Treatment FAQ

how does stigma around mental illness create poorer treatment outcomes

by Stanley Romaguera PhD Published 2 years ago Updated 2 years ago

Research has shown that stigma is one of the leading risk factors contributing to poor mental health outcomes. Stigma leads to delays in treatment. It also reduces the chances that a person with mental illness will receive appropriate and adequate care. 1 

Some of the other harmful effects of stigma can include: Reluctance to seek help or treatment and less likely to stay with treatment. Social isolation. Lack of understanding by family, friends, coworkers, or others.

Full Answer

How stigma interferes with mental health care?

How Stigma Interferes With Mental Health Care Patrick Corrigan University of Chicago Many people who would benefit from mental health ser-vices opt not to pursue them or fail to fully participate once they have begun. One of the reasons for this disconnect is stigma; namely, to avoid the label of mental illness and the

Why do we need to break the stigma on mental health?

Mental health stigmas have an adverse effect on the overall well-being of an individual. Therefore, it is important to break the stigmas of mental health and thrive to enhance mental awareness.

How to erase the stigma around mental health?

  • Stigma seriously affects the well-being of those who experience it.
  • Stigma affects people while they are experiencing problems, while they are in treatment, while they are healing and even when their mental health problem is a distant memory.
  • Stigma profoundly changes how people feel about themselves and the way others see them.

What does "stigma" in mental health really mean?

Truly, the meaning of stigma boils down to discrimination and hate. People with mental illness feel diminished, devalued and fearful because of the negative attitude society holds toward them. As a result, people struggling with mental health challenges may not get the help they need for fear they’ll be discriminated against.

How does stigma affect treatment seeking?

Research suggests that the stigma of mental illness can impair treatment utilization in two ways: (a) through perceived public stigma, individuals with mental illness may seek to avoid the public label and stigmatization of mental illness by choosing not to seek treatment or to discontinue treatment prematurely; and (b ...

What is stigma How does it affect people with mental illness?

Stigma is when someone sees you in a negative way because of your mental illness. Discrimination is when someone treats you in a negative way because of your mental illness. Social stigma and discrimination can make mental health problems worse and stop a person from getting the help they need.

What is the impact of stigma on the treatment of bipolar disorder?

There is also evidence of self-stigmatization which further decreases the quality of life. Stigmatization and self-stigmatization were shown to be one of the barriers that delay or prevent effective treatment, and thus exert adverse effects on the outcomes of bipolar disorder.

Why do you think mental illness is so stigmatized?

There are many reasons for this discrimination, including: stereotypes. Society can have stereotyped views about mental ill health. Some people believe people with mental health problems are dangerous, when in fact they are at a higher risk of being attacked or harming themselves than hurting other people.

Why is it important to break the stigma of mental illness?

Breaking stigma is important because it is a form of suicide prevention. Mental illness is treatable and recovery is possible. Often, people will speak with a friend, family member or faith leader before they will talk to a mental health professional.

What are the causes of stigma and discrimination?

Values and beliefs can play a powerful role in creating or sustaining stigma. Examples are beliefs regarding the cause of a condition, such as the belief that mental illness or disability is a divine curse or is caused by sin in a previous life.

How do you break the stigma of mental health?

9 Ways to Fight Mental Health StigmaTalk Openly About Mental Health. ... Educate Yourself and Others. ... Be Conscious of Language. ... Encourage Equality Between Physical and Mental Illness. ... Show Compassion for Those with Mental Illness. ... Choose Empowerment Over Shame. ... Be Honest About Treatment.More items...•

Is mental health stigma decreasing?

Results show that there has been a statistically significant decrease in stigma among survey respondents. Statistical significance means that the results are not likely to occur by chance. The surveys show that from 2017 to 2019: More people feel comfortable talking with someone about their mental illness (66% to 71%)

Attacking Stigma with Knowledge

The kryptonite of mental health stigma is mental health literacy. Data suggests that the more the public knows about mental health issues, diagnoses, and treatments, the less likely they are to develop a high degree of stigma related to mental illness.

