The perspectives of healthcare professionals in mental health settings on stigma and recovery - A qualitative inquiry

Background Mental health stigma is one of the most prominent barriers to recovery, and it is widely known that stigma may manifest differentially in different cultures. Healthcare professionals working closely with persons with mental illnesses (PMI) may provide important insights towards stigma tha...

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Vydané v:BMC health services research Ročník 22; číslo 1; s. 1 - 16
Hlavní autori: Gunasekaran, Savita, Tan, Gregory Tee Hng, Shahwan, Shazana, Goh, Chong Min Janrius, Ong, Wei Jie, Subramaniam, Mythily
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London BioMed Central 09.07.2022
BioMed Central Ltd
Springer Nature B.V
BMC
Predmet:
Analysis
Beliefs, opinions and attitudes
Care and treatment
Caregivers
Consumers
Health Administration
Health Informatics
Health services
Influence
Medical personnel
Medical personnel and patient
Medicine
Medicine & Public Health
Mental disorders
Mental health care
Mentally ill
Nursing Research
Pessimism
Professionals
Public Health
Qualitative research
Recovery (Medical)
Social aspects
Stereotypes
Stigma
Stigma (Social psychology)
Singapore
ISSN:1472-6963, 1472-6963
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Popis
Shrnutí:Background Mental health stigma is one of the most prominent barriers to recovery, and it is widely known that stigma may manifest differentially in different cultures. Healthcare professionals working closely with persons with mental illnesses (PMI) may provide important insights towards stigma that are otherwise unattainable from caregivers and consumers. However, there is a dearth of literature on healthcare professionals’ perspectives on this topic. Thus, this study uses a multilevel approach to explore how stigma affects recovery from the perspectives of healthcare professionals that work closely with PMI in Singapore. Methods Semi-structured interviews were conducted with a total of 17 healthcare professionals who were working in mental health settings in Singapore. Participants were recruited via direct email invitation or through snowball sampling. Data collected was analysed with the inductive thematic analysis method. All coding and inter-rater analyses were performed with NVivo. Results The current study themes identified stigma-related factors that influence PMI’s recovery from the perspectives of healthcare professionals working closely with PMI. These factors were organised into three overarching themes in a multilevel structure. The three themes were classified as Micro Factors (e.g., internalised stigma), Meso Factors (e.g., discrimination of people associated with the stigmatised group), and Macro Factors (e.g., structural stigma and stigma within healthcare settings). Conclusions The findings of this study gave us a greater understanding of how stigma influences recovery in Singapore, which could be used to guide the development and implementation of future policies and strategies to promote recovery. Importantly, our results suggest that improving mental health literacy, addressing cultural misgivings towards mental illness, implementing recovery-oriented practices, and making insurance more accessible for PMI could mitigate the deleterious impact that stigma has on recovery.
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ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-022-08248-z