of the exclusion in people with mental health problems in the UK.

Research paper thumbnail of Randomisation in clinical trials

The British Journal of Psychiatry, 1999

BackgroundSeveral studies of papers published in non-psychiatric medical journals that report on ... more BackgroundSeveral studies of papers published in non-psychiatric medical journals that report on randomised controlled trials (RCTs) indicate that there is inadequate reporting of the process by which randomisation is carried out.AimsTo examine the adequacy of the reporting of the procedure of randomisation in clinical trials of parallel design published in the British Journal of Psychiatry (BJP) and the American Journal of Psychiatry (AJP).MethodAll issues of the BJP and the AJP published between January 1990 and December 1998 were surveyed, and papers that reported on RCTs were examined to judge the adequacy of the reporting of the process of randomisation.ResultsWe found 183 papers which claimed to report on RCTs (73 in the BJP and 110 in the AJP). Nine (8.2%) of those in the AJP and six (8.2%) in the BJP described the technique of creating the randomisation sequence. Two (1.8%) of those in the AJP and 11 (15.1%) of those in the BJP described the mechanism of allocating treatment...

Research paper thumbnail of Social exclusion and mental health – how people with mental health problems are disadvantaged: an overview

Mental Health and Social Inclusion, 2011

An individual is socially excluded if he or she does not participate in key activities of the so... more An individual is socially excluded if he or she does not participate in key activities of the
society in which he or she lives. People with mental health problems, particularly those with long-term psychoses, are among the most excluded groups in the UK. They may be excluded from material resources (poverty), from socially valued productive activity, from social relations and neighborhoods, from civic participation and from health and health services.

Research paper thumbnail of NHS Direct -- a telephone helpline for England and Wales

Psychiatric Bulletin, 2002

Research paper thumbnail of REFOCUS and ImROC: setting up and evaluating a pro-recovery intervention within mental health services

Psychiatrische Praxis, 2011

T~tE value of sunlight as a therapeutic agent has always been reco,~omised, but it is only withia... more T~tE value of sunlight as a therapeutic agent has always been reco,~omised, but it is only withia the last few years that attempts have been made to employ it systematically in the treatment of disease. There is no doubt that light acts as a~ irjaibitory or evea germicidal a,gent. This fact was firs~ established in 1877 by Downes and Blunt, who found that by exposing cultures to different degrees of sunlight the growth of the cultures was partially or entirely prevented. Further, these same illvestigators proved that it was the blue and violet rays which had the most marked bactericidal effect, and they explaia the action of the light as due to the gradual oxidatioa i~duced by the sun's rays. Tyndall also found that the growth of organisms in flasks exposed to air arid light in the Alps was inhibited. A number of experimenters hav~ worked at this subject since 1877, and though many of their results appear conflicting, the following conclusions may be adopted:-1. That sunlight and electric light, in a lesser degree, have a deleterious effect on ba,cteria.

Research paper thumbnail of Rebuilding psychiatry in Uganda

Psychiatric Bulletin, 1997

Psychiatry in Uganda has a fine pedigree. Academic psychiatry was established in the late 1960s w... more Psychiatry in Uganda has a fine pedigree. Academic psychiatry was established in the late 1960s when the Makerere University Department of Psychiatry was founded. Academic medicine and psychiatry suffered during the Amin regime but, like the country as a whole, these have begun to rebuild themselves over the past 10 years. Problems still remain including poor facilities, lack of resources, and a need to revise the Mental Treatment Act and standards of treatment. The high prevalence of AIDS and post-traumatic stress disorder place added burdens on Ugandan psychiatry.

