Challenging mental illness stigma in healthcare professionals and students: a systematic review and network meta-analysis

Lien, Yin Yi; Lin, Hui Shin; Tsai, Chi Hsuan; Wu, Ting; Li, Hua; Tu, Yu–Kang

doi:10.1080/08870446.2020.1828413

Cited by 41 publications

(34 citation statements)

References 56 publications

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“…According to recent reviews and meta-analyses [1,14,[19][20][21][22][23], studies examining mental health stigma reduction interventions carried out with healthcare professionals have generally found positive results regarding interventions including social contact with people diagnosed of a mental illness and problem-based learning. However, positive results do not usually last, since the differences with control groups disappear after relatively short periods of time [21].…”

Section: Introductionmentioning

confidence: 99%

“…However, positive results do not usually last, since the differences with control groups disappear after relatively short periods of time [21]. Furthermore, until recently, most studies have been focused on students [20,24,25] or a specific diagnostic characteristic such as people diagnosed with substance abuse [19] or borderline personality disorder [1].…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes among Primary Care and Mental Health Professionals: Two Cluster Randomised-Controlled Trials

Eiroá-Orosa

Lomascolo²,

Tosas-Fernández³

2021

IJERPH

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Although it may seem paradoxical, primary care and mental health professionals develop prejudices and discriminatory attitudes towards people with mental health problems in a very similar way to the rest of the population. The main objective of this project was to design, implement and evaluate two awareness-raising interventions respectively tailored to reduce stigmatising beliefs and attitudes towards persons with a mental health diagnosis among primary care (PC) and mental health (MH) professionals. These interventions were developed by Obertament, the Catalan alliance against stigma and discrimination in mental health. Activists from this organisation with lived experience of mental health diagnosis carried out awareness-raising interventions in PC and MH health centres. The Targeted, Local, Credible, Continuous Contact (TLC3) methodology was adapted to the Catalan healthcare context. The efficacy of these interventions was evaluated using two prospective double-blind cluster-randomised-controlled trials. Stigmatizing beliefs and behaviours were measured with the Opening Minds Stigma Scale for Health Care Providers in PC centres and with the Beliefs and Attitudes towards Mental Health Service users’ rights in MH centres. Reductions in both PC and MH professionals’ stigmatising beliefs and attitudes were found in the 1-month follow-up, although a ‘rebound effect’ at the 3-month follow up was detected. This emphasizes the importance of the continuity of the presence of anti-stigma activities and messages. Attrition rates were high, which can hamper the reliability of the results. Further follow-up studies should enquiry effects of long-term interventions aimed at reducing stigmatising beliefs and attitudes among primary care and mental health professionals using assessment systems that include the measurement of knowledge acquired and actual behavioural change.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes among Primary Care and Mental Health Professionals: Two Cluster Randomised-Controlled Trials

Eiroá-Orosa

Lomascolo²,

Tosas-Fernández³

2021

IJERPH

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“…Reductions in time spent in clinical placements mean that students get less contact with people with psychiatric conditions, which is so important in dispelling stigma toward mental illness. 27 The relative shift away from placements in community teams toward in-patient wards during the pandemic may also have unintended consequences; in a meta-analysis conducted before the pandemic, in-patient placements had less effect in challenging stigmatising attitudes than community or mixed placements. 28 On the other hand, the greater emphasis placed on the mental well-being of students 29 and healthcare staff 30 during the pandemic may encourage students to pay attention to their own health and well-being, and raise their awareness of the importance of mental health.…”

Section: Attitudes Toward Mental Illnessmentioning

confidence: 99%

Teaching psychiatry to medical students in the time of COVID-19: experiences from UK medical schools

et al. 2021

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Aims and method Education leads for undergraduate psychiatry in UK medical schools completed questionnaires on adaptations made to undergraduate psychiatry education, their impact and what lessons could be learnt for the future. Results Respondents from 24 medical schools across the UK reported a major shift to online teaching delivery, with reduced workplace learning and increased use of teleconferencing, online tasks and self-directed learning. Changes were implemented with some faculty training provided, but little additional funding or resources from medical schools or National Health Service trusts. A variety of challenges and opportunities were reported. Clinical implications Despite the extraordinary efforts of education leads to maintain undergraduate psychiatry education, the pandemic may affect the development of students’ professional competencies and recruitment into psychiatry. Individual clinicians, trusts and medical and foundation schools have much to offer, and need to work with students to replace what has been lost during the pandemic.

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“…According to recent reviews [1,[7][8][9], studies examining mental health stigma reduction interventions carried out with healthcare professionals have generally found positive results. However, until recently, most studies have been pilot studies focused on a single professional sector (e.g., students, medical doctors, nurses, etc.)…”

Section: Introductionmentioning

confidence: 99%

“…month follow up (6) Completed 3-month follow up(8) Allocated to intervention (128)Allocated to control (n=57)Attended follow up session (88) Completed 1-month follow up(14) physicians, nurses, etc.). The scale has been successful in detecting positive changes in various anti-stigma interventions (SRM ≤ 0.50 to ≤ 0.91).The professionals' Beliefs and Attitudes towards Mental Health Service users' rights scale [BAMHS…”

mentioning

confidence: 99%

Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes Among Primary Care and Mental Health Professionals: Two Cluster Randomized-Controlled Trials

Eiroá-Orosa¹,

Lomascolo²,

Tosas-Fernández³

2020

Preprint

View full text Add to dashboard Cite

Although it may seem paradoxical, primary care and mental health professionals develop prejudices and discriminatory attitudes towards people with mental health problems in a very similar way to the rest of the population. The main objective of this project was to design, implement and evaluate two awareness interventions respectively tailored to reduce stigma and discrimination beliefs and attitudes towards persons with a mental health diagnosis among primary care (PC) and mental health (MH) professionals. These interventions were developed by Obertament, the Catalan alliance against stigma and discrimination in mental health. The TLC3 (Targeted, Local, Credible, Continuous Contact) methodology was adapted to the Catalan PC and MH professional contexts. Activists with lived experience of mental health diagnosis carried out awareness-raising interventions in PC and MH health centres. The efficacy of these interventions was evaluated using two prospective double-blind cluster-wait-list-randomized-controlled trial experimental designs. Stigmatizing beliefs and behaviours were measured with the Opening Minds Stigma Scale for Health Care Providers in primary care centres and with the Beliefs and Attitudes towards Mental Health Service users’ rights in mental health centres. Positive reductions in both PC and MH professionals’ stigmatising beliefs and attitudes were found in the 1-month follow-up, although a ‘rebound effect’ at the 3-month follow up was also detected. This emphasizes the importance of the continuity of the presence of anti-stigma activities and messages. Attrition rates where high, which can hamper the reliability of the results. Further follow-up studies should enquiry effects of long-term interventions aimed at reducing stigmatising beliefs and attitudes among primary care and mental health professionals.

show abstract

Challenging mental illness stigma in healthcare professionals and students: a systematic review and network meta-analysis

Cited by 41 publications

References 56 publications

Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes among Primary Care and Mental Health Professionals: Two Cluster Randomised-Controlled Trials

Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes among Primary Care and Mental Health Professionals: Two Cluster Randomised-Controlled Trials

Teaching psychiatry to medical students in the time of COVID-19: experiences from UK medical schools

Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes Among Primary Care and Mental Health Professionals: Two Cluster Randomized-Controlled Trials

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