Stigma in Healthcare? Exploring the Knowledge, Attitudes, and Behavioural Responses of Healthcare Professionals and Students toward Individuals with Mental Illnesses

Riffel, Taylor; Chen, Shu-Ping

doi:10.1007/s11126-020-09809-3

Cited by 24 publications

(16 citation statements)

References 33 publications

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“…In line with prior studies examining stigmatizing attitudes in different groups, we found that MHP reported less prejudice and a lower level of intention for social distancing from PMI compared to FM and CR (Del Olmo-Romero et al, 2019; Yuan et al, 2017). The more favorable attitudes endorsed by MHP may be attributable to their richer mental health knowledge MHP acquired in obtaining and maintaining their professional or paraprofessional credentials, which in turn enhance their empathetic understanding toward PMI (Riffel & Chen, 2020). Prior research also showed that increased mental health knowledge was associated with reduced stigma (Bamgbade et al, 2016; Henderson et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

The mediating role of knowledge on the contact and stigma of mental illness in Hong Kong

Zhang

Wong

et al. 2020

Int J Soc Psychiatry

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Background: Although knowledge is a crucial component in contact theory delineating how prejudice changes toward out-groups with stigmatized conditions, little is known about the mediating role of knowledge on contact, stigmatizing attitudes, and behaviors toward mental illness. Aim: This study aimed to examine the mechanism underlie contact and stigma change by knowledge. Methods: A total of 366 participants including family members (FM), mental health providers (MHP), and community residents (CR) recruited across communities in Hong Kong and completed measures of contact level, contact quantity, contact quality, mental health related knowledge, prejudice, and discriminatory behaviors. Structural equation modeling was adopted to test the association among the key variables. Results: Higher level of contact was significantly correlated with better knowledge, less prejudice, and less discriminatory behaviors. Knowledge was directly and negatively correlated with prejudicial attitudes but was not significantly related to discriminatory behaviors. Furthermore, lower levels of prejudice were associated with less discriminatory behaviors. Conclusion: Enhancement of contact may increase understanding toward people with mental illness (PMI) and diminish stigmatizing attitudes and behaviors. Although prejudicial attitudes may be reduced by broadening mental health knowledge, increasing knowledge only might not ameliorate discriminatory behaviors. Future research should test mediators on contact and stigma by using longitudinal data.

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Section: Discussionmentioning

confidence: 99%

The mediating role of knowledge on the contact and stigma of mental illness in Hong Kong

Zhang

Wong

et al. 2020

Int J Soc Psychiatry

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“…Notably, nursing students were more likely to agree that they would not admit to having a mental health diagnosis to their friends than other students and were almost as likely as medical students to agree they would not admit it to their work colleagues (Masedo et al, 2021 ). These stigmatising attitudes, if not addressed, are likely to remain when students graduate and enter the health workforce (Riffel & Chen, 2020 ; Sølvhøj et al, 2021 ). Given stigmatising attitudes impact the quality of care provided (Sølvhøj et al, 2021 ), universities have a moral imperative to take necessary action to address them.…”

Section: Discussionmentioning

confidence: 99%

‘What's she doing here?’ Overcoming barriers to the implementation of Expert by Experience positions in academia

Happell

Gordon

Sharrock

et al. 2022

Aus Occup Therapy J

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Introduction: Experts by Experience involvement in the education of health professionals has gained momentum as an important strategy in ensuring quality, person-centred education. Despite being a requirement for occupational therapy programs in Australia and internationally, involvement is variable and limited. Barriers to the implementation of academic roles have been identified, including negative attitudes of colleagues, systemic barriers, and insufficient evidence of their value. Mental health academics who do not identify as having lived experience (referred to as allies) have provided crucial support for Experts by Experience. Understanding their perspectives on implementation barriers and how they can be addressed is crucial to facilitating a broader level of meaningful involvement.Methods: A qualitative exploratory research project was conducted, involving in-depth interviews with mental health academic allies (n = 16) from Australia, Ireland, and New Zealand. Participants were from the disciplines of nursing, occupational therapy, social work, and psychiatry. Data were analysed thematically.Findings: Two main themes were identified from the data analysis process: convincing colleagues and dealing with university barriers. Participants described varying attitudes from colleagues towards Experts by Experience, with many not understanding or appreciating their contribution to education and student outcomes. At the university level, reluctance to embrace innovation and funding and other resource shortages presented impediments to the implementation of Expert by Experience roles. Participants described using creative measures to overcome institutional barriers and encourage greater acceptance of such roles by colleagues. Conclusion:This research describes how allies experienced and overcame barriers they faced when supporting the implementation of academic positions

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“…Using terms like "the gays" and "the lesbians" facilitate the ability for DCWs to avoid the cognitive and affective outcomes of using singular and plural pronouns (i.e., I, we, our, they, them) when speaking about LGBT older adults. Health care professionals have used stigmatizing language toward patients with mental illness associating mental illness with the term "nuts" (Riffel & Chen, 2020). Stigmatizing language used in patient records was found to be associated with more negative attitudes towards the patient and less aggressive care by medical students and residents (Goddu et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Description of Direct Care Workers of Lesbian, Gay, Bisexual, Transgender Older Adults

May

Rainbow

2022

J Appl Gerontol

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Purpose: The aim of the study was to examine direct care worker (DCW) perceptions of lesbian, gay, bisexual, transgender (LGBT) older adults living in long-term care, assisted living, and home health settings. DCWs provide the closest interaction with LGBT older adults in these settings. The perceptions DCWs have toward LGBT older adults is important because the quality of care can be influenced by negative attitudes. Methodology: Qualitative description was used to synthesize what is known about DCWs’ perceptions toward LGBT older adults. Results: The overarching theme, “Care is Different, but Not my Care,” was supported by the categories Cues of Stereotyping, Cues of Prejudice, and DCWs’ Social System and Reported Care. Application: Specific implications for practice (i.e., training, recruitment, retention strategies) and policy (i.e., mandated staffing ratios, pay) are explicated to guide future interventions to ensure equitable, quality care in health care.

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Stigma in Healthcare? Exploring the Knowledge, Attitudes, and Behavioural Responses of Healthcare Professionals and Students toward Individuals with Mental Illnesses

Cited by 24 publications

References 33 publications

The mediating role of knowledge on the contact and stigma of mental illness in Hong Kong

The mediating role of knowledge on the contact and stigma of mental illness in Hong Kong

‘What's she doing here?’ Overcoming barriers to the implementation of Expert by Experience positions in academia

A Qualitative Description of Direct Care Workers of Lesbian, Gay, Bisexual, Transgender Older Adults

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