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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Provider lived experience and stigma.

J Irene Harris1, Jennie Leskela1, Lisa Hoffman-Konn1

  • 1Minneapolis VA Health Care System.

The American Journal of Orthopsychiatry
|November 18, 2016
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Summary
This summary is machine-generated.

Mental health providers show significant stigma towards clients and colleagues. Recovery knowledge, work engagement, and lived experience correlate with reduced stigma towards clients, but not always towards peers.

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Area of Science:

  • Psychiatry and Mental Health
  • Healthcare Professional Education
  • Social Psychology of Stigma

Background:

  • Professional values emphasize advocacy for individuals with mental health challenges.
  • Existing research indicates mental health providers exhibit significant levels of stigma, comparable to or exceeding that of the general population.
  • Understanding the factors contributing to provider stigma is crucial for improving client care and professional support.

Purpose of the Study:

  • To assess continuing education needs among mental health providers.
  • To evaluate the relationship between recovery knowledge, work engagement, provider lived experience, and stigma.
  • To identify potential targets for interventions aimed at reducing stigma within the mental health profession.

Main Methods:

  • A continuing education needs assessment was conducted with 101 mental health providers.
  • Data collected included knowledge of recovery-oriented care, work engagement levels, personal lived experience with mental health challenges, and levels of disidentification (stigma).
  • Statistical analyses were used to examine associations between these variables and stigma.

Main Results:

  • Higher recovery knowledge, greater work engagement, and personal lived experience were associated with reduced stigma towards clients.
  • Recovery knowledge and work engagement were linked to lower stigma towards other providers with lived experience.
  • Personal lived experience was not significantly associated with reduced stigma towards other providers who have lived experience.

Conclusions:

  • Interventions enhancing recovery knowledge and work engagement may reduce provider stigma towards clients and peers.
  • The professional culture of non-disclosure regarding lived experience may perpetuate stigma among providers and warrants further investigation.
  • Targeted continuing education can address knowledge gaps and promote more inclusive attitudes within the mental health workforce.