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Updated: Jan 4, 2026

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Implicit Stigma Recognition and Management for Health Professionals.

Javeed Sukhera1, Kristina Miller2, Christina Scerbo2

  • 1Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. jsukhera@uwo.ca.

Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
|November 9, 2019
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Summary

A novel workshop effectively reduced implicit mental illness stigma among healthcare professionals. Recognizing and managing implicit bias, supported by inter-professional teams, promotes lasting behavioral change.

Keywords:
EducationImplicit biasRealistStigma

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Area of Science:

  • Mental Health Research
  • Healthcare Professional Education
  • Stigma Reduction Strategies

Background:

  • Stigma towards individuals with mental illness negatively impacts patient outcomes.
  • Effective strategies for reducing stigma among healthcare professionals are needed.
  • Implicit stigma education is an emerging field with potential for program development.

Purpose of the Study:

  • To evaluate a novel implicit stigma reduction workshop for health professionals.
  • To assess the impact of the workshop on health professionals' attitudes and practices.
  • To explore the factors influencing the effectiveness of stigma reduction interventions.

Main Methods:

  • A realist evaluation using a longitudinal multiple case study approach.
  • Three case studies involving physicians and nurses (n=69) at an academic health sciences center.
  • Pre- and post-attitudinal scales and semi-structured interviews were utilized, analyzing context-mechanism-outcome configurations.

Main Results:

  • The implicit stigma recognition and management workshop led to statistically significant attitude changes in two of three contexts.
  • Qualitative data indicated perceptions of sustainable changes in perspective and practice.
  • Participant learning and collaboration within inter-professional teams influenced workshop outcomes.

Conclusions:

  • Implicit stigma recognition and management is a valuable educational strategy for health professionals.
  • Recognizing stigma is the first step; curricular interventions can foster behavioral change.
  • Sustained behavioral change is facilitated by explicit alternative behaviors and social reinforcement within teams.