Journal ArticleDOI
Challenging the Public Stigma of Mental Illness: A Meta-Analysis of Outcome Studies
Patrick W. Corrigan,Scott B. Morris,Patrick J. Michaels,Jennifer Drothy Rafacz,Jennifer Drothy Rafacz,Nicolas Rüsch +5 more
TLDR
A meta-analysis that examined the effects of antistigma approaches that included protest or social activism, education of the public, and contact with persons with mental illness found both education and contact had positive effects on reducing stigma for adults and adolescents with a mental illness.Abstract:
Stigma associated with mental illness has malignant effects on the lives of people with serious mental illnesses. Many strategies have been used to combat public stigma—the prejudice and discrimination endorsed by the general population. To identify the most effective approaches, researchers conducted a meta-analysis of data from 72 outcome studies in 14 countries. Overall, strategies that include education about mental illness and contact with people who have mental illness are effective. For adults, contact appears to be more effective, whereas education seems to work best among adolescents.read more
Citations
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Journal ArticleDOI
The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care
TL;DR: The complex elements of stigma are reviewed in order to understand its impact on participating in care and public policy considerations in seeking to tackle stigma in orderto improve treatment engagement are summarized.
Journal ArticleDOI
Evidence for effective interventions to reduce mental-health-related stigma and discrimination
Graham Thornicroft,Nisha Mehta,Sarah Clement,Sara Evans-Lacko,Mary K. Doherty,Diana Rose,Mirja Koschorke,Rahul Shidhaye,Claire L. O’Reilly,Claire Henderson +9 more
TL;DR: It is found that social contact is the most effective type of intervention to improve stigma-related knowledge and attitudes in the short term, however, the evidence for longer-term benefit of such social contact to reduce stigma is weak.
Evidence for effective interventions to reduce mental health related stigma and discrimination: narrative overview
Graham Thornicroft,Nisha Mehta,Sarah Clement,Sara Evans-Lacko,Mary K. Doherty,Diana Rose,Mirja Koschorke,Rahul Shidhaye,Claire L. O’Reilly,Claire Henderson +9 more
Abstract: Stigma and discrimination in relation to mental illnesses have been described as having worse consequences than the conditions themselves. Most medical literature in this area of research has been descriptive and has focused on attitudes towards people with mental illness rather than on interventions to reduce stigma. In this narrative Review, we summarise what is known globally from published systematic reviews and primary data on effective interventions intended to reduce mental-illness-related stigma or discrimination. The main findings emerging from this narrative overview are that: (1) at the population level there is a fairly consistent pattern of short-term benefits for positive attitude change, and some lesser evidence for knowledge improvement; (2) for people with mental illness, some group-level anti-stigma inventions show promise and merit further assessment; (3) for specific target groups, such as students, social-contact-based interventions usually achieve short-term (but less clearly long-term) attitudinal improvements, and less often produce knowledge gains; (4) this is a heterogeneous field of study with few strong study designs with large sample sizes; (5) research from low-income and middle-income countries is conspicuous by its relative absence; (6) caution needs to be exercised in not overgeneralising lessons from one target group to another; (7) there is a clear need for studies with longer-term follow-up to assess whether initial gains are sustained or attenuated, and whether booster doses of the intervention are needed to maintain progress; (8) few studies in any part of the world have focused on either the service user's perspective of stigma and discrimination or on the behaviour domain of behavioural change, either by people with or without mental illness in the complex processes of stigmatisation. We found that social contact is the most effective type of intervention to improve stigma-related knowledge and attitudes in the short term. However, the evidence for longer-term benefit of such social contact to reduce stigma is weak. In view of the magnitude of challenges that result from mental health stigma and discrimination, a concerted effort is needed to fund methodologically strong research that will provide robust evidence to support decisions on investment in interventions to reduce stigma.
Journal ArticleDOI
Mental illness-related stigma in healthcare: Barriers to access and care and evidence-based solutions.
TL;DR: An overview of the main barriers to access and quality care created by stigmatization in healthcare, a consideration of contributing factors, and a summary of Canadian-based research into promising practices and approaches to combatting stigma in healthcare environments are provided.
References
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