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The Economic Impact of Mental Health Stigma

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Mental Health Economics

Abstract

Mental illness–related stigma has far-reaching economic effects on many life domains, including housing, religious activities, access to treatment and care, health-seeking behavior, and mortality. Well-designed and coordinated responses to these economic effects will have significant influences on the domains in an individual’s life and on their family members and others. Although a paucity of economic research exists in this area to assist decision makers, the evidence base is growing. In this chapter we introduce and describe a framework within which to examine the economic effects of stigma. We also present evidence from research on the effectiveness and cost-effectiveness of interventions to combat stigma and discuss some of the gaps in our knowledge. We also include research-related recommendations, the results of which could feed into plans for commissioning services.

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References

  1. Goffmann E. Stigma: notes on the management of spoiled identity. Englewood Cliffs: Prentice Hall; 1963.

    Google Scholar 

  2. Weiss MG, Ramakrishna J. Stigma interventions and research for international health. Lancet. 2006;367(9509):536–8.

    Article  Google Scholar 

  3. Sartorius N, Schulze H. Reducing the stigma of mental illness. Cambridge: Cambridge University Press; 2005.

    Book  Google Scholar 

  4. Rabkin J. Public attitudes toward mental illness: a review of the literature. Schizophr Bull. 1974;10:9–33.

    Article  Google Scholar 

  5. Link BG, Phelan JC, Bresnahan M, Stueve A, Pescosolido BA. Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health. 1999;89(9):1328–33.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Thornicroft G. Shunned: discrimination against people with mental illness. Oxford: Oxford University Press; 2006.

    Google Scholar 

  7. Evans-Lacko S, Courtin E, Fiorillo A, Knapp M, Luciano M, Park A, et al. The state of the art in European research on reducing social exclusion and stigma related to mental health: a systematic mapping of the literature. Eur Psychiatry. 2014;29:381–9.

    Article  CAS  PubMed  Google Scholar 

  8. Mehta N, Clement S, Marcus E, Stona A-C, Bezborodovs N, Evans-Lacko S, et al. Evidence for effective interventions to reduce mental health-related stigma and discrimination in the medium and long term: systematic review. Br J Psychiatry. 2015;207(5):377–84.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Thornicroft G, Mehta N, Clement S, Evans-Lacko S, Doherty M, Rose D, et al. Evidence for effective interventions to reduce mental-health-related stigma and discrimination. Lancet. 2015;387:1123–32.

    Article  PubMed  Google Scholar 

  10. Yang L, Cho SH, Kleinman A. Stigma of mental illness. In: Patel V, editor. Mental and neurological public health: a global perspective. Amsterdam: Elsevier; 2010.

    Google Scholar 

  11. Link BG, Phelan JC. Conceptualising stigma. Am Sociol Rev. 2001;27:363–85.

    Article  Google Scholar 

  12. Hatzenbuehler ML, Phelan JC, Link BG. Stigma as a fundamental cause of population health inequalities. Am J Public Health. 2013;103(5):813–21.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Raguram R, Raghu TM, Vounatsou P, Weiss MG. Schizophrenia and the cultural epidemiology of stigma in Bangalore, India. J Nerv Ment Dis. 2004;192(11):734–44.

    Article  PubMed  Google Scholar 

  14. Weiss MG, Jadhav S, Raguram R, Vounatsou P, Littlewood R. Psychiatric stigma across cultures: local validation in Bangalore and London. Anthropol Med. 2001;8(7):71–87.

    Article  Google Scholar 

  15. Kohrt BA, Harper I. Navigating diagnoses: understanding mind-body relations, mental health, and stigma in Nepal. Cult Med Psychiatry. 2008;32(4):462–91.

    Article  PubMed  Google Scholar 

  16. Kohrt BA, Jordans MJ, Tol WA, Perera E, Karki R, Koirala S, et al. Social ecology of child soldiers: child, family, and community determinants of mental health, psychosocial well-being, and reintegration in Nepal. Transcult Psychiatry. 2010;47(5):727–53.

    Article  PubMed  Google Scholar 

  17. Corrigan P. Mental health stigma as social attribution: implications for research methods and attitude change. Clin Psychol Sci Pract. 2000;7:48–67.

    Article  Google Scholar 

  18. Corrigan PW, Watson AC. Factors that explain how policy makers distribute resources to mental health services. Psychiatr Serv. 2003;54(4):501–7.

