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Erschienen in: Community Mental Health Journal 4/2014

01.05.2014 | Original Paper

Changing Stigma Through a Consumer-Based Stigma Reduction Program

verfasst von: Patrick J. Michaels, Patrick W. Corrigan, Blythe Buchholz, Jennifer Brown, Thomas Arthur, Clarissa Netter, Kim L. MacDonald-Wilson

Erschienen in: Community Mental Health Journal | Ausgabe 4/2014

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Abstract

This study assessed the Anti-Stigma Project workshop, a contact/education intervention developed by On Our Own of Maryland, Inc. and the Maryland Mental Hygiene Administration. Two separate randomized controlled trials administered pre- and post-test questionnaire assessments. One included people with mental illness (N = 127) and a second included mental health providers (N = 131). Post-intervention, people with mental illness were more aware of stigma, had lower levels of prejudice, and increased belief in recovery. Providers were more aware of stigma, had lower levels of prejudice, and increased concurrence in self-determination of people with mental illness. Increasing providers’ stigma awareness and recognition can promote higher quality service delivery. Increasing stigma awareness and recognition for people with mental illness can foster confidence in overcoming psychiatric disabilities. Using a participatory action research team, our protocol included extant and newly developed stigma change tools. Organizations seeking to conduct effective evaluation studies should consider collaborative processes including the expertise of affected constituents.
Literatur
Zurück zum Zitat Borras, L. L., Boucherie, M. M., Mohr, S. S., Lecomte, T. T., Perroud, N. N., & Huguelet, P. H. (2009). Increasing self-esteem: Efficacy of a group intervention for individuals with severe mental disorders. European Psychiatry, 24(5), 307–316.PubMedCrossRef Borras, L. L., Boucherie, M. M., Mohr, S. S., Lecomte, T. T., Perroud, N. N., & Huguelet, P. H. (2009). Increasing self-esteem: Efficacy of a group intervention for individuals with severe mental disorders. European Psychiatry, 24(5), 307–316.PubMedCrossRef
Zurück zum Zitat Cechnicki, A., Angermeyer, M. C., & Bielańska, A. (2011). Anticipated and experienced stigma among people with schizophrenia: Its nature and correlates. Social Psychiatry and Psychiatric Epidemiology, 46(7), 643–650.PubMedCrossRef Cechnicki, A., Angermeyer, M. C., & Bielańska, A. (2011). Anticipated and experienced stigma among people with schizophrenia: Its nature and correlates. Social Psychiatry and Psychiatric Epidemiology, 46(7), 643–650.PubMedCrossRef
Zurück zum Zitat Cook, J. A., Jonikas, J. A., & Razzano, L. (1995). A randomized evaluation of consumer versus nonconsumer training of state mental health service providers. Community Mental Health Journal, 31(3), 229–238.PubMedCrossRef Cook, J. A., Jonikas, J. A., & Razzano, L. (1995). A randomized evaluation of consumer versus nonconsumer training of state mental health service providers. Community Mental Health Journal, 31(3), 229–238.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., Edwards, A., Green, A., Diwan, S. E., & Penn, D. L. (2001a). Prejudice, social distance, and familiarity with mental illness. Schizophrenia Bulletin, 27, 219–226.PubMedCrossRef Corrigan, P. W., Edwards, A., Green, A., Diwan, S. E., & Penn, D. L. (2001a). Prejudice, social distance, and familiarity with mental illness. Schizophrenia Bulletin, 27, 219–226.PubMedCrossRef
Zurück zum Zitat Corrigan, P., Giffort, D., Rashid, F., Leary, M., & Okeke, I. (1999). Recovery as a psychological construct. Community Mental Health Journal, 35(3), 231–239.PubMedCrossRef Corrigan, P., Giffort, D., Rashid, F., Leary, M., & Okeke, I. (1999). Recovery as a psychological construct. Community Mental Health Journal, 35(3), 231–239.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., Larson, J., Sells, M., Niessen, N., & Watson, A. C. (2007). Will filmed presentations of education and contact diminish mental illness stigma? Community Mental Health Journal, 43(2), 171–181.PubMedCrossRef Corrigan, P. W., Larson, J., Sells, M., Niessen, N., & Watson, A. C. (2007). Will filmed presentations of education and contact diminish mental illness stigma? Community Mental Health Journal, 43(2), 171–181.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., Markowitz, F., Watson, A., Rowan, D., & Kubiak, M. A. (2003a). An attribution model of public discrimination towards persons with mental illness. Journal of Health and Social Behavior, 44, 162–179.PubMedCrossRef Corrigan, P. W., Markowitz, F., Watson, A., Rowan, D., & Kubiak, M. A. (2003a). An attribution model of public discrimination towards persons with mental illness. Journal of Health and Social Behavior, 44, 162–179.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012a). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services, 63(10), 963–973.PubMedCrossRef Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012a). