A Cluster Randomized Controlled Trial Exploring Stigmatization and Recovery-Based Perspectives on Mental Illness and Substance Use Problems Among Primary Healthcare Providers in Toronto, Ontario.
Stigma toward mental health and substance use problems (MHSUP) represents a global public health challenge that undermines the quality of mental health care. This study looked at whether an anti-stigma intervention would result in a significant decrease in stigmatizing and discriminatory attitudes a...
| Published in: | International Journal of Mental Health & Addiction Vol. 23; no. 1; pp. 772 - 790 |
|---|---|
| Main Authors: | , , , , , , , , , , |
| Format: | Article |
| Published: |
Springer Nature
Feb2025
|
| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=183893143&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 183893143 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 15571874 46AW jtl: International Journal of Mental Health & Addiction issn: 15571874 maglogo: N pubinfo: dt: Feb2025 vid: 23 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 183893143 10.1007/s11469-023-01136-5 ppf: 772 ppct: 18 formats: fmt: – @attributes: type: T – @attributes: type: P size: 827KB tig: atl: A Cluster Randomized Controlled Trial Exploring Stigmatization and Recovery-Based Perspectives on Mental Illness and Substance Use Problems Among Primary Healthcare Providers in Toronto, Ontario. aug: au: Khenti, Akwatu Bobbili, Sireesha J. Lentinello, Emily Sapag, Jaime C. van der Maas, Mark Sanches, Marcos Agic, Branka Hamilton, Hayley Patten, Scott Stuart, Heather Corrigan, Patrick affil: https://ror.org/03e71c577 Centre for Addiction and Mental Health-Russell Street Site, Toronto, Ontario, Canada https://ror.org/03dbr7087 Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada Mental Health and Addictions Lead at Deloitte, Toronto, ON, Canada https://ror.org/04teye511 Departments of Public Health and Family Medicine, Faculty of Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Piso 2 (Salud Pública)–Comuna de Santiago, 8330077, Santiago, Chile https://ror.org/05vt9qd57 Center for Gambling Studies, Rutgers University School of Social Work, New Brunswick, NJ, USA https://ror.org/03yjb2x39 University of Calgary, Calgary, Alberta, Canada https://ror.org/02y72wh86 Public Health Sciences, Queen's University, Kingston, ON, Canada https://ror.org/037t3ry66 Department of Psychology, Illinois Institute of Technology, Chicago, IL, USA su: Mental health services Medical quality control Medical personnel Cluster randomized controlled trials Cognitive psychology sug: subj: Mental health services Medical quality control Medical personnel Offices of Mental Health Practitioners (except Physicians) Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities Cluster randomized controlled trials Cognitive psychology keyword: Community Health Centre Controlled Trial Study Healthcare Workers Implementation Science Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology Mental Illness Primary Care Stigma Substance Use Issues Community Health Centre Controlled Trial Study Healthcare Workers Implementation Science Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology Mental Illness Primary Care Stigma Substance Use Issues ab: Stigma toward mental health and substance use problems (MHSUP) represents a global public health challenge that undermines the quality of mental health care. This study looked at whether an anti-stigma intervention would result in a significant decrease in stigmatizing and discriminatory attitudes among Community Health Center (CHC) staff toward individuals with MHSUP, as well as clients' experiences of MHSUP stigma with CHC staff. A study in 6 CHCs in Toronto employed a cluster-randomized trial to determine the efficacy of an anti-stigma intervention toward people with MHSUP by CHC staff. Participants included 395 staff and 90 clients across 4 waves of the study. The study employed mixed effect models to test for differences between intervention sites and control sites over time. Mixed effects regressions show significantly better improvements in stigma scales among staff in the experimental sites, suggesting the intervention was successful in improving attitudes among CHC staff toward people with MHSUP. Three of the 6 interactions for staff and 2 of 4 interactions among clients indicated that the interventions beneficially affected stigma. The quantitative data with clients was not strong in finding a reduction in stigma. This tested innovative intervention may contribute to the development of effective anti-stigma initiatives for MHSUP in primary care worldwide. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|