The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care
The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care
复制标题
DOI：
10.1177/1529100614531398
复制
发表时间：
2014-10-01
影响因子：
25.4
通讯作者：
Perlick, Deborah A.
中科院分区：
文献类型：
--
作者：
Corrigan, Patrick W.;Druss, Benjamin G.;Perlick, Deborah A.
已经开发和测试了治疗方法，以成功地减少许多精神疾病的症状和残疾。不幸的是，患有这些疾病的人往往不寻求服务或选择充分参与其中。阻碍寻求护理和破坏服务系统的一个因素是精神疾病的耻辱感。在这篇文章中，我们审查的复杂因素的耻辱，以了解其影响参与护理。然后，我们总结了公共政策的考虑，寻求解决耻辱，以提高治疗的参与。污名是一个复杂的结构，包括公共，自我和结构组件。它直接影响精神疾病患者，以及他们的支持系统，提供者网络和社区资源。心理疾病知识和文化相关性对污名化的影响有调节作用。了解污名是减少其对寻求护理和治疗参与的负面影响的核心。不同的策略已经发展为抵消公众，自我和结构性耻辱的影响。心理健康提供者的计划可能对促进护理参与特别有成效。心理健康素养、文化能力和家庭参与活动也可以减轻耻辱感对寻求护理的不利影响。政策变革对于克服破坏旨在促进心理健康和护理的政府议程的结构性耻辱至关重要。扩大污名和寻求照顾之间的联系的研究计划的影响进行了讨论。
Treatments have been developed and tested to successfully reduce the symptoms and disabilities of many mental illnesses. Unfortunately, people distressed by these illnesses often do not seek out services or choose to fully engage in them. One factor that impedes care seeking and undermines the service system is mental illness stigma. In this article, we review the complex elements of stigma in order to understand its impact on participating in care. We then summarize public policy considerations in seeking to tackle stigma in order to improve treatment engagement. Stigma is a complex construct that includes public, self, and structural components. It directly affects people with mental illness, as well as their support system, provider network, and community resources. The effects of stigma are moderated by knowledge of mental illness and cultural relevance. Understanding stigma is central to reducing its negative impact on care seeking and treatment engagement. Separate strategies have evolved for counteracting the effects of public, self, and structural stigma. Programs for mental health providers may be especially fruitful for promoting care engagement. Mental health literacy, cultural competence, and family engagement campaigns also mitigate stigma's adverse impact on care seeking. Policy change is essential to overcome the structural stigma that undermines government agendas meant to promote mental health, care. Implications for expanding the research program on the connection between stigma and care seeking are discussed.