Evaluation of the German WPA “Program against stigma and discrimination because of schizophrenia — Open the Doors”: Results from representative telephone surveys before and after three years of antistigma interventions

Gäebel, Wolfgang; Zäske, Harald; Baumann, Anja Esther; Klosterkötter, Joachim; Maier, Wolfgang; Decker, P; Möller, Hans‐Jürgen

doi:10.1016/j.schres.2007.09.013

Cited by 72 publications

(48 citation statements)

References 17 publications

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“…This indicates that presenting information about schizophrenia does not always lead to stigma reduction. According to one study on anti-stigma education, low education and a more negative attitude toward mental disorder offered greater potential for improvement following a similar kind of program (Gaebel et al, 2008). Analogous results have been reported elsewhere Read, Haslam, Sayce, & Davies, 2006).…”

Section: Attitudes Toward Schizophreniamentioning

confidence: 55%

Program for Promoting the Employment of Schizophrenic Patients in Japan

Yoshii¹,

Kitamura²

2018

GJHS

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In Japan, a large proportion of schizophrenic patients cannot find work. Accordingly, it is necessary to promote positive attitudes among employers about hiring such patients. However, few programs in Japan educate employers about schizophrenia and there is little evaluation of such programs. Our study participants were 1,175 executives in private enterprises who registered with an Internet questionnaire survey company. The participants in the intervention group viewed an educational video developed to increase understanding about schizophrenia. This longitudinal study examined how employers' attitudes about hiring schizophrenic patients changed before and after watching the video. The number of respondents from both the intervention and non-intervention groups who responded that they did not understand how to employ and manage schizophrenics and so would not hire them showed a significant increase at 1 week after baseline (p = 0.001); however, there was a significant increase at 3 years after baseline only in the non-intervention group (p = 0.019). Only in the non-intervention group did Social Distance Scale-Japanese version scores show a significant decrease at 1 week after baseline (p = 0.011); they increased significantly from 1 week after to 3 years after baseline (p = 0.001). Our educational intervention aimed to promote employers' willingness to employ schizophrenic patients. However, to reduce stigma and increase such willingness, our program could be improved.

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Section: Attitudes Toward Schizophreniamentioning

confidence: 55%

Program for Promoting the Employment of Schizophrenic Patients in Japan

Yoshii¹,

Kitamura²

2018

GJHS

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“…To avoid stigma, people with mental illnesses may try to continue to work despite having symptoms, and the majority do not seek help (Zhang, Rost, Fortney, & Smith, 1999). There is evidence that stigma is one of the factors that hinders the employment of people with mental illnesses (Gaebel et al, 2008) because they fear having to disclose their illness (See Me Scotland, 2006;Yoshii, 2014). This may be because they were previously turned down for a job, dismissed, demoted, shunned, or harassed by co-workers after disclosure (Wahl, 1999a(Wahl, , 1999b.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Attitudes about Schizophrenia among Employers in Japan

Yoshii¹,

Mitsunaga²,

Saito³

2017

GJHS

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Purpose: A high percentage of schizophrenia patients cannot find work. If these patients are to find long-term employment, it is essential that employers understand schizophrenia. Therefore, this study aimed to assess knowledge and attitudes about schizophrenia among employers in Japan. Methods:A total of 1877 executives were recruited from private companies to examine knowledge and attitudes about schizophrenia, awareness of employment support, and likelihood of hiring schizophrenic patients. Higher scores indicated greater knowledge and/or higher levels of stigma.Results: Small-scale entrepreneurs were significantly less likely to believe that they might be able to employ a schizophrenia patient. They tended to regard mentally ill people, including schizophrenia patients, as dangerous, despite having little or no contact with them. Basic knowledge of schizophrenia was significantly higher (p = 0.001) and average scores on a number of attitude measures significantly lower (p = 0.001) for employers who said they might employ people with schizophrenia than those that didn't. More than 83.5% of respondents were unaware of support available for people with mental illnesses. Half expressed desire for support from outside agencies in hiring and ongoing employment of people with schizophrenia. Conclusions:This study identified a particular group of employers who were very unlikely to employ anyone with schizophrenia. This might enable targeted interventions to change attitudes among this group. Also found was a widespread lack of knowledge of support available for employers and employees, suggesting that more public information about this may be helpful in increasing employment among those with mental health problems.

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“…These legislative initiatives in the USA and abroad have also stimulated a series of anti-stigma and pro-mental health public service initiatives. Endeavors such as the "Time for Change" campaign in the UK [11], "Like Minds, Like Mine" in New Zealand [12], and "Open the Doors" in Germany [13] and foundations such as "Bring Change 2 Mind" [14], Active Minds [15], and "In Our Voice" [16] from the National Alliance on Mental Illness in the USA are all working to diminish stigma and lessen barriers to early identification and treatment of mental disorders.…”

Section: Current Advancesmentioning

confidence: 99%