Experiences of discrimination among people Using mental health services in England 2008-2011

Corker, Elizabeth; Hamilton, Sarah; Henderson, Claire; Weeks, Craig; Pinfold, Vanessa; Rose, Diana; Williams, Paul; Flach, Clare; Gill, Valdeep; Lewis-Holmes, Elanor; Thornicroft, Graham

doi:10.1192/bjp.bp.112.112912

Cited by 132 publications

(129 citation statements)

References 24 publications

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“…Allocation of participants to interviewers was based on interviewer availability. The detailed methodology is reported elsewhere (Hamilton et al 2011;Corker et al 2013;Henderson et al 2014).…”

Section: Methodsmentioning

confidence: 99%

“…'Get moving', 'Living libraries' and 'Education not discrimination' activities) Friedrich et al 2013). As part of the evaluation of TTC, and specifically to assess the effect of the programme on people with mental health problems, the Viewpoint survey was run annually to assess individuals' experience of discrimination within the previous 12 months (Henderson & Thornicroft, 2009;Henderson et al 2012;Corker et al 2013;Evans-Lacko, 2014a). Moreover, in the field of overcoming discrimination, it is important to assess service users' responses to discriminatory experiences, which constitute the process of coping (Mendoza-Denton et al 2006;Hinshaw, 2007).…”

Section: Introductionmentioning

confidence: 99%

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Experience of the Time to Change programme in England as predictor of mental health service users' stigma coping strategies

Sampogna

Bakolis

Robinson

et al. 2016

Epidemiol Psychiatr Sci

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Aims. In the field of stigma research, an area of interest is the coping strategies that mental health service users can use in response to discriminatory experiences. As a part of the evaluation of the Time to Change (TTC) anti-stigma programme, the Viewpoint telephone survey was run annually in order to assess service users' reported levels of discrimination and selected coping strategies. The study aim is to test the extent to which experience of TTC programme is a positive predictor of selected coping strategies.Methods. Telephone interview surveys carried out by peer interviewers were conducted annually. 'Educating others' and 'challenging' coping strategies were assessed alongside anticipated and experienced discrimination.Results. During 2011-2014, 3903 mental health service users were interviewed. Participants more often adopted the 'educating others' strategy (2.31 ± 0.01) than the 'challenging' strategy (2.15 ± 0.02) ( p < 0.001). On the other hand, those who participated in campaign activities endorsed 'challenging' more frequently than people who were not aware of TTC (2.78 ± 1.23 v. 2.09 ± 1.08, p < 0.001). According to the multi-variate linear regression model, we found that being actively involved in TTC activities (OR = 0.74, CI: 0.29-1.19; p < 0.05), having a diagnosis of a depressive disorder (OR = 0.20, CI: 0.04-0.36; p < 0.05) or personality disorder (OR = 0.23, CI: 0.04-0.43; p < 0.05) were good predictors of endorsing a 'challenging' strategy even after adjusted for confounding variables. Conclusions.A positive relationship between participating in the TTC programme and using the 'challenging' strategy was found. There is still a need to disentangle the complex association between these two coping strategies and the role of anti-stigma campaigns, promoting further local activities led by service users and carers' as well as all others stakeholders' associations.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Experience of the Time to Change programme in England as predictor of mental health service users' stigma coping strategies

Sampogna

Bakolis

Robinson

et al. 2016

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

show abstract

“…Other studies suggest that attitudes regarding working alongside someone with a mental illness are improving; employers surveyed in 2010 were less likely to say that workers with mental health problems faced negative attitudes from their colleagues compared to in 2006 and 2009 . However negative attitudes appear to considerably affect the way those with mental illness are treated in the workplace (Corker et al, 2013). It has been shown that those with mental illness experience being looked down on and treated as if they had low intelligence (Brohan et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…The Viewpoint survey found that health professionals are a frequent source of discrimination reported by those with mental illness (Corker et al, 2013) and patients have reported: being treated with disrespect; longer waits than other patients; and the suspicion that physical complaints are imagined (Schulze & Angermeyer, 2003).…”