Matthew S. Koval, M.D

Matthew S. Koval, M.D., is Executive Vice President and Chief Medical Officer at KidsPeace. He received his bachelor’s and M.D. degrees from West Virginia University, and is board-certified in Child and Adolescent Psychiatry. Prior to joining KidsPeace, Dr.

How does stigma affect mental health?

Stigma affects mental health by inflicting further harm on already vulnerable populations. A person may internalize a stigmatizing label, causing further isolation, distrust, and low self-esteem, resulting in increased anxiety or depression. Anxiety is the fight or flight response to stigma, whereas depression is the purposelessness ...

What is stigmatization in psychology?

Stigma consists of a label used to exclude an individual, causing them to internalize this label as part of their identity. They generally consist of labels based on negative stereotypes about a specific demographic. For example, the word “junkey” can be stigmatizing for persons with an addiction. So how does this affect someone’s mental health? ...

What does it mean to be in a social situation without social support?

Without a sense of social support, persons who are already vulnerable experience increased anxiety, particularly in social situations. As Stephanie states: Social situations could mean answering a lot of questions based on stigmatic things people heard and believed about addiction.

Does stigma come from hatred?

Stigma does not often come from true hatred. Even when hatred does exist, the issue goes much deeper. Beyond hate, anger, and frustration, you can often find fear. Immigrants and other minority groups can provoke fear among those who lack familiarity with such groups.

What is mental illness stigma?

Mental illness-related stigma, including that which exists in the healthcare system and among healthcare providers, creates serious barriers to access and quality care. It is also a major concern for healthcare practitioners themselves, both as a workplace culture issue and as a barrier for help seeking.

What are some examples of reluctance to seek help?

For example, initial reluctance to seek help may result in decreased productivity, which may lead to confirmation of stereotypes and additional stigma by co-workers resulting in further reluctance to seek help. Removing barriers to access and care through stigma reduction.

How does stigma affect mental health?

Harmful effects of stigma and discrimination. Stigma and discrimination can contribute to worsening symptoms and reduced likelihood of getting treatment . A recent extensive review of research found that self-stigma leads to negative effects on recovery among people diagnosed with severe mental illnesses. Effects can include: reduced hope.

Why is stigma important?

Stigma often comes from lack of understanding or fear. Inaccurate or misleading media representations of mental illness contribute to both those factors. A review of studies on stigma shows that while the public may accept the medical or genetic nature of a mental health disorder and the need for treatment, many people still have a negative view of those with mental illness.

What is the difference between self stigma and public stigma?

Researchers identify different types of stigma: (See chart below.) Public stigma involves the negative or discriminatory attitudes that others have about mental illness. Self-stigma refers to the negative attitudes, including internalized shame, that people with mental illness have about their own condition.

What percentage of people would receive treatment if they were not exposed to the campaign?

If the same adults were not exposed to the campaign, 36% would receive treatment. The National Alliance on Mental Illness (NAMI) offers some suggestions about what we can do as individuals to help reduce the stigma of mental illness: Talk openly about mental health, such as sharing on social media.

How long does it take to recover from mental illness?

A 2017 study involving more than 200 individuals with mental illness over a period of two years found that greater self-stigma was associated with poorer recovery from mental illness after one and two years.

What is institutional stigma?

Institutional stigma, is more systemic, involving policies of government and private organizations that intentionally or unintentionally limit opportunities for people with mental illness. Examples include lower funding for mental illness research or fewer mental health services relative to other health care.

Why do people avoid seeking treatment for mental illness?

Often, people avoid or delay seeking treatment due to concerns about being treated differently or fears of losing their jobs and livelihood. That's because stigma, prejudice ...

Why do people avoid stigma?

The desire to avoid public stigma causes individuals to drop out of treatment or avoid it entirely for fear of being associated with negative stereotypes. Public stigma may also influence the beliefs and behaviors of those closest to individuals with mental illness, including friends, family, and care providers.

How many people experience stigma?

Stigma as a Barrier to Mental Health Care. Over 60 million Americans are thought to experience mental illness in a given year, and the impacts of mental illness are undoubtedly felt by millions more in the form of family members, friends, and coworkers.

Is stigma a barrier to mental health?

