scholarly journals Experience of stigma among mental health service users in Hong Kong: Are there changes between 2001 and 2017?

2018 ◽  
Vol 65 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Ka-Fai Chung ◽  
Samson Tse ◽  
Chit-Tat Lee ◽  
Michael Ming-Cheuk Wong ◽  
Wing-Man Chan
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Baseline Survey ◽  
Service Users ◽  
Cross Sectional ◽  
Over Time

Background: Public expenditure on mental health education has grown exponentially in the past two decades. Does the experience of stigma among people with mental health problems improve over time? Our study aims to compare the levels of perceived stigmatization, rejection experiences and stigma–coping among mental health service users in Hong Kong between 2001 and 2017 using longitudinal and repeated cross-sectional study design. Method: The baseline survey was completed by 193 psychiatric outpatients in 2001. They were traced for re-assessment in 2017. Another sample of 193 outpatients matched in age, gender and psychiatric diagnosis was recruited in 2017 for cross-sectional comparison. Participants completed a 39-item questionnaire on stigma experiences, Beck Depression Inventory and Disability Assessment Schedule at both time points. Results: In total, 109 of 193 participants (56.5%) of the 2001 survey were re-assessed. No significant change in perceived stigmatization, rejection experiences and stigma–coping was found among the 109 participants interviewed in 2001 and 2017. For cross-sectional comparison, significant differences in two perceived stigma items were observed upon Bonferroni correction (chi-square test, p < .005) and remained significant after controlling for confounding factors by regression analysis. Improvements in perceived stigmatization were on marriage and friendship, while viewpoints on trustworthiness, dangerousness, devaluation, avoidance and personal failure remained unchanged, and there was no improvement in rejection experiences and stigma–coping. Conclusion: Positive attitude changes over time are unlikely to occur if there is no targeted intervention on stigma. Our findings highlight that evidence-based antistigma interventions are urgently needed.

scholarly journals Coping with stigma and discrimination: evidence from mental health service users in England

2017 ◽  
Vol 27 (6) ◽  
pp. 577-588 ◽  
Author(s):  
A. Isaksson ◽  
E. Corker ◽  
J. Cotney ◽  
S. Hamilton ◽  
V. Pinfold ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Stigma ◽  
Service Users ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stigma And Discrimination

Aims.Mental health stigma and discrimination are significant problems. Common coping orientations include: concealing mental health problems, challenging others and educating others. We describe the use of common stigma coping orientations and explain variations within a sample of English mental health service users.Methods.Cross-sectional survey data were collected as part of the Viewpoint survey of mental health service users’ experiences of discrimination (n = 3005). Linear regression analyses were carried out to identify factors associated with the three stigma coping orientations.Results.The most common coping orientation was to conceal mental health problems (73%), which was strongly associated with anticipated discrimination. Only 51% ever challenged others because of discriminating behaviour, this being related to experienced discrimination, but also to higher confidence to tackle stigma.Conclusions.Although stigma coping orientations vary by context, individuals often choose to conceal problems, which is associated with greater anticipated and experienced discrimination and less confidence to challenge stigma. The direction of this association requires further investigation.

scholarly journals Comparison of a co‐produced mental health service to traditional services: A co‐produced mixed‐methods cross‐sectional study

2019 ◽  
Vol 29 (3) ◽  
pp. 460-475
Author(s):  
Raffaella Pocobello ◽  
Tarek Sehity ◽  
Luca Negrogno ◽  
Carlo Minervini ◽  
Maddalena Guida ◽  
...  
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Mental Health Service ◽  
Health Service ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Disclosure of a mental health problem in the employment context: qualitative study of beliefs and experiences

2013 ◽  
Vol 23 (3) ◽  
pp. 289-300 ◽  
Author(s):  
E. Brohan ◽  
S. Evans-Lacko ◽  
C. Henderson ◽  
J. Murray ◽  
M. Slade ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Public Understanding ◽  
Service Users ◽  
Voluntary Work ◽  
Personal Impact

Aims.Decisions regarding disclosure of a mental health problem are complex and can involve reconciling conflicting needs and values. This article provides a qualitative account of the beliefs and experiences of mental health service users regarding disclosure in employment contexts.Methods.Total sample of 45 individuals were interviewed in two study phases. In phase one, semi-structured interviews were carried out with 15 mental health service users. The transcripts were analysed using interpretative phenomenological analysis (IPA). In phase two, identified themes were further explored through interviews with mental health service users (n = 30) in three employment contexts: in paid employment (n = 10); in study or voluntary work (n = 10); and currently unemployed (n = 10). These were analysed using directed content analysis.Results.Four super-ordinate themes were drawn from phase one analysis: (1) public understanding of mental health problems; (2) the employment context; (3) personal impact of labelling and (4) disclosure needs. These themes were reflective of the content of phase two interviews.Conclusions.Greater emphasis needs to be placed on considering the societal, employment and interpersonal influences which form the basis for disclosure beliefs and experiences.