Research paper thumbnail of The Mental Health Recovery Star: great for care planning but not as a routine outcome measure

Research paper thumbnail of Wake-up call for British psychiatry: responses

The British Journal of Psychiatry, 2008

Time to change-let's end mental health discrimination: the challenges ahead October 2007 marked t... more Time to change-let's end mental health discrimination: the challenges ahead October 2007 marked the launch of another programme in England to tackle stigma and discrimination. 'Time to Change' models national initiatives from New Zealand and Scotland drawing on an expanding stigma evidence base 1 as well as lessons from past projects, including the Royal College of Psychiatrists' 'Defeat Depression' and 'Changing Minds' campaigns. How might this programme succeed where others have stalled? The programme is resource rich with £18 million from the Big Lottery Fund and Comic Relief to channel into 35 linked programmes. It has 4 years to prove change among targeted audiences within a 30 million adult reach. It is a four-party coalition with a desire to learn from organisations across health and disability fields. It is adopting an evidence-based approach 2-national social marketing, service user leadership and engagement, local direct action, multiple targets using 'stick and carrot' approaches-but this does not guarantee success. Key challenges are identifiable. Preparatory consultation during February 2008 using a pragmatic, non-systematic survey method through the membership networks of 18 organisations generated responses from 3038 service users and 661 family or friend carers. This consultation emphasised first, that stigma and discrimination are widespread and their impact far-reaching. (a) Seventy-one per cent reported to have stopped doing thingsaccessing employment, making friends, joining groups, engaging with health professionals. (b) Seventy-three per cent reported anticipated discrimination including one in two who fear disclosing their health problems because of the negative reactions they might receive. (c) Carers reported fewer personal effects but 85% felt that the person they supported was affected. (d) Time to Change will need to target its efforts to have a meaningful impact in any one area.

Research paper thumbnail of Social indicators and the prediction of psychiatric admission in different diagnostic groups

The British Journal of Psychiatry, 1997

Background Recent findings indicate that the established association between social indicators of... more Background Recent findings indicate that the established association between social indicators of deprivation and psychiatric admission rates may not hold across all diagnoses. Method Admission rates in individuals aged 16–64 years for 71 electoral wards in North Staffordshire were calculated for six diagnostic groups using data from the Korner Episode System for 1987–1993. These were correlated with selected individual census variables, Townsend and Jarman indices. The ability of regression models to predict admission rates was tested. Results The strongest correlations were found for total admissions (r 0.44–0.79). Strong correlations were found for neurotic disorders/depression (r 0.29–0.62), schizophrenia (r 0.24–0.59), all non-psychotic disorders combined (r 0.41–0.71) and all psychotic disorders combined (r 0.33–0.67). Predicted admission rates for total admissions, psychotic and non-psychotic admissions using regression models showed strong positive correlations with observed...

Research paper thumbnail of Contributors, vii Preface, ix List of Abbreviations, x Mental Health Assessment, 1

Mental Health

... Mental Health Problems in Primary Care, 11 3 Richard Byng and Jed Boardman Managing Mental He... more ... Mental Health Problems in Primary Care, 11 3 Richard Byng and Jed Boardman Managing Mental Health Problems in the General Hospital, 15 4 Amanda Ramirez and Allan House Mental Health Emergencies, 19 5 Zerrin Atakan and David Taylor ...

Research paper thumbnail of Teaching communication skills: a problem-based approach

Research paper thumbnail of The Mental Health Recovery Star: great for care planning but not as a routine outcome measure

Research paper thumbnail of Psychiatric beds attached to a community mental health centre

Psychiatric Bulletin, 1997

The loss of psychiatric beds associated with the closure of large psychiatric institutions create... more The loss of psychiatric beds associated with the closure of large psychiatric institutions creates problems for the community care of those with severe mental Illness. This paper describes the use and possible advantages of a non-acute in-patient unit attached to a Community Menial Hearth Centre in North Staffordshire which has prioritised Individuals with severe mental Illness.

Research paper thumbnail of Ten years of academic psychiatry at Keele: Going to sea in a sieve

Psychiatric Bulletin, 1996

Lecturers and two Lec turers. With its busy MRCPsych teaching pro gramme, a Diploma and MSc in Ge... more Lecturers and two Lec turers. With its busy MRCPsych teaching pro gramme, a Diploma and MSc in General Psychiatry and research activity it has made a significant contribution to the raising of the standards of North Staffordshire psychiatry. From its small beginnings it has now attained a national and international profile. At our 10th Birthday party earlier this year one of our local poets, Tamar Modes, composed and read an ode to the department. With apologies to Edward Lear, and to those who may not recognise all the names contained therein, we would like to share this poem and wonder whether such a poetic dedication is another first for our department.

