An evaluation of the effectiveness of a consumer-led educational program about stigma in mental illness and recovery attitudes among Mental Health Nurses
- Authors: Sreeram, Anju
- Date: 2022
- Type: Text , Thesis , PhD
- Full Text:
- Description: Fear, frustration and myths about mental illness engenders negative attitudes towards mental illness. Such negative attitudes impede the recovery of people diagnosed with mental illness. Despite an increasing emphasis on stigma and recovery-focused practices, evidence shows prejudicial attitudes towards mental illness and the recovery of people with mental illness among mental health professionals still exist. Anti-stigma initiatives and recovery-oriented interventions can aid in enhancing the attitudes of mental health professionals. Contact-based interventions have the greatest impact on attitudes among the mental health professionals including nurses. However, research regarding initiatives targeting stigma of mental illness and recovery attitudes among Mental Health Nurses working in the acute inpatient psychiatric units is limited. Therefore, the aim of the current study was to evaluate the effectiveness of a consumer-led education package on stigma about mental illness and recovery attitudes of Mental Health Nurses. A sequential explanatory mixed-method, with a pre-test and post-test design was used to evaluate the effect of consumer-led education. This research involved three phases. In the first phase, the study explored Mental Health Nurses' attitudes towards mental illness and recovery using surveys and non-participant observation. The second phase focused on the co-development and co-implementation of a consumer-led education package. The effectiveness of the intervention was evaluated using immediate post-test assessment and again three months later. The final phase focused on exploring the results obtained in the first and second phases of the study through an in-depth interview.
- Description: Doctor of Philosophy
- Authors: Sreeram, Anju
- Date: 2022
- Type: Text , Thesis , PhD
- Full Text:
- Description: Fear, frustration and myths about mental illness engenders negative attitudes towards mental illness. Such negative attitudes impede the recovery of people diagnosed with mental illness. Despite an increasing emphasis on stigma and recovery-focused practices, evidence shows prejudicial attitudes towards mental illness and the recovery of people with mental illness among mental health professionals still exist. Anti-stigma initiatives and recovery-oriented interventions can aid in enhancing the attitudes of mental health professionals. Contact-based interventions have the greatest impact on attitudes among the mental health professionals including nurses. However, research regarding initiatives targeting stigma of mental illness and recovery attitudes among Mental Health Nurses working in the acute inpatient psychiatric units is limited. Therefore, the aim of the current study was to evaluate the effectiveness of a consumer-led education package on stigma about mental illness and recovery attitudes of Mental Health Nurses. A sequential explanatory mixed-method, with a pre-test and post-test design was used to evaluate the effect of consumer-led education. This research involved three phases. In the first phase, the study explored Mental Health Nurses' attitudes towards mental illness and recovery using surveys and non-participant observation. The second phase focused on the co-development and co-implementation of a consumer-led education package. The effectiveness of the intervention was evaluated using immediate post-test assessment and again three months later. The final phase focused on exploring the results obtained in the first and second phases of the study through an in-depth interview.
- Description: Doctor of Philosophy
Anti-stigma initiatives for mental health professionals—a systematic literature review
- Sreeram, Anju, Cross, Wendy, Townsin, Louise
- Authors: Sreeram, Anju , Cross, Wendy , Townsin, Louise
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Journal of Psychiatric and Mental Health Nursing Vol. 29, no. 4 (2022), p. 512-528
- Full Text: false
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- Description: What is known on the subject?: Negative attitudes towards mental illness lead to the formation of stigma. Stigma prevents the recovery of people diagnosed with mental illness. There is evidence of stigmatic attitudes towards mental ill health among mental health professionals. Anti-stigma initiatives, such as education and training, may be effective in enhancing or maintaining positive attitudes towards mental illness among mental health professionals. What this paper adds to existing knowledge?: Education and training that is designed and delivered around a specific mental health diagnosis or condition appears an appropriate strategy that could benefit mental health professionals to develop a deeper appreciation and understanding of mental ill health and its impacts on individuals. Consumer involvement in the education and training of mental health professionals regarding the stigma of mental illness is recommended; however, this is an under-explored area of investigation. There is a weak evidence base regarding the long-term sustainability of effects from anti-stigma education and training. This should be addressed via further research in future. What are the implications for practices?: Anti-stigma initiatives can support mental health professionals to develop stigma-free, recovery-oriented practices in their work. Further, such initiatives can improve the provision of evidence-based quality care for the consumers, facilitating their recovery. Abstract: Introduction Despite an increasing focus on stigma, evidence shows prejudicial attitudes towards mental illness among mental health professionals still exist. It is suggested that anti-stigma initiatives can aid in enhancing the attitudes of mental health professionals. However, research on initiatives targeting stigma of mental illness among mental health professionals is limited. Aim To identify and analyse scientific literature pertaining to the effectiveness of anti-stigma initiatives regarding mental ill health among mental health professionals. Method A systematic literature review was performed using the databases MEDLINE, CINAHL, PsycINFO, PubMed, Scopus, Google Search engine and Google Scholar. The papers were limited to English language, published in peer-reviewed journals with full-text articles available and published between the years 2008 and 2020 to understand the most recent trends in the attitudes of mental health professionals including nurses. The