Stigma of addiction and mental illness in healthcare: The case of patients' experiences in dental settings

PloS One
Mario A BrondaniLeeann Donnelly

Abstract

To explore the ways in which stigma is experienced in healthcare and dental settings by patients with a history of addiction and mental illness. Audio-recorded, semi-structured interviews with a purposefully selected convenience sample of residents from two community treatment centres in Vancouver, Canada were conducted. The interview guide contained questions about experiences while seeking health and dental care and was based on an existing framework of labeling, stereotyping, exclusion, discrimination, and power imbalance. Interviews were transcribed verbatim for coding and thematic analysis. Twenty-five participants between 23 and 67 years of age were interviewed; 17 were males. Most had a self-reported history of depression combined with use of alcohol and crack-cocaine; most of them only sought dental care for emergency purposes. Textual analysis of more than 300 pages of transcribed interviews revealed that participants perceived stigma when they were negatively stereotyped as 'unworthy', labeled as 'different', excluded from the decision-making process, discriminated against, 'treated unfairly', and felt powerless when interacting in the heath and dental care systems. Conversely, positive experiences were characterized ...Continue Reading

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Citations

Feb 16, 2018·Community Dentistry and Oral Epidemiology·Anjali MagoJames Frankish
Jan 26, 2021·Health & Social Care in the Community·Kaitlyn JaffeLindsey Richardson
Jan 21, 2021·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·Folarin OdusolaFrances R Levin
Feb 18, 2021·Archives of Psychiatric Nursing·Ana Beatriz Rizzo ZanardoCarla Aparecida Arena Ventura
May 19, 2021·Substance Abuse Treatment, Prevention, and Policy·Siv-Elin Leirvaag CarlsenAnne Nordrehaug Åstrøm
Jun 29, 2021·SSM - Population Health·Nicholas C CoombsSophia R Newcomer
Jul 23, 2021·Journal of American College Health : J of ACH·Shawna Dias, Xiaojing Romy Wang
Dec 5, 2021·Health Services Research·Michael R RichardsStephen W Patrick

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