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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 3/2018

02.12.2017 | Original Paper

Effects of contact-based mental illness stigma reduction programs: age, gender, and Asian, Latino, and White American differences

verfasst von: Eunice C. Wong, Rebecca L. Collins, Jennifer L. Cerully, Jennifer W. Yu, Rachana Seelam

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 3/2018

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Abstract

Purpose

Mental illness stigma disproportionately affects help seeking among youth, men, and ethnic minorities. As part of a comprehensive statewide initiative to reduce mental illness stigma and discrimination in California, a broad set of contact-based educational programs were widely disseminated. This study examined whether the effects of contact-based educational programs varied depending on the age, gender, and race-ethnicity of participants.

Methods

Participants (N = 4122) attended a contact-based educational program that was delivered as part of the statewide initiative to reduce mental illness stigma and discrimination. Self-administered surveys assessing beliefs, attitudes, and intentions toward mental illnesses and treatment were conducted immediately before and after participation in contact-based educational programs.

Results

Participant age, gender, and race-ethnicity significantly moderated pre–post changes in mental illness stigma. Although all groups exhibited significant pre–post changes across most of the stigma domains assessed, young adults, females, and Asian and Latino American participants reported larger improvements compared to older adults, males, and Whites, respectively.

Conclusions

Findings suggest that contact-based educational programs can achieve immediate reductions in mental illness stigma across a variety of sociodemographic groups and may particularly benefit young adults and racial–ethnic minorities. Further research is needed to assess whether contact-based educational programs can sustain longer-term changes and aid in the reduction of disparities in mental illness stigma and treatment.
Literatur
1.
Zurück zum Zitat Corrigan PW, Druss BG, Perlick DA (2014) The impact of mental illness stigma on seeking and participating in mental health care. Psychol Sci Public Interest 15(2):37–70CrossRefPubMed Corrigan PW, Druss BG, Perlick DA (2014) The impact of mental illness stigma on seeking and participating in mental health care. Psychol Sci Public Interest 15(2):37–70CrossRefPubMed
2.
Zurück zum Zitat Pescosolido BA, Medina TR, Martin JK, Long JS (2013) The “backbone” of stigma: identifying the global core of public prejudice associated with mental illness. Am J Public Health 103(5):853–860CrossRefPubMedPubMedCentral Pescosolido BA, Medina TR, Martin JK, Long JS (2013) The “backbone” of stigma: identifying the global core of public prejudice associated with mental illness. Am J Public Health 103(5):853–860CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Link BG, Yang LH, Phelan JC, Collins PY (2004) Measuring mental illness stigma. Schizophr Bull 30(3):511–541CrossRefPubMed Link BG, Yang LH, Phelan JC, Collins PY (2004) Measuring mental illness stigma. Schizophr Bull 30(3):511–541CrossRefPubMed
4.
Zurück zum Zitat Kobau R, DiIorio C, Chapman D, Delvecchio P, Members SCMISP (2010) Attitudes about mental illness and its treatment: validation of a generic scale for public health surveillance of mental illness associated stigma. Community Ment Health J 46(2):164–176CrossRefPubMed Kobau R, DiIorio C, Chapman D, Delvecchio P, Members SCMISP (2010) Attitudes about mental illness and its treatment: validation of a generic scale for public health surveillance of mental illness associated stigma. Community Ment Health J 46(2):164–176CrossRefPubMed
5.
6.
