A School-based Intervention to Reduce Stigma & Promote Mental-Health Service Use

描述(由申请人提供)：污名的一个关键但未被研究的方面涉及污名化态度和行为可能从一代传到下一代的可能性。我们对RFA《关于耻辱的社会、文化、生物和心理机制的基本社会和行为研究的修订申请》(RFA-MD-13-005)的回应是：1)探索迄今研究不足的耻辱机制，即从父母传给孩子的代际传播；2)结合研究这种传播的两种结果形式，它们与精神疾病和种族/民族耻辱/偏见有关。通过利用这项修订适用的原始研究的特点--包括多族裔样本、对父母和儿童的抽样以及广泛的精神疾病污名措施--我们能够增加对种族/民族污名/偏见的评估，从而建立实施关于污名/偏见代际传播的新研究的能力。具体地说，我们将能够评估这种代际影响是否真的发生，这种影响有多大，它们是如何发挥作用的，以及它们会产生什么后果。通过在最初研究的24个月后续行动中增加种族/族裔偏见的衡量标准，我们预计将获得370多对父母/子女的数据，从而使我们能够评估父母/子女之间关于种族/民族和精神疾病污名的关系。所获得的知识有助于制定政策和设计干预措施，以鼓励传播非污名化态度并阻止污名化态度的传播。

DESCRIPTION (provided by applicant): A critical but understudied aspect of stigma involves the possibility that stigmatizing attitudes and behaviors might be transmitted from one generation to the next. We respond to the RFA "Revision Applications for Basic Social and Behavioral Research on the Social, Cultural, Biological, and Psychological Mechanisms of Stigma" (RFA-MD-13-005)" by 1) exploring a heretofore understudied mechanism of stigma, the intergenerational transmission from parent to child, and 2) examining in combination two consequential forms of such transmission as they pertain to mental illness and race/ethnic stigma/prejudice. By capitalizing on features of the original study to which this revision applies - including its multi-ethnic sample, its sampling of both parents and children and its extensive battery of mental illness stigma measures -- we are able to add assessments of race/ethnic stigma/prejudice and thereby create the capacity to implement a novel study of the intergenerational transmission of stigma/prejudice. Specifically, we will be able to assess whether such intergenerational influences actually take place, how strong such influences are, how they work and what consequences they have. By adding measures of race/ethnic prejudice to the 24 month follow up of the original study we expect to obtain data on over 370 parent-/child pairs allowing us to evaluate parent/child associations for both race/ethnic and mental-illness stigma. The knowledge gained can help in the construction of policies and the design interventions that might encourage the transmission of non-stigmatizing attitudes and discourage the transmission of stigmatizing ones.