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Published in: Community Mental Health Journal 3/2016

Open Access 01-04-2016 | Original Paper

Theoretical and Practical Considerations for Combating Mental Illness Stigma in Health Care

Authors: Thomas Ungar, Stephanie Knaak, Andrew CH Szeto

Published in: Community Mental Health Journal | Issue 3/2016

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Abstract

Reducing the stigma and discrimination associated with mental illness is becoming an increasingly important focus for research, policy, programming and intervention work. While it has been well established that the healthcare system is one of the key environments in which persons with mental illnesses experience stigma and discrimination there is little published literature on how to build and deliver successful anti-stigma programs in healthcare settings, towards healthcare providers in general, or towards specific types of practitioners. Our paper intends to address this gap by providing a set of theoretical considerations for guiding the design and implementation of anti-stigma interventions in healthcare.
Literature
go back to reference Abbey, S., Charbonneau, M., Tranulis, C., Moss, P., et al. (2011). Stigma and discrimination. Canadian Journal of Psychiatry, 56(10), 1–9.PubMed Abbey, S., Charbonneau, M., Tranulis, C., Moss, P., et al. (2011). Stigma and discrimination. Canadian Journal of Psychiatry, 56(10), 1–9.PubMed
go back to reference Allport, G. W. (1954). The nature of prejudice. Reading, MA: Addison-Wesley. Allport, G. W. (1954). The nature of prejudice. Reading, MA: Addison-Wesley.
go back to reference Arboleda-Flórez, J., & Stuart, H. (2012). From into science: Fighting the stigmatization of mental illnesses. Canadian Journal of Psychiatry, 57(8), 457–463.PubMed Arboleda-Flórez, J., & Stuart, H. (2012). From into science: Fighting the stigmatization of mental illnesses. Canadian Journal of Psychiatry, 57(8), 457–463.PubMed
go back to reference Asendorpf, J. B., Banse, R., & Mücke, D. (2002). Double dissociation between explicit and implicit personality self-concept: The case of shy behavior. Journal of Personality and Social Psychology, 83, 380–393.CrossRefPubMed Asendorpf, J. B., Banse, R., & Mücke, D. (2002). Double dissociation between explicit and implicit personality self-concept: The case of shy behavior. Journal of Personality and Social Psychology, 83, 380–393.CrossRefPubMed
go back to reference Atzema, C. L., Schull, M. J., & Tu, J. V. (2011). The effects of a charted history of depression on emergency department triage and outcomes in patients with acute myocardial infarction. Canadian Medical Association Journal, 183(6), 663–669.CrossRefPubMedPubMedCentral Atzema, C. L., Schull, M. J., & Tu, J. V. (2011). The effects of a charted history of depression on emergency department triage and outcomes in patients with acute myocardial infarction. Canadian Medical Association Journal, 183(6), 663–669.CrossRefPubMedPubMedCentral
go back to reference Blascovich, J., Mendes, W. B., Hunter, S. B., Lickel, B., & Kowai-Bell, N. (2001). Perceiver threat in social interactions with stigmatized others. Journal of Personality and Social Psychology, 80, 253–267.CrossRefPubMed Blascovich, J., Mendes, W. B., Hunter, S. B., Lickel, B., & Kowai-Bell, N. (2001). Perceiver threat in social interactions with stigmatized others. Journal of Personality and Social Psychology, 80, 253–267.CrossRefPubMed
go back to reference Brown, J. S., Collins, A., & Duguid, P. (1989). Situated cognition and the culture of learning. Educational Researcher, 18, 32–42.CrossRef Brown, J. S., Collins, A., & Duguid, P. (1989). Situated cognition and the culture of learning. Educational Researcher, 18, 32–42.CrossRef
go back to reference Brown, T., & Kātz, B. (2008). Change by design: How design thinking transforms organizations and inspires innovation. New York: Harper Business. Brown, T., & Kātz, B. (2008). Change by design: How design thinking transforms organizations and inspires innovation. New York: Harper Business.
