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Current strategies in the reduction of stigma among caregivers of patients with mental illness: a scoping review
South African Journal of Psychology ( IF 1.236 ) Pub Date : 2021-03-25 , DOI: 10.1177/00812463211001530
Portia Monnapula-Mazabane 1 , Gbotemi B Babatunde 2 , Inge Petersen 2
Affiliation  

Mental healthcare and wellness are a global concern and have increasingly become an essential service and priority from a human rights perspective. However, negative attitudes towards mental health, such as stigmatisation and discrimination from communities and family members, continue to pose challenges for deinstitutionalisation and home care of mentally ill persons. This study aimed to review the literature on the content and implementation methods of stigma reduction interventions for family/community caregivers of patients with mental illness to inform the development of an anti-stigma intervention for such caregivers in low- and middle-income countries like South Africa. A scoping literature review was conducted of English language studies published from 2008 to 2019 in peer-reviewed journals, using established guidelines for the study objectives. Primary interventions targeting caregivers of mental health patients were searched from PsycINFO, ScienceDirect, CINAHL, and Medline. In total, nine full-text articles were extracted for inclusion in the review, indicating a scarcity of literature on anti-stigma interventions aimed at primary caregivers of mental health patients. Interventions varied in terms of educational content, duration, delivery methods, and sample sizes. Intervention delivery was primarily through face-to-face, telephone, and online methods. Anti-stigma interventions for caregivers of patients with mental illness are varied and show positive short-term impacts on mental health stigma reduction among family caregivers. The evolution of health systems is a feasible approach towards integrating learning and trials that are needed to assess long-term impacts.



中文翻译:

减少精神病患者看护人污名化的当前策略:范围界定审查

心理保健和健康是全球关注的问题,从人权的角度来看,它已日益成为一项基本服务和优先事项。但是,对精神健康的消极态度,例如来自社区和家庭成员的污名化和歧视,继续给精神病患者的非机构化和家庭护理带来挑战。本研究旨在回顾有关精神病患者的家庭/社区看护人减少污名化干预措施的内容和实施方法的文献,以指导在诸如南等中低收入国家针对此类看护人的反污名化干预措施的发展非洲。我们对2008年至2019年在同行评审期刊上发表的英语研究进行了范围广泛的文献综述,使用既定的研究目标指南。从PsycINFO,ScienceDirect,CINAHL和Medline中搜索针对精神保健患者看护者的主要干预措施。总共提取了9篇全文文章以收录到本评价中,这表明针对精神健康患者的主要护理者的抗污名干预措施的文献稀缺。干预措施在教育内容,持续时间,提供方法和样本量方面各不相同。干预主要通过面对面,电话和在线方式进行。针对精神疾病患者的看护者的反耻辱干预措施多种多样,对减少家庭看护者的心理健康耻辱产生了短期的积极影响。

更新日期:2021-03-25
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