Zurück zum Zitat Clement S, Schauman O, Graham T, Maggioni F, Evans-Lacko S, Bezborodovs N, Morgan C, Rüsch N, Brown J, Thornicroft G (2015) What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med 45(01):11–27CrossRefPubMed Clement S, Schauman O, Graham T, Maggioni F, Evans-Lacko S, Bezborodovs N, Morgan C, Rüsch N, Brown J, Thornicroft G (2015) What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med 45(01):11–27CrossRefPubMed
7.
Zurück zum Zitat Corrigan P, Larson J, Rusch N (2009) Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry 9(2):75–81CrossRef Corrigan P, Larson J, Rusch N (2009) Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry 9(2):75–81CrossRef
9.
Zurück zum Zitat Link BG, Phelan J (2013) Labeling and stigma. In: Aneshensel CS, Phelan JC, Bierman A (eds) Handbook of the sociology of mental health, 2nd edn. Springer, Dordrecht, pp 525–541CrossRef Link BG, Phelan J (2013) Labeling and stigma. In: Aneshensel CS, Phelan JC, Bierman A (eds) Handbook of the sociology of mental health, 2nd edn. Springer, Dordrecht, pp 525–541CrossRef
10.
Zurück zum Zitat New Freedom Commission on Mental Health (2003) Achieving the promise: transforming mental health care in America. Final Report. DHHS pub no SMA-03-3832, Rockville, MD New Freedom Commission on Mental Health (2003) Achieving the promise: transforming mental health care in America. Final Report. DHHS pub no SMA-03-3832, Rockville, MD
11.
Zurück zum Zitat WHO (2013) Global Mental Health Action Plan 2013–2020. World Health Organisation, Geneva WHO (2013) Global Mental Health Action Plan 2013–2020. World Health Organisation, Geneva
12.
Zurück zum Zitat Clement S, Lassman F, Barley E, Evans-Lacko S, Williams P, Yamaguchi S, Slade M, Rüsch N, Thornicroft G (2013) Mass media interventions for reducing mental health-related stigma. Cochrane Database Syst Rev 7 Clement S, Lassman F, Barley E, Evans-Lacko S, Williams P, Yamaguchi S, Slade M, Rüsch N, Thornicroft G (2013) Mass media interventions for reducing mental health-related stigma. Cochrane Database Syst Rev 7
13.
Zurück zum Zitat Corrigan PW, Morris SB, Michaels PJ, Rafacz JD, Rüsch N (2012) Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatric Services Corrigan PW, Morris SB, Michaels PJ, Rafacz JD, Rüsch N (2012) Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatric Services
14.
Zurück zum Zitat Griffiths KM, Carron-Arthur B, Parsons A, Reid R (2014) Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials. World Psychiatry 13(2):161–175CrossRefPubMedPubMedCentral Griffiths KM, Carron-Arthur B, Parsons A, Reid R (2014) Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials. World Psychiatry 13(2):161–175CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Thornicroft G, Mehta N, Clement S, Evans-Lacko S, Doherty M, Rose D, Koschorke M, Shidhaye R, O’Reilly C, Henderson C (2016) Evidence for effective interventions to reduce mental-health-related stigma and discrimination. Lancet 387(10023):1123–1132CrossRefPubMed Thornicroft G, Mehta N, Clement S, Evans-Lacko S, Doherty M, Rose D, Koschorke M, Shidhaye R, O’Reilly C, Henderson C (2016) Evidence for effective interventions to reduce mental-health-related stigma and discrimination. Lancet 387(10023):1123–1132CrossRefPubMed
18.
Zurück zum Zitat Collins RL, Roth E, Cerully JL, Wong EC (2014) Beliefs related to mental illness stigma among California young adults. RAND Corporation. RR-819-CMHSA, CA Collins RL, Roth E, Cerully JL, Wong EC (2014) Beliefs related to mental illness stigma among California young adults. RAND Corporation. RR-819-CMHSA, CA
20.