go back to reference Buckley, L. L., Goering, P., Parikh, S. V., Butterhill, D., & Foo, E. K. H. (2003). Applying a ‘stages of change’ model to enhance a traditional evaluation of a research transfer course. Journal of Evaluation in Clinical Practice, 9, 385–390.CrossRefPubMed Buckley, L. L., Goering, P., Parikh, S. V., Butterhill, D., & Foo, E. K. H. (2003). Applying a ‘stages of change’ model to enhance a traditional evaluation of a research transfer course. Journal of Evaluation in Clinical Practice, 9, 385–390.CrossRefPubMed
go back to reference Byrne, P. (2000). Stigma of mental illness and ways of diminishing it. Advances in Psychiatric Treatment, 9, 65–72.CrossRef Byrne, P. (2000). Stigma of mental illness and ways of diminishing it. Advances in Psychiatric Treatment, 9, 65–72.CrossRef
go back to reference Byrne, P. (2001). Psychiatric stigma. The British Journal of Psychiatry, 178, 281–284.CrossRef Byrne, P. (2001). Psychiatric stigma. The British Journal of Psychiatry, 178, 281–284.CrossRef
go back to reference Clark, M. C. (1993). Transformational learning. New Directions for Adult and Continuing Education, 57, 47–56.CrossRef Clark, M. C. (1993). Transformational learning. New Directions for Adult and Continuing Education, 57, 47–56.CrossRef
go back to reference Corrigan, P. W. (2000). Mental health stigma as social attribution: Implications for research methods and attitude change. Clinical Psychology: Science and Practice, 7, 48–67. Corrigan, P. W. (2000). Mental health stigma as social attribution: Implications for research methods and attitude change. Clinical Psychology: Science and Practice, 7, 48–67.
go back to reference Corrigan, P. W. (2004). How stigma interferes with mental healthcare. American Psychologist, 59, 614–625.CrossRefPubMed Corrigan, P. W. (2004). How stigma interferes with mental healthcare. American Psychologist, 59, 614–625.CrossRefPubMed
go back to reference Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services Psychiatric Services, 63, 963–973. doi:10.1176/appi.ps.201100529.CrossRefPubMed Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services Psychiatric Services, 63, 963–973. doi:10.​1176/​appi.​ps.​201100529.CrossRefPubMed
go back to reference Couture, S., & Penn, D. (2003). Interpersonal contact and the stigma of mental illness: A review of the literature. Journal of Mental Health, 12, 291–305.CrossRef Couture, S., & Penn, D. (2003). Interpersonal contact and the stigma of mental illness: A review of the literature. Journal of Mental Health, 12, 291–305.CrossRef
go back to reference Davis, D. (1998). Does CME work? An analysis of the effect of educational activities on physician performance or healthcare outcomes. International Journal of Psychiatry in Medicine, 28(1), 21–39.CrossRefPubMed Davis, D. (1998). Does CME work? An analysis of the effect of educational activities on physician performance or healthcare outcomes. International Journal of Psychiatry in Medicine, 28(1), 21–39.CrossRefPubMed
go back to reference DiClemente, C. C. (2005). A premature obituary for the transtheoretical model: A response to West. Addiction, 100(8), 1046–1048.CrossRefPubMed DiClemente, C. C. (2005). A premature obituary for the transtheoretical model: A response to West. Addiction, 100(8), 1046–1048.CrossRefPubMed
go back to reference Dovidio, J. F., Kawakami, K., Johnson, C., Johnson, B., & Howard, A. (1997). On the nature of prejudice: Automatic and controlled processes. Journal of Experimental Social Psychology, 33, 510–540.CrossRef Dovidio, J. F., Kawakami, K., Johnson, C., Johnson, B., & Howard, A. (1997). On the nature of prejudice: Automatic and controlled processes. Journal of Experimental Social Psychology, 33, 510–540.CrossRef
go back to reference Druss, B. G., Bradford, D., Rosenheck, R. A., Radford, M. J., & Krumholz, H. M. (2001). Quality of medical care and excess mortality in older patients with mental disorders. Archives of General Psychiatry, 58, 565–572.CrossRefPubMed Druss, B. G., Bradford, D., Rosenheck, R. A., Radford, M. J., & Krumholz, H. M. (2001). Quality of medical care and excess mortality in older patients with mental disorders. Archives of General Psychiatry, 58, 565–572.CrossRefPubMed