    Article  PubMed  Google Scholar 

  19. Corrigan P, Kleinlein P. The impact of mental illness stigma. In: Corrigan P, editor. On the stigma of mental illness: practical strategies for research and social change. Washington, DC: American Psychological Assocation; 2005.

    Chapter  Google Scholar 

  20. Rusch N, Angermeyer MC, Corrigan PW. Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry. 2005;20(8):529–39.

    Article  PubMed  Google Scholar 

  21. Corrigan P, Watson A. The paradox of self-stigma and mental illness. Clin Psychol Sci Pract. 2006;9(1):35–53.

    Article  Google Scholar 

  22. Fung KM, Tsang HW, Corrigan PW, Lam CS, Cheung WM. Measuring self-stigma of mental illness in China and its implications for recovery. Int J Soc Psychiatry. 2007;53(5):408–18.

    Article  PubMed  Google Scholar 

  23. Ritsher JB, Lucksted A, Otilingam PG, Grajales M. Hearing voices: explanations and implications. Psychiatr Rehabil J. 2004;27(3):219–27.

    Article  PubMed  Google Scholar 

  24. Vauth R, Kleim B, Wirtz M, Corrigan PW. Self-efficacy and empowerment as outcomes of self-stigmatizing and coping in schizophrenia. Psychiatry Res. 2007;150(1):71–80.

    Article  PubMed  Google Scholar 

  25. Corrigan PW, Larson J, Sells M, Niessen N, Watson AC. Will filmed presentations of education and contact diminish mental illness stigma? Community Ment Health J. 2007;43(2):171–81.

    Article  PubMed  Google Scholar 

  26. Yanos PT, Roe D, Markus K, Lysaker PH. Pathways between internalized stigma and outcomes related to recovery in schizophrenia spectrum disorders. Psychiatr Serv. 2008;59(12):1437–42.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Link BG, Phelan JC. Conceptualizing stigma. Annu Rev Sociol. 2001;27:363–85.

    Article  Google Scholar 

  28. Link BG, Struening EL, Rahav M, Phelan JC, Nuttbrock L. On stigma and its consequences: evidence from a longitudinal study of men with dual diagnosis of mental illness and substance abuse. J Health Soc Behav. 1997;38:177–90.

    Article  CAS  PubMed  Google Scholar 

  29. Lysaker PH, Davis LW, Warman DM, Strasburger A, Beattie N. Stigma, social function and symptoms in schizophrenia and schizoaffective disorder: associations across 6 months. Psychiatry Res. 2007;149(1–3):89–95.

    Article  PubMed  Google Scholar 

  30. Corrigan PW, Larson JE. Stigma. In: Clinical handbook of schizophrenia. New York: Guilford Press; 2008. p. 533–40. xxi, 650 p.

    Google Scholar 

  31. Corrigan PW, Larson JE, Rusch N. Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry. 2009;8(2):75–81.

    Article  PubMed  PubMed Central  Google Scholar 

  32. National Institute for Health and Clinical Excellence. Behaviour change at population, community and individual levels 2007. http://www.nice.org.uk/PH006

  33. Thornicroft G, Rose D, Kassam A. Stigma: ignorance, prejudice or discrimination. Br J Psychiatry. 2007;190:192–3.

    Article  PubMed  Google Scholar 

  34. Clement S, Brohan E, Jeffery D, Henderson C, Hatch SL, Thornicroft G. Development and psychometric properties the barriers to access to care evaluation scale (BACE) related to people with mental ill health. BMC Psychiatry. 2012;12(1):36.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Dovidio JF, Major B, Crocker J. Stigma: introduction and overview. In: Heatherton TF, Kleck RE, Hebl MR, Hull JG, editors. The social psychology of stigma. New York: Guildford Press; 2000. p. 1–28.

    Google Scholar 

  36. Kvaale EP, Haslam N, Gottdiener WH. The ‘side effects’ of medicalization: a meta-analytic review of how biogenetic explanations affect stigma. Clin Psychol Rev. 2013;33(6):782–94.

    Article  PubMed  Google Scholar 

  37. Corrigan P. On the stigma of mental illness. Washington, DC: American Psychological Association; 2005.

    Google Scholar 

  38. Corrigan PW, Markowitz FE, Watson AC. Structural levels of mental illness stigma and discrimination. Schizophr Bull. 2004;30(3):481–91.

