Reducing stigma and discrimination: candidate interventions

Thornicroft, Graham; Brohan, Elaine; Kassam, Aliya; Lewis-Holmes, Elanor

doi:10.1186/1752-4458-2-3

Cited by 195 publications

(190 citation statements)

References 55 publications

(32 reference statements)

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“…Stigma comprises ignorance, prejudice and discrimination. 10 By educating our students properly we can eliminate ignorance. The current advances being made in psychiatry are unprecedented.…”

Section: Education and Trainingmentioning

confidence: 99%

Teaching medical students and recruitment to psychiatry: attitudes of psychiatric clinicians, academics and trainees

et al. 2011

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Aims and methodAn online survey was used to examine the attitudes of clinical, academic and trainee psychiatrists on the delivery of undergraduate education and why students are not choosing psychiatry as a career. This paper explores whether attitudes to teaching psychiatry to medical students is a factor in poor recruitment to the specialty.ResultsOverall, 390 psychiatrists completed the survey. All groups were highly committed to psychiatry education, but there were significant differences in attitudes that may have an impact on the delivery of medical student teaching, which in turn may influence recruitment. Five major themes emerged from the survey, the most dominant being stigmatisation of psychiatric patients and professionals by the medical profession. These divergent attitudes to teaching and stigma may be contributing to low levels of recruitment into psychiatry.Clinical implicationsEducation of the next generation of psychiatrists is a high priority and active measures are needed to increase commitment and enthusiasm in undergraduate education.

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Section: Education and Trainingmentioning

confidence: 99%

Teaching medical students and recruitment to psychiatry: attitudes of psychiatric clinicians, academics and trainees

et al. 2011

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“…Moreover, as pointed out by Thornicroft et al [23], in the attempt to overcome stigma attached to mental disorders at the population level, interventions using a social marketing approach are increasingly being used and proofs of efficacy have been collected [24,25].…”

mentioning

confidence: 99%

The Impact of Social Marketing Campaigns on Reducing Mental Health Stigma: Results From the 2009–2014 Time to Change Programme

et al. 2017

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BackgroundIn England, during 2009–2014 the ‘Time to Change’ anti-stigma programme has included a social marketing campaign (SMC) using mass media channels, social media and social contact events but the efficacy of such approach has not been evaluated yet.MethodsThe target population included people aged between mid-twenties/mid-forties, from middle-income groups. Participants were recruited through an online market research panel, before and after each burst of the campaign (with a mean number of unique participants per each burst: 956.9 ± 170.2). Participants completed an online questionnaire evaluating knowledge [Mental Health Knowledge Schedule (MAKS)]; attitudes [Community Attitudes toward Mental Illness (CAMI)]; and behaviours [Reported and Intended Behaviour Scale (RIBS)]. Socio-demographic data and level of awareness of the SMC were also collected.ResultsA total of 10,526 people were interviewed. An increasing usage of the SMC-media channels as well as of the level of awareness of SMC was found (P < 0.001). Being aware of the SMC was found to be associated with higher score at MAKS (OR = 0.95, CI = 0.68 to 1.21; P < 0.001), at ‘tolerance and support’ CAMI subscale (OR = 0.12, CI = 0.09 to 0.16; P < 0.001), and at RIBS (OR = 0.71, CI = 0.51 to 0.92; P < 0.001), controlling for confounders.ConclusionThe SMC represents an important way to effectively reduce stigma. Taking into account these positive findings, further population-based campaigns using social media may represent an effective strategy to challenge stigma.

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“…There is an increasing effort to try to end discrimination towards people affected by mental health problems (Heinz et al 2015;Mehta et al 2015;Thornicroft et al 2015;Wahlbeck, 2015;Weissman, 2015), with the promotion of antistigma programmes worldwide such as 'Like Minds, Like Mine' (Vaughan & Hansen, 2004;Thornicroft et al 2014), 'Opening Minds' (Sartorius, 2014;Stuart et al 2014), and 'Open the Doors' (Rüsch et al 2005;Gaebel et al 2008;NHS Scotland, 2008;Thornicroft et al 2008;Evans-Lacko et al 2012;Evans-Lacko et al 2014a, b).…”

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

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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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Reducing stigma and discrimination: candidate interventions

Cited by 195 publications

References 55 publications

Teaching medical students and recruitment to psychiatry: attitudes of psychiatric clinicians, academics and trainees

Teaching medical students and recruitment to psychiatry: attitudes of psychiatric clinicians, academics and trainees

The Impact of Social Marketing Campaigns on Reducing Mental Health Stigma: Results From the 2009–2014 Time to Change Programme

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

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