go back to reference Gask, L. (2013). Educating family physicians to recognize and manage depression. Where are we now? Canadian Journal of Psychiatry, 58(8), 449–455.PubMed Gask, L. (2013). Educating family physicians to recognize and manage depression. Where are we now? Canadian Journal of Psychiatry, 58(8), 449–455.PubMed
go back to reference Gawronski, B., LeBel, E. P., & Peters, K. R. (2007). What do implicit measures tell us?: Scrutinizing the validity of three common assumptions. Perspectives on Psychological Science, 2(2), 181–193.CrossRefPubMed Gawronski, B., LeBel, E. P., & Peters, K. R. (2007). What do implicit measures tell us?: Scrutinizing the validity of three common assumptions. Perspectives on Psychological Science, 2(2), 181–193.CrossRefPubMed
go back to reference Graham, I. D., Logan, J., Harrison, M. B., et al. (2006). Lost in translation: Time for a map? Journal of Continuing Education in the Health Professions, 26(1), 13–24.CrossRefPubMed Graham, I. D., Logan, J., Harrison, M. B., et al. (2006). Lost in translation: Time for a map? Journal of Continuing Education in the Health Professions, 26(1), 13–24.CrossRefPubMed
go back to reference Griffiths, K. M., 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), 161–175.CrossRefPubMedPubMedCentral Griffiths, K. M., 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), 161–175.CrossRefPubMedPubMedCentral
go back to reference Haslam, N., Ban, L., & Kaufmann, L. (2007). Lay conceptions of mental disorder: The folk psychiatry model. Australian Psychologist, 42(2), 129–137.CrossRef Haslam, N., Ban, L., & Kaufmann, L. (2007). Lay conceptions of mental disorder: The folk psychiatry model. Australian Psychologist, 42(2), 129–137.CrossRef
go back to reference Haslam, N., & Giosan, C. (2002). The lay concept of “mental disorder” among American undergraduates. Journal of Clinical Psychology, 58(4), 479–485.CrossRefPubMed Haslam, N., & Giosan, C. (2002). The lay concept of “mental disorder” among American undergraduates. Journal of Clinical Psychology, 58(4), 479–485.CrossRefPubMed
go back to reference Horsfall, J., Cleary, M., & Hunt, G. E. (2010). Stigma in mental health: Clients and professionals. Issues in Mental Health Nursing, 31(7), 450–455.CrossRefPubMed Horsfall, J., Cleary, M., & Hunt, G. E. (2010). Stigma in mental health: Clients and professionals. Issues in Mental Health Nursing, 31(7), 450–455.CrossRefPubMed
go back to reference Hugo, M. (2001). Mental health professionals’ attitudes towards people who have experienced a mental health disorder. Journal of Psychiatric and Mental Health Nursing, 8, 419–425.CrossRefPubMed Hugo, M. (2001). Mental health professionals’ attitudes towards people who have experienced a mental health disorder. Journal of Psychiatric and Mental Health Nursing, 8, 419–425.CrossRefPubMed
go back to reference Jacobson, N., Butterill, D., & Goering, P. (2003). Development of a framework for knowledge translation: Understanding user context. Journal of Health Services Research and Policy, 8(2), 94–99.CrossRefPubMed Jacobson, N., Butterill, D., & Goering, P. (2003). Development of a framework for knowledge translation: Understanding user context. Journal of Health Services Research and Policy, 8(2), 94–99.CrossRefPubMed
go back to reference Kassam, A., Glozier, N., Leese, M., Henderson, C., & Thornicroft, G. (2010). Development and responsiveness of a scale to measure clinicians’ attitudes to people with mental illness (medical student version). Acta Psychiatrica Scandinavica, 122(2), 153–161.CrossRefPubMed Kassam, A., Glozier, N., Leese, M., Henderson, C., & Thornicroft, G. (2010). Development and responsiveness of a scale to measure clinicians’ attitudes to people with mental illness (medical student version). Acta Psychiatrica Scandinavica, 122(2), 153–161.CrossRefPubMed
go back to reference Kassam, A., Papish, A., Modgill, G., & Patten, S. (2012). The development and psychometric properties of a new scale to measure mental illness related stigma by healthcare providers: The Opening Minds Scale for Healthcare Providers (OMS-HC). BMC Psychiatry, 12, 62. http://www.biomedcentral.com/1471-244X/12/62. Kassam, A., Papish, A., Modgill, G., & Patten, S. (2012). The development and psychometric properties of a new scale to measure mental illness related stigma by healthcare providers: The Opening Minds Scale for Healthcare Providers (OMS-HC). BMC Psychiatry, 12, 62. http://​www.​biomedcentral.​com/​1471-244X/​12/​62.