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services, 63(10), 963–973.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., & Penn, D. L. (1999). Lessons from social psychology on discrediting psychiatric stigma. American Psychologist, 54(9), 765–776.PubMedCrossRef Corrigan, P. W., & Penn, D. L. (1999). Lessons from social psychology on discrediting psychiatric stigma. American Psychologist, 54(9), 765–776.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., Powell, K., & Michaels, P. J. (2012). Measurement of stigmatizing versus affirming attitudes about mental illness: Psychometrics of a brief outcome battery. Manuscript submitted for publication. Corrigan, P. W., Powell, K., & Michaels, P. J. (2012). Measurement of stigmatizing versus affirming attitudes about mental illness: Psychometrics of a brief outcome battery. Manuscript submitted for publication.
Zurück zum Zitat Corrigan, P. W., River, L., Lundin, R. K., Penn, D. L., Uphoff-Wasowski, K., Campion, J., et al. (2001b). Three strategies for changing attributions about severe mental illness. Schizophrenia Bulletin, 27(2), 187–195.PubMedCrossRef Corrigan, P. W., River, L., Lundin, R. K., Penn, D. L., Uphoff-Wasowski, K., Campion, J., et al. (2001b). Three strategies for changing attributions about severe mental illness. Schizophrenia Bulletin, 27(2), 187–195.PubMedCrossRef
Zurück zum Zitat Corrigan, P., Salzer, M., Ralph, R., Sangster, Y., & Keck, L. (2004). Examining the factor structure of the recovery assessment scale. Schizophrenia Bulletin, 30, 1035–1041.PubMedCrossRef Corrigan, P., Salzer, M., Ralph, R., Sangster, Y., & Keck, L. (2004). Examining the factor structure of the recovery assessment scale. Schizophrenia Bulletin, 30, 1035–1041.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., & Shapiro, J. R. (2010). Measuring the impact of programs that challenge the public stigma of mental illness. Clinical Psychology Review, 30, 907–922.PubMedCentralPubMedCrossRef Corrigan, P. W., & Shapiro, J. R. (2010). Measuring the impact of programs that challenge the public stigma of mental illness. Clinical Psychology Review, 30, 907–922.PubMedCentralPubMedCrossRef
Zurück zum Zitat Corrigan, P., Thompson, V., Lambert, D., Sangster, Y., Noel, J. G., & Campbell, J. (2003b). Perceptions of discrimination among persons with serious mental illness. Psychiatric Services, 54(8), 1105–1110.PubMedCrossRef Corrigan, P., Thompson, V., Lambert, D., Sangster, Y., Noel, J. G., & Campbell, J. (2003b). Perceptions of discrimination among persons with serious mental illness. Psychiatric Services, 54(8), 1105–1110.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self-stigma of mental illness: Implications for self-esteem and self-efficacy. Journal of Social and Clinical Psychology, 25(8), 875–884.CrossRef Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self-stigma of mental illness: Implications for self-esteem and self-efficacy. Journal of Social and Clinical Psychology, 25(8), 875–884.CrossRef
Zurück zum Zitat Hammond, K. (1948). Measuring attitudes by error-choice: An indirect method. The Journal of Abnormal and Social Psychology, 43(1), 38–48.CrossRef Hammond, K. (1948). Measuring attitudes by error-choice: An indirect method. The Journal of Abnormal and Social Psychology, 43(1), 38–48.CrossRef
Zurück zum Zitat Leff, J., & Warner, R. (2006). Social inclusion of people with mental illness. New York: Cambridge University Press.CrossRef Leff, J., & Warner, R. (2006). Social inclusion of people with mental illness. New York: Cambridge University Press.CrossRef
Zurück zum Zitat Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385.CrossRef Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385.CrossRef
Zurück zum Zitat Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., & Phelan, J. C. (2001). Stigma as a barrier to recovery: The consequences of stigma for the self-esteem of people with mental illnesses. Psychiatric Services, 52(12), 1621–1626.PubMedCrossRef Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., & Phelan, J. C. (2001). Stigma as a barrier to recovery: The consequences of stigma for the self-esteem of people with mental illnesses. Psychiatric Services, 52(12), 1621–1626.PubMedCrossRef
Zurück zum Zitat Link, B., Yang, L., Phelan, J., & Collins, P. (2004). Measuring mental illness stigma. Schizophrenia Bulletin, 30(3), 511–541.PubMedCrossRef Link, B., Yang, L., Phelan, J., & Collins, P. (2004). Measuring mental illness stigma. Schizophrenia Bulletin, 30(3), 511–541.PubMedCrossRef
Zurück zum Zitat Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science and Medicine, 71(12), 2150–2161.PubMedCrossRef Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science and Medicine, 71(12), 2150–2161.PubMedCrossRef
Zurück zum Zitat MacInnes, D. L., & Lewis, M. M. (2008). The evaluation of a short group programme to reduce self-stigma in people with serious and enduring mental health problems. Journal of Psychiatric and Mental Health Nursing, 15(1), 59–65.PubMedCrossRef MacInnes, D. L., & Lewis, M. M. (2008). The evaluation of a short group programme to reduce self-stigma in people with serious and enduring mental health problems. Journal of Psychiatric and Mental Health Nursing, 15(1), 59–65.PubMedCrossRef
