Stigma experienced by people using mental health services in San Diego County

Sarkin, Andrew J.; Lale, Rachel; Sklar, Marisa; Center, Kimberly; Gilmer, Todd; Fowler, Christopher; Heller, R. D.; Ojeda, Victoria D.

doi:10.1007/s00127-014-0979-9

Cited by 18 publications

(22 citation statements)

References 60 publications

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“…As a result of, Stewart, Jameson, and Curtin [25] stated that older adults living in isolated rural counties demonstrated higher levels of public and self-stigma and lower levels of psychological openness than older adults in urban areas even after accounting for education, employment, and income. Sarkin, Lale, Sklar, Center, Gilmer, et al, [26] contradicted this study and mentioned that, females facing stigma more than males, but males were fewer liable to approve the potentially positive aspects of facing mental health challenges than females.…”

Section: Discussioncontrasting

confidence: 55%

“…There were no significant differences between sub-categories of the most demographic variables (age, sex, level of education, occupation, marital status, and family income). The study by Sarkin et al [26] found that patients in young age suffering from stigma due problems related to mental health. Poor people with mental illness were more prone to stigma and other unfavorable consequences of mental illness than their counterparts with higher socioeconomic status [27].…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, Sarkin, Lale, Sklar, Center, Gilmer, et al [26] reported that, although patients with affective disorders reported more embarrassment with disclosing mental illness than people with schizophrenic disorders. At the same time, they did not report more discrimination than patients with schizophrenic disorders.…”

Section: Discussionmentioning

confidence: 99%

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Patients' insight and felt stigma among psychiatric patients

Mahmoud¹,

Berma²

2016

IOSR

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Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

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Patients' insight and felt stigma among psychiatric patients

Mahmoud¹,

Berma²

2016

IOSR

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“…Another barrier to seeking support could be that people of some ethnic origins are less likely to seek help for their mental health needs (Byers et al, ); one explanation is that they might be uncomfortable discussing mental health needs, which they view as personal problems, with healthcare professionals. In contrast, Sarkin et al () found that older people ( n = 1,237) felt less stigmatised than younger people and were therefore more likely to access mental health services. That study focused on people living in San Diego, which may offer some explanation for these diametric findings.…”

Section: Resultsmentioning

confidence: 92%

The experiences of older adults with a diagnosed functional mental illness, their carers and healthcare professionals in relation to mental health service delivery: An integrative review

Wells

Kennedy

Bain

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To analyse the experiences of older people with a diagnosed functional mental illness and their carers in relation to mental health service delivery and analyse the experiences of health and social care professionals who care for and treat older people who have a diagnosed functional mental illness. Background The prevalence of functional mental illness in older adults is notable but to date has received less research attention than dementia. Older adults with functional mental illness have life expectancy of up to 20 years less than the rest of the population. Therefore, the experiences of older adults with functional mental illness, their carers and healthcare professionals, in relation to mental health services, need further exploration. Design Integrative literature review. Methods A five‐stage process was informed by Whittemore and Knafl. MeSH was used. Keyword searches of MEDLINE, CINAHL, Cochrane Library, PsycINFO, EMBASE and AMED were conducted between January 2000–October 2017. Titles were screened, and data were extracted manually and analysed using narrative synthesis. The PRISMA checklist was used. Results A total of 342 articles were deemed potentially relevant to this review. Once inclusion and exclusion criteria were applied, 28 articles were included. The literature presented an overarching theme “determinants influencing older people with functional mental illness use of services.” The overarching theme is supported by two main themes: inevitable consequences of ageing and variations of the availability of healthcare services for older people with functional mental illness. Conclusion Several determinants influence use of services by older people with functional mental illness. Older people with functional mental illness often perceived they did not have a mental health need. Within the literature, there was little acknowledgement of the experiences of older people with functional mental illness regarding their support needs. Relevance to clinical practice This integrative review has highlighted that some older people with functional mental illness do not seek mental health support because they believe that functional mental illness is an inevitable consequence of ageing; this is mirrored at times by healthcare professionals and carers. In addition to this finding, different views prevail regarding the impact that ageless and age‐defined mental health service delivery models have on the needs of older people with functional mental illness. Further research is required to understand these findings.

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“…Major reasons for the insufficient treatment of mental disorders in general, and of depression in particular, are limitations in transportation and logistics (e.g., long-distance drives, not being able to take time off work), financial barriers (i.e., not being able to afford treatment), and fear of stigmatization within affected individuals [10]. …”

Section: Introductionmentioning

confidence: 99%

Benefits of Individualized Feedback in Internet-Based Interventions for Depression: A Randomized Controlled Trial

Zagorscak

Heinrich

Sommer

et al. 2018

Psychother Psychosom

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Background: Even though there is an increasing number of studies on the efficacy of Internet-based interventions (IBI) for depression, experimental trials on the benefits of added guidance by clinicians are scarce and inconsistent. This study compared the efficacy of semistandardized feedback provided by psychologists with fully standardized feedback in IBI. Methods: Participants with mild-to-moderate depression (n = 1,089, 66% female) from the client pool of a health insurance company participated in a cognitive-behavioral IBI targeting depression over 6 weeks. Individuals were randomized to weekly semistandardized e-mail feedback from psychologists (individual counseling; IC) or to automated, standardized feedback where a psychologist could be contacted on demand (CoD). The contents and tasks were identical across conditions. The primary outcome was depression; secondary outcomes included anxiety, rumination, and well-being. Outcomes were assessed before and after the intervention and 3, 6, and 12 months later. Changes in outcomes were evaluated using latent change score modeling. Results: Both interventions yielded large pre-post effects on depression (Beck Depression Inventory-II: d_IC = 1.53, d_CoD = 1.37; Patient Health Questionnaire-9: d_IC = 1.20, d_CoD = 1.04), as well as significant improvements of all other outcome measures. The effects remained significant after 3, 6, and 12 months. The groups differed with regard to attrition (IC: 17.3%, CoD: 25.8%, p = 0.001). Between-group effects were statistically nonsignificant across outcomes and measurement occasions. Conclusion: Adding semistandardized guidance in IBI for depression did not prove to be more effective than fully standardized feedback on primary and secondary outcomes, but it had positive effects on attrition.

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Stigma experienced by people using mental health services in San Diego County

Cited by 18 publications

References 60 publications

Patients' insight and felt stigma among psychiatric patients

Patients' insight and felt stigma among psychiatric patients

The experiences of older adults with a diagnosed functional mental illness, their carers and healthcare professionals in relation to mental health service delivery: An integrative review

Benefits of Individualized Feedback in Internet-Based Interventions for Depression: A Randomized Controlled Trial

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