go back to reference Kirkpatrick, D. L. (1994). Evaluating training programs: The four levels. San Francisco: Berrett-Koehler. Kirkpatrick, D. L. (1994). Evaluating training programs: The four levels. San Francisco: Berrett-Koehler.
go back to reference Kleinman, A. (1980). Patients and Healers in the Context of Culture: An Exploration of the borderland Between Anthropology, Medicine and Psychiatry. Berkeley and Los Angeles, CA: University of California Press. Kleinman, A. (1980). Patients and Healers in the Context of Culture: An Exploration of the borderland Between Anthropology, Medicine and Psychiatry. Berkeley and Los Angeles, CA: University of California Press.
go back to reference Kolb, D. A. (1985). Learning-style inventory, Revised Edition. Boston, MA: Hay Group, Hay Resources Direct. Kolb, D. A. (1985). Learning-style inventory, Revised Edition. Boston, MA: Hay Group, Hay Resources Direct.
go back to reference Langley, G., Nolan, K., Nolan, T., Norman, C., & Provost, L. (2009). The improvement guide: A practical approach to enhancing organizational performance (2nd ed.). San Francisco: Jossey-Bass Publishers. Langley, G., Nolan, K., Nolan, T., Norman, C., & Provost, L. (2009). The improvement guide: A practical approach to enhancing organizational performance (2nd ed.). San Francisco: Jossey-Bass Publishers.
go back to reference Lauber, C., Anthony, M., Ajdacic-Gross, V., & Rossler, W. (2004). What about psychiatrists’ attitude to mentally ill people? European Psychiatry, 19, 423–427.CrossRefPubMed Lauber, C., Anthony, M., Ajdacic-Gross, V., & Rossler, W. (2004). What about psychiatrists’ attitude to mentally ill people? European Psychiatry, 19, 423–427.CrossRefPubMed
go back to reference Lauber, C., Nordt, C., Braunschweig, C., & Rössler, W. (2006). Do mental health professionals stigmatize their patients? Acta Psychiatrica Scandinavica, 113(Suppl. 429), 51–59.CrossRef Lauber, C., Nordt, C., Braunschweig, C., & Rössler, W. (2006). Do mental health professionals stigmatize their patients? Acta Psychiatrica Scandinavica, 113(Suppl. 429), 51–59.CrossRef
go back to reference Lave, J., & Wenger, E. (1991). Situated learning: Legitimate peripheral participation. New York: Cambridge University Press.CrossRef Lave, J., & Wenger, E. (1991). Situated learning: Legitimate peripheral participation. New York: Cambridge University Press.CrossRef
go back to reference Leonard, D., & Rayport, J. F. (1997). Spark innovation through empathic design. Harvard Business Review, 75, 102–113.PubMed Leonard, D., & Rayport, J. F. (1997). Spark innovation through empathic design. Harvard Business Review, 75, 102–113.PubMed
go back to reference Link, B., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27(3), 363–385.CrossRef Link, B., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27(3), 363–385.CrossRef
go back to reference MacCarthy, D., Weinerman, R., Kallstrom, L., Kadlec, H., Hollander, M., & Patten, S. (2013). Mental health practice and attitudes of family physicians can be changed! The Permenente Journal, 17(3), 14–17.CrossRef MacCarthy, D., Weinerman, R., Kallstrom, L., Kadlec, H., Hollander, M., & Patten, S. (2013). Mental health practice and attitudes of family physicians can be changed! The Permenente Journal, 17(3), 14–17.CrossRef
go back to reference Magliano, L., Fiorillo, A., De Rosa, C., & Malangone, C. M. M. (2004). Beliefs about schizophrenia in Italy: A comparative nationwide survey of the general public, mental health professionals, and patients’ relatives. Canadian Journal of Psychiatry, 49, 323–331. Magliano, L., Fiorillo, A., De Rosa, C., & Malangone, C. M. M. (2004). Beliefs about schizophrenia in Italy: A comparative nationwide survey of the general public, mental health professionals, and patients’ relatives. Canadian Journal of Psychiatry, 49, 323–331.
