Interventions to Reduce Mental Health Stigma and Discrimination: A Literature Review to Guide Evaluation of California's Mental Health Prevention and Early Intervention Initiative

Wong, Eunice C.; Cerully, Jennifer L.; Schultz, Dana; Eberhart, Nicole K.

doi:10.7249/tr1318

Cited by 29 publications

(46 citation statements)

References 18 publications

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“…A number of steps can be taken to reduce stigma and increase social inclusion in programmes related to health, education and sanitation which include increasing awareness in the community, educating service providers and increasing direct contact between people with psychosocial disability and others. 32 …”

Section: Discussionmentioning

confidence: 99%

Multiple barriers to participation for people with psychosocial disability in Dehradun district, North India: a cross-sectional study

Mathias¹,

Pant

Marella

et al. 2018

BMJ Open

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ObjectivesThis study used a population-based cross-sectional survey to describe the prevalence of psychosocial disability and unmet need for access to services in North India.SettingThis study was conducted in Dehradun district, Uttarakhand, in 2014.ParticipantsA population-based sample of 2441 people over the age of 18 years.Primary outcome measuresThe Rapid Assessment of Disability survey tool identified people with disability and used an adapted version of the Kessler scale to identify those with psychosocial disability. It additionally collected information on socioeconomic variables, access to community services and barriers to participation. Prevalence of psychosocial disability and unmet needs and descriptions of barriers to services were calculated, and multivariable logistic regression was used to assess associations between risk factors and psychosocial disability.ResultsPrevalence of psychosocial disability was 4.8% and 75% of participants with psychological distress also reported comorbid functional impairments. Adjusted ORs for depression of more than two were found for people who were unschooled, unemployed and of moderate or poor socioeconomic status. The unmet need for access to services was significantly higher in every domain for people with psychosocial disability and was more than 25% in the areas of employment, health service access and community consultation. People with psychosocial disability encountered greater barriers in each domain compared with controls.ConclusionsPeople who are poor, uneducated and unemployed are two to four times more likely to have psychosocial disability in Dehradun district. They face unmet needs in accessing community services and perceive negative social attitudes, lack of physical accessibility and lack of information as barriers limiting their participation. Social policy must increase access to education and reduce poverty but additionally ensure action is taken in all community services to increase information, physical accessibility and social inclusion of people with psychosocial and other forms of disability.

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Section: Discussionmentioning

confidence: 99%

Multiple barriers to participation for people with psychosocial disability in Dehradun district, North India: a cross-sectional study

Mathias¹,

Pant

Marella

et al. 2018

BMJ Open

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“…Because it can have a major impact on QOL (Collins et al, 2012), a primary target of the FSPP is stigma. We found that the FSPP significantly reduced both patient- and family-report stigma; in fact, the effect of the program on stigma was larger than on quality of life (i.e., R 2 =.13, .18, vs. .09, .08).…”

Section: Discussionmentioning

confidence: 99%

Effects of the family schizophrenia psychoeducation program for individuals with recent onset schizophrenia in Viet Nam

Ngoc

Weiss

Trung

2016

Asian Journal of Psychiatry

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Objective Although psychoeducation has been found effective for improving the life functioning of patients with schizophrenia in high income countries, there have been relatively few studies of schizophrenia psychoeducation adapted for low and middle-income countries (LMIC), particularly in Southeast Asia. The present study assessed effects of the Family Schizophrenia Psychoeducation Program (FSPP) among Vietnamese patients and their families on the patients’ (1) quality of life and (2) medication non-compliance, and the family and patients’ (3) stigma towards schizophrenia, and (4) consumer satisfaction. Method This intervention study involved 59 patients, and their families, from the Da Nang Psychiatric Hospital, randomly assigned to treatment (n=30) or control (n=29) conditions. Control subjects received services as usual (antipsychotic medication); treatment group subjects received the FSPP as well. Blind-rater assessments were conducted at T1 immediately after project enrollment (prior to participating in the FSPP) and at T2 six months later. Results There were significant treatment effects on: (1) quality of life, (2) stigma, (3) medication compliance, and (4) consumer satisfaction, with all effects favoring the treatment group. Effect sizes were moderate to large. Conclusions This psychoeducation program appears to reduce stigma, improve quality of life and medication compliance, and increase consumer satisfaction of Vietnamese patients with schizophrenia and their families, beyond the effects of antipsychotic medication. It involves relatively little cost, and it may be useful for it or equivalent programs to be implemented in other hospitals in Viet Nam, and potentially other low-income Asian countries to improve the lives of patients with schizophrenia.

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“…4 Stigmatized PWE have lower self-esteem, greater social isolation, poorer psychological health, lower quality of life, and worse epilepsy control. 5–10 The IOM noted some specific public health initiatives to reduce stigma associated with epilepsy and other conditions, but there is still substantial room for improvement and adaptation of other successful approaches, such as stigma reduction initiatives for mental health disorders need to be considered 11–13 Initiatives to reduce mental health stigma can potentially inform new strategies to change attitudes and facilitate a supportive, positive, and socially inclusive environment for PWE.…”

Section: Introductionmentioning

confidence: 99%

Epilepsy misconceptions and stigma reduction: Current status in Western countries

Herrmann

Welter

Berg

et al. 2016

Epilepsy & Behavior

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Objective: This systematized literature review identified reports describing epilepsy misconceptions in the developed Western countries and research interventions focused on reducing these misconceptions. Materials and Methods: English language publications from January 2004 to January 2015 that described original research conducted in Europe, North/Central/South America or Australia on misconceptions about epilepsy among the general public. Results: 81 publications were selected. Most studies were conducted in the Americas (N=30) and Europe (N=31). Misconceptions and attitudes about epilepsy were assessed among clinical providers (N= 9), family members of people with epilepsy (PWE, N=5), teachers (N= 11), students (N=22), and the general public (N= 25). Most studies used structured questionnaires, sometimes adding open-ended questions. Misconceptions reflected socially exclusionary attitudes directed at PWE, ignorance about treatment, and over-generalizations that are stigmatizing when applied to all PWE. Misconceptions were more prevalent in those with less education, lower socioeconomic status, and no exposure to PWE. There were only 12 intervention studies. While intervention studies were generally effective in improving attitudes, many were targeted to healthcare and education settings, were time intensive, and impractical for broad general population implementation. None incorporated newer technology-based strategies regarding effective health communication approaches. Conclusions: Types of epilepsy misconceptions were similar in reports published over the last decade, although most referred to misconceptions that have already been previously described. Existing questionnaires may fail to identify more subtle forms of current misconceptions and negative attitudes. Few interventional studies specifically target epilepsy stigma. Practical and broad scalable approaches to de-stigmatize epilepsy may help reduce misconceptions.

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Interventions to Reduce Mental Health Stigma and Discrimination: A Literature Review to Guide Evaluation of California's Mental Health Prevention and Early Intervention Initiative

Cited by 29 publications

References 18 publications

Multiple barriers to participation for people with psychosocial disability in Dehradun district, North India: a cross-sectional study

Multiple barriers to participation for people with psychosocial disability in Dehradun district, North India: a cross-sectional study

Effects of the family schizophrenia psychoeducation program for individuals with recent onset schizophrenia in Viet Nam

Epilepsy misconceptions and stigma reduction: Current status in Western countries

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