Key lessons learned from the INDIGO global network on mental health related stigma and discrimination

Thornicroft, Graham; Bakolis, Ioannis; Evans‐Lacko, Sara; Gronholm, Petra C.; Henderson, Claire; Kohrt, Brandon A.; Koschorke, Mirja; Milenova, Maria; Semrau, Maya; Votruba, Nicole; Sartorius, Norman

doi:10.1002/wps.20628

Cited by 63 publications

(40 citation statements)

References 10 publications

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“…Mental illness shares similar characteristics to skin NTDs in that affected persons are also heavily stigmatized and discriminated against, and are often excluded from social and economic activities [ 30 , 31 , 32 ]. Furthermore, rates of mental disorder (such as depression) and distress have been shown to be elevated amongst people with podoconiosis, LF, and other skin NTDs (which may both be an additional cause of stigma, as well as a consequence of the NTD-related stigma) [ 8 , 33 , 34 ].…”

Section: Lessons From Community Engagement For Mental Healthmentioning

confidence: 99%

Community Involvement in the Care of Persons Affected by Podoconiosis—A Lesson for Other Skin NTDs

Tora

Mengiste²,

Davey

et al. 2018

TropicalMed

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Podoconiosis is a neglected tropical disease (NTD) characterized by lower-leg swelling (lymphedema), which is caused by long-term exposure to irritant red-clay soils found within tropical volcanic high-altitude environments with heavy rainfall. The condition places a substantial burden on affected people, their families and communities, including disability, economic consequences, social exclusion, and stigma; mental disorders and distress are also common. This paper focuses on community-based care of podoconiosis, and, in particular, the role that community involvement can have in the reduction of stigma against people affected by podoconiosis. We first draw on research conducted in Ethiopia for this, which has included community-based provision of care and treatment, education, and awareness-raising, and socioeconomic rehabilitation to reduce stigma. Since people affected by podoconiosis and other skin NTDs often suffer the double burden of mental-health illness, which is similarly stigmatized, we then point to examples from the mental-health field in low-resource community settings to suggest avenues for stigma reduction and increased patient engagement that may be relevant across a range of skin NTDs, though further research is needed on this.

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Section: Lessons From Community Engagement For Mental Healthmentioning

confidence: 99%

Community Involvement in the Care of Persons Affected by Podoconiosis—A Lesson for Other Skin NTDs

Tora

Mengiste²,

Davey

et al. 2018

TropicalMed

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“…It may be that their access to specialist care is delayed by the presence of stigma still attached to mental disorders, as recently documented by the American Psychiatric Association that more than 50% of medical students meeting the diagnostic criteria for a mental disorder are reluctant to seek professional help because of fear of exposure to stigma [ 14 ]. Moreover, after graduation, the fear of stigma and of financial and professional consequences are a significant barrier to seeking help among doctors [ 15 , 16 , 17 ]. In Italy, the levels of stigma attached to mental disorders are still quite high, particularly in specific socio-cultural contexts impacting negatively on the help-seeking.…”

Section: Introductionmentioning

confidence: 99%

Mental Health Disturbances and Related Problems in Italian University Medical Students from 2000 to 2020: An Integrative Review of Qualitative and Quantitative Studies

et al. 2020

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Background and objectives: The presence of mental health problems in the population of medical students in Italy has been evaluated in several cross-sectional studies, which have used different methodologies and study designs. However, a global overview of the prevalence of mental health problems in Italian medical students is not available, although this would be essential for promoting preventive strategies and supportive treatments. Materials and Methods: An integrative review aiming to describe the prevalence of mental health problems in Italian medical students has been performed. Results: The most relevant findings are the high prevalence of substance use, in particular alcohol and nicotine, and of depressive and anxiety disorders in Italian medical students. In particular, substance use ranges from 13 to 86%, which is higher compared to Italian students coming from other faculties. Italian medical students show a high rate of smoking and of depressive symptoms of about 20%. Conclusions: Our findings highlight the need to develop appropriate supportive interventions for the medical student population, which are rarely provided and implemented among the routine activities of Italian medical universities. A relevant aspect to be considered is the stigma and anticipated discrimination attached to mental disorders, which reduce the help-seeking process in medical students.

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“…However, despite this progress, a high level of stigma associated with mental health still exists worldwide. Persons with mental disorders, their families, and sometimes even their carers, are historically subjected to stigma and suffer from the consequences of the stigmatizing behavior of the society, including social isolation, poorer chances for employment, but also decreased access to health care [3].…”

mentioning

confidence: 99%

Principles of mental health care during the COVID-19 pandemic

2020

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We describe the basic principles of mental health care during the COVID-19 pandemic that should be endorsed by the mental health professional associations and incorporated in the health strategies for the management of the COVID-19 pandemic. The main principle is that there should be no substantial differences in the provision of health care for COVID-19 between persons with pre-existing mental health disorders and the ones without previous disorders. Subsequently, the organization of the health care should reflect that as well. These principles should (a) prevent the possible effects of stigmatizing attitudes toward mental health issues, possibly leading to potentially deleterious situations, such as psychiatric patients being treated (even temporarily) separately from other patients, in psychiatric facilities, where the staff is not equipped and trained adequately for the management of COVID-19; (b) highlight the fact that patients with mental health disorders are at greater risk for developing serious complications of COVID-19 infection due to other factors—they often smoke and have comorbidities such as hypertension, diabetes, all associated with higher morbidity and mortality from COVID-19 infection; (c) highlight that measures should be taken to minimize the risk of the spread of infection in psychiatric wards/institutions; (d) provide a general framework for the reorganization of mental health services toward the provision of services for persons in need, including frontline medical workers and patients with COVID-19 without previous mental health problems as well as for persons with pre-existing mental health problems under new circumstances of pandemic.

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Key lessons learned from the INDIGO global network on mental health related stigma and discrimination

Cited by 63 publications

References 10 publications

Community Involvement in the Care of Persons Affected by Podoconiosis—A Lesson for Other Skin NTDs

Community Involvement in the Care of Persons Affected by Podoconiosis—A Lesson for Other Skin NTDs

Mental Health Disturbances and Related Problems in Italian University Medical Students from 2000 to 2020: An Integrative Review of Qualitative and Quantitative Studies

Principles of mental health care during the COVID-19 pandemic

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