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Stamp Out Stigma: a national campaign to decrease stigma and increase behavioral health in fire service.

Suzy B Gulliver1,2, Michelle L Pennington1, Megan Cardenas1

  • 1Baylor Scott & White Warriors Research Institute, Waco, TX, USA.

Cognitive Behaviour Therapy
|July 25, 2023
PubMed
Summary
This summary is machine-generated.

Firefighters experience high rates of behavioral health issues, but stigma prevents treatment. A peer-led intervention, Stamp Out Stigma (SOS), significantly reduced self-stigma and internalized stigma in firefighters.

Keywords:
Firefightersinterventionpsychologystigma

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Area of Science:

  • Occupational Health
  • Behavioral Health Interventions
  • Stigma Reduction

Background:

  • Firefighters face significant risks for behavioral health problems.
  • Mental health stigma acts as a substantial barrier to seeking necessary treatment within the fire service.
  • Internalized stigma often prevents firefighters from accessing effective mental health care.

Purpose of the Study:

  • To decrease behavioral health stigma among firefighters.
  • To develop and implement a peer-led anti-stigma intervention campaign, Stamp Out Stigma (SOS).
  • To evaluate the effectiveness of the SOS intervention in reducing self- and internalized stigma.

Main Methods:

  • Phase 1: Development of compelling video testimonials from firefighters (n=12).
  • Phase 2: Beta-testing of the training curriculum with two fire departments (n=23), assessing changes in stigma.
  • Phase 3: Delivery of the SOS workshop to two firefighter cohorts (n=73), measuring pre- and post-intervention stigma levels.

Main Results:

  • Participation in the SOS workshop was associated with a significant decrease in firefighters' self-stigma (p=0.002).
  • The intervention also led to a significant reduction in internalized stigma among participating firefighters (p=0.007).
  • Phase 2 results indicated a significant decrease in internalized stigma but not self-stigma.

Conclusions:

  • The peer-led Stamp Out Stigma (SOS) intervention is a promising approach for reducing negative attitudes toward mental health in the fire service.
  • SOS effectively decreased both self-stigma and internalized stigma, encouraging treatment seeking.
  • This model offers a viable strategy for mental health stigma reduction in high-risk professions.