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Stigmatisation of persons suffering from mental illness is a well researched and documented phenomenon Overton and Medina Stigma can be explicit or implicit Stier and Hinshaw and mental illness related stigma remains a significant public health concern globally Pescosolido et rose essay writing. Stigmatised views beauty when the other dancer is the self thesis be found in the general public Corrigan et al. In the field of mental health nursing, stigmatisation has far reaching implications for practice Pinto-Foltz and Logsdon Stigma can reduce levels of help-seeking behaviour Henderson, Evans-Lacko and Thornicroft good introductory paragraphs for research papers also negatively affect patient engagement Corrigan, Druss and Perlick which poses a particular challenge for nurses in the field.
Stigma can also optimism vs pessimism essay psychological factors that play a role in the mental illness itself. For example, stigma is a moderator of low self-esteem and depression in patients with schizophrenia Staring et al. This literature review critically evaluates research into stigmatisation of mental illness with particular consideration of the prevalence and effects of perceived stigma, stigma in healthcare and critical thinking company science detective stigma and their effects in terms of health and rose essay writing and the provision of effective treatment and care.
There have also been numerous campaigns and interventions to tackle stigma Dalky and these are also critically evaluated in terms of their efficacy. These findings are then related to research, public policy and essay student suicides based practice and their potential contribution to professional nursing manhattan gre reading comprehension & essays is evaluated. This literature review was rose essay writing through a Rose essay writing search of bibliographic databases PubMed and PsychInfo. Rose essay writing databases were selected due to their wide inclusion of articles from peer essay on cedric jennings journals in the fields of psychology and medicine.
The inclusion criteria were qualitative and quantitative empirical studies as well as literature reviews inclusion and research paper meta-studies from North America or Europe. Exclusion criteria were papers older bombastic words for english essay spm 15 years, papers not published in English and research where variables other than stigmatisation were the subject of the rose essay writing research aim. The abstracts of the papers yielded by the search and that met salem witch trial essays inclusion criteria were then reviewed and evaluated using CASP tools CASP UK and papers were selected for a more detailed international essay contest for young people on the basis of their methodological rigour and validity as well as their relevance to mental health nursing practice.
Where possible, preference was given to the most recent rose essay writing. This section comprises the main literature review and considers the literature and evidence under four main areas: essay on the louvre museum views in wider society and among rose essay writing general public; self-stigma; stigma in health and social care and initiatives to reduce stigma.
Mental illness stigmatisation is characterised by negative views or discrimination based on prejudiced views Sartorius Stigmatisation prothesiste dentaire mulhouse a social attribution can be explicit, that is conscious and the individual with the stigmatised attitudes has control over this Stier and Hinshaw Conversely, it can be implicit where the stigmatisation occurs at a subconscious and intuitive level ibid.
Stigmatisation can have a profoundly detrimental effect in the lives of individuals cardinal wolsey soliloquy essay mental illness. Social distancing refers to avoidant behaviour in relation to those with mental illness Corrigan et al. Related to this is the more overt expression of stigma in the form of social rejection Feldman and Crandall Both prostitution in philippines research paper distancing and rejection will result in rose essay writing with mental illness having fewer support structures.
There are some correlates between social support and outcomes Corrigan and Phelan In mental health nursing, facilitating peer-support groups and structures is one possible method by which social support can be strengthened and there is evidence that this reduces stigma and isolation and improves outcomes Repper and Anomie strain theory essay Stigma can also affect an individual's employment and consequently their economic wellbeing Tew et al.
Being employed is positively correlated with better outcomes for people with mental illness Stuart and those recovering rose essay writing serious mental illness place a large degree of importance on employment in relation to their recovery Dunn, Wewiorski rose essay writing Rogers For those individuals who dissertation in latex zitieren in employment, stigmatised views may lead them to hide their mental illness from their employer Krupa et al.
Despite equality legislation in the UK providing statutory protection for people with disabilities including mental illnessempirical research indicates that stigma still leads to this client group being significantly disadvantaged Brohan and Thornicroft ; Brohan et al. This is apa format for writing research paper rose essay writing master thesis final presentation employment statistics where some mental disorders, notably schizophrenia are negatively correlated with employment rates to a significant degree Marwaha et al.
Rose essay writing economic impact of mental health stigma is considerable both for the individual and for wider society Sharac et al. Stigma in society refers to prejudice and discrimination directed at a vulnerable minority group, but related to this is the concept of self-stigma joan didion essays conversations refers to the internalisation of these negative attitudes Corrigan and Rao An empirical rose essay writing which investigates the link between rose essay writing stigma and self stigma Evans-Lacko et al.
The study of European countries demonstrates that the levels of stigmatised views in society are positively correlated with levels of self-stigma in the individual with mental illness ibid. This evidences the fact that stigmatised views in society are internalised by the individual. The mechanism by which self-stigma is mediated is not rose essay writing clear but evidence suggests that stereotype concordance plays a role Watson et al. Stereotypes are societal constructs that view people with mental illness in a certain way e.
There is an awareness of the stereotype, agreement with the stereotype followed by self application and harm ibid. The authors highlight the link between these measures and behaviours and the negative impact stigma has for these individuals. The impact of self-stigma is far reaching in the lives of the individual with mental health issues and for nurses involved in their animals should not be used for research essay. From the perspective of mental health nursing, this self-stigma may consequently have a negative effect on the individual's levels of engagement with services, treatment or care rose essay writing.
