Stigma in patients with schizophrenia receiving community mental health care: a review of qualitative studies

Abstract

Despite much effort in community treatment, patients still experience stigma and discrimination. Community mental health care professionals should not only be aware of structural problems in mental health care, but should also pay considerable attention towards the relational and behavioural aspects in their clients' life concerning stigma. Furthermore, they have the crucial role in the community to raise awareness about stigma in order to increase their clients' acceptance in society.

Ethical and methodological issues in qualitative studies involving people with severe and persistent mental illness such as schizophrenia and other psychotic conditions: a critical review

“…Regarding analysis of data, two themes were described: using previous experiences to understand the content in the material, and retaining the original meaning of statements through the analysis process, which indicates awareness about the importance of interpreting the participant’s responses in accordance with his or her intentions. Thus, the importance of obtaining in-depth knowledge from the perspective of individuals with experience of the investigated phenomenon, as mentioned by Mestdagh and Hansen (2014), is well described and taken care of in some of the studied articles, for example through descriptions of member checks and the use of an advisory group of people with experience of mental illness (Kidd et al, 2016; Singh et al, 2016). In addition, attaining and reporting trustworthiness in the findings can be assured by the detailed descriptions of the analysis process in qualitative studies involving individuals with schizophrenia and other psychotic conditions, as highlighted by Elo et al (2014).…”

“…Knowledge of mental illness is primarily established by understanding of the perspective of individuals with experience of the phenomenon investigated (Mestdagh & Hansen, 2014). One of the largest differences between research involving the general population and research involving people with severe and persistent mental illness, such as schizophrenia and other psychotic conditions, is that stigmas about mental illness are widely endorsed by the general public and by mental health professionals (Corrigan, 2000; Hansson, Jormfeldt, Svedberg, & Svensson, 2011).…”

Gambaran Stigma Masyarakat Terhadap Klien Gangguan Jiwa Di Rw 09 Desa Cileles Sumedang

“…Masyarakat masih banyak yang mendiskriminasi orang yang terkena gangguan jiwa. Hal ini didukung oleh penelitian yang dilakukan Mestdagh (2013) mengatakan masih banyak pasien yang mengalami perlakuan diskriminasi meskipun mereka sudah dalam perawatan kesehatan mental berbasis komunitas. Hal ini ditunjang juga dengan penelitian yang dilakukan Muhlisin (2015) yang mengatakan pasien yang kembali ke masyarakat setelah dinyatakan sembuh tidak mendapatkan dukungan dari rekan-rekan, keluarga dan lingkungan masyarakat, karena mereka beranggapan takut penyakitnya kambuh lagi.…”

“…Pada penelitian ini didapatkan bahwa sebagian besar masyrakat sudah menerima dan membantu klien dengan gangguan jiwa. Hal ini tidak sesuai dengan penelitian yang dilakukan oleh Covarrubias dan Han (2011) menyebutkan bahwa masyarakat sering melakukan penolakan dalam interaksi dengan klien gangguan jiwa karena stigma negatif yang menyertainya serta masyarakat takut bahwa klien gangguan jiwa untuk mengamuk dan mencelakai orang lain (Mestdagh, 2013).…”

“…Dalam hal ini masyarakat tidak setuju dengan pernyataan ini, karena klien dengan gangguan jiwa masih banyak yang tidak tertangani. Pemberiaan pertolongan terhadap klien yang menderita gangguan jiwa harus segera dilakukan agar tidak mempersulit dalam proses penyembuhan (Mestdagh & Hansen, 2013). Dengan kemajuan pengobatan, banyak klien yang bisa dipulihkan pada fungsi dan tanggung jawab psiko-sosial yang cukup baik (Rahmayulis, 2007).…”