Abstract
Stigmatization towards individuals with mental illness is common among mental healthcare professionals, yet poses a key concern regarding the provision of effective support and therapy for those undergoing psychiatric treatment. In this study, we examined to what extent recovery attitudes among mental healthcare professionals are associated with stigmatization. We conducted a survey among staff members (n = 110) of a large psychiatric hospital working on acute or semi-acute wards one year following a multi-professional training session, which included the promotion of recovery orientation as a therapeutic approach. The survey included measures such as gender, age, professional background, years of working experience, ward setting (mostly open or closed doors), recovery attitudes (RAQ-7), and stigmatization of individuals with mental illness (OMS-HC scale). Mental healthcare professionals who attended training in recovery orientation significantly more frequently stated to know the concept of recovery compared to those who did not receive training. In addition, recovery attitudes were more optimistic and significantly associated with levels of stigmatization among professionals who were familiar with the concept of recovery. Despite the cross-sectional study design that did not test causal links, these findings suggest that enhancing recovery attitudes through training may lead to less stigmatization among mental healthcare professionals.
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Henderson C, Noblett J, Parke H, Clement S, Caffrey A, Gale-Grant O, et al. Mental health-related stigma in health care and mental health-care settings. Lancet Psychiatry. 2014;1(6):467–82.
Knaak S, Mantler E, Szeto A. Mental illness-related stigma in healthcare: barriers to access and care and evidence-based solutions. Los Angeles: SAGE Publications Sage CA; 2017.
Thornicroft G, et al. Evidence for effective interventions to reduce mental-health-related stigma and discrimination. Lancet. 2016;387(10023):1123–32.
Arboleda-Flórez J, Stuart H. From sin to science: fighting the stigmatization of mental illnesses. Can J Psychiatry. 2012;57(8):457–63.
Nordt C, Rössler W, Lauber C. Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizophr Bull. 2006;32(4):709–14.
Borg M, Kristiansen K. Recovery-oriented professionals: helping relationships in mental health services. J Ment Health. 2004;13(5):493–505.
Knaak S, Modgill G, Patten SB. Key ingredients of anti-stigma programs for health care providers: a data synthesis of evaluative studies. Can J Psychiatry. 2014;59(1_suppl:19–26.
Leamy M, Bird V, Boutillier CL, Williams J, Slade M. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry. 2011;199(6):445–52.
Anthony WA. Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychiatr Rehabil J. 1993;16(4):11–23.
Andresen R, Oades L, Caputi P. The experience of recovery from schizophrenia: towards an empirically validated stage model. Aust N Z J Psychiatry. 2003;37(5):586–94.
Slade M, et al. Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems. World Psychiatry. 2014;13(1):12–20.
Salgado JD, Deane FP, Crowe TP, Oades LG. Hope and improvements in mental health service providers' recovery attitudes following training. J Ment Health. 2010;19(3):243–8.
Crowe TP, et al. Effectiveness of a collaborative recovery training program in Australia in promoting positive views about recovery. Psychiatr Serv. 2006;57(10):1497–500.
Rabenschlag F, Konrad A, Rueegg S, Jaeger M. A recovery-oriented approach for an acute psychiatric ward: is it feasible and how does it affect staff satisfaction? Psychiatry Q. 2014;85(2):225–39.
Borkin JR, et al. Recovery attitudes questionnaire: development and evaluation. Psychiatr Rehabil J. 2000;24(2):95.
Jaeger M, Konrad A, Rueegg S, Rabenschlag F. Measuring recovery: validity of the “recovery process inventory” and the “recovery attitudes questionnaire”. Psychiatry Res. 2013;210(1):363–7.
Modgill G, Patten SB, Knaak S, Kassam A, Szeto ACH. Opening minds stigma scale for health care providers (OMS-HC): examination of psychometric properties and responsiveness. BMC Psychiatry. 2014;14(1):120.
Knaak S, Szeto ACH, Fitch K, Modgill G, Patten S. Stigma towards borderline personality disorder: effectiveness and generalizability of an anti-stigma program for healthcare providers using a pre-post randomized design. Borderline Personal Disord Emot Dysregul. 2015;2(1):9.
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All data were collected anonymously, thus, ethical approval from an IRB was not required. Informed consent was given by the participants’ replies to the anonymous online-survey.
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Mötteli, S., Horisberger, R., Lamster, F. et al. More Optimistic Recovery Attitudes Are Associated with Less Stigmatization of People with Mental Illness among Healthcare Professionals Working on Acute and Semi-Acute Psychiatric Wards. Psychiatr Q 90, 481–489 (2019). https://doi.org/10.1007/s11126-019-09642-3
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DOI: https://doi.org/10.1007/s11126-019-09642-3