Population, Intervention, Comparison and Outcome (PICO) strategy was used to identify papers meeting the inclusion criteria. Results A total of 439 papers were identified. However, papers not meeting the inclusion criteria were excluded from selection. Three appraisers reviewed the selected papers individually using the Joanna Briggs Institute [JBI] critical appraisal tool. Finally, eight unanimously accepted papers were included in the systematic review. Several effective anti-stigma initiatives were identified through the review, and these had positive impacts on mental health professionals’ attitudes towards mental illness, for at least a short period. It was identified that contact-based interventions are relevant and effective although the involvement of consumers and caregivers in the design and delivery of interventions was not explicitly addressed in detail in studies included in the review. Education strategies tailored for specific mental illness may be more appropriate, rather than approaches that refer to mental illness in general. Conclusions This review shows the evidence of pessimistic attitudes towards mental illness persists among mental health professionals. Anti-stigma initiatives identified in the selected papers were effective in changing these attitudes. Future research should be focused on the effectiveness of contact-based interventions and understanding the longer-term effects of the interventions among homogeneous groups. Full consideration of the varying level of clinical experience and expertise in mental health should guide the development and implementation of anti-stig a initiatives in this context. Implications for practice Anti-stigma interventions can have a positive impact on mental health professionals’ knowledge, attitudes and supportive caring for people diagnosed with mental illness. Such anti-stigma interventions may meaningfully support stakeholders to address the impact of negative attitudes on the physical and mental health status of people diagnosed with mental illness. With sustained leadership, effort and reinforcement, it is possible to create workplace cultures that prioritize stigma-free and recovery-oriented behaviours and practices within mental health services. © 2022 John Wiley & Sons Ltd.
Effect of recovery-based interventions on recovery knowledge and attitudes of mental health professionals, regarding recovery-oriented practice : a quantitative narrative review
- Sreeram, Anju, Cross, Wendy, Townsin, Louise
- Authors: Sreeram, Anju , Cross, Wendy , Townsin, Louise
- Date: 2021
- Type: Text , Journal article
- Relation: International journal of mental health nursing Vol. 30, no. 5 (2021), p. 1057-1069
- Full Text:
- Reviewed:
- Description: Mental health recovery is an enabling process encouraging consumers to live a productive life, notwithstanding the presence of debilitating symptoms of illness. The recovery model has been integrated into all areas of mental health. However, literature shows that mental health professionals are not equipped to provide recovery-oriented care to consumers. Researchers have recommended recovery-based interventions to develop knowledge, attitudes and skills to promote recovery-oriented practice in mental health, yet there is a paucity of research regarding the effect of recovery-oriented interventions on the knowledge and attitudes of mental health professionals to improve recovery-oriented practice. Therefore, the purpose of the current review is to understand the effectiveness of interventions on recovery knowledge and attitudes of mental health professionals regarding recovery-oriented practice. The papers were identified through the Population Intervention Comparison and Outcome strategy. The heterogeneity of the selected papers led to a narrative review instead of a systematic review with meta-analysis. The analysis suggested that recovery-based interventions are effective in enhancing the recovery knowledge and attitudes of mental health professionals. Recovery-based interventions have the potential to reduce the use of physical restraints and improve work satisfaction among mental health professionals. The limitations of the studies were the heterogeneity of the selected populations and the absence of strong methodologies to assess the effect of the interventions. Therefore, future investigations should be focused on the effect of interventions on a homogeneous group using randomised controlled trials. Keywords: mental health professionals, mental health nurses, practice, recovery knowledge and attitude, recovery-based interventions.
- Authors: Sreeram, Anju , Cross, Wendy , Townsin, Louise
- Date: 2021
- Type: Text , Journal article
- Relation: International journal of mental health nursing Vol. 30, no. 5 (2021), p. 1057-1069
- Full Text:
- Reviewed:
- Description: Mental health recovery is an enabling process encouraging consumers to live a productive life, notwithstanding the presence of debilitating symptoms of illness. The recovery model has been integrated into all areas of mental health. However, literature shows that mental health professionals are not equipped to provide recovery-oriented care to consumers. Researchers have recommended recovery-based interventions to develop knowledge, attitudes and skills to promote recovery-oriented practice in mental health, yet there is a paucity of research regarding the effect of recovery-oriented interventions on the knowledge and attitudes of mental health professionals to improve recovery-oriented practice. Therefore, the purpose of the current review is to understand the effectiveness of interventions on recovery knowledge and attitudes of mental health professionals regarding recovery-oriented practice. The papers were identified through the Population Intervention Comparison and Outcome strategy. The heterogeneity of the selected papers led to a narrative review instead of a systematic review with meta-analysis. The analysis suggested that recovery-based interventions are effective in enhancing the recovery knowledge and attitudes of mental health professionals. Recovery-based interventions have the potential to reduce the use of physical restraints and improve work satisfaction among mental health professionals. The limitations of the studies were the heterogeneity of the selected populations and the absence of strong methodologies to assess the effect of the interventions. Therefore, future investigations should be focused on the effect of interventions on a homogeneous group using randomised controlled trials. Keywords: mental health professionals, mental health nurses, practice, recovery knowledge and attitude, recovery-based interventions.
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