Zurück zum Zitat Smith ME, Lindsey MA, Williams CD, Medoff DR, Lucksted A, Fang LJ, Schiffman J, Lewis-Fernandez R, Dixon LB (2014) Race-related differences in the experiences of family members of persons with mental illness participating in the NAMI Family to Family Education Program. Am J Community Psychol 54(3–4):316–327. https://doi.org/10.1007/s10464-014-9674-y CrossRefPubMed Smith ME, Lindsey MA, Williams CD, Medoff DR, Lucksted A, Fang LJ, Schiffman J, Lewis-Fernandez R, Dixon LB (2014) Race-related differences in the experiences of family members of persons with mental illness participating in the NAMI Family to Family Education Program. Am J Community Psychol 54(3–4):316–327. https://​doi.​org/​10.​1007/​s10464-014-9674-y CrossRefPubMed
22.
Zurück zum Zitat Clark W, Welch SN, Berry SH, Collentine AM, Collins R, Lebron D, Shearer AL (2013) California’s historic effort to reduce the stigma of mental illness: the Mental Health Services Act. Am J Public Health 103(5):786–794CrossRefPubMedPubMedCentral Clark W, Welch SN, Berry SH, Collentine AM, Collins R, Lebron D, Shearer AL (2013) California’s historic effort to reduce the stigma of mental illness: the Mental Health Services Act. Am J Public Health 103(5):786–794CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Cerully JL, Collins RL, Wong EC, Roth E, Marks J, Yu J (2015) Effects of stigma and discrimination reduction programs conducted under the California Mental Health Services authority: an evaluation of Runyon Saltzman Einhorn, Inc., Documentary Screening Events. RAND Corporation, RR-1257-CMHSA Cerully JL, Collins RL, Wong EC, Roth E, Marks J, Yu J (2015) Effects of stigma and discrimination reduction programs conducted under the California Mental Health Services authority: an evaluation of Runyon Saltzman Einhorn, Inc., Documentary Screening Events. RAND Corporation, RR-1257-CMHSA
24.
Zurück zum Zitat Cerully JL, Collins RL, Wong EC, Roth E, Marks J, Yu J (2015) Effects of stigma and discrimination reduction trainings conducted under the California Mental Health Services authority: an evaluation fo disability rights California and Mental Health America of California Trainings. RAND Corporation, RR-1073-CMHSA Cerully JL, Collins RL, Wong EC, Roth E, Marks J, Yu J (2015) Effects of stigma and discrimination reduction trainings conducted under the California Mental Health Services authority: an evaluation fo disability rights California and Mental Health America of California Trainings. RAND Corporation, RR-1073-CMHSA
26.
Zurück zum Zitat Wong EC, Collins RL, Cerully JL, Roth E, Marks J, Yu J (2015) Effects of stigma and discrimination reduction trainings conducted under the California Mental Health Services authority: an evaluation of the National Alliance on Mnetal Illness Adult Programs. RAND Corporation, RR-1247-1-CMHSA. https://doi.org/10.7249/RR1247-1 Wong EC, Collins RL, Cerully JL, Roth E, Marks J, Yu J (2015) Effects of stigma and discrimination reduction trainings conducted under the California Mental Health Services authority: an evaluation of the National Alliance on Mnetal Illness Adult Programs. RAND Corporation, RR-1247-1-CMHSA. https://​doi.​org/​10.​7249/​RR1247-1
27.
Zurück zum Zitat Couture S, Penn D (2003) Interpersonal contact and the stigma of mental illness: a review of the literature. J Mental Health 12(3):291–305CrossRef Couture S, Penn D (2003) Interpersonal contact and the stigma of mental illness: a review of the literature. J Mental Health 12(3):291–305CrossRef
28.
Zurück zum Zitat Collins RL, Wong EC, Roth E, Cerully JL, Marks J (2015) Changes in mental illness stigma in California during the statewide stigma and discrimination reduction initiative. RAND Corporation. RR-1139-CMHSA, CA Collins RL, Wong EC, Roth E, Cerully JL, Marks J (2015) Changes in mental illness stigma in California during the statewide stigma and discrimination reduction initiative. RAND Corporation. RR-1139-CMHSA, CA
30.
Zurück zum Zitat See Change (2012) The National Mental health stigma reduction partnership: research 2012. Irish attitudes towards mental health problems See Change (2012) The National Mental health stigma reduction partnership: research 2012. Irish attitudes towards mental health problems
