Firstly, to assess and, secondly, to compare experts' and lay attitudes towards community psychiatry and the respective social distance towards mentally ill people.
Comparison of two representative Swiss samples, one comprising of 90 psychiatrists, the other including 786 individuals of the general population.
The psychiatrists' attitude was significantly more positive than that of the general population although both samples have a positive attitude to community psychiatry. The statement that mental health facilities devalue a residential area has revealed most agreement. Psychiatrists and the public do not differ in their social distance to mentally ill people. Among both samples, the level of social distance increases the more the situation described implies "social closeness".
The strategy to use psychiatrists as role models or opinion leaders in anti-stigma campaigns cannot be realised without accompanying actions. Psychiatrists must be aware that their attitudes do not differ from the general public and, thus, they should improve their knowledge about stigma and discrimination towards people with mental illnesses.
"Psychiatrists had the lowest stigma ratings. Other research comparing attitudes across various health professions, as well as between practicing providers and students, has also found considerable variation (Lauber et al. 2004; Magliano et al. 2004). It is well argued that knowledge or information must be embedded in its own context to have meaning for learners (Brown et al. 1989; Graham et al. 2006; Jacobson et al. 2003; Lave and Wenger 1991). "
[Show abstract][Hide abstract] ABSTRACT: Reducing the stigma and discrimination associated with mental illness is becoming an increasingly important focus for research, policy, programming and intervention work. While it has been well established that the healthcare system is one of the key environments in which persons with mental illnesses experience stigma and discrimination there is little published literature on how to build and deliver successful anti-stigma programs in healthcare settings, towards healthcare providers in general, or towards specific types of practitioners. Our paper intends to address this gap by providing a set of theoretical considerations for guiding the design and implementation of anti-stigma interventions in healthcare.
Community Mental Health Journal 07/2015; DOI:10.1007/s10597-015-9910-4 · 1.03 Impact Factor
"A c c e p t e d M a n u s c r i p t 24 found that " the general public has as many negative stereotypes about people with mental illness as mental health professionals do " (Nordt et al., p.711). A similar investigation comparing stigmatizing beliefs held by psychiatrists versus the general population in Switzerland found that there were no differences between the two groups in desired social distance from people with mental illness, although the psychiatrists had more positive opinions about community mental health (Lauber et al., 2004). Similarly, in a study that compared the attitudes toward people with mental illness held by psychiatric and somatic nurses in Sweden, the authors discovered that these professionals did not substantially diverge from the opinions of the general public (Bjorkman, Angelman, & Jonsson, 2008). "
[Show abstract][Hide abstract] ABSTRACT: The authors argue that stigma—both the forces that combat it and perpetuate it- can be viewed as an organizing framework for understanding the history of mental health care. This early history also provides a foundation for appreciating the roots of psychiatric social work and the uniqueness of our professional domain and identity. While hoping to build disciplinary pride, the article also points to work that remains to more deliberately oppose practices that perpetuate stigma, both subtle and overt, and instead embrace practices that humanize care for people with mental illness.
Social Work in Mental Health 11/2014; DOI:10.1080/15332985.2014.964448
"Nurses (190), psychiatrists (110), and relatives (709); convenience sample; 24 (5%) professionals of 489 and 41 (5·5%) families out of 750 did not participate Nurses and psychiatrists who had been working in the service for at least 1 year in mental health centres Italy pattern of care schedule; questionnaire on the opinions about mental illness; questionnaire on the opinions about mental illness family version; questionnaire on the opinions about mental illness professional version; includes vignettes Nurses (63%), relatives (71%), and psychiatrists (43%) thought patients should not get married; nurses (21%), relatives (49%) , and psychiatrists (7%) felt patients should not have children None as stated by the authors of the study Nordt et al (2006) 36 Compare attitudes of mental health professionals and the general population towards mental illness Random sample of the general public (1737); self-selected convenience sample of mental health professionals (1073) Psychiatrists, nurses, vocational workers, social workers, physiotherapists , and psychologists working with psychiatric inpatients and outpatients Switzerland Questionnaire already being used in the public attitude survey in Switzerland; includes vignettes* Psychiatrists had more negative stereotypes; mental health professionals accepted restrictions towards patients with mental illness three times less often than the general public; social distance towards patients with major depression and someone without mental illness lower than towards patients with schizophrenia Low response rate of mental health professionals; unbalanced sample size; questionnaire was designed for the general public; the 5 years between public and professional surveys might have infl uenced results Lauber et al (2004) 37 "
[Show abstract][Hide abstract] ABSTRACT: This Review considers the evidence for mental-health-related stigma in health-care and mental-health-care
settings. Do mental-health-care and other health-care professionals stigmatise people using their services? If so, what are the effects on quality of mental and physical health care? How can stigma and discrimination in the context of health care be reduced? We show that the contact mental-health-care professionals have with people with mental illness is associated with positive attitudes about civil rights, but does not reduce stigma as does social contact such as with friends or family members with mental illness. Some evidence suggests educational interventions are effective in decreasing stigma especially for general health-care professionals with little or no formal mental health training. Intervention studies are needed to underpin policy; for instance, to decrease disparity in mortality associated with poor access to physical health care for people with mental illness compared with people without mental illness.
The Lancet Psychiatry 11/2014; 1(6):467-482. DOI:10.1016/S2215-0366(14)00023-6
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