Stigma towards mental illness and substance use issues in primary health care: Challenges and opportunities for Latin America
@article{Sapag2018StigmaTM,
title={Stigma towards mental illness and substance use issues in primary health care: Challenges and opportunities for Latin America},
author={Jaime C. Sapag and Brena F. Sena and In{\'e}s V. Bustamante and Sireesha J Bobbili and Paola R. Velasco and Franco Mascayano and Rub{\'e}n Alvarado and Akwatu Khenti},
journal={Global Public Health},
year={2018},
volume={13},
pages={1468 - 1480}
}ABSTRACT Stigma towards mental illness and addictive disorders is a global problem and one of the main obstacles in tackling this issue remains the effective integration of mental health services into primary health care (PHC). In Latin America, information has significantly increased on the existence of stigma; however, little is known about effective interventions to prevent stigma and promote recovery-oriented practices in PHC. The aim of this study is to understand the existing evidence…
Topics from this paper
14 Citations
Stigma and discrimination related to mental health and substance use issues in primary health care in Toronto, Canada: a qualitative study
- Medicine, Political ScienceInternational journal of qualitative studies on health and well-being
- 2020
Examination of health providers’ understandings and experiences regarding stigma towards mental health and substance use issues, as well as their ideas for an effective intervention to address stigma and discrimination, in three CHCs in Toronto, Ontario indicates that PHC settings are sites where multiple forms of stigma create health service barriers.
Evaluation of a Pilot Intervention to Reduce Mental Health and Addiction Stigma in Primary Care Settings
- Medicine, PsychologyJournal of Community Health
- 2019
A flexible, innovative intervention was developed in collaboration with community health care centres to reduce mental illness and addiction stigma and discrimination at an organizational level and qualified findings were positive for indicators of observed improvement in mental health knowledge and behaviour.
Validation of the Opening Minds Scale and patterns of stigma in Chilean primary health care
- Medicine, Political SciencePloS one
- 2019
The validated, Spanish version of OMS-HC can be of use to further research stigma toward MHP in Chile and Latin America, advancing awareness and inspiring interventions to reduce stigma in the future.
Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes among Primary Care and Mental Health Professionals: Two Cluster Randomised-Controlled Trials
- Medicine, PsychologyInternational journal of environmental research and public health
- 2021
Reductions in both PC and MH professionals’ stigmatising beliefs and attitudes were found in the 1-month follow-up, although a ‘rebound effect’ at the 3- month follow up was detected, emphasizing the importance of the continuity of the presence of anti-stigma activities and messages.
Leveraging Systems Science to Promote the Implementation and Sustainability of Mental Health and Psychosocial Interventions in Low- and Middle-Income Countries
- MedicineHarvard review of psychiatry
- 2021
The causal loop diagram revealed the central role of community stakeholder engagement in bridging implementation and patient outcomes, the importance of addressing stigma and social determinants of mental health, and the need to complement supply-side implementation strategies with approaches to equilibrate demand and improve the quality of services.
Stigmatizing Beliefs and Attitudes to Depression in Adolescent School Students in Chile and Colombia
- PsychologyFrontiers in Psychology
- 2020
The results of this study suggest that it is important to offer school-based programs to reduce personal stigma, and that specific anti-stigma campaigns should address personal stigma in men and immigrants.
Investigating global mental health: Contributions from political science
- Political ScienceGlobal public health
- 2020
The article shows that political science can deepen knowledge on this global health issue and can uncover how power undergirds institutional responses to global mental health at the international, national, and community levels.
Predictors of injecting cessation among a cohort of people who inject drugs in Tijuana, Mexico.
- MedicineDrug and alcohol dependence
- 2018
Trastornos por consumo de sustancias: entre las inequidades y el estigma
- MedicineDuazary
- 2019
Es necesario diseñar e investigar la efectividad de estrategias para reducir el CED relacionado with TCS en diferentes poblaciones y contextos.
Mental Health Reform in Peru: Innovations, Challenges, and Sustainability
- Political ScienceInnovations in Global Mental Health
- 2021
References
SHOWING 1-10 OF 83 REFERENCES
Development of an intervention to reduce self-stigma in outpatient mental health service users in Chile.
- Medicine, PsychologyRevista de la Facultad de Ciencias Medicas
- 2015
A recovery-oriented, ten-session group intervention that incorporates the Tree of Life narrative approach, along with other narrative practices, to promote a positive identity change in users, and constructivist psychoeducation, based on case studies and group discussions, to gather tools to confront self-stigma is developed.
Stigma toward mental illness in Latin America and the Caribbean: a systematic review
- Medicine, Political ScienceRevista brasileira de psiquiatria
- 2016
Interventions designed to reduce mental illness-related stigma in this region may benefit from considering cultural dynamics exhibited by the Latino population, as well as those reported in high-income settings.
Stigmatizing attitudes in nurses towards people with mental illness: a cross-sectional study in primary settings in Finland.
- MedicineJournal of psychiatric and mental health nursing
- 2016
Nurses' attitudes towards people with mental illness were generally positive and nurses mostly reported willingness to help and feelings of concern and sympathy towards these patients, however, younger nurses or those without additional mental health training expressed a fear of patients.
Attitudes of primary health care providers towards people with mental illness: evidence from two districts in Zambia.
- Medicine, Political ScienceAfrican journal of psychiatry
- 2011
There is an urgent need to start developing more effective awareness-raising, training and education programmes amongst health care providers in Zambia if the country is improve the recognition, diagnosis and treatment of mental disorders.
Factors Influencing Mental Health Screening and Treatment Among Women in a Rural South Central Appalachian Primary Care Clinic.
- Medicine, PsychologyThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
- 2016
Screening and treatment of mental health screening and treatment among women in Appalachia may be influenced by the availability and advertisement of integrated services, institutional support, strong patient-provider relationships, and provider training and experience.
Mental health services in the Dominican Republic from the perspective of health care providers
- Medicine, Political ScienceGlobal public health
- 2018
The study findings call for a re-examination of priority public health foci, with special attention to mental health and domestic violence in the DR, and potential strategies to improve mental health services delivery.
Depression, Help-Seeking and Self-Recognition of Depression among Dominican, Ecuadorian and Colombian Immigrant Primary Care Patients in the Northeastern United States
- Psychology, MedicineInternational journal of environmental research and public health
- 2015
Examination of demographic factors, attitudes and beliefs, such as stigma, perceived stress, and ethnic identity that are associated with depression, help-seeking and self-recognition among subethnic groups of Latinos that are underrepresented in research studies contributes to the literature.
Primary Care Professional’s Perspectives on Treatment Decision Making for Depression with African Americans and Latinos in Primary Care Practice
- Medicine, PsychologyJournal of Immigrant and Minority Health
- 2013
A qualitative study of fifteen primary care providers at two Federally Qualified Health Centers in New York and their experience during depression treatment decision making, which has implications for planning SDM interventions to guidePrimary care providers through treatment engagement for depression.
Stigma and depression treatment utilization among Latinos: utility of four stigma measures.
- Psychology, MedicinePsychiatric services
- 2010
Stigma ratings changed over time and were associated with treatment experiences, and some support for their criterion-related validity was shown for the SCMHC, LSAS, and SD scales.
Deinstitutionalization and attitudes toward mental illness in Jamaica: a qualitative study.
- Medicine, PsychologyRevista panamericana de salud publica = Pan American journal of public health
- 2011
Attitudes toward the mentally ill have improved and stigma has decreased since the increase of community involvement with the mentally sick, seems to be a result of the rigorous deinstitutionalization process and the development of a robust community mental health service in Jamaica.