go back to reference Marsh, C. J., & Willis, G. (2007). Curriculum: Alternative approaches, ongoing issues (4th ed.). Upper Saddle River, NJ: Preason/Merrill Prentice Hall. Marsh, C. J., & Willis, G. (2007). Curriculum: Alternative approaches, ongoing issues (4th ed.). Upper Saddle River, NJ: Preason/Merrill Prentice Hall.
go back to reference Martin, R. (2009). The design of business. Why design thinking is the next competitive advantage (3rd ed.). Boston, MA: Harvard Business Review Press. Martin, R. (2009). The design of business. Why design thinking is the next competitive advantage (3rd ed.). Boston, MA: Harvard Business Review Press.
go back to reference McCombs, B., & Whisler, J. (1997). The learner-centered classroom: Strategies for increasing student motivation and achievement. San Fransisco, CA: Jossey-Bass. McCombs, B., & Whisler, J. (1997). The learner-centered classroom: Strategies for increasing student motivation and achievement. San Fransisco, CA: Jossey-Bass.
go back to reference Mezirow, J. (1991). Transformative dimensions of adult learning. San Francisco, CA: Jossey-Bass. Mezirow, J. (1991). Transformative dimensions of adult learning. San Francisco, CA: Jossey-Bass.
go back to reference Modgill, G., Patten, S. B., Knaak, S., Kassam, A., & Szeto, A. C. (2014). Opening minds stigma scale for healthcare providers (OMS-HC): Examination of psychometric properties and responsiveness. BMC Psychiatry, 14(1), 120.CrossRefPubMedPubMedCentral Modgill, G., Patten, S. B., Knaak, S., Kassam, A., & Szeto, A. C. (2014). Opening minds stigma scale for healthcare providers (OMS-HC): Examination of psychometric properties and responsiveness. BMC Psychiatry, 14(1), 120.CrossRefPubMedPubMedCentral
go back to reference Myers, P. (1999). The objective assessment of general practitioners’ educational needs: An under-researched area? British Journal of General Practice, 49, 303–307.PubMedPubMedCentral Myers, P. (1999). The objective assessment of general practitioners’ educational needs: An under-researched area? British Journal of General Practice, 49, 303–307.PubMedPubMedCentral
go back to reference Noar, S. M., Benac, C. N., & Harris, M. S. (2007). Does tailoring matter? Meta-analytic review of tailored print behavior change interventions. Psychological Bulletin, 133(4), 673–693.CrossRefPubMed Noar, S. M., Benac, C. N., & Harris, M. S. (2007). Does tailoring matter? Meta-analytic review of tailored print behavior change interventions. Psychological Bulletin, 133(4), 673–693.CrossRefPubMed
go back to reference Norcross, J. C., Krebs, P. M., & Prochaska, J. O. (2011). Stages of change. Journal of Clinical Psychology, 67(2), 143–154.CrossRefPubMed Norcross, J. C., Krebs, P. M., & Prochaska, J. O. (2011). Stages of change. Journal of Clinical Psychology, 67(2), 143–154.CrossRefPubMed
go back to reference Norman, R., Sorrentino, R., Gawronski, B., Szeto, A., Ye, Y., & Windell, D. (2010). Attitudes and physician distance to an individual with schizophrenia: the moderating effect of self-transcendent values. Social Psychiatry and Psychiatric Epidemiology, 45(7), 751–758.CrossRefPubMed Norman, R., Sorrentino, R., Gawronski, B., Szeto, A., Ye, Y., & Windell, D. (2010). Attitudes and physician distance to an individual with schizophrenia: the moderating effect of self-transcendent values. Social Psychiatry and Psychiatric Epidemiology, 45(7), 751–758.CrossRefPubMed
