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Stigma in Consultation Liaison Psychiatry: A Qualitative Study of Trainee Psychiatrists
Kate Elizabeth Helingoe1, Sarah Cullum2, Lillian Ng2
1Psychiatry Registrar, 3714Waikato District Health Board, Hamilton, New Zealand.
Objective:
Stigma related to mental illness can impact service-user care and clinician wellbeing. The aim of this study was to explore experiences of stigma in consultation-liaison psychiatry from the perspectives of trainee psychiatrists and suggest interventions to tackle stigma within a hospital environment.
Method:
Ethics approval and consent were obtained for the study. In-depth interviews were conducted by telephone with six participants in four New Zealand district health boards. De-identified data was analysed using thematic analysis. An independent co-coder was employed to enhance analytic rigour.
Results:
Participants experienced stigma during their consultation-liaison rotations. Some felt isolated and undervalued. Education, intergration and role clarification within the hospital environment were identified as ways to reduce stigma.
Conclusions:
Stigma experienced by trainee psychiatrists completing consultation-liaison rotations may lead to them feeling devalued and perceiving service-users to experience poorer care. Multidisciplinary education may potentially combat stigma and contribute to improved integration of services.
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