Mental illness-related stigma in healthcare

Knaak, Stephanie; Mantler, Ed; Szeto, Andrew C. H.

doi:10.1177/0840470416679413

Cited by 698 publications

(415 citation statements)

References 50 publications

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“…These findings are corroborated by findings in a similar study which stated that health care professionals discriminate against mentally disturbed patients, because they view these patients as strange and they believe them to be dangerous (Ndetei, Ngumi, Mutiso, Musyimi, & Kamau, 2013). The negative attitude of medical professionals towards patients with mental disorders is not just associated with a few insensitive health care providers, rather this problem is one that is general in nature and linked to the attitude of a good number of medical professionals (Knaak, Mantler, & Szeto, 2017). It has been observed from research that a stigmatisation of people with mental conditions cuts across most of the professions found in the health sector (Knaak et al, 2017).…”

Section: Discussionsupporting

confidence: 62%

“…The negative attitude of medical professionals towards patients with mental disorders is not just associated with a few insensitive health care providers, rather this problem is one that is general in nature and linked to the attitude of a good number of medical professionals (Knaak, Mantler, & Szeto, 2017). It has been observed from research that a stigmatisation of people with mental conditions cuts across most of the professions found in the health sector (Knaak et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

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Health Professionals’ Perceptions of the Integration of Mental Health Into HIV Services

Cele¹,

Mhlongo²

2020

GJHS

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INTRODUCTION: Mental health conditions have been reported to be common in people living with HIV (PLWH). Research has shown that the chances of PLWH experiencing mental health disorders is very high. It is claimed that there exists a link between mental health and HIV, given the neurotoxic effects of treatment on the HIV patients’ central nervous systems. The justification for the incorporation of mental health services into other medical services at the primary health care level is founded on epidemiologic data, which shows that psychiatric conditions are prevalent in primary health care. METHODS: The study adopted a mixed method approach using both quantitative and qualitative methods. The target population included nurses, doctors, psychologists and experts on mental health and HIV attending to patients on a daily basis, at primary health care centres and in mental Health care institutions and HIV service centres. Questionnaires were administered to 200 participants. Focus group discussions were conducted with three groups of health professionals who met the inclusion criteria. Face-to-face interviews were conducted with the key informants. The study was done at three primary health care centres rendering mental health and HIV services. RESULTS: It was observed that 75%, of the participants had negative perceptions of the integration of mental health into HIV services at Primary Health care centers. The majority of the participants (85%) disagreed that they had received any form of awareness of links between mental health and HIV. In other words, only 15% agreed. Eighty-nine per cent (89%) stated that people with mental health problems should be treated separately from PLWH. Most health professionals were not ready for the integration of mental health into HIV services. CONCLUSION: The findings of this study revealed that there are still factors that hinder the integration of mental health into HIV services at primary health care centres that need to be taken into consideration before this integration can be implemented successfully.

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Health Professionals’ Perceptions of the Integration of Mental Health Into HIV Services

Cele¹,

Mhlongo²

2020

GJHS

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“…If true, this hypothesis meets every criteria for stigmatization (Link & Phelan, 2001) and stigma is now recognized as a cause of health inequalities (Hatzenbuehler, Phelan, & Link, 2013); mental illness-related stigma has explicitly been identified as a barrier to access to and quality of care (Knaak, Mantler, & Szeto, 2017). Stigmatizing patients puts nurses on very shaky moral ground.…”

Section: Con Clus Ionmentioning

confidence: 91%

Drug‐seeking: A literature review (and an exemplar of stigmatization in nursing)

Copeland

2019

Nursing Inquiry

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Despite its lack of conceptual clarity and uniform definition, the term drug-seeking is used frequently by nurses from a variety of practice environments. The drugs patients are referred to as seeking are often pain medications. This is important because nursing has widely adopted a patient-centric definition of pain. Nursing also has a robust ethical code that places high value on human dignity and nurses' role in patient advocacy. A review of literature was conducted with the aims of describing whether/how the term drug-seeking has changed over time and to determine whether the use of the term in nursing literature is consistent with nursing values.Use of the term has shifted from objective counts of patient requests for medication to a confusing mixture of observable patient behavior and subjective interpretations of patient motivation. Its use is not consistent with nursing values. It is, in fact, a good illustration of stigmatization in nursing. Stigmatization is contrary to nursing values.Nurses in practice, research, education, authors, reviewers, and editors all have a role in ending this stigmatization. K E Y W O R D Sdrug-seeking, ethics, nurse, nursing practice, nursing values, patient relationship, stigma

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“…67 This is particularly problematic in mental health interventions, given that mental illness is considered one of the most stigmatizing health problems. 68 A final reason why SDM may not be commonly used in mental health treatments is that there is a lack of strong empirical support for the effect of this approach on outcomes. As discussed previously, some concepts related to SDM (such as collaboration and the incorporation of patient preferences) have been researched extensively in the psychotherapy literature, 28,29 but an overall model of SDM has not been frequently studied.…”

Section: Barriers To Sdm In Mental Health Carementioning

confidence: 99%

Shared decision‐making in mental and behavioural health interventions

Trusty

Penix

Dimmick

et al. 2019

Evaluation Clinical Practice

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Elements of shared decision‐making (ie, collaboration, patient preferences, and working alliance) have long been discussed and studied in the field of clinical psychology; however, research indicates that shared decision‐making is not typically used in clinical practice. Instead, clinicians often rely on a paternalistic approach. In this article, we provide a narrative review of the existing research supporting shared decision‐making for mental and behavioural health concerns, we discuss several barriers that impede its use in actual clinical practice, and we provide recommendations for increasing shared decision‐making when working with patients.

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Mental illness-related stigma in healthcare

Cited by 698 publications

References 50 publications

Health Professionals’ Perceptions of the Integration of Mental Health Into HIV Services

Health Professionals’ Perceptions of the Integration of Mental Health Into HIV Services

Drug‐seeking: A literature review (and an exemplar of stigmatization in nursing)

Shared decision‐making in mental and behavioural health interventions

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