    Article  PubMed  Google Scholar 

  39. Corrigan PW, Watson AC, Heyrman ML, Warpinski A, Gracia G, Slopen N, et al. Structural stigma in state legislation. Psychiatr Serv. 2005;56(5):557–63.

    Article  PubMed  Google Scholar 

  40. Link BG, Phelan JC. On stigma and its public health implications. In: Stigma and global health: developing a research agenda. Bethesda: National Institutes of Health; 2001.

    Google Scholar 

  41. Corrigan PW. Target-specific stigma change: a strategy for impacting mental illness stigma. Psychiatr Rehabil J. 2004;28(2):113–21.

    Article  PubMed  Google Scholar 

  42. Wahlbeck K, Westman J, Nordentoft M, Gissler M, Laursen TM. Outcomes of Nordic mental health systems: life expectancy of patients with mental disorders. Br J Psychiatry. 2011;199(6):453–8.

    Article  PubMed  Google Scholar 

  43. Thornicroft A, Goulden R, Shefer G, Rhydderch D, Rose D, Williams P, et al. Newspaper coverage of mental illness in England 2008–2011. Br J Psychiatry Suppl. 2013;55:s64–9.

    Article  PubMed  Google Scholar 

  44. Thornicroft G. Physical health disparities and mental illness: the scandal of premature mortality. Br J Psychiatry. 2011;199(6):441–2.

    Article  PubMed  Google Scholar 

  45. Lawrence D, Hancock KJ, Kisely S. The gap in life expectancy from preventable physical illness in psychiatric patients in Western Australia: retrospective analysis of population based registers. BMJ. 2013;346:f2539.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Drew N, Funk M, Tang S, Lamichhane J, Chavez E, Katontoka S, et al. Human rights violations of people with mental and psychosocial disabilities: an unresolved global crisis. Lancet. 2011;378(9803):1664–75.

    Article  PubMed  Google Scholar 

  47. United Nations. Convention on the rights of persons with disabilities. New York: United Nations; 2006.

    Google Scholar 

  48. Randall J, Thornicroft G, Burti L, Katschnig H, Lewis O, Russo J, Shaw T, Wahlbeck K, Rose D. Development of the ITHACA toolkit for monitoring human rights and general health care in psychiatric and social care institutions. Epidemiol Psychiatr Sci. 2013;22(03):241–54.

    Article  CAS  PubMed  Google Scholar 

  49. Brohan E, Henderson C, Wheat K, Malcolm E, Clement S, Barley EA, et al. Systematic review of beliefs, behaviours and influencing factors associated with disclosure of a mental health problem in the workplace. BMC Psychiatry. 2012;12:11.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Shidhaye R, Kermode M. Stigma and discrimination as a barrier to mental health service utilization in India. Int Health. 2013;5(1):6–8.

    Article  PubMed  Google Scholar 

  51. Clement S, Schauman O, Graham T, Maggioni F, Evans-Lacko S, Bezborodovs N, Morgan C, Rüsch N, Brown JS, Thornicroft G. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med. 2015;45(1):11–27.

    Article  CAS  PubMed  Google Scholar 

  52. Henderson C, Thornicroft G. Evaluation of the time to change programme in England 2008–2011. Br J Psychiatry Suppl. 2013;55:s45–8.

    Article  PubMed  Google Scholar 

  53. Padmavati R, Thara R, Corin E. A qualitative study of religious practices by chronic mentally ill and their caregivers in South India. Int J Soc Psychiatry. 2005;51(2):139–49.

    Article  CAS  Google Scholar 

  54. Angermeyer MC, Schulze B, Dietrich S. Courtesy stigma – a focus group study of relatives of schizophrenia patients. Soc Psychiatry Psychiatr Epidemiol. 2003;38(10):593–602.

    Article  PubMed  Google Scholar 

  55. Hinshaw S. The mark of shame. Oxford: Oxford University Press; 2007.

    Google Scholar 

  56. Thara R, Kamath S, Kumar S. Women with schizophrenia and broken marriages – doubly disadvantaged? Part II: family perspective. Int J Soc Psychiatry. 2003;49(3):233–40.

    Article  CAS  PubMed  Google Scholar 

  57. Phillips MR, Pearson V, Li F, Xu M, Yang L. Stigma and expressed emotion: a study of people with schizophrenia and their family members in China. Br J Psychiatry. 2002;181:488–93.

