Community conversation: addressing mental health stigma with ethnic minority communities

Knifton, Lee; Gervais, Mhairi; Newbigging, Karen; Mirza, Nuzhat; Quinn, Neil; Wilson, Neil; Hunkins-Hutchison, Evette

doi:10.1007/s00127-009-0095-4

Cited by 96 publications

(91 citation statements)

References 17 publications

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“…Moreover, although yet to be implemented within China, “community conversations” planned by health and community organizations to explore mental health and stigma [9] might usefully incorporate indigenous idioms such as “excessive thinking”. Use of these culturally congruent concepts of mental illness might better facilitate discussion of mental health issues such as the accurate interpretation of mental health problems and identification of when such problems become severe enough to require professional help [19].…”

Section: Discussionmentioning

confidence: 99%

Effects of labeling and interpersonal contact upon attitudes towards schizophrenia: implications for reducing mental illness stigma in urban China

Yang

Wonpat-Borja

et al. 2011

Soc Psychiatry Psychiatr Epidemiol

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Purpose As mental illness stigma contributes to poor outcomes for schizophrenia in China, locating strategies to reduce public stigma is imperative. It is currently unknown whether diagnostic labeling and contact with different help-seeking sources increase or decrease public stigma in China. Further, it remains unresolved whether prior personal contact acts to reduce stigma in this context. Advancing understanding of these processes may facilitate stigma-reduction strategies. Methods We administered an experimental vignette randomly assigning one of four labeling conditions to respondents to assess social distance towards a psychotic vignette individual in a sample of 160 Northern, urban Chinese community respondents. Results As expected, respondents given a “non-psychiatric, indigenous label” + “lay help-seeking” condition endorsed the least social distance. Unexpectedly, the labeling condition with a “psychiatric diagnostic label” + “lay help-seeking” condition elicited the greatest social distance. Unlike Western studies, personal contact did not independently decrease community stigma. However, prior contact reduced social distance to a greater extent in the labeling condition with a “non-psychiatric, indigenous label” + “lay help-seeking” condition when compared with all other labeling conditions. Conclusion The results indicate that cultural idioms do provide some protection from stigma, but only among respondents who are already familiar with what mental illness is. Our finding that the condition that depicted untreated psychosis elicited the greatest amount of stigma, while the “treated psychosis” condition was viewed relatively benignly in China, suggests that improved access to mental health services in urban China has the potential to decrease public stigma via labeling mechanisms.

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Section: Discussionmentioning

confidence: 99%

Effects of labeling and interpersonal contact upon attitudes towards schizophrenia: implications for reducing mental illness stigma in urban China

Yang

Wonpat-Borja

et al. 2011

Soc Psychiatry Psychiatr Epidemiol

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“…Overall, the findings of Mackenzie (2006) highlight a fear of stigma that is found in other aspects of mental health experiences among BME communities (Knifton, Gervais, Newbigging, Quinn, Wilson, & Hutchinson, 2010). However, a limitation of Mackenzie's (2006) study is in relation to the sample.…”

Section: Impact Of Stigma On a Carer's Rolementioning

confidence: 97%

What do we know about the attitudes, experiences and needs of Black and minority ethnic carers of people with dementia in the United Kingdom? A systematic review of empirical research findings

2014

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This paper reviews recent literature on the experiences, attitudes and needs of caring for someone with dementia in Black and minority ethnic communities in the United Kingdom. Eight articles, which investigated carer experiences from Black and minority ethnic communities when caring for someone with dementia, were critically appraised. All eight studies used a qualitative methodology. The review identified several themes and issues across the qualitative studies. These included memory loss being viewed as a normal process of ageing, care being perceived as an extension of an existing responsibility, a poor understanding of what support services provide, the influence of migration, the impact of stigma, and increased female responsibility.Methodological limitations of the research literature studies are also highlighted and clinically relevant implications are discussed, alongside recommendations for future research in this area.

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“…There are interesting links between the community-generated preferences for tackling stigma in this study and wider evidence about 'what works'. There is evidence that positive contact, narratives and the arts can be effective in reducing stigma (Corrigan, River, Lundin, & Penn, 2001;Knifton et al, 2010). So an over-reliance on education campaigns perhaps partially explains the persistence of stigma more widely.…”

mentioning

confidence: 99%

Community conversation: addressing mental health stigma with ethnic minority communities

Abstract: The paper argues community approaches to tackling stigma are more valuable than top-down public education and could form the basis of national initiatives. Refinements to the evaluation framework are considered.

Cited by 96 publications

References 17 publications

Effects of labeling and interpersonal contact upon attitudes towards schizophrenia: implications for reducing mental illness stigma in urban China

Effects of labeling and interpersonal contact upon attitudes towards schizophrenia: implications for reducing mental illness stigma in urban China

What do we know about the attitudes, experiences and needs of Black and minority ethnic carers of people with dementia in the United Kingdom? A systematic review of empirical research findings

Understanding and addressing the stigma of mental illness with ethnic minority communities

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