Howard Meltzer

University of Leicester

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Document Type

Co-Authors

Traolach Brugha

University of Leicester

101

Paul Bebbington

University College London

Rachel Jenkins

Lucile Packard Children's Hospital

Michael Farrell

UNSW Sydney

Robert Goodman

Hackensack Meridian Health

Tamsin Ford

University of Exeter

Glyn Lewis

University College London

Nicola Singleton

King's College London

Sally McManus

Louisiana State University Health Sciences Center New Orleans

Rebecca Gatward

Office for National Statistics

Cooperative Institutions

King's College London

107

Klinik und Poliklinik für Kinder- und Jugendpsychiatrie

University College London

Klinik und Poliklinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters

University of Leicester

Heidelberg University

American Academy of Child and Adolescent Psychiatry

Columbia University

University of Oxford

Klinik und Poliklinik für Psychiatrie und Psychotherapie

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The prevalence of psychiatric morbidity among homeless adults

International Review of Psychiatry (2003)

B. S. Gill Howard Meltzer Kate Hinds

(2003). The prevalence of psychiatric morbidity among homeless adults. International Review of Psychiatry: Vol. 15, No. 1-2, pp. 134-140.

10.1080/0954026021000046056

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Citations (12)

Psychiatric disorder and dysfunction in the UK National Survey of Psychiatric Morbidity

Social Psychiatry and Psychiatric Epidemiology (2000)

Paul Bebbington Traolach Brugha Howard Meltzer Michael Farrell C. Ceresa

Marital status

10.1007/s001270050227

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Citations (54)

Stigmatization of people with mental illnesses: a follow-up study within the Changing Minds campaign of the Royal College of Psychiatrists.

PubMed (2005)

A. H. Crisp Michael Gelder Eileen Goddard Howard Meltzer

A population survey before the start of the Changing Minds campaign showed that negative opinions about people with mental illnesses were widely held, and that opinions about different disorders differed in important ways. We repeated the survey 5 years later, when the campaign had ended. Interviews were again conducted with a representative population sample (1725 interviews; response rate 65%), enquiring about demographic variables, about eight opinions concerning seven common mental disorders, and whether the respondents knew anyone with one of these mental disorders. The pattern of response in this second survey resembled that in the first. However, there were significant changes. Though often small, apart from reported opinions concerning treatment and outcome, they were all reductions in the percentages of stigmatizing opinions. Seventy seven percent of respondents reported knowing someone with one of the seven disorders. Those who did so in respect of severe depression or panic and phobias were less likely to have stigmatizing opinions about people with the corresponding disorder, but the same did not apply to the other disorders. The greatest proportion of negative opinions was in the 16-19 year age group, and respondents with higher education were less likely than the rest to express such views. We conclude that stigmatizing opinions are frequent in the community but the various disorders are not stigmatized in the same way. Campaigns to reduce stigma should take account of these differences, and of the need to address young people.

Stigma

Depression

Phobias

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Citations (315)

The impact of physical illnesses on non‐psychotic psychiatric morbidity: Data from the household survey of psychiatric morbidity in Great Britain

British Journal of Health Psychology (2007)

Debbie Cooke Stanton Newman Amanda Sacker Brenda M. DeVellis Paul Bebbington

Objectives. Psychiatric morbidity among the physically ill is an important issue, particularly in the light of research documenting the difficulties in accurately diagnosing and effectively treating psychiatric disorders in this group. The objectives of this study were: (1) To compare psychiatric morbidity in 11 physical conditions and a healthy comparison group. (2) To compare psychiatric morbidity between respondents with one of the 11 illnesses to those with more than one physical illness. Design. The sample was derived from the cross‐sectional Household Survey of Psychiatric Morbidity. Methods. Psychiatric morbidity (excluding psychosis) was assessed by interview using the revised Clinical Interview Schedule (CIS‐R) and physical illness through self‐report in 10,108 adults. Results. Eight of the 11 illness groups were more likely to be classified as having psychiatric morbidity on the CIS‐R than the physically healthy group. There were no differences in psychiatric morbidity between the different illness groups. The presence of more than one physical illness significantly increased the likelihood of psychiatric morbidity in 10 of the 11 groups. Conclusion. This study further supports the association between physical and psychiatric illness. Importantly, it suggests an increased likelihood of psychiatric morbidity in the presence of more than one physical condition.

