Health care providers and people with mental illness: an integrative review on anti-stigma interventions
Abstract
BACKGROUND: Health care providers are an important target group for anti-stigma interventions because they have the potential to convey stigmatizing attitudes towards people with mental illness. This can have a detrimental impact on the quality and effectiveness of care provided to those affected by mental illness. AIMS AND METHODS: Whittemore & Knafl's integrative review method (2005) was used to analyze 16 studies investigating anti-stigma interventions targeting health care providers. RESULTS: The interventions predominantly involved contact-based educational approaches which ranged from training on mental health (typically short-term), showing videos or films (indirect social contact) to involving people with lived experiences of mental illness (direct social contact). A few studies focused on interventions involving educational strategies without social contact, such as mental health training (courses/modules), distance learning via the Internet, lectures, discussion groups, and simulations. One study investigated an online anti-stigma awareness-raising campaign that aimed to reduce stigmatizing attitudes among health care providers. CONCLUSION: Anti-stigma interventions that involve social contact between health care providers and people with mental illness, target specific mental illnesses and include long-term follow-up strategies seem to be the most promising at reducing stigma towards mental illness among health care providers.
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Simulations have consistently been associated with stigma reductions.
“One of the areas that has received increasing attention for health-care students and professionals is the use of simulations (eg, standardised role-plays with actors), which have consistently been associated with stigma reductions.147,153,157”
From The Lancet Commission on ending stigma and discrimination in mental health (2022) · cites this paper as [153]
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The Lancet Commission on ending stigma and discrimination in mental health
Thornicroft, G., Sunkel, C., Alikhon Aliev, A., Baker, S., Brohan, E., el Chammay, R., Davies, K., Demissie, M., Duncan, J., Fekadu, W., et al. (2022) · The Lancet · doi:10.1016/s0140-6736(22)01470-2 · Cited by 748 · see citing works
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- Authors
- Carrara, B. S., Fernandes, R. H. H., Bobbili, S. J., & Ventura, C. A. A.
- Affiliations
- Universidade de São Paulo (BR)
- Centre for Addiction and Mental Health (CA)
- Corresponding author
- Ventura, Carla Aparecida Arena
- ORCID
- Venue
- International Journal of Social Psychiatry
- Publisher
- SAGE Publications
- Published
- 2020-12-30
- Volume
- 67
- Issue
- 7
- Pages
- 840-853
- ISSN
- 0020-7640 (ISSN-L)
- 1741-2854
- OpenAlex
- W3113812764
- Cited by
- 82
- References
- 66
- Citations by year
- 2026: 15 · 2025: 21 · 2024: 19 · 2023: 17 · 2022: 8 · 2021: 2
- FWCI
- 1.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Social Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- fundação de amparo à pesquisa do estado de são paulo
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- stigma reduction interventions, mental health stigma, healthcare workers, stigmatizing attitudes, lived experience of mental illness, mental health training, social contact, mental health care quality
- MeSH terms
- Attitude of Health Personnel, Mental Disorders, Health Personnel, Humans, Mental Health, Social Stigma
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