Research paper thumbnail of Personal Recovery and Mental Illness: A Guide for Mental Health Professionals

The British Journal of Psychiatry, 2010

Research paper thumbnail of Meeting the unmet need for depression services with psycho-educational self-confidence workshops: preliminary report

The British Journal of …, 2004

Method Large-scale, self-referral 'How to improve your self-confidence' workshops were ... more Method Large-scale, self-referral 'How to improve your self-confidence' workshops were run in a leisure centre at weekends. The day-long programme used a cognitive–behavioural approach. A randomised controlled trial design using waiting-list controls was employed. ...

Research paper thumbnail of Wake-up call for British psychiatry: responses

British Journal of Psychiatry, 2010

Time to change-let's end mental health discrimination: the challenges ahead October 2007 marked t... more Time to change-let's end mental health discrimination: the challenges ahead October 2007 marked the launch of another programme in England to tackle stigma and discrimination. 'Time to Change' models national initiatives from New Zealand and Scotland drawing on an expanding stigma evidence base 1 as well as lessons from past projects, including the Royal College of Psychiatrists' 'Defeat Depression' and 'Changing Minds' campaigns. How might this programme succeed where others have stalled? The programme is resource rich with £18 million from the Big Lottery Fund and Comic Relief to channel into 35 linked programmes. It has 4 years to prove change among targeted audiences within a 30 million adult reach. It is a four-party coalition with a desire to learn from organisations across health and disability fields. It is adopting an evidence-based approach 2-national social marketing, service user leadership and engagement, local direct action, multiple targets using 'stick and carrot' approaches-but this does not guarantee success. Key challenges are identifiable. Preparatory consultation during February 2008 using a pragmatic, non-systematic survey method through the membership networks of 18 organisations generated responses from 3038 service users and 661 family or friend carers. This consultation emphasised first, that stigma and discrimination are widespread and their impact far-reaching. (a) Seventy-one per cent reported to have stopped doing thingsaccessing employment, making friends, joining groups, engaging with health professionals. (b) Seventy-three per cent reported anticipated discrimination including one in two who fear disclosing their health problems because of the negative reactions they might receive. (c) Carers reported fewer personal effects but 85% felt that the person they supported was affected. (d) Time to Change will need to target its efforts to have a meaningful impact in any one area.

Research paper thumbnail of Disability rights and mental health in the UK: recent developments of the Disability Discrimination Act

Advances in Psychiatric Treatment, 2008

The Disability Discrimination Act, passed by Parliament in 1995 and amended in 2001 and 2005, cov... more The Disability Discrimination Act, passed by Parliament in 1995 and amended in 2001 and 2005, covers people in Britain with physical or mental impairments that have a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities. The Act has been important in setting a framework for good practice and it can stimulate more systemic change through formal investigations of organisations or whole sectors, and through the Disability Equality Duty, in force since December 2006. The Disability Discrimination Act has implications for people working in mental health services when they are considering employment and educational opportunities for service users, and when they are considering how to redress systemic disadvantage, including inequalities in physical health.

Research paper thumbnail of North Staffordshire Community Beds Study: longitudinal evaluation of psychiatric in-patient units attached to community mental health centres. 2: Impact upon costs and resource use

The British Journal of Psychiatry, 1999

BackgroundInnovative approaches to the provision of psychiatric care must justify their ability t... more BackgroundInnovative approaches to the provision of psychiatric care must justify their ability to improve the quality of life within the resource constraints imposed on psychiatry.AimsTo examine the average costs per patient of the experimental and control group services.MethodAn individual patient costing methodology that identified, measured and valued all public and private resources.ResultsThe experimental group was more likely to remain in contact with services over a 12-month period, had fewer acute readmissions and spent less time in acute in-patient units. There were significantly different levels and patterns of resource consumption between the groups and between the two separate catchment areas.ConclusionThe cost analysis should be assessed in the context of the previous outcome analysis. It is likely, but not inevitable, that such units will increase the overall costs of care provision; this largely depends on the effectiveness with which such units are integrated into e...

