Perspectives of healthcare providers, service users, and their family members about mental illness stigma in primary care settings: A multi-site qualitative study of seven countries in Africa, Asia, and Europe

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023752%3A_____%2F21%3A43920696" target="_blank" >RIV/00023752:_____/21:43920696 - isvavai.cz</a>

Result on the web

<a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0258729" target="_blank" >https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0258729</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1371/journal.pone.0258729" target="_blank" >10.1371/journal.pone.0258729</a>

Result language

angličtina

Original language name

Perspectives of healthcare providers, service users, and their family members about mental illness stigma in primary care settings: A multi-site qualitative study of seven countries in Africa, Asia, and Europe

Original language description

Background Stigma among primary care providers is a barrier to the effective delivery of mental health services in primary care. Few studies have compared the attitudes of primary care providers and experiences of people with mental illness who are service users across diverse primary care settings. Such research is necessary to characterize stigma and inform effective stigma reduction. Methods Qualitative research was conducted on mental illness stigma in primary care settings in one low-income country (Nepal) two lower-middle income countries (India, Tunisia), one upper-middle-income country (Lebanon) and three high-income countries (Czech Republic, Hungary, Italy). Qualitative interviews were conducted with 248 participants: 64 primary care providers, 11 primary care facility managers, 111 people with mental illness, and 60 family members of people with mental illness. Data were analyzed using framework analysis. Results Primary care providers endorsed some willingness to help persons with mental illness but reported not having appropriate training and supervision to deliver mental healthcare. They expressed that people with mental illness are aggressive and unpredictable. Some reported that mental illness is incurable, and mental healthcare is burdensome and leads to burnout. They preferred mental healthcare to be delivered by specialists. Service users did not report high levels of discrimination from primary care providers; however, they had limited expectations of support from primary care providers. Service users reported internalized stigma and discrimination from family and community members. Providers and service users reported unreliable psychiatric medication supply and lack of facilities for confidential consultations. The main limitation of the study was the reliance on clinician-researchers in some sites to conduct interviews, which potentially biases responses from people with mental illness and their family members. Conclusions Primary care providers’ willingness to interact with people with mental illness and receive more training presents an opportunity to address stigmatizing beliefs and stereotypes. This study also raises important methodological questions about the most appropriate strategies to accurately collect attitudes and experiences of people with mental illness. Recommendations are provided for future qualitative research about stigma, such as qualitative interviewing by non-clinical personnel, involving on nonclinical staff for recruitment of participants, conducting interviews in non-clinical settings, and partnering with people with mental illness to facilitate qualitative data collection.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

50902 - Social sciences, interdisciplinary

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

PLoS One

ISSN

1932-6203

e-ISSN

—

Volume of the periodical

16

Issue of the periodical within the volume

10

Country of publishing house

US - UNITED STATES

Number of pages

29

Pages from-to

"e0258729"

UT code for WoS article

000755636500025

EID of the result in the Scopus database

2-s2.0-85118264809