    Article  PubMed  Google Scholar 

  58. Van Brakel WH. Measuring health-related stigma – a literature review. Psychol Health Med. 2006;11(3):307–34.

    Article  PubMed  Google Scholar 

  59. Wright S, Henderson C, Thornicroft G, Sharac J, McCrone P. Measuring the economic costs of discrimination experienced by people with mental health problems: development of the Costs of Discrimination Assessment (CODA). Soc Psychiatry Psychiatr Epidemiol. 2015;50(5):787–95.

    Article  PubMed  Google Scholar 

  60. Shrivastava A, Johnston M, Bureau Y. Stigma of mental illness-1: clinical reflections. Mens Sana Monogr. 2012;10(1):70.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Almond S, Knapp M, Francois C, Toumi M, Brugha T. Relapse in schizophrenia: costs, clinical outcomes and quality of life. Br J Psychiatry. 2004;184(4):346–51.

    Article  PubMed  Google Scholar 

  62. Khalema NE, Shankar J. Perspectives on employment integration, mental illness and disability, and workplace health. Adv Public Health. 2014;20:2014.

    Google Scholar 

  63. McDaid, D, Knapp M, Medieros H. Employment and mental health: assessing the economic impact and the case for intervention. 2008. http://eprints.lse.ac.uk/4236/1/MHEEN_policy_briefs_5_Employment%28LSERO%29.pdf. Accessed 18 Jan 2016.

  64. Marwaha S, Johnson S, Bebbington P, Stafford M, Angermeyer MC, Brugha T, Azorin JM, Kilian R, Hansen K, Toumi M. Rates and correlates of employment in people with schizophrenia in the UK, France and Germany. Br J Psychiatry. 2007;191(1):30–7.

    Article  PubMed  Google Scholar 

  65. NESF. National Economic and Social Forum Report on Mental Health and Social Inclusion 2007. National Economic and Social Forum: Dublin. http://files.nesc.ie/nesf_archive/nesf_research_series/nesf_rs_04.pdf. Accessed 18 Jan 2016.

  66. Perkins R, Farmer, P, Litchfield P. Realising ambitions: better employment support for people with a mental health condition. London: Department for Work and Pensions. 2009. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/228818/7742.pdf. Accessed 20 Jan 2016.

  67. Stuart H. Mental illness and employment discrimination. Curr Opin Psychiatry. 2006 Sep 1;19(5):522–6.

    Article  Google Scholar 

  68. Schulze B, Angermeyer MC. Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals. Soc Sci Med. 2003 Jan 31;56(2):299–312.

    Article  PubMed  Google Scholar 

  69. Stansfeld S, Candy B. Psychosocial work environment and mental health – a meta-analytic review. Scand J Work Environ Health. 2006;1:443–62.

    Article  Google Scholar 

  70. Evans-Lacko S, Knapp M, McCrone P, Thornicroft G, Mojtabai R. The mental health consequences of the recession: economic hardship and employment of people with mental health problems in 27 European countries. PLoS One. 2013;8(7):e69792.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  71. Lorant V, Deliège D, Eaton W, Robert A, Philippot P, Ansseau M. Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol. 2003;157(2):98–112.

    Article  CAS  PubMed  Google Scholar 

  72. Link B. Mental patient status, work, and income: an examination of the effects of a psychiatric label. Am Sociol Rev. 1982;1:202–15.

    Article  Google Scholar 

  73. Sareen J, Afifi TO, McMillan KA, Asmundson GJ. Relationship between household income and mental disorders: findings from a population-based longitudinal study. Arch Gen Psychiatry. 2011;68(4):419–27.

    Article  PubMed  Google Scholar 

  74. McMillan KA, Enns MW, Asmundson GJ, Sareen J. The association between income and distress, mental disorders, and suicidal ideation and attempts: findings from the collaborative psychiatric epidemiology surveys. J Clin Psychiatry. 2010;71(9):1–478.

    Article  Google Scholar 

  75. Sharac J, Mccrone P, Clement S, Thornicroft G. The economic impact of mental health stigma and discrimination: a systematic review. Epidemiol Psichiatr Soc. 2010;19(03):223–32.

    Google Scholar 

  76. Baldwin ML, Marcus SC. Perceived and measured stigma among workers with serious mental illness. Psychiatr Serv. 2006;57(3):388–92.

