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2 results

  • Chapter 13 - Reducing Substance Use Stigma in Health Care

  • Edited by Georg Schomerus, Universität Leipzig, Patrick William Corrigan, Illinois Institute of Technology
  • Book:
    The Stigma of Substance Use Disorders
    Published online:
    23 June 2022
    Print publication:
    09 June 2022, pp 232-251

  • Summary

    Although health care is generally designed to help people, it has the potential to effectively impede recovery for people using substances by obvious and subtle discrimination. Stigmatizing attitudes among health professionals are common, regularly expected by people who use substances and potentially reduce quality of delivered clinical care. The power gradient that drives stigma and discriminatory behavior is particularly palpable in the healthcare setting and prevalent within different clinical situations like emergency medicine, primary care, and the psychiatric ward as within language. Comprising the current evidence of interventions, specific clinical settings and language regarding substance use stigma, we suggest recommendations for changes in clinical practice. Professionals need to avoid inflicting very real harm by increasing shame and reducing self-worth through stigmatizing settings, language, and concepts. Reducing substance use stigma is an integral and profoundly important part of caring for people who use substances and should be considered as such.

  • Continuum beliefs and mental illness stigma: a systematic review and meta-analysis of correlation and intervention studies

  • Lina-Jolien Peter, Stephanie Schindler, Christian Sander, Silke Schmidt, Holger Muehlan, Thomas McLaren, Samuel Tomczyk, Sven Speerforck, Georg Schomerus
  • Journal:
    Psychological Medicine / Volume 51 / Issue 5 / April 2021
    Published online by Cambridge University Press:
    08 April 2021, pp. 716-726
    • Article
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      • Open access
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  • Background

    Promulgating a continuum model of mental health and mental illness has been proposed as a way to reduce stigma by decreasing notions of differentness. This systematic review and meta-analysis examines whether continuum beliefs are associated with lower stigma, and whether continuum interventions reduce stigma.

    Methods

    Following a pre-defined protocol (PROSPERO: CRD42019123606), we searched three electronic databases (PubMed, Web of Science, and PsycINFO) yielding 6726 studies. After screening, we included 33 studies covering continuum beliefs, mental illness, and stigma. Of these, 13 studies were included in meta-analysis.

    Results

    Continuum beliefs are consistently associated with lower stigma. Interventions were effective at manipulating continuum beliefs but differ in their effects on stigmatising attitudes.

    Conclusions

    We discuss whether and to what extent attitudes towards people with mental illness can be improved by providing information on a mental health-mental illness continuum. It appeared to be relevant whether interventions promoted a feeling of ‘us’ and a process of identification with the person with mental illness. We discuss implications for the design of future interventions.