scholarly journals Racial identity and mental health stigma among Black adults in the United States

Author(s):  
Aderonke O Bamgbose Pederson ◽  
Devan Hawkins

Objectives: Mental illness stigma is a barrier to engagement in mental health services. This study assesses our hypothesis that specific racial identity dimensions influences mental health behavior including stigma. Methods: We performed an online cross sectional observational study among Black adults (n = 248, ages 18-65). We examined the relationship between an individual's approach to their racial identity in the community and stigma behavior towards mental health; generalized linear models were performed. We assessed demographic characteristics as moderators of the primary association. Results: Black adults with higher centrality reported lower past stigma behavior (RR=1.57, CI: 1.11-2.21, p=0.01), but higher future intended stigma behavior (RR=0.93, CI: 0.88-0.99, p=0.02). Majority of respondents reported high centrality and high assimilation; however, assimilation did not appear to correlate with mental health stigma behavior. Age, education and ethnicity appeared to have a limited moderating effect on the association between centrality and stigma behavior. Conclusions: Centrality was associated with mental health stigma behavior. By understanding the intersecting characteristics that may increase the likelihood for mental illness stigma, we will be better able to reduce mental illness stigma and optimize engagement in mental health services.

2020 ◽  
Author(s):  
Mohammad Marie ◽  
Zareefa Shaabna ◽  
Manahel Saleh

Abstract Background: Mental health conditions remain a significant cause of disability in the Arab World. Palestinians are predominantly at a higher risk for mental health problems due to their chronic exposure to political violence, prolonged displacement, and others as limited professional, educational, financial opportunities and mental health services. Schizophrenia is an overwhelming mental illness that affects nearly one percent of the various populations throughout the world. Studies have shown patients with schizophrenia die prematurely and have lower life expectancy compared to the general population. Moreover, antipsychotic medications and client’s lifestyle play a significant role in increased morbidity and mortality in these patients. The present study willingly undertakes a literature review on schizophrenia in the context of mental health services in Palestine.Methods: Studies were identified through PubMed, Science Direct, Google Scholar, CINAHL, Semantic Scholar and Elsevier.Results: Twenty-four studies were included in this review; eleven articles related to schizophrenia and thirteen articles related to mental health services in Westbank and Gaza. Results revealed the life of patients with schizophrenia in Palestine is complicated. Barriers as lacking awareness about mental illness, stigma, inconsistent availability of medications, absence of multidisciplinary teamwork, insufficient specialists, fragmented mental health system, occupation, and other obstacles stand in the face of improving the quality of life among these patients.Limitations: Palestine is a state that is seeking independence with a scarcity of resources. It has been described as “uncharted territories'' due to a lack of data, resources and records. As a result, there is insufficient data regarding schizophrenia in Palestine. Therefore, a thesis study that estimated Ten years’ risk of coronary heart diseases in patients with schizophrenia was included.Conclusions: Recommendations include ending the occupation as the leading cause of mental illness for Palestinians and implementing efficient and effective mental health nursing care through the multidisciplinary work and raising awareness regarding mental illness to fight the stigma.


2003 ◽  
Vol 1 (3) ◽  
pp. 375-379 ◽  
Author(s):  
Alicia K. Matthews ◽  
Patrick W. Corrigan ◽  
Judith Lee Rutherford

Empirically validated psychosocial interventions have been shown to improve adjustment and coping among cancer patients. Therefore, an emerging standard of practice is to integrate supportive services for cancer patients into the medical management of the disease. However, unanticipated barriers may negatively influence receptivity to psychosocial services. For example, among the general population, two-thirds of individuals in need of psychiatric services do not receive them. Numerous barriers have been reported that interfere with receipt of mental health services among members of the general population. In addition to access issues, stigma associated with mental illness and its treatment represents a significant barrier to care. Stigma associated with mental illness and mental health services use is an under-researched barrier to the effective management of the psychosocial sequelae of a cancer diagnosis and treatment. This article reviews the relevant literature on mental health stigma and makes recommendations for increasing access to psychosocial services for cancer patients and their families.


2003 ◽  
Vol 29 (2-3) ◽  
pp. 185-201
Author(s):  
John V. Jacobi

Mental illness affects the health status of about one in five Americans each year. More than five percent of adult Americans have a “serious” mental illness—an illness that interferes with social functioning. About two and one-half percent have “severe and persistent” mental illness, a categorization for the most disabling forms of mental illness, such as schizophrenia and bipolar disorder. All mental illness interferes to some degree with social activities. Left untreated, serious mental illness can be disabling—disrupting family life, employment status and the ability to maintain housing. Nevertheless, privately insured people in the United States (that is, the majority of insured people in the United States) are not covered for mental health services to the same extent that they are covered for physical health services. Second-class coverage of mental health services reduces access to care for people with mental illness because cost becomes a significant barrier to service. The resulting lack of treatment fuels the disabling potential of mental illness.


2020 ◽  
Author(s):  
Mohammad Marie ◽  
Zareefa Shaabna ◽  
Manahel Saleh

Abstract Background: Mental health conditions are a significant cause of disability in the Arab World. Palestinians are especially at a higher risk for mental health problems due to their chronic exposure to political violence, prolonged displacement, and others as a limited professional, educational, financial opportunities, and mental health services. Schizophrenia is an overwhelming mental illness that affects nearly one percent of the various populations throughout the world. Studies have shown that people with schizophrenia die prematurely and have lower life expectancy compared to the general population. Moreover, antipsychotic medications and the client’s lifestyle play an important role in increased morbidity and mortality in these clients. The present study undertakes a literature review of research on schizophrenia in the context of mental health services in Palestine.Methods: Studies were identified through PubMed, Science Direct, Google Scholar, CINAHL, Semantic Scholar, Elsevier, and the reading of complementary references from August-November 2019. Results: Twenty-four studies were included in this review. Eleven articles related to schizophrenia and thirteen articles related to mental health services in Westbank and Gaza. Results revealed that the life of schizophrenic patients in Palestine is complicated. Barriers as lacking awareness about mental illness, stigma, inconsistent availability of medications, absence of multidisciplinary teamwork, insufficient specialists, fragmented mental health system, occupation, and other obstacles stand in the face of improving the quality of life among schizophrenic patients.Conclusions Recommendations include ending the occupation as the leading cause of mental illness for Palestinians and implementing efficient and effective mental health nursing care through the multidisciplinary work and raising awareness regarding mental illness to fight the stigma, should be applied.


1984 ◽  
Vol 39 (12) ◽  
pp. 1424-1434 ◽  
Author(s):  
David J. Knesper ◽  
John R. Wheeler ◽  
David J. Pagnucco

1971 ◽  
Vol 2 (2) ◽  
pp. 138-145 ◽  
Author(s):  
William J. Horvath

As long as mental illness is regarded as primarily a behavioral disorder, current and foreseeable manpower shortages in psychiatry make it necessary to increase the participation of nonmedical personnel in the treatment process. The controversy between those advocating behavioral treatment and those favoring the medical model cannot be resolved due to the fact that our current knowledge of the biologic roots of mental illness is inadequate. A breakthrough in research in this area could resolve the argument and solve the manpower problem by transferring psychiatric disorders into physiologic disease susceptible to medical treatment. Alternative models for the delivery of mental health services can be developed to allow for different possibilities in the outcome of research. Additional data is needed, especially on the costs and effectiveness of future therapies, before an evaluation of programs can be carried out.


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