    Article  PubMed  Google Scholar 

  77. World Health Organization. Gender disparities and mental health: the facts. 2016. http://www.who.int/mental_health/prevention/genderwomen/en/. Accessed 20 Jan 2016.

  78. Fabrega Jr H, Mezzich J, Ulrich R, Benjamin L. Females and males in an intake psychiatric setting. Psychiatry. 1990;53(1):1–6.

    Article  PubMed  Google Scholar 

  79. Bebbington P, Cooper C, Minot S, et al. Suicide attempts, gender, and sexual abuse. Am J Psychiatr. 2009;166:1135–40.

    Article  PubMed  Google Scholar 

  80. Freeman D, Freeman J. The stressed sex: uncovering the truth about men, women, and mental health. Oxford: Oxford University Press; 2013.

    Google Scholar 

  81. Showalter E. The female malady: women, madness, and English culture, 1830–1980. London: Pantheon; 1985.

    Google Scholar 

  82. Platt J, Prins S, Bates L, Keyes K. Unequal depression for equal work? How the wage gap explains gendered disparities in mood disorders. Soc Sci Med. 2016;149:1–8.

    Article  PubMed  Google Scholar 

  83. Kovandžić M, Chew-Graham C, Reeve J, Edwards S, Peters S, Edge D, Aseem S, Gask L, Dowrick D. Access to primary mental health care for hard-to-reach groups: from ‘silent suffering’ to ‘making it work’. Soc Sci Med. 2011;72:763–72.

    Article  PubMed  Google Scholar 

  84. Ahern J, Stuber J, Galea S. Stigma, discrimination and the health of illicit drug users. Drug Alcohol Depend. 2007;88:188–96.

    Article  PubMed  Google Scholar 

  85. Aromaa E, Tolvanen A, Tuulari J, Wahlbeck K. Personal stigma and use of mental health services among people with depression in a general population in Finland. BMC Psychiatry. 2011;11(1):52.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Keyes KM, Hatzenbuehler ML, McLaughlin KA, Link B, Olfson M, Grant BF, Hasin D. Stigma and treatment for alcohol disorders in the United States. Am J Epidemiol. 2010;172(12):1364–72.

    Article  CAS  PubMed Central  Google Scholar 

  87. Clement S, Schauman O, Graham T, Maggioni F, Evans-Lacko S, Bezborodovs N, Morgan C, Rüsch N, Brown JS, Thornicroft G. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med. 2015;45(01):11–27.

    Article  CAS  PubMed  Google Scholar 

  88. Gary FA. Stigma: barrier to mental health care among ethnic minorities. Issues Ment Health Nurs. 2005;26(10):979–99.

    Article  PubMed  Google Scholar 

  89. Keating F, Robertson D. Fear, black people and mental illness: a vicious circle? Health Soc Care Community. 2004;12(5):439–47.

    Article  PubMed  Google Scholar 

  90. Lelliott P, Audini B, Duffett R. Survey of patients from an inner-London health authority in medium secure psychiatric care. Br J Psychiatry. 2001;178(1):62–6.

    Article  CAS  PubMed  Google Scholar 

  91. Bhui K. Over-representation of black people in secure psychiatric facilities. Br J Psychiatry. 2001;178(6):575.

    Article  CAS  PubMed  Google Scholar 

  92. Audini B, Lelliott P. Age, gender and ethnicity of those detained under part II of the Mental Health Act 1983. Br J Psychiatry. 2002;180(3):222–6.

    Article  PubMed  Google Scholar 

  93. Goater N, King M, Cole E, Leavey G, Johnson-Sabine E, Blizard R, Hoar A. Ethnicity and outcome of psychosis. Br J Psychiatry. 1999;175(1):34–42.

    Article  CAS  PubMed  Google Scholar 

  94. Churchill R, Wall S, Hotopf M, Buchanan A, Wessely S. Shaping the new mental health act: key messages from the department of health research programme. Centrally collected information: what can the data tell us. London: Department of Health; 2000.

    Google Scholar 

  95. Sartorius N, Schulze H. Reducing the stigma of mental illness: a report from a global association. Cambridge: Cambridge University Press; 2005.

    Book  Google Scholar 

  96. Ministry of Health. MINDS OL. Like minds, like mine. 2007. https://www.likeminds.org.nz/assets/National-Plans/1plan-2007-2013.pdf. Accessed 20 Jan 2016.

