Treatments have been developed and tested to successfully reduce the symptoms and disabilities of many mental illnesses. Unfortunately, people distressed by these illnesses often do not seek out services or choose to fully engage in them. One factor that impedes care seeking and undermines the service system is mental illness stigma. In this article, we review the complex elements of stigma in order to understand its impact on participating in care. We then summarize public policy considerations in seeking to tackle stigma in order to improve treatment engagement. Stigma is a complex construct that includes public, self, and structural components. It directly affects people with mental illness, as well as their support system, provider network, and community resources. The effects of stigma are moderated by knowledge of mental illness and cultural relevance. Understanding stigma is central to reducing its negative impact on care seeking and treatment engagement. Separate strategies have evolved for counteracting the effects of public, self, and structural stigma. Programs for mental health providers may be especially fruitful for promoting care engagement. Mental health literacy, cultural competence, and family engagement campaigns also mitigate stigma's adverse impact on care seeking. Policy change is essential to overcome the structural stigma that undermines government agendas meant to promote mental health care. Implications for expanding the research program on the connection between stigma and care seeking are discussed.

The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care

COVID-19 presents significant social, economic, and medical challenges. Because COVID-19 has already begun to precipitate huge increases in mental health problems, clinical psychological science must assert a leadership role in guiding a national response to this secondary crisis. In this article, COVID-19 is conceptualized as a unique, compounding, multidimensional stressor that will create a vast need for intervention and necessitate new paradigms for mental health service delivery and training. Urgent challenge areas across developmental periods are discussed, followed by a review of psychological symptoms that likely will increase in prevalence and require innovative solutions in both science and practice. Implications for new research directions, clinical approaches, and policy issues are discussed to highlight the opportunities for clinical psychological science to emerge as an updated, contemporary field capable of addressing the burden of mental illness and distress in the wake of COVID-19 and beyond. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Mental health and clinical psychological science in the time of COVID-19: Challenges, opportunities, and a call to action.

LibGuides: Government Documents - Executive Branch - Department of Health and Human Services: Substance Abuse and Mental Health Services Administration

Over the last two decades, as the number of media choices available to consumers has exploded, so too have worries over self-selection into media audiences. Some fear greater apathy, others heightened polarization. In this article, we shed light on the latter possibility. We identify the impact of access to broadband Internet on affective polarization by exploiting differences in broadband availability brought about by variation in state right-of-way regulations (ROW). We merge state-level regulation data with county-level broadband penetration data and a large-N sample of survey data from 2004 to 2008 and find that access to broadband Internet increases partisan hostility. The effect occurs in both years and is stable across levels of political interest. We also find that access to broadband Internet boosts partisans' consumption of partisan media, a likely cause of increased polarization.

The Hostile Audience: The Effect of Access to Broadband Internet on Partisan Affect

Increasing rates of mental health problems among adolescents are of concern. Teens who are most in need of mental health attention are reluctant to seek help. A better understanding of the help-seeking in this population is needed to overcome this gap. Five databases were searched to identify the principal barriers, facilitators and interventions targeting help-seeking for common mental health problems in adolescents aged 10–19 years. The search was performed in June 2018 and updated in April 2019. Two independent screening processes were made using the eligibility criteria. Quality assessment of each study was performed, and findings summarised using a narrative synthesis. Ninety studies meet the inclusion criteria for this review for barrier and facilitators (n = 54) and interventions (n = 36). Stigma and negative beliefs towards mental health services and professionals were the most cited barriers. Facilitators included previous positive experience with health services and mental health literacy. Most interventions were based on psychoeducation, which focused on general mental health knowledge, suicide and self-harm, stigma and depression. Other types of interventions included the use of multimedia and online tools, peer training and outreach initiatives. Overall, the quality of studies was low to medium and there was no general agreement regarding help-seeking definition and measurements. Most of the interventions took place in an educational setting however, it is important to consider adolescents outside the educational system. Encouraging help-seeking should come with the increased availability of mental health support for all adolescents in need, but this is still a major challenge for Child and Adolescent Mental Health Services. There is also a need to develop shared definitions, theoretical frameworks and higher methodological standards in research regarding help-seeking behaviours in adolescents. This will allow more consistency and generalisability of findings, improving the development of help-seeking interventions and ensuring timely access to mental health treatments.

/pdf/what-are-the-barriers-facilitators-and-interventions-4dos879vdo.pdf

What are the barriers, facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents? A systematic review

https://www.nber.org/system/files/working_papers/w21240/w21240.pdf

Mental Health Stigma

How does searching for health information on the Internet affect individuals' demand for health care services?

Despite concerns about reporting biases and interpretation, self-assessed health (SAH) remains the measure of health most used by researchers, in part reflecting its ease of collection and in part the observed correlation between SAH and objective measures of health. Using a unique Australian data set, which consists of survey data linked to administrative individual medical records, we present empirical evidence demonstrating that SAH indeed predicts future health, as measured by hospitalizations, out-of-hospital medical services and prescription drugs. Our large sample size allows very disaggregate analysis and we find that SAH predicts more serious, chronic illnesses better than less serious illnesses. Finally, we compare the predictive power of SAH relative to administrative data and an extensive set of self-reported health measures; SAH does not add to the predictive power of future utilization when the administrative data is included and improves prediction only marginally when the extensive survey-...

/pdf/does-self-assessed-health-measure-health-3eje18tsng.pdf

Does self-assessed health measure health?

Comparing self-reports to administrative data records on diagnosis and prescription drug use, we find that survey respondents under-report mental health conditions 36% of the time when asked about diagnosis and about 20% of the time when asked about prescription drug use Survey respondents are significantly less likely to under-report other conditions such as diabetes or hypertension This behavior is consistent with a model in which mental health illnesses are stigmatized and agents have incentives to hide such traits from others We show that differential under-reporting of depression is correlated with age, gender, and ethnicity and that these characteristics also predict a lower probability of mental health treatment, suggesting that stigma can play an important role in determining health-seeking behavior

https://cep.lse.ac.uk/pubs/download/dp1297.pdf

Agne Suziedelyte

Papers

Mental Health Stigma

How does searching for health information on the Internet affect individuals' demand for health care services?

Does self-assessed health measure health?

Mental Health Stigma

Education and health knowledge: evidence from UK compulsory schooling reform.