Research paper thumbnail of The Role of Probative Statistics in Employment Discrimination Cases

Law and Contemporary Problems, 1983

Research paper thumbnail of Social exclusion and mental health -how people with mental health problems are disadvantaged: an overview

Mental Health and Social Inclusion, 2011

Purpose-This paper aims to provide an overview of social exclusion and the way in which people wi... more Purpose-This paper aims to provide an overview of social exclusion and the way in which people with mental health problems are excluded from mainstream society in contemporary Britain. Design/methodology/approach-The paper presents the main findings of the work of the Royal College of Psychiatrists Scoping Group on Social Exclusion and Mental Health. Findings-An individual is socially excluded if he or she does not participate in key activities of the society in which he or she lives. People with mental health problems, particularly those with long-term psychoses, are among the most excluded groups in the UK. They may be excluded from material resources (poverty), from socially valued productive activity, from social relations and neighborhoods, from civic participation and from health and health services. Originality/value-The findings of the Scoping Group provide an up to date view of the exclusion in people with mental health problems in the UK.

Research paper thumbnail of Randomisation in clinical trials

The British Journal of Psychiatry, 1999

BackgroundSeveral studies of papers published in non-psychiatric medical journals that report on ... more BackgroundSeveral studies of papers published in non-psychiatric medical journals that report on randomised controlled trials (RCTs) indicate that there is inadequate reporting of the process by which randomisation is carried out.AimsTo examine the adequacy of the reporting of the procedure of randomisation in clinical trials of parallel design published in the British Journal of Psychiatry (BJP) and the American Journal of Psychiatry (AJP).MethodAll issues of the BJP and the AJP published between January 1990 and December 1998 were surveyed, and papers that reported on RCTs were examined to judge the adequacy of the reporting of the process of randomisation.ResultsWe found 183 papers which claimed to report on RCTs (73 in the BJP and 110 in the AJP). Nine (8.2%) of those in the AJP and six (8.2%) in the BJP described the technique of creating the randomisation sequence. Two (1.8%) of those in the AJP and 11 (15.1%) of those in the BJP described the mechanism of allocating treatment...

Research paper thumbnail of Social exclusion and mental health – how people with mental health problems are disadvantaged: an overview

Mental Health and Social Inclusion, 2011

An individual is socially excluded if he or she does not participate in key activities of the so... more An individual is socially excluded if he or she does not participate in key activities of the
society in which he or she lives. People with mental health problems, particularly those with long-term psychoses, are among the most excluded groups in the UK. They may be excluded from material resources (poverty), from socially valued productive activity, from social relations and neighborhoods, from civic participation and from health and health services.

Research paper thumbnail of NHS Direct -- a telephone helpline for England and Wales

Psychiatric Bulletin, 2002

Research paper thumbnail of REFOCUS and ImROC: setting up and evaluating a pro-recovery intervention within mental health services

Psychiatrische Praxis, 2011

T~tE value of sunlight as a therapeutic agent has always been reco,~omised, but it is only withia... more T~tE value of sunlight as a therapeutic agent has always been reco,~omised, but it is only withia the last few years that attempts have been made to employ it systematically in the treatment of disease. There is no doubt that light acts as a~ irjaibitory or evea germicidal a,gent. This fact was firs~ established in 1877 by Downes and Blunt, who found that by exposing cultures to different degrees of sunlight the growth of the cultures was partially or entirely prevented. Further, these same illvestigators proved that it was the blue and violet rays which had the most marked bactericidal effect, and they explaia the action of the light as due to the gradual oxidatioa i~duced by the sun's rays. Tyndall also found that the growth of organisms in flasks exposed to air arid light in the Alps was inhibited. A number of experimenters hav~ worked at this subject since 1877, and though many of their results appear conflicting, the following conclusions may be adopted:-1. That sunlight and electric light, in a lesser degree, have a deleterious effect on ba,cteria.