go back to reference Pescosolido, B., Martin, J. K., Long, J. S., Medina, T. R., & Link, B. G. (2010). “A disease like any other?” A decade of change in public reactions to schizophrenia, depression and alcohol dependence. American Journal of Psychiatry in Advance, 167, 1–10.CrossRef Pescosolido, B., Martin, J. K., Long, J. S., Medina, T. R., & Link, B. G. (2010). “A disease like any other?” A decade of change in public reactions to schizophrenia, depression and alcohol dependence. American Journal of Psychiatry in Advance167, 1–10.CrossRef
go back to reference Pettigrew, T. F., & Tropp, L. R. (2006). A meta-analytic test of intergroup contact theory. Journal of Personality and Social Psychology, 90, 751–783.CrossRefPubMed Pettigrew, T. F., & Tropp, L. R. (2006). A meta-analytic test of intergroup contact theory. Journal of Personality and Social Psychology, 90, 751–783.CrossRefPubMed
go back to reference Pettigrew, T. F., & Tropp, L. R. (2008). How does intergroup contact reduce prejudice? Meta-analytic tests of three mediators. European Journal of Social Psychology, 38, 922–934.CrossRef Pettigrew, T. F., & Tropp, L. R. (2008). How does intergroup contact reduce prejudice? Meta-analytic tests of three mediators. European Journal of Social Psychology, 38, 922–934.CrossRef
go back to reference Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change. Applications to addictive behaviors. American Psychologist, 47, 1102–1114.CrossRefPubMed Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change. Applications to addictive behaviors. American Psychologist, 47, 1102–1114.CrossRefPubMed
go back to reference Roberts, L. W., & Bandstra, B. S. (2012). Addressing stigma to strengthen psychiatric education. Academic Psychiatry, 36, 347–350.CrossRefPubMed Roberts, L. W., & Bandstra, B. S. (2012). Addressing stigma to strengthen psychiatric education. Academic Psychiatry, 36, 347–350.CrossRefPubMed
go back to reference Ross, C. A., & Goldner, E. M. (2009). Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: A review of the literature. Journal of Psychiatric and Mental Health Nursing, 16(6), 558–567.CrossRefPubMed Ross, C. A., & Goldner, E. M. (2009). Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: A review of the literature. Journal of Psychiatric and Mental Health Nursing, 16(6), 558–567.CrossRefPubMed
go back to reference Rüsch, N., Todd, A. R., Bodenhausen, G. V., & Corrigan, P. W. (2010). Do people with mental illness deserve what they get? Links between meritocratic worldviews and implicit versus explicit stigma. European Archives of Psychiatry and Clinical Neuroscience, 260, 617–625.CrossRefPubMed Rüsch, N., Todd, A. R., Bodenhausen, G. V., & Corrigan, P. W. (2010). Do people with mental illness deserve what they get? Links between meritocratic worldviews and implicit versus explicit stigma. European Archives of Psychiatry and Clinical Neuroscience, 260, 617–625.CrossRefPubMed
go back to reference Sartorius, N., & Schulz, H. (2005). Reducing the stigma of mental illness: A report from a global association. New York: Cambridge University Press.CrossRef Sartorius, N., & Schulz, H. (2005). Reducing the stigma of mental illness: A report from a global association. New York: Cambridge University Press.CrossRef
go back to reference Sawyer, D. (1996). Do it by design. An introduction to human factors in medical devices. Washington: US Department of Health and Human Services, Public Health Service, Food and Drug Administration, Centres for Devices and Radiologial Health. Sawyer, D. (1996). Do it by design. An introduction to human factors in medical devices. Washington: US Department of Health and Human Services, Public Health Service, Food and Drug Administration, Centres for Devices and Radiologial Health.
