The project aimed to assess stigmatized attitudes among health professionals directed towards patients with mental health problems. The Attitude to Mental Illness Questionnaire was used to assess participants' attitudes towards fictitious patients from a secure forensic hospital and patients with schizophrenia and substance use disorders. Participants were health professionals from acute and mental health settings. In total, 108 completed questionnaires were received. Participants had highly stigmatized attitudes towards patients from a forensic hospital and those with active substance use disorders. Attitudes were less stigmatized to people with substance use disorders who were recovering in remission. This suggested that health professionals have stigmatized attitudes towards an illness such as schizophrenia and this is worse towards patients from a secure hospital. The manner in which patients with substance use disorder are presented can have a significant effect on stigmatized attitudes by health professionals.
"As SUDs lead to substantial economic losses and multiple social problems, substance users are viewed with a certain degree of stigma. The stigmatization may be much more than that for other health conditions for a variety of reasons (Rao et al. 2009; Ronzani et al. 2009; Schomerus et al. 2011). Substance use often co-exists with a range of other stigmatized health conditions (e.g., HIV/AIDS, hepatitis C virus, mental illness), potentially unsafe behaviors (e.g., rash driving), and deplorable social conditions (e.g., poverty, criminality) (Dean & Rud 1984). "
[Show abstract][Hide abstract] ABSTRACT: Despite clinically relevant implications, stigma towards substance users remains an understudied area, especially in developing countries. This study aimed to find the extent of stigma towards substance use reported by substance users attending a de-addiction centre in India. Purposive sampling was used to recruit consenting fifty patients each dependent on alcohol and opioid from a tertiary care hospital in north India. Demographic and clinical details were recorded. The Stigma Scale and the Perceived Stigma of substance Abuse Scale (PSAS) were administered to both the groups to assess stigma. Alcohol dependent subjects reported higher stigma than the opioid dependent subjects on the Stigma Scale (t = 3.234, p = 0.018). Linear regression showed that duration of dependence, being employed and currently abstinent predicted greater stigma experienced as per the Stigma Scale. Presently being employed and higher per-capita income predicted lower perceived stigma towards substance users as per PSAS. Stigma in substance users remains a major clinical concern, minimizing which can help mitigate negative clinical consequences like delayed treatment seeking and reduced treatment compliance.
International Journal of Mental Health and Addiction 02/2014; 13(1). DOI:10.1007/s11469-014-9514-1 · 0.99 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: An estimated 30-50% of patients admitted to acute medical care settings experience co-morbid physical and mental illness. Research suggests that health professionals in these settings find managing this patient group challenging. A number of studies have investigated health professional's attitudes and perceptions however there is limited research that investigates the lived experience in a current Australian healthcare context. The aim of this study was to explicate an in-depth description of the health professional's experience when caring for patients experiencing co-morbid physical and mental illness in Australian acute medical care settings.
A phenomenological design was undertaken with six participants representing nursing and medical disciplines. In 2013-2014 one-on-one semi-structured interviews were used and the data collected underwent thematic analysis using an extended version of Colaizzi's phenomenological inquiry.
Six themes emerged including-challenging behaviours, environmental and organisational factors, lack of skills, knowledge and experience, hyper-vigilance and anxiety, duty of care and negative attitudes with an overarching theme of fear of the unknown.
Staff in acute medical care settings were unsure of patients with mental illness and described them as unpredictable, identifying that they lacked requisite mental health literacy. Regular training is advocated.
BMC Research Notes 07/2015; 8(1):295. DOI:10.1186/s13104-015-1264-z
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