Zurück zum Zitat Overton, S. L., & Medina, S. L. (2008). The stigma of mental illness. Journal of Counseling and Development, 86(2), 143–151.CrossRef Overton, S. L., & Medina, S. L. (2008). The stigma of mental illness. Journal of Counseling and Development, 86(2), 143–151.CrossRef
Zurück zum Zitat Rusch, L. C., Kanter, J. W., Angelone, A. F., & Ridley, R. C. (2008). The impact of in our own voice on stigma. American Journal of Psychiatric Rehabilitation, 11(4), 373–389.CrossRef Rusch, L. C., Kanter, J. W., Angelone, A. F., & Ridley, R. C. (2008). The impact of in our own voice on stigma. American Journal of Psychiatric Rehabilitation, 11(4), 373–389.CrossRef
Zurück zum Zitat Sadow, D., & Ryder, M. (2008). Reducing stigmatizing attitudes held by future health professionals: The person is the message. Psychological Services, 5(4), 362–372.CrossRef Sadow, D., & Ryder, M. (2008). Reducing stigmatizing attitudes held by future health professionals: The person is the message. Psychological Services, 5(4), 362–372.CrossRef
Zurück zum Zitat Schmetzer, A. D., & Lafuze, J. E. (2008). Overcoming stigma: Involving families in medical student and psychiatric residency education. Academic Psychiatry, 32(2), 127–131.PubMedCrossRef Schmetzer, A. D., & Lafuze, J. E. (2008). Overcoming stigma: Involving families in medical student and psychiatric residency education. Academic Psychiatry, 32(2), 127–131.PubMedCrossRef
Zurück zum Zitat Schulze, B. (2007). Stigma and mental health professionals: A review of the evidence on an intricate relationship. International Review of Psychiatry, 19(2), 137–155.PubMedCrossRef Schulze, B. (2007). Stigma and mental health professionals: A review of the evidence on an intricate relationship. International Review of Psychiatry, 19(2), 137–155.PubMedCrossRef
Zurück zum Zitat Sharac, J., McCrone, P., Clement, S., & Thornicroft, G. (2010). The economic impact of mental health stigma and discrimination: A systematic review. Epidemiology and Psychiatric Sciences, 19(3), 223–232. Sharac, J., McCrone, P., Clement, S., & Thornicroft, G. (2010). The economic impact of mental health stigma and discrimination: A systematic review. Epidemiology and Psychiatric Sciences, 19(3), 223–232.
Zurück zum Zitat Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., & Leese, M. (2009). Global pattern of experienced and anticipated discrimination against people with schizophrenia: A cross-sectional survey. The Lancet, 373(9661), 408–415.CrossRef Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., & Leese, M. (2009). Global pattern of experienced and anticipated discrimination against people with schizophrenia: A cross-sectional survey. The Lancet, 373(9661), 408–415.CrossRef
Zurück zum Zitat Tourangeau, R., & Yan, T. (2007). Sensitive questions in surveys. Psychological Bulletin, 133(5), 859–883.PubMedCrossRef Tourangeau, R., & Yan, T. (2007). Sensitive questions in surveys. Psychological Bulletin, 133(5), 859–883.PubMedCrossRef
Zurück zum Zitat Tsang, H. H., Tam, P. C., Chan, F., & Cheung, W. M. (2003). Stigmatizing attitudes towards individuals with mental illness in Hong Kong: Implications for their recovery. Journal of Community Psychology, 31(4), 383–396.CrossRef Tsang, H. H., Tam, P. C., Chan, F., & Cheung, W. M. (2003). Stigmatizing attitudes towards individuals with mental illness in Hong Kong: Implications for their recovery. Journal of Community Psychology, 31(4), 383–396.CrossRef
Zurück zum Zitat Wahl, O. (1999). Mental health consumers’ experience of stigma. Schizophrenia Bulletin, 25(3), 467–478.PubMedCrossRef Wahl, O. (1999). Mental health consumers’ experience of stigma. Schizophrenia Bulletin, 25(3), 467–478.PubMedCrossRef
Zurück zum Zitat Watson, A. C., Otey, E., Westbrook, A. L., Gardner, A. L., Lamb, T. A., Corrigan, P. W., et al. (2004). Changing middle schoolers’ attitudes about mental illness through education. Schizophrenia Bulletin, 30(3), 563–572.PubMedCrossRef Watson, A. C., Otey, E., Westbrook, A. L., Gardner, A. L., Lamb, T. A., Corrigan, P. W., et al. (2004). Changing middle schoolers’ attitudes about mental illness through education. Schizophrenia Bulletin, 30(3), 563–572.PubMedCrossRef
Zurück zum Zitat Whitley, B. E. (2002). Principles of research in behavioral science (2nd ed.). Boston: McGraw-Hill. Whitley, B. E. (2002). Principles of research in behavioral science (2nd ed.). Boston: McGraw-Hill.
Metadaten
Titel
Changing Stigma Through a Consumer-Based Stigma Reduction Program
verfasst von
Patrick J. Michaels
Patrick W. Corrigan
Blythe Buchholz
Jennifer Brown
Thomas Arthur
Clarissa Netter
Kim L. MacDonald-Wilson
Publikationsdatum
01.05.2014
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 4/2014
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-013-9628-0

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