Research paper thumbnail of Rebuilding psychiatry in Uganda

Psychiatric Bulletin, 1997

Psychiatry in Uganda has a fine pedigree. Academic psychiatry was established in the late 1960s w... more Psychiatry in Uganda has a fine pedigree. Academic psychiatry was established in the late 1960s when the Makerere University Department of Psychiatry was founded. Academic medicine and psychiatry suffered during the Amin regime but, like the country as a whole, these have begun to rebuild themselves over the past 10 years. Problems still remain including poor facilities, lack of resources, and a need to revise the Mental Treatment Act and standards of treatment. The high prevalence of AIDS and post-traumatic stress disorder place added burdens on Ugandan psychiatry.

Research paper thumbnail of The Mental Health Recovery Star: great for care planning but not as a routine outcome measure

Research paper thumbnail of Wake-up call for British psychiatry: responses

The British Journal of Psychiatry, 2008

Time to change-let's end mental health discrimination: the challenges ahead October 2007 marked t... more Time to change-let's end mental health discrimination: the challenges ahead October 2007 marked the launch of another programme in England to tackle stigma and discrimination. 'Time to Change' models national initiatives from New Zealand and Scotland drawing on an expanding stigma evidence base 1 as well as lessons from past projects, including the Royal College of Psychiatrists' 'Defeat Depression' and 'Changing Minds' campaigns. How might this programme succeed where others have stalled? The programme is resource rich with £18 million from the Big Lottery Fund and Comic Relief to channel into 35 linked programmes. It has 4 years to prove change among targeted audiences within a 30 million adult reach. It is a four-party coalition with a desire to learn from organisations across health and disability fields. It is adopting an evidence-based approach 2-national social marketing, service user leadership and engagement, local direct action, multiple targets using 'stick and carrot' approaches-but this does not guarantee success. Key challenges are identifiable. Preparatory consultation during February 2008 using a pragmatic, non-systematic survey method through the membership networks of 18 organisations generated responses from 3038 service users and 661 family or friend carers. This consultation emphasised first, that stigma and discrimination are widespread and their impact far-reaching. (a) Seventy-one per cent reported to have stopped doing thingsaccessing employment, making friends, joining groups, engaging with health professionals. (b) Seventy-three per cent reported anticipated discrimination including one in two who fear disclosing their health problems because of the negative reactions they might receive. (c) Carers reported fewer personal effects but 85% felt that the person they supported was affected. (d) Time to Change will need to target its efforts to have a meaningful impact in any one area.

Research paper thumbnail of Social indicators and the prediction of psychiatric admission in different diagnostic groups

The British Journal of Psychiatry, 1997

Background Recent findings indicate that the established association between social indicators of... more Background Recent findings indicate that the established association between social indicators of deprivation and psychiatric admission rates may not hold across all diagnoses. Method Admission rates in individuals aged 16–64 years for 71 electoral wards in North Staffordshire were calculated for six diagnostic groups using data from the Korner Episode System for 1987–1993. These were correlated with selected individual census variables, Townsend and Jarman indices. The ability of regression models to predict admission rates was tested. Results The strongest correlations were found for total admissions (r 0.44–0.79). Strong correlations were found for neurotic disorders/depression (r 0.29–0.62), schizophrenia (r 0.24–0.59), all non-psychotic disorders combined (r 0.41–0.71) and all psychotic disorders combined (r 0.33–0.67). Predicted admission rates for total admissions, psychotic and non-psychotic admissions using regression models showed strong positive correlations with observed...

Research paper thumbnail of Contributors, vii Preface, ix List of Abbreviations, x Mental Health Assessment, 1

Mental Health

... Mental Health Problems in Primary Care, 11 3 Richard Byng and Jed Boardman Managing Mental He... more ... Mental Health Problems in Primary Care, 11 3 Richard Byng and Jed Boardman Managing Mental Health Problems in the General Hospital, 15 4 Amanda Ramirez and Allan House Mental Health Emergencies, 19 5 Zerrin Atakan and David Taylor ...

Research paper thumbnail of Teaching communication skills: a problem-based approach

Research paper thumbnail of The Mental Health Recovery Star: great for care planning but not as a routine outcome measure

Research paper thumbnail of Psychiatric beds attached to a community mental health centre

Psychiatric Bulletin, 1997

The loss of psychiatric beds associated with the closure of large psychiatric institutions create... more The loss of psychiatric beds associated with the closure of large psychiatric institutions creates problems for the community care of those with severe mental Illness. This paper describes the use and possible advantages of a non-acute in-patient unit attached to a Community Menial Hearth Centre in North Staffordshire which has prioritised Individuals with severe mental Illness.