Section: Introductionmentioning

confidence: 99%

Exploring experiences of and attitudes towards mental illness and disclosure amongst health care professionals: a qualitative study

Waugh

Lethem

Sherring

et al. 2017

Journal of Mental Health

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Background: The literature suggests that many health professionals hold stigmatising attitudes towards those with mental illness and that this impacts on patient care. Little attention has been given to how these attitudes affect colleagues with a mental illness. Current research demonstrates that stigma and discrimination are common in the UK workplace and impact on one's decision to disclose mental illness. Aims: This study aims to explore health professionals' experiences of and attitudes towards mental illness and disclosure in the workplace. Methods: This qualitative study involved semi-structured interviews with 24 health professionals employed by an NHS (National Health Service) trust. 13 of these worked in mental health, and 11 in other health fields. Interviews were transcribed and thematic analysis was used to identify themes. Results: Five key themes were identified from the data: personal experiences and their effect in changing attitudes; perceived stigmatising views of mental illness in other staff members; hypothetical disclosure: factors affecting one's decision; attitudes towards disclosure; support in the workplace after disclosure; and, applying only to those working outside of the mental health field, mental illness is not talked about. The results indicated that participants had a great deal of experience with colleagues with a mental illness and that support in the workplace for such illnesses is variable. Attitudes of participating health professionals towards colleagues with a mental illness appeared to be positive, however, they did report that other colleagues held negative attitudes. Deciding to disclose a mental illness was a carefully thought out decision with a number of advantages and disadvantages noted. In particular, it was found that health professionals' fear stigma and discrimination from colleagues and that this would dissuade participants from disclosing a mental illness. Conclusion: In many respects, this research supports the findings in other workplaces. Such findings need to be investigated further to identify the degree to which these experiences and attitudes can be applied to other health professionals in other healthcare settings to determine what intervention is necessary. Importantly, this study has also indicated that the level of support available to NHS health professionals with a mental illness is variable, suggesting the need to identify and replicate positive practice.

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“…Viewpoint (Hamilton et al 2011;Corker et al 2013) is an annual survey of mental health service users in England, which aims to evaluate outcomes of the Time to Change programme (Henderson & Thornicroft, 2009, the largest ever programme to reduce discrimination against people with mental health problems in England. Phase 1 of this programme aimed to achieve a 5% reduction in discrimination over 4 years through a national social marketing campaign launched in 2009, and national and local interventions which engaged individuals, communities and professional groups to improve the attitudes and behaviour of the general public towards people with mental health problems.…”

Section: Methodsmentioning

confidence: 99%

Discrimination against people with severe mental illness and their access to social capital: findings from the Viewpoint survey

Webber

Corker

Hamilton

et al. 2013

Epidemiol Psychiatr Sci

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Aims. Discrimination against people with severe mental illness is an international problem. It is associated with reduced social contact and hinders recovery. This paper aims to evaluate if experienced or anticipated discrimination is associated with social capital, a known correlate of mental health.Methods. Data from the annual viewpoint cross-sectional survey of people with severe mental illness (n = 1016) were analysed. Exploratory univariate analysis was used to identify correlates of social capital in the sample, which were then evaluated in linear regression models. Additional hypotheses were tested using t tests.Results. Experienced discrimination made a modest contribution to the explained variance of social capital. Experienced discrimination from friends and immediate family was associated with reduced access to social capital from these groups, but this was not found for wider family, neighbours or mental health staff. Experience of discrimination in finding or keeping a job was also associated with reduced access to social capital.Conclusions. Further longitudinal research is needed to determine how resources within people's networks can help to build resilience, which reduces the harmful effect of discrimination on mental health.

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Experiences of discrimination among people Using mental health services in England 2008-2011

Cited by 132 publications

References 24 publications

Experience of the Time to Change programme in England as predictor of mental health service users' stigma coping strategies

Experience of the Time to Change programme in England as predictor of mental health service users' stigma coping strategies

Exploring experiences of and attitudes towards mental illness and disclosure amongst health care professionals: a qualitative study

Discrimination against people with severe mental illness and their access to social capital: findings from the Viewpoint survey

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