Attitudes Toward Community Mental Health Care: The Contact Paradox Revisited
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Contact with people with mental illness is considered to be a promising strategy to change stigmatizing attitudes. This study examines the underlying mechanisms of the association between contact and attitudes toward community mental health care. Data are derived from the 2009 survey “Stigma in a Global Context—Belgian Mental Health Study”, using the Community Mental Health Ideology-scale. Results show that people who received mental health treatment themselves or have a family member who has been treated for mental health problems report more tolerant attitudes toward community mental health care than people with public contact with people with mental illness. Besides, the perception of the effectiveness of the treatment seems to matter too. Furthermore, emotions arising from public contact are associated with attitudes toward community mental health care. The degree of intimacy and the characteristics of the contact relationship clarify the association between contact and attitudes toward community mental health care.
KeywordsMental illness Attitudes Contact Deinstitutionalization Community mental health care
We wish to thank Bernice Pescosolido for the opportunity to collaborate on this project. This project was supported by a grant from the Research Foundation (FWO) Flanders and from the Special Research Fund of Ghent University (BOF).
- Allport, G. W. (1954). The Nature of Prejudice. Reading, MA: Addison-Wesley.Google Scholar
- Belgian Health Care knowledge Centre. (2010). Organization of mental health care for persons with severe and persistent mental illness. What is the evidence? (Rep. No. KCE Reports 144).Google Scholar
- Bruffaerts, R., Sabbe, M., Demyttenaere, K. (2004). Effects of patient and health-system characteristics on community tenure of discharged psychiatric inpatients. Psychiatric Services, 55, 685.Google Scholar
- Dear, M., & Taylor, S. M. (1982). Not on our street: Community attitudes to mental health care. London: Pion.Google Scholar
- Eikelmann, B. (2000). Limits of deinstitutionalization? Perspective of the specialty clinic. Psychiatric Praxis, 27(suppl.2), 53.Google Scholar
- Ellison, C., & Powers, D. (1994). The contact heypothesis and racial attitudes among black Americans. Social Science Quarterly, 75, 385.Google Scholar
- Fakhoury, W., & Priebe, S. (2007). Deinstitutionalization and reinstitutionalization: Major changes in the provision of mental healthcare. Psychiatry: Interpersonal and Biological Processes, 6(8), 313.Google Scholar
- Farina, A. (1982). The stigma of mental disorders. In A. Miller (Ed.), The eye of the beholder (pp. 305–363). New York: Praeger.Google Scholar
- Fazzio, R., & Zanna, M. (1981). Direct experience and attitude behaviour consistency. In L. Berkowitz (Ed.), Advances in experimental social psychology. New York: Academic Press.Google Scholar
- Festinger, L. (1957). A theory of cognitive dissonance. Evanston, IL: Row, Peterson.Google Scholar
- Horwitz, A. V. (1982). The social control of mental illness. New York: The academic press.Google Scholar
- McKeon, P., & Carrick, S. (1991). Public attitudes to depression: A national survey. Irish Journal of Psychological Medicine, 8, 116.Google Scholar
- Petty, R. E., & Cacioppo, J. T. (1996). Attitudes and persuasion: Classic and contemporary approaches. Boulder: Westview Press.Google Scholar
- Schneider, S. L. (2007). Measuring educational attainment in cross-national surveys: The case of the European Social Survey. In EDUC Research Group Workshop of the EQUALSOC network. http://www.nuffield.ox.ac.uk/users/Schneider/pdfs/schn07.pdf.
- Sigelman, L., & Welch, S. (1993). The contact hypothesis revisited: Black-white interaction and positive racial attitudes. Social Forces, 71(3), 781.Google Scholar
- Stuart, H., & Arboleda-Florez, J. (2001). Community attitudes toward people with schizophrenia. Canadian Journal of Psychiatry, 46, 245.Google Scholar
- Weiner, B. (1995). Judgments of responsibility: A foundation for a theory of social conduct. New York: Guilford.Google Scholar