Research paper thumbnail of Ten years of academic psychiatry at Keele: Going to sea in a sieve

Psychiatric Bulletin, 1996

Lecturers and two Lec turers. With its busy MRCPsych teaching pro gramme, a Diploma and MSc in Ge... more Lecturers and two Lec turers. With its busy MRCPsych teaching pro gramme, a Diploma and MSc in General Psychiatry and research activity it has made a significant contribution to the raising of the standards of North Staffordshire psychiatry. From its small beginnings it has now attained a national and international profile. At our 10th Birthday party earlier this year one of our local poets, Tamar Modes, composed and read an ode to the department. With apologies to Edward Lear, and to those who may not recognise all the names contained therein, we would like to share this poem and wonder whether such a poetic dedication is another first for our department.

Research paper thumbnail of Personal Recovery and Mental Illness: A Guide for Mental Health Professionals

The British Journal of Psychiatry, 2010

Research paper thumbnail of Meeting the unmet need for depression services with psycho-educational self-confidence workshops: preliminary report

The British Journal of …, 2004

Method Large-scale, self-referral 'How to improve your self-confidence' workshops were ... more Method Large-scale, self-referral 'How to improve your self-confidence' workshops were run in a leisure centre at weekends. The day-long programme used a cognitive–behavioural approach. A randomised controlled trial design using waiting-list controls was employed. ...

Research paper thumbnail of Wake-up call for British psychiatry: responses

British Journal of Psychiatry, 2010

Time to change-let's end mental health discrimination: the challenges ahead October 2007 marked t... more Time to change-let's end mental health discrimination: the challenges ahead October 2007 marked the launch of another programme in England to tackle stigma and discrimination. 'Time to Change' models national initiatives from New Zealand and Scotland drawing on an expanding stigma evidence base 1 as well as lessons from past projects, including the Royal College of Psychiatrists' 'Defeat Depression' and 'Changing Minds' campaigns. How might this programme succeed where others have stalled? The programme is resource rich with £18 million from the Big Lottery Fund and Comic Relief to channel into 35 linked programmes. It has 4 years to prove change among targeted audiences within a 30 million adult reach. It is a four-party coalition with a desire to learn from organisations across health and disability fields. It is adopting an evidence-based approach 2-national social marketing, service user leadership and engagement, local direct action, multiple targets using 'stick and carrot' approaches-but this does not guarantee success. Key challenges are identifiable. Preparatory consultation during February 2008 using a pragmatic, non-systematic survey method through the membership networks of 18 organisations generated responses from 3038 service users and 661 family or friend carers. This consultation emphasised first, that stigma and discrimination are widespread and their impact far-reaching. (a) Seventy-one per cent reported to have stopped doing thingsaccessing employment, making friends, joining groups, engaging with health professionals. (b) Seventy-three per cent reported anticipated discrimination including one in two who fear disclosing their health problems because of the negative reactions they might receive. (c) Carers reported fewer personal effects but 85% felt that the person they supported was affected. (d) Time to Change will need to target its efforts to have a meaningful impact in any one area.

Research paper thumbnail of Disability rights and mental health in the UK: recent developments of the Disability Discrimination Act

Advances in Psychiatric Treatment, 2008

The Disability Discrimination Act, passed by Parliament in 1995 and amended in 2001 and 2005, cov... more The Disability Discrimination Act, passed by Parliament in 1995 and amended in 2001 and 2005, covers people in Britain with physical or mental impairments that have a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities. The Act has been important in setting a framework for good practice and it can stimulate more systemic change through formal investigations of organisations or whole sectors, and through the Disability Equality Duty, in force since December 2006. The Disability Discrimination Act has implications for people working in mental health services when they are considering employment and educational opportunities for service users, and when they are considering how to redress systemic disadvantage, including inequalities in physical health.