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Development of an intervention to reduce self-stigma in outpatient mental health service users in Chile.
Schilling, Sara; Bustamante, Juan Antonio; Sala, Andres; Acevedo, Claudio; Tapia, Eric; Alvarado, Ruben; Sapag, Jaime C; Yang, Lawrence Hsin; Lukens, Ellen; Mascayano, Franco; Cid, Patricia; Tapia, Thamara.
Afiliação
  • Schilling S; School of Public Health, Faculty of Medicine, Universidad de Chile. Santiago, Chile.
  • Bustamante JA; School of Public Health, Faculty of Medicine, Universidad de Chile. Santiago, Chile.
  • Sala A; School of Psychology, Faculty of Medicine, Universidad de Valparaíso. Valparaíso, Chile.
  • Acevedo C; School of Occupational Therapy, Faculty of Rehabilitation Sciences, Universidad Andrés Bello. Santiago, Chile.
  • Tapia E; School of Public Health, Faculty of Medicine, Universidad de Chile. Santiago, Chile.
  • Alvarado R; School of Public Health, Faculty of Medicine, Universidad de Chile. Santiago, Chile.
  • Sapag JC; Departments of Public Health and Family Medicine, School of Medicine, Pontificia Universidad Católica de Chile. Santiago, Chile.
  • Yang LH; Department of Epidemiology, Mailman School of Public Health, Columbia University. New York, USA.
  • Lukens E; School of Social Work, Columbia University. New York, USA.
  • Mascayano F; School of Public Health, Faculty of Medicine, Universidad de Chile. Santiago, Chile.
  • Cid P; School of Nursing, Faculty of Nursing, Universidad Andrés Bello. Viña del Mar, Chile.
  • Tapia T; School of Psychology, Faculty of Medicine, Universidad de Valparaíso. Valparaíso, Chile.
Article em En | MEDLINE | ID: mdl-27107279
BACKGROUND: Latin America is characterized by a high prevalence of public stigma toward those with mental illness, and significant selfstigma among labeled individuals, leading to social exclusion, low treatment adherence, and diminished quality of life. However, there is no published evidence of an intervention designed to address stigma in the region. In light of this, a psychosocial intervention to reduce self-stigma among users with severe mental illness was developed and tested through an RCT in two regions of Chile. OBJECTIVES: To describe the development of the psychosocial intervention, assess its feasibility and acceptability, and evaluate its preliminary impact. METHODS: An intervention was designed and is being tested, with 80 users with severe mental illness attending two community mental health outpatient centers. To prepare the intervention, pertinent literature was reviewed, and experts and mental health services users were consulted. Feasibility and acceptability were assessed, and impact was analyzed, based on follow-up qualitative reports by the participants. RESULTS: The recovery-oriented, ten-session group intervention incorporates the Tree of Life narrative approach, along with other narrative practices, to promote a positive identity change in users, and constructivist psychoeducation, based on case studies and group discussions, to gather tools to confront self-stigma. The intervention was feasible to implement and well evaluated by participants, family members, and center professionals. Participants reported increased self-confidence, and the active use of anti-stigma strategies developed during the workshop. CONCLUSIONS: This group intervention promises an effective means to reduce stigma of mental illness within Chile and other Latin American countries and feasibility to scale up within mental health services.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pacientes Ambulatoriais / Psicoterapia / Autoimagem / Estereotipagem / Estigma Social / Transtornos Mentais Tipo de estudo: Clinical_trials / Diagnostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Chile Idioma: En Revista: Rev Fac Cien Med Univ Nac Cordoba Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Chile País de publicação: Argentina
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pacientes Ambulatoriais / Psicoterapia / Autoimagem / Estereotipagem / Estigma Social / Transtornos Mentais Tipo de estudo: Clinical_trials / Diagnostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Chile Idioma: En Revista: Rev Fac Cien Med Univ Nac Cordoba Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Chile País de publicação: Argentina