A new report, published in Psychological Science in the Public Interest, a journal of the Association for Psychological Science, investigates stigma as a significant barrier to care for many individuals with mental illness. While stigma is one of many factors that may influence care seeking, it is one that has profound effects for those who suffer ...

Is mental health covered by insurance?

The fact that mental health care is not covered by insurance to the same extent as medical care, and the fact that mental health research is not funded to the same levels as medical research, are two clear indications that stigma targeted at mental illness continues to exist at the structural level. In the face of these realities, the report ...

What is the stigma of mental illness?

But in other communities, there’s a serious stigma that implies a mental health problem is a sign of weakness and should be kept hidden from others. Beliefs about mental illness are formed through experience, cultural traditions, and formal education. Stories from friends and family also play a role.

What did researchers find about mental illness?

Researchers found that women understood the causes of mental illness, accurately identified many of the symptoms, were aware of the potential consequences, and believed that mental illness could be managed with treatment and personal motivation.

What to do if you suspect someone is having a mental health issue?

If you suspect a loved one is experiencing a mental health issue, talk to them. Open conversations about mental health can help break down the stigma and encourage more people to seek help. How to Find the Best Therapist for Your Mental Health.

How does racism affect mental health?

Individuals in the Black community likely experience distressing events that affect their mental health. Racism, discrimination, and inequity affect a person’s psychological well-being. The stress may increase a person’s risk of mental illness. Some experiences may even be traumatizing.

What are the factors that influence mental health in the Black community?

There are many cultural factors, societal pressures, and stereotypes that may influence beliefs about mental health in the Black community. Additionally, issues like systemic racism and the lack of culturally sensitive treatment by providers may also play a role in the way the Black community views mental illness and treatment.

What percentage of African Americans believe depression is a personal weakness?

Much of the research has found that the Black community has a high degree of stigma associated with mental illness. In the 1990s, a public opinion poll found that 63% of African Americans believed depression was a personal weakness and only 31% believed it was a health problem. 7 

How many black people receive mental health care?

Only 1 in 3 Black Americans who could benefit from mental health treatment receive it. This may be in part due to the disparities in mental health treatment. 3 . Black individuals often lack access to culturally competent care. As a result, the treatment they receive is often poorer.

What was the stigma in the 80s?

In the ’80s, it was HIV. Today, the condition that’s battling pervasive social stigma is mental illness. As with cancer and HIV in the past, the stigma comes at a high cost: millions of Americans go untreated because of misconceptions and shame. “Mental illness is much like cancer 75 years ago, because it’s scary and unpredictable.

What is the solution to ending stigma?

Changing minds and policies. Hinshaw says the solution to ending stigma – and therefore getting more people the treatment they need – is multipronged and needs to include policy changes, better understanding about mental illness and especially more humanization of the illnesses.

What did Roopa Grewal say about mental illness?

Roopa Grewal says the social stigma around mental illness in her culture prevented her from receiving treatment for decades. Here she shows a photo of herself as a young girl, when she first felt something was wrong. [Photo: Susan Merrell] In the 1940s, it was cancer. In the ’80s, it was HIV.

Why are people not proactive about seeking out treatment?

Others with a mental illness may not be as proactive about seeking out treatments if the stigma from society filters down to them . “There is a high degree of what is called self-stigma,” which involves people taking on and internalizing the attributes of societal stereotypes, Hinshaw says.

How many people in the US have mental health issues?

The effects of the stigmatization are far-reaching in the United States. The National Institute of Mental Health (NIMH) estimated that nearly one in five adults in the country – 43.8 million – was living with a mental illness in 2014. The rate among youth is just as staggering – one in five people aged 13 to 18 have experienced a serious mental disorder at some point during their life, according to NIMH.

Is mental health under control?

Hinshaw points out that the default in society is that mental health is still under a person's complete control. However, research is revealing that the causes, like with cancer, are primarily biological. The understanding of the biological and genetic causes of mental illnesses still is developing as more research is done to understand the brain.

Is mental illness a factor in media attention?

Media focus on acts of violence linked with mental illness – is undoubtedly a key factor. Yet on average, he notes, people with most forms of mental illness are no more likely to exhibit aggression than others, though they are far more likely to be victimized by violence.

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