Mental Health Stigma in Healthcare Settings

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (30 June 2019) | Viewed by 7221

Special Issue Editor


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Guest Editor
Division of Global Mental Health, Department of Psychiatry and Behavioral Sciences, The George Washington University, Washington, DC, USA
Interests: stigma; discrimination; prejudice; bias; ethnic and cultural disparities; diagnostic overshadowing; mental healthcare competencies

Special Issue Information

Dear Colleagues,

Stigma against persons with mental illness is a global barrier to assuring engagement with adequate clinical and community services. Therefore, in addition to providing treatment for persons with mental illness, initiatives are needed to reduce stigma in health care settings, communities, and families. Unfortunately, there is a lack of research to guide stigma reduction programs, especially in low- and middle-income countries, as well as in other low-resource settings, varied by culture and context. The goal of this Special Issue is to describe innovative research and intervention to understand and intervene to reduce stigma in low-resource and cross-cultural settings. The articles in this Special Issue will examine stigma reduction efforts and the role of culture and context. The articles will explore models for changing stigma among primary care workers. The articles will also examine structural stigma at the health institutional level. In addition, the articles will address communities and stakeholders in the community, and how they relate to the health system. These findings will demonstrate how stigma against mental illness can be reduced at the primary care worker level, the health institutional level, and the community-health institution intersection. Ultimately, stigma reduction is a vital component to improve healthcare for people living with mental illness.

Assoc. Prof. Dr. Brandon A. Kohrt
Guest Editor

Manuscript Submission Information

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Keywords

  • Stigma
  • Discrimination
  • Prejudice
  • Attitudes
  • Mental health
  • Primary care
  • Health workers

Published Papers (1 paper)

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Research

12 pages, 1603 KiB  
Article
Mental Health Issues in Madhya Pradesh: Insights from National Mental Health Survey of India 2016
by Arun Kokane, Abhijit Pakhare, Gopalkrishna Gururaj, Mathew Varghese, Vivek Benegal, Girish N. Rao, Banavaram Arvind, Mukesh Shukla, Arun Mitra, Kriti Yadav, Rajni Chatterji, Sukanya Ray and Akash Ranjan Singh
Healthcare 2019, 7(2), 53; https://doi.org/10.3390/healthcare7020053 - 31 Mar 2019
Cited by 15 | Viewed by 6657
Abstract
Background: About 14% of the global mental health burden is contributed by India. However, there exists a disparity in mental health patterns, utilization, and prioritization among various Indian states. The state of Madhya Pradesh is a low performer among Indian states, ranking lower [...] Read more.
Background: About 14% of the global mental health burden is contributed by India. However, there exists a disparity in mental health patterns, utilization, and prioritization among various Indian states. The state of Madhya Pradesh is a low performer among Indian states, ranking lower than the national average on the Human Development Index, Hunger Index, and Gross Domestic Product (GDP). The state also performes poorly on other health-related indicators. Objectives of Study: To estimate the prevalence and patterns of mental illnesses in the state of Madhya Pradesh, India. Material and Methods: This study used the multistage, stratified, random cluster sampling technique, with selection probability proportionate to size at each stage. A total of 3240 individuals 18 years and older were interviewed. The mixed-method study that was employed had both quantitative and qualitative components. The Mini International Neuropsychiatric Interview along with 10 other instruments were used. Results: The overall weighted prevalence for any mental illness was 13.9%, with 16.7% over the lifetime. The treatment gap for all of the mental health problems is very high (91%), along with high suicidal risk and substance use in the state. Conclusions: This study provides evidence of the huge burden of mental, behavioral, and substance use disorders as well as the treatment gap in Madhya Pradesh. This information is crucial for developing an effective prevention and control strategy. The high treatment gap in the state calls for coordinated efforts from all stakeholders, including policy makers, political leaders, health care professionals, and the society at large to give mental health care its due priority. These findings also highlight the need for multi-pronged interventions rooted in health policy directed at reducing the treatment gap in the short term and disease burden in the long run. Full article
(This article belongs to the Special Issue Mental Health Stigma in Healthcare Settings)
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