Reducing mental illness stigma in healthcare settings: Proof of concept for a social contact intervention to address what matters most for primary care providers.

Social Science & Medicine
Brandon A KohrtMark Jordans

Abstract

Initiatives for integration of mental health services into primary care are underway through the World Health Organization's mental health Gap Action Programme (mhGAP) and related endeavors. However, primary healthcare providers' stigma against persons with mental illness is a barrier to success of these programs. Therefore, interventions are needed to reduce stigma among primary healthcare providers. We developed REducing Stigma among HealthcAre ProvidErs (RESHAPE), a theoretically-grounded intervention that draws upon the medical anthropology conceptual framework of "what matters most." RESHAPE addresses three domains of threats to what matters most: survival, social, and professional. In a proof-of-concept study, mental health service users and aspirational healthcare providers (primary healthcare providers actively incorporating mental health services) were trained to co-facilitate the RESHAPE intervention embedded within mhGAP training in Nepal. Two trainings with the RESHAPE anti-stigma component were held with 41 primary healthcare providers in Nepal. Evaluation of the training included four focus groups and 25 key informant interviews. Stigmatizing attitudes and role play-based clinical competency, assessed with the ENh...Continue Reading

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Citations

May 24, 2020·Culture, Medicine and Psychiatry·Tony V PhamBrandon A Kohrt
Nov 27, 2020·Epidemiology and Psychiatric Sciences·Mark J D Jordans, Brandon A Kohrt
Feb 25, 2021·International Journal of Mental Health Systems·Jie LiGraham Thornicroft
Mar 7, 2021·International Journal of Environmental Research and Public Health·Cori L TergesenBrandon A Kohrt
Mar 31, 2021·Archives of Psychiatric Nursing·Sullivan FontessePierre Maurage
Apr 28, 2021·Evidence-based Mental Health·Roxanne KeynejadGraham Thornicroft
May 29, 2021·Pediatric Clinics of North America·Mark S BarajasJason Straussman
Sep 11, 2021·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Sarah WattsAlison Schafer

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