Self-stigma, mentally ill persons and health services: An integrative review of literature

Carrara, Bruna Sordi; Ventura, Carla Aparecida Arena

doi:10.1016/j.apnu.2017.11.001

Cited by 30 publications

(19 citation statements)

References 31 publications

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“…In agreement with other studies, people diagnosed with SMD exhibit self-stigma [33,34] because they assume that their condition is irreversible based on the view that society has of their clinical diagnosis, and they justify their symptoms based on the psychiatric label given to them.…”

Section: Discussionsupporting

confidence: 88%

Stigma towards people with a diagnosis of severe mental disorder in primary healthcare centers: perspectives of service users and health teams in Chile

Vaccari

Ramírez-Vielma

Saldivia

et al. 2020

Int J Ment Health Syst

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Background: Stigma towards people diagnosed with a severe mental disorder (SMD) is one of the main obstacles for these service users to receive timely and relevant healthcare. This study was undertaken to understand how stigmatizing attitudes are demonstrated towards people with SMD in primary healthcare centers (PHC) from the perspective of those affected and primary healthcare professionals. Methods: We used a qualitative exploratory research design to contrast the differences and similarities regarding stigmatizing attitudes towards people with SMD in primary healthcare centers (PHC) from the perspective of two groups: (i) people diagnosed with a severe mental disorder, and (ii) healthcare professionals. Data was collected through semi-structured interviews and discussion groups and subsequently analyzed using Atlas.ti software. Results: Our results indicate that both service users and healthcare professionals manifest stereotypes, prejudices, and discriminatory behavior in health care. In addition, structural aspects of the health system and organizational culture appear to contribute to stigmatization. Both groups agreed that there is a need for healthcare professionals to have more education, specialization, and skill development related to mental health issues. Conclusions: Interventions to reduce the stigma towards people with SMD in PHC must consider delivery of information about mental disorders, development of skills in the healthcare professionals, and modifications in the culture of the health centers.

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Section: Discussionsupporting

confidence: 88%

Stigma towards people with a diagnosis of severe mental disorder in primary healthcare centers: perspectives of service users and health teams in Chile

Vaccari

Ramírez-Vielma

Saldivia

et al. 2020

Int J Ment Health Syst

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“…Participants described the negative internal feelings they experienced in relation to the life disrupting events they had gone through, as well as fear of receiving negative reactions and judgement from others. As found in previous work (Carrara et al, 2018;Corrigan, 2006), participants described how they often sought to self-isolate as a means of trying to avoid negative and stigmatising reactions from others; this further exacerbated the MHPs they experienced.…”

Section: Discussionsupporting

confidence: 54%

“The biggest barrier is to inclusion itself”: the experience of citizenship for adults with mental health problems

Cogan¹,

MacIntyre

Stewart

et al. 2020

Journal of Mental Health

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Background: Citizenship has been promoted within mental health for several decades however, its application in the field of mental health policy and practice is relatively novel. The voices of people who experience mental health problems (MHPs) are often absent in ongoing discourses about citizenship.Aims: To explore how adults with experience of MHPs and other life disruptions identify potential barriers to citizenship.Method: A community based participatory research approach was adopted with peer researchers. Six focus groups (N = 40) using semi-structured interviews were conducted, consisting of participants who had experience of MHPS and other life disruption(s) within the last 5 years. The focus groups were audio recorded, transcribed verbatim and analysed in NVIVO using a thematic approach.Results: Three major themes associated with participants lived experiences of barriers to citizenship were identified: 'stigmatisation (internal & external) creates further divide';'being socially excluded leads to isolation'; and 'a sense of difference (as perceived by the self and others)'.Conclusions: Those who have experienced major life disruption(s) face multi-level barriers to citizenship. An awareness of such barriers has important implications for mental health research, policy and practice. Citizenship-oriented implementation strategies that aim to address multi-level barriers merit further investigation.

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“…22 Disebutkan bahwa tingkat stigma diri yang lebih tinggi menghasilkan tingkat kepatuhan yang lebih rendah terhadap pengobatan. 23…”

Section: Klasifikasi Gangguan Kesehatan Mentalunclassified

Analisis Situasi Kesehatan Mental Pada Masyarakat Di Indonesia Dan Strategi Penanggulangannya

Ayuningtyas

Misnaniarti

Rayhani

2018

JIKM

123

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Latar Belakang: Kesehatan mental merupakan sektor penting dalam mewujudkan kesehatan secaramenyeluruh. Terdapat sekitar 450 juta orang menderita gangguan mental dan perilaku di seluruh dunia,terbanyak di India (4,5%). Satu dari empat orang menderita satu atau lebih gangguan mental selama masahidup mereka. Gangguan mental jika tidak ditangani dengan tepat, akan bertambah parah, dan akhirnya dapatmembebani keluarga, masyarakat, serta pemerintah. Studi ini bertujuan mengetahui situasi kesehatan mentalpada masyarakat Indonesia dan strategi penanggulangannya.Metode: Tulisan ini menggunakan analisis deskriptif eksploratif, melalui tinjauan literatur dan kajian datasekunder. Unit analisis yaitu situasi kesehatan mental di Indonesia.Hasil Penelitian: Berdasarkan kajian data Riskesdas 2013 diketahui prevalensi gangguan mental berat padapenduduk Indonesia 1,7%, terbanyak di Yogyakarta, Aceh, Sulawesi Selatan. Adapun gangguan mentalemosional dengan gejala-gejala depresi dan kecemasan sekitar 6%. Hingga saat ini, masih terdapat stigmadan diskriminasi terhadap orang dengan gangguan mental di Indonesia, sehingga mengalami penangananserta perlakuan salah seperti pemasungan. Oleh karena itu strategi yang optimal perlu dilakukan bagi setiapindividu, keluarga dan masyarakat dengan pendekatan promotif, preventif, kuratif, dan rehabilitatif secaramenyeluruh, terpadu dan berkesinambungan. Kesehatan mental dapat ditingkatkan dengan intervensikesehatan masyarakat yang efektif. Paradigma dalam gerakan kesehatan mental yang lebih mengedepankanpada aspek pencegahan serta peran komunitas untuk membantu optimalisasi fungsi mental individu.Kesimpulan: Masih banyaknya kasus gangguan kesehatan mental pada masyarakat, dan penanganannyayang salah di Indonesia. Pemerintah perlu melakukan upaya penanggulangan yang menyeluruh, dimulaiadanya peraturan kebijakan yang menjadi dasar dukungan pendanaan dan akses ke pelayanan kesehatanmental serta didukung pendekatan berbasis komunitas.Kata kunci: adanya peraturan kebijakan yang menjadi dasar dukungan pendanaan dan akses ke pelayanan kesehatanmental serta didukung pendekatan berbasis komunitas.Kata kunci: Depresi, gangguan mental, psikososial, psikososial, skizofrenia., gangguan mental, psikososial, pemasungan, skizofrenia.

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Self-stigma, mentally ill persons and health services: An integrative review of literature

Cited by 30 publications

References 31 publications

Stigma towards people with a diagnosis of severe mental disorder in primary healthcare centers: perspectives of service users and health teams in Chile

Stigma towards people with a diagnosis of severe mental disorder in primary healthcare centers: perspectives of service users and health teams in Chile

“The biggest barrier is to inclusion itself”: the experience of citizenship for adults with mental health problems

Analisis Situasi Kesehatan Mental Pada Masyarakat Di Indonesia Dan Strategi Penanggulangannya

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