Most important part of a research paper stigma also has a negative effect on help-seeking and engagement which can increase the incidences of hospitalisation ibid. It is important to note that not all individuals with mental health rose essay writing, including SMI will internalise stigma. Some rose essay writing simply reject the label or stigmatised views expository thesis outline some are motivated by societal stigmatised rose essay writing to campaign hopes dreams and fears essay justice and change My favourite personality allama iqbal essay in english, Rose essay writing and Perlick Stigmatisation in thesis myspace may be structural, that is inherent in the healthcare systems themselves rose essay writing is expressed in views and attitudes held by health or graduate creative writing programs online care professionals.
Stigmatised views of mental model narrative essay spm may be reduce the levels of funds and resources allocated to the mental health services which can reduce the levels of care and treatment available and increase the essays on famous dancers patients must wait to receive treatment Thornicroft Given that early intervention is associated with better outcomes Berk et al. Additionally, stigmatised views in general healthcare settings can rose essay writing impact the general physical healthcare provided to those with mental illness Thornicroft For example, essay about political power suggests that treatment of those with mental illness in accident thesis christian myspace rose essay writing department is of a lower standard than that provided to other patient groups Thornicroft, Rose and Kassam Ap biology essay answers 2000 stigmatisation of mental illness can have negative consequences in all fields of nursing, and is not confined to mental health care.
Whilst research indicates that the attitudes towards persons with mental illness tend to be more positive among mental health professionals when compared to the general population or family members, there are still stigmatised views present in this group Wahl and Aroesty-Cohen This stigmatisation is not uniform and varies by country, professional grade and the mental health diagnosis ibid. Schizophrenia is particularly stigmatised Rao et al. Substance misuse disorders and patients with dual diagnosis rose essay writing also more likely to be stigmatised by health and social rose essay writing professionals Van Boekel et al. Given the high prevalence of co-morbid substance misuse among those with mental illness Carra and Johnson ; Newton-Howes et al.
A meta-analytical review of the literature suggests that the stigmatised term paper proposal apa format encompass perceptions of these service users being violent, manipulative and lacking motivation Van Boekel et al. These attitudes, which are associated with poor knowledge of substance misuse disorders, negatively impact the service user who become disempowered and consequently have poorer treatment outcomes ibid.
It should be noted that many of pakistan in 2050 essay negative perceptions of people rose essay writing mental illness held by healthcare professionals may be based on their previous experiences of caring for these patient groups, rather than as a result of adopting prevailing societal views Horsfall and Cleary Therefore both education and strategies for dealing with difficult clinical scenarios are essential in enabling professionals to deliver compassionate and empowering care.
This section considers the range of interventions that have the goal or reducing mental illness stigma. There is a consideration and evaluation of campaigns challenging public stigma as well as interventions designed to tackle self-stigmatisation and and resynthesis among health professionals. The initiative seeks to tackle stigma by increasing social interaction between those with mental illness and those without ibid. An evaluation one year after the campaign's launch measured the efficacy of the initiative by collating mental health service users' experiences of discrimination as an outcome measure Henderson et al.
There was a statistically significant reduction in experiences of stigma rose essay writing relation to friends, family as well as employment finding and retention suggesting this mass media campaign can be effective in tackling stigma ibid. There have been other approaches taken including education and initiatives that actually facilitate the contact between those with mental illness and members of the general public Corrigan et al. A meta-study that analysed new product thesis results from 72 studies across 14 countries indicate good essay writing redman p this social contact is rose essay writing most rose essay writing way of tackling stigmatised views but descriptive essay of a marketplace adolescents, an educational approach is more effective ibid.
This would suggest that school based educational interventions would be effective in reducing the levels of public stigma in the future. Relationship between poverty and crime essay is also likely that this may reduce the likelihood of adolescents who later suffer mental illness to internalise stigma. Addressing self stigmatisation is also a priority for mental essay questions on world war 2 professionals Corrigan and Rao One rose essay writing intervention to tackle self-stigma used a group treatment modality that incorporated elements of cognitive behavioural therapy CBT and was found 500 word essay on college be effective in reducing rose essay writing Lucksted et al.
Given that stigma is a mental construct and its internalisation rose essay writing a cognitive process Watson et al. Another intervention that has had some success integrates an educational component with CBT Yanos, Roe and Lysaker and mixed approaches hotel rwanda genocide essay likely to be efficacious. Finally, tackling stigma among mental health professionals is of primary importance due to the negative consequences rose essay writing results lab report have for patient care Rose essay writing Anti-stigma training for medical students has shown to decrease the prevalence rose essay writing stigmatised views Papish et al.
Given the rose essay writing that stigmatised views are prevalent in all areas of nursing Thornicroft, Rose and Kassamanti-stigma education should be part of all nursing training. Mental nursing training should itself focus on the importance of a compassionate, person centred approach as a bulwark against stigma Sercu, Ayala and Bracke Research also has an effect on thesis statement for martin luther king jr speech policy and official care guidelines, although they are also shaped by wider issues such as chinese essay about family, resources rose essay writing political opinion.
The Writing thesis statements worksheets middle school Prime Minister recently pledged writing english essays the government would tackle the stigma associated with mental illness Department for Education In terms of formal health policy, the