go back to reference Schomerus, G., Schwan, C., Holzinger, A., et al. (2012). Evolution of public attitudes about mental illness: A systematic review and meta-analysis. Acta Psychiatrica Scandinavica, 125, 440–452.CrossRefPubMed Schomerus, G., Schwan, C., Holzinger, A., et al. (2012). Evolution of public attitudes about mental illness: A systematic review and meta-analysis. Acta Psychiatrica Scandinavica, 125, 440–452.CrossRefPubMed
go back to reference Schreiber, R., & Hartrick, G. (2002). Keeping it together: How women use the biomedical explanatory model to manage the stigma of depression. Issues in Mental Health Nursing, 23, 91–105.CrossRefPubMed Schreiber, R., & Hartrick, G. (2002). Keeping it together: How women use the biomedical explanatory model to manage the stigma of depression. Issues in Mental Health Nursing, 23, 91–105.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference Schulze, B., & Angermeyer, M. C. (2003). Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives, and mental health professionals. Social Science and Medicine, 56, 299–312.CrossRefPubMed Schulze, B., & Angermeyer, M. C. (2003). Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives, and mental health professionals. Social Science and Medicine, 56, 299–312.CrossRefPubMed
go back to reference Shirazi, M., Parikh, S., Alaeddini, F., et al. (2009). Effects on knowledge and attitudes of using stages of change to train practitioners on management of depression: A randomized controlled study. Canadian Journal of Psychiatry, 54, 693–700.PubMed Shirazi, M., Parikh, S., Alaeddini, F., et al. (2009). Effects on knowledge and attitudes of using stages of change to train practitioners on management of depression: A randomized controlled study. Canadian Journal of Psychiatry, 54, 693–700.PubMed
go back to reference Stuart, H., Arboleda-Flórez, J., & Santorius, N. (2012). Paradigms lost: Fighting stigma and the lessons learned. New York: Oxford University Press.CrossRef Stuart, H., Arboleda-Flórez, J., & Santorius, N. (2012). Paradigms lost: Fighting stigma and the lessons learned. New York: Oxford University Press.CrossRef
go back to reference Sullivan, C. F. (2011). Health behavior change challenge: Understanding stages of change. Communication Teacher, 25(2), 108–114.CrossRef Sullivan, C. F. (2011). Health behavior change challenge: Understanding stages of change. Communication Teacher, 25(2), 108–114.CrossRef
go back to reference Szeto, A. C., & Dobson, K. S. (2010). Reducing the stigma of mental disorders at work: A review of current workplace anti-stigma intervention programs. Applied and Preventive Psychology, 14, 41–56.CrossRef Szeto, A. C., & Dobson, K. S. (2010). Reducing the stigma of mental disorders at work: A review of current workplace anti-stigma intervention programs. Applied and Preventive Psychology, 14, 41–56.CrossRef
go back to reference Szeto, A. C., Luong, D., & Dobson, K. S. (2013). Does labeling matter? An examination of attitudes and perceptions of labels for mental disorders. Social Psychiatry and Psychiatric Epidemiology, 48(4), 659–671.CrossRefPubMed Szeto, A. C., Luong, D., & Dobson, K. S. (2013). Does labeling matter? An examination of attitudes and perceptions of labels for mental disorders. Social Psychiatry and Psychiatric Epidemiology, 48(4), 659–671.CrossRefPubMed
go back to reference Taylor, M., Nicholas, C., Nicolay, C., Darzi, A., Bell, D., & Reed, J. (2013). Systematic review of the application of the plan–do–study–act method to improve quality in healthcare. BMJ Quality & Safety, 23, 1–9. Taylor, M., Nicholas, C., Nicolay, C., Darzi, A., Bell, D., & Reed, J. (2013). Systematic review of the application of the plan–do–study–act method to improve quality in healthcare. BMJ Quality & Safety, 23, 1–9.
