Radical action is needed to end stigma and discrimination against people mental health conditions and their families globally, according to a report published in The Lancet Journal.
The report of the Lancet Commission on Ending Stigma and Discrimination in Mental Health, which sets out key recommendations to achieve this goal, is the result of the collaboration of more than 50 contributors around the world.
Through this report, the commission aims to define stigma, summarize the evidence that people with experiences mental health Situations around the world currently experience stigma and assess the impact of large-scale programs to combat stigma, among others.
The report summarizes the evidence obtained for effective intervention through a comprehensive review of 216 review papers, most of which address aspects of public stigma.
The fundamental finding that clearly emerges is that there are forms of social interaction, directly or indirectly, between people who experience and do not mental health Conditions are the most effective evidence-based way to reduce stigma.
More inclusive policies, laws and plans that were more effective in reducing stigma were generally associated with community-based treatment, public education programs, and media activities, including the participation of champions who championed mental health experienced the situation.
Increase inclusiveness in programs for individuals with various learning disabilities, such as through the use of hearing aids, braille Texts, and sign language, audio-visual displays and diagrams have contributed to better access to care for people with poor literacy and communication problems.
The report noted that peer harassment was reduced after an average of 25 weeks of participation in a program using social interaction to bring disabled and disabled peers together for shared activities in school and community settings.
With regard to suicide, the report claims, the results showed that psycho-education and interpersonal interaction significantly reduced stigma, which persisted at a 1-month follow-up.
Forms of social interaction, direct or indirect, between people who do and do not experience mental health conditions are the most effective evidence-based way to reduce stigma (source: Pexels)
Overall, the commission lists components of stigma intervention such as: advocacy, collaborative community-based care, constructive discourse, gatekeeper training, protest, psychoeducation, social interaction and social networking.
Additionally, the report explores the role of media, traditional and new digital media, in promoting or reducing stigma.
The commission in its report provided a four-part definition of stigma: self-stigma, stigma by association, public stigma and structural stigma.
Self or internal stigma occurs when people with mental health conditions become aware of and agree with negative stereotypes with others and turn them against themselves.
Stigma by the association, the report said, refers to allegations of negative stereotypes and discrimination towards family members or mental health Employees, such as blaming family members for initiating the substance abuse situation.
Public or interpersonal stigma is better understood through three distinct but related components: knowledge, attitudes, and behavior.
Whereas cognition refers to the absence of accurate knowledge and attitudes towards negative emotional reactions to the affected, behavior refers to the rejection and social exclusion of those affected. discrimination,
Structural, systemic or institutional stigma refers to policies and practices that intentionally or unintentionally work to the detriment of a stigmatized group.
According to the report, stigma is often seen as a barrier to policy change, sometimes as a reduction in public demand for government action and investment, and misinformation, misinformation, and awareness among policy makers about positive policy choices. is also seen through the reduction of.
Globally, people with mental health conditions commonly experience restrictions in employment, voting, property ownership, marriage and divorce,
The Lancet Commission, through this report, recommends the use of person-first language instead of identity-first language, that is, a person with a mental health condition or a lived experience of a mental health condition.
The report further states that culture also has a strong influence on stigma as it plays a role in determining socially accepted behavior and defining the causes of mental health conditions and how they are treated. Is.
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