31.
Zurück zum Zitat Wyllie A, Lauder J (2012) Impacts of national media campaign to counter stigma and discrimination associated with mental illness. Phoenix Research, Auckland Wyllie A, Lauder J (2012) Impacts of national media campaign to counter stigma and discrimination associated with mental illness. Phoenix Research, Auckland
32.
Zurück zum Zitat Jorm AF, Reavley NJ, Ross AM (2012) Belief in the dangerousness of people with mental disorders: A review. Aust NZ J Psychiatry 46(11):1029–1045CrossRef Jorm AF, Reavley NJ, Ross AM (2012) Belief in the dangerousness of people with mental disorders: A review. Aust NZ J Psychiatry 46(11):1029–1045CrossRef
37.
Zurück zum Zitat Gaebel W, Baumann A (2003) Interventions to reduce the stigma associated with severe mental illness: experiences from the open the doors program in Germany. Can J Psychiatry 48(10):657–662CrossRefPubMed Gaebel W, Baumann A (2003) Interventions to reduce the stigma associated with severe mental illness: experiences from the open the doors program in Germany. Can J Psychiatry 48(10):657–662CrossRefPubMed
39.
Zurück zum Zitat Wang PS, Berglund P, Olfson M, Pincus HA, Wells KB, Kessler RC (2005) Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62(6):603–613CrossRefPubMed Wang PS, Berglund P, Olfson M, Pincus HA, Wells KB, Kessler RC (2005) Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62(6):603–613CrossRefPubMed
40.
Zurück zum Zitat Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62(6):593–602CrossRefPubMed Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62(6):593–602CrossRefPubMed
41.
Zurück zum Zitat Gonzalez JM, Alegria M, Prihoda TJ (2005) How do attitudes toward mental health treatment vary by age, gender, and ethnicity/race in young adults? J Commun Psychol 33(5):611–629CrossRef Gonzalez JM, Alegria M, Prihoda TJ (2005) How do attitudes toward mental health treatment vary by age, gender, and ethnicity/race in young adults? J Commun Psychol 33(5):611–629CrossRef
42.
Zurück zum Zitat Pinfold V, Toulmin H, Thornicroft G, Huxley P, Farmer P, Graham T (2003) Reducing psychiatric stigma and discrimination: evaluation of educational interventions in UK secondary schools. Br J Psychiatry 182(4):342–346CrossRefPubMed Pinfold V, Toulmin H, Thornicroft G, Huxley P, Farmer P, Graham T (2003) Reducing psychiatric stigma and discrimination: evaluation of educational interventions in UK secondary schools. Br J Psychiatry 182(4):342–346CrossRefPubMed
45.
Zurück zum Zitat U.S. Department of Health and Human Services (1999) Mental health: A report of the surgeon general. Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, Rockville, MD U.S. Department of Health and Human Services (1999) Mental health: A report of the surgeon general. Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, Rockville, MD
46.
Zurück zum Zitat National Academies of Sciences E, and Medicine, (2016) Ending discrimination against people with mental and substance use disorders: the evidence for stigma change. The National Academies Press, Washington, DC, https://doi.org/10.17226/23442 National Academies of Sciences E, and Medicine, (2016) Ending discrimination against people with mental and substance use disorders: the evidence for stigma change. The National Academies Press, Washington, DC, https://​doi.​org/​10.​17226/​23442
49.
Zurück zum Zitat Pietrus M (2013) Opening minds interim report Pietrus M (2013) Opening minds interim report
Metadaten
Titel
Effects of contact-based mental illness stigma reduction programs: age, gender, and Asian, Latino, and White American differences
verfasst von
Eunice C. Wong
Rebecca L. Collins
Jennifer L. Cerully
Jennifer W. Yu
Rachana Seelam
Publikationsdatum
02.12.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 3/2018
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-017-1459-9

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