go back to reference Thomas, N. (2013). Responding to mental health’s mind body problem. Australian and New Zealand Journal of Psychiatry, 47, 1–2.CrossRef Thomas, N. (2013). Responding to mental health’s mind body problem. Australian and New Zealand Journal of Psychiatry, 47, 1–2.CrossRef
go back to reference Thornicroft, G. (2006). Shunned: Discrimination against people with mental illness. Oxford: Oxford University Press. Thornicroft, G. (2006). Shunned: Discrimination against people with mental illness. Oxford: Oxford University Press.
go back to reference Thornicroft, G. (2008). Stigma and discrimination limit access to mental healthcare. Epidemiologia e Psichiatria Sociale, 17(1), 14–19.CrossRefPubMed Thornicroft, G. (2008). Stigma and discrimination limit access to mental healthcare. Epidemiologia e Psichiatria Sociale, 17(1), 14–19.CrossRefPubMed
go back to reference Thornicroft, G., Rose, D., & Kassam, A. (2007). Discrimination in healthcare against people with mental illness. International Review of Psychiatry, 19(2), 113–122.CrossRefPubMed Thornicroft, G., Rose, D., & Kassam, A. (2007). Discrimination in healthcare against people with mental illness. International Review of Psychiatry, 19(2), 113–122.CrossRefPubMed
go back to reference Thornicroft, G., Rose, D., & Mehta, N. (2010). Discrimination against people with mental illness: What can psychiatrists do? Advances in Advances in Psychiatric Treatment, 16, 53–59.CrossRef Thornicroft, G., Rose, D., & Mehta, N. (2010). Discrimination against people with mental illness: What can psychiatrists do? Advances in Advances in Psychiatric Treatment, 16, 53–59.CrossRef
go back to reference Ungar, T., & Knaak, S. (2013a). Mental health stigma and the mind-body problem: Making the case for strategic collusion. Australian and New Zealand Journal of Psychiatry, 47(11), 1–2.CrossRef Ungar, T., & Knaak, S. (2013a). Mental health stigma and the mind-body problem: Making the case for strategic collusion. Australian and New Zealand Journal of Psychiatry, 47(11), 1–2.CrossRef
go back to reference Ungar, T., & Knaak, S. (2013b). The hidden medical logic of mental health stigma. Australian and New Zealand Journal of Psychiatry, 47(7), 611–612.CrossRefPubMed Ungar, T., & Knaak, S. (2013b). The hidden medical logic of mental health stigma. Australian and New Zealand Journal of Psychiatry, 47(7), 611–612.CrossRefPubMed
go back to reference Vicente, K. (2006). The human factor: Revolutionizing the way people live with technology. New York: Routledge. Vicente, K. (2006). The human factor: Revolutionizing the way people live with technology. New York: Routledge.
go back to reference West, R. (2005). Time for a change: Putting the transtheoretical (stages of change) model to rest. Addiction, 100(8), 1036–1039.CrossRefPubMed West, R. (2005). Time for a change: Putting the transtheoretical (stages of change) model to rest. Addiction, 100(8), 1036–1039.CrossRefPubMed
Metadata
Title
Theoretical and Practical Considerations for Combating Mental Illness Stigma in Health Care
Authors
Thomas Ungar
Stephanie Knaak
Andrew CH Szeto
Publication date
01-04-2016
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 3/2016
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-015-9910-4

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