Physical illness

Psychiatric hospital

Cross-sectional study

10.1348/135910706x124740

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Citations (10)

The Mental Health of Children and Adolescents in Great Britain

PsycEXTRA Dataset (2000)

Howard Meltzer Rebecca Gatward Robert Goodman Tamsin Ford

10.1037/e622732007-001

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Citations (903)

Prevalence and correlates of self-reported psychotic symptoms in the British population

The British Journal of Psychiatry (2004)

Louise Johns Mary Cannon Nicola Singleton Robin M. Murray Michael Farrell

The psychosis phenotype is generally thought of as a categorical entity. However, there is increasing evidence that psychosis exists in the population as a continuum of severity rather than an all-or-none phenomenon.To investigate the prevalence and correlates of self-reported psychotic symptoms using data from the 2000 British National Survey of Psychiatric Morbidity.A total of 8580 respondents aged 16-74 years were interviewed. Questions covered mental health, physical health, substance use, life events and socio-demographic variables. The Psychosis Screening Questionnaire (PSQ) was used to identify psychotic symptoms.Of the respondents, 5.5% endorsed one or more items on the PSQ. Factors independently associated with psychotic symptoms were cannabis dependence, alcohol dependence, victimisation, recent stressful life events, lower intellectual ability and neurotic symptoms. Male gender was associated with paranoid thoughts, whereas female gender predicted hallucinatory experiences.Self-reported psychotic symptoms are less common in this study than reported elsewhere, because of the measure used. These symptoms have demographic and clinical correlates similar to clinical psychosis.

10.1192/bjp.185.4.298

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Citations (551)

Depression and common mental disorders in lone parents: results of the 2000 National Psychiatric Morbidity Survey

Psychological Medicine (2007)

Claudia Cooper Paul Bebbington Howard Meltzer D. Bhugra Traolach Brugha

Background Lone mothers experience higher rates of psychiatric morbidity, while rates in lone fathers have never been studied. We aimed to determine the relative contributions of financial strain and decreased social support to the excess of depression and common mental disorders (CMD) in lone parents. Method We investigated whether parent status (lone parent, partnered parent, others) was associated with psychiatric morbidity measured using the revised Clinical Interview Schedule, after controlling for self-reported financial strain (income and debt) and social support. Results Lone mothers were twice as likely to have a CMD (OR 1.8, 95% CI 1.4–2.3) as other women. This was not significant after controlling for financial strain or social support. Lone fathers were nearly four times more likely to have a CMD than other men (OR 3.9, 95% CI 2.3–6.8), and this risk remained undiminished by controlling for age, income, debt and levels of social support. Conclusion Debt management would be a rational strategy to reduce psychiatric morbidity in lone mothers. More studies are needed to inform prevention strategies in lone fathers.

Depression

10.1017/s0033291707001493

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Citations (90)

Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data

Journal of Child Psychology and Psychiatry (2013)

Tom Snell Martín Knapp Andrew Healey Sacha Guglani Sara Evans‐Lacko

Background Approximately one in ten children aged 5–15 in B ritain has a conduct, hyperactivity or emotional disorder. Methods The B ritish C hild and A dolescent M ental H ealth S urveys ( BCAMHS ) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care services. Service costs were estimated for each child and weighted to estimate the overall economic impact at national level. Results Additional health, social care and education costs associated with child psychiatric disorders totalled £1.47bn in 2008. The lion's share of the costs falls to frontline education and special education services. Conclusions There are huge costs to the public sector associated with child psychiatric disorder, particularly the education system. There is a pressing need to explore ways to reduce these costs while improving health and well‐being.

Economic cost

10.1111/jcpp.12055

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Citations (130)

The National Survey of Psychiatric Morbidity in Great Britain

International Review of Psychiatry (1994)

Howard Meltzer Rachel Jenkins

A national survey of psychiatric morbidity was carried out to estimate the prevalence of psychiatric morbidity among adults aged 16–64 in Great Britain, the nature and extent of associated social disability, the nature and extent of comorbidity, use of services, and to investigate recent precipitating factors of illness and their association with different lifestyles. Ten thousand adults living in private households were asked the revised Clinical Interview Schedule (CIS-R). Attempts were also made to estimate the prevalence of psychosis, drug, and alcohol dependence. The sample was designed to be nationally representative and interviewing procedures aimed at maximising response and producing high quality data.

Psychiatric comorbidity

Interview

10.3109/09540269409023272

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Citations (24)

The mental health of young people looked after by local authorities in England : the report of a survey carried out in 2002 by Social Survey Division of the Office for National Statistics on behalf of the Department of Health

Stationery Office eBooks (2003)

Howard Meltzer

This report presents data from the first national survey of the mental health of young people looked after by local authorities in England. The survey was carried out by the National Statistics on behalf of the Department of Health between October 2001 and June 2002. It covered children who were in residential care, foster care, living with their birth parents and 16 to 17 year-olds living independently under local authority supervision. The main purpose of the survey was to produce rates of three main categories of mental disorder: conduct disorder, hyperactivity and emotional disorders by the characteristics of the children and where they lived. The survey also looked at the impact and burden of children's mental health problems and their use of health, social and educational services.

Local authority

Social care

Mental Health Care

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Citations (17)