Relationship Between Health, Experience of Discrimination, and Social Inclusion Among Mental Health Service Users in Hong Kong

2014 ◽  
Vol 124 (1) ◽  
pp. 127-139 ◽  
Author(s):  
Kara Chan ◽  
Sherrill Evans ◽  
Marcus Yu-Lung Chiu ◽  
Peter J. Huxley ◽  
Yu-Leung Ng
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Mental Health Service ◽  
Health Service ◽  
Social Inclusion ◽  
Service Users

scholarly journals Trajectories of loneliness and objective social isolation and associations between persistent loneliness and self- reported personal recovery in a cohort of secondary mental health service users in the UK

2021 ◽  
Author(s):  
Ruimin Ma ◽  
Jingyi Wang ◽  
Brynmor Lloyd-Evans ◽  
Louise Marston ◽  
Sonia Johnson
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Los Angeles ◽  
Health Service ◽  
Social Isolation ◽  
Mental Health Problems ◽  
Service Users ◽  
Personal Recovery ◽  
Time Points

Abstract Background: Loneliness is a frequent and distressing experience among people with mental health problems. However, few longitudinal studies have so far investigated the trajectories of loneliness and objective social isolation, and the extent to which both issues may impact mental health outcomes among mental health service users. Therefore, this study aims to describe the trajectories of loneliness and objective social isolation and their associations with self-rated personal recovery among people leaving crisis resolution teams (CRTs). Methods: A total of 224 participants receiving care from CRTs (recruited for a large multi-site randomised controlled trial) were included in this longitudinal cohort study. They completed the eight-item University of California at Los Angeles Loneliness Scale (ULS-8), Lubben-Social Network Scale (LNSN-6), and the Questionnaire about the Process of Recovery (QPR) (primary outcome) at baseline, 4- and 18-month follow-up, as well as baseline sociodemographic and clinical variables. Results: We compared groups who were persistently lonely (at all time points), intermittently lonely (at one or two time points) and never lonely. After adjusting for all potential confounders and baseline predictive variables, persistent severe loneliness was associated with worse personal recovery at 18-month follow-up compared with the never lonely (reference group) (coef. = -12.8, 95% CI -11.8, -3.8, p<.001), as was being intermittently lonely (coef. = -7.8, 95% CI -18.8, -6.8, p<.001). The persistently objectively social isolated group (coef. = -9.8, 95% CI -15.7, -3.8, p=.001) also had poorer self-rated recovery at 18-month follow-up than those who were not socially isolated at any timepoint (i.e., reference category). Conclusion: Results suggest that both persistent loneliness and objective social isolation are associated with poorer self-rated recovery following a crisis, compatible with a causal relationship. These findings suggest a potential role for interventions aimed at alleviating loneliness and objective social isolation in improving recovery outcomes for people with mental health symptoms. Increased awareness of both issues among health practitioners is also warranted.

scholarly journals Factors Associated with Satisfaction with a Community Mental Health Service

2018 ◽  
Vol 28 ◽  
Author(s):  
Kênia Izabel David Silva de Resende ◽  
Marina Bandeira ◽  
Daniela Carine Ramires de Oliveira
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Age At Onset ◽  
Cross Sectional Study ◽  
Treatment Level ◽  
Community Mental Health Service ◽  
Cross Sectional ◽  
Factors Associated ◽  
Level Of Satisfaction

Abstract This study’s objective was to simultaneousy assess the factors associated with the satisfaction of 84 patients and 84 family members with treatment and the satisfaction of 67 professionals with the work performed in a mental health service. This is a quantitative cross-sectional study with a correlational design and multivariate data analysis. The participants responded to satisfaction scales and sociodemographic questionnaires. The results indicate that the following variables predicted the level of satisfaction: age at onset of psychiatric disorder; being supported by the professionals; receiving information about treatment; level of education; and years of work in mental health services. The results reveal that establishing a partnership with the families of patients is important to ensuringtheir satisfaction and treatment adherence, while the way the public health system manages the professionals’ careers has contributed to their dissatisfaction, requiring urgent reformulation.

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