  97. Beecham J, Knapp M. Costing psychiatric interventions. In: Thornicroft G, editor. Measuring mental health needs. London: Gaskell; 2001.

    Google Scholar 

  98. Wieczynski D. Effects of a stigma management group for individuals with mental illness. Dissertation Abstracts International: Section B: the Sciences and Engineering. 61 (5-B), 2786. US: University Microfilms International; 2000.

    Google Scholar 

  99. Knight MT, Wykes T, Hayward P. Group treatment of perceived stigma and self-esteem in schizophrenia: a waiting list trial of efficacy. Behav Cogn Psychother. 2006;34(03):305–18.

    Article  Google Scholar 

  100. Link BG, Struening EL, Neese-Todd S, Asmussen S, Phelan JC. On describing and seeking to change the experience of stigma. Psychiatric Rehabil Skills. 2002;6(2):201–31.

    Article  Google Scholar 

  101. McCay E, Beanlands H, Leszcz M, Goering P, Seeman MV, Ryan K, Johnston N, Vishnevsky T. A group intervention to promote healthy self-concepts and guide recovery in first episode schizophrenia: a pilot study. Psychiatr Rehabil J. 2006;30(2):105.

    Article  PubMed  Google Scholar 

  102. MacInnes DL, Lewis M. The evaluation of a short group programme to reduce self-stigma in people with serious and enduring mental health problems. J Psychiatr Ment Health Nurs. 2008;15(1):59–65.

    Article  CAS  PubMed  Google Scholar 

  103. Fung KM, Tsang HW, Cheung WM. Randomized controlled trial of the self-stigma reduction program among individuals with schizophrenia. Psychiatry Res. 2011;189(2):208–14.

    Article  PubMed  Google Scholar 

  104. Lucksted A, Drapalski A, Calmes C, Forbes C, DeForge B, Boyd J. Ending self-stigma: pilot evaluation of a new intervention to reduce internalized stigma among people with mental illnesses. Psychiatr Rehabil J. 2011;35(1):51.

    Article  Google Scholar 

  105. Yanos PT, Roe D, West ML, Smith SM, Lysaker PH. Group-based treatment for internalized stigma among persons with severe mental illness: findings from a randomized controlled trial. Psychol Serv. 2012;9(3):248.

    Article  PubMed  PubMed Central  Google Scholar 

  106. Corrigan P, Michaels PJ, Morris S. Do the effects of antistigma programs persist over time? Findings from a meta-analysis. Psychiatric Serv. 2015;66(5):543–6.

    Article  Google Scholar 

  107. Curtis L, Burns A. Unit costs of health and social care. Canterbury: University of Kent; 2015.

    Google Scholar 

  108. Shearer J, McCrone P, Romeo R. Economic evaluation of mental health interventions: a guide to costing approaches. Pharmaco Econ. 2016;27:1–4.

    Google Scholar 

  109. Brohan E, Clement S, Rose D, Sartorius N, Slade M, Thornicroft G. Development and psychometric evaluation of the discrimination and stigma scale (DISC). Psychiatry Res. 2013;208(1):33–40.

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors acknowledge the contributions of Claire Henderson and Elizabeth Croker in writing this chapter. GT is supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London at the King’s College London Foundation Trust. The views expressed are those of the author(s) and not necessarily those of the National Health Service (NHS), the NIHR, or the Department of Health. GT acknowledges financial support from the Department of Health via the NIHR Biomedical Research Centre and Dementia Unit, awarded to South London and Maudsley NHS Foundation Trust in partnership with King’s College London and King’s College Hospital NHS Foundation Trust. GT is supported by the European Union Seventh Framework Programme (FP7/2007–2013) Emerald project.

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Authors and Affiliations

  1. King’s Health Economics, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, Denmark Hill, SE58AF, London, UK

    Renee Romeo & Paul McCrone

  2. Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK

    Graham Thornicroft

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  1. Renee Romeo
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  2. Paul McCrone
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Correspondence to Renee Romeo .

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  1. Centre of Economic Mental Health, Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil

    Denise Razzouk

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Romeo, R., McCrone, P., Thornicroft, G. (2017). The Economic Impact of Mental Health Stigma. In: Razzouk, D. (eds) Mental Health Economics. Springer, Cham. https://doi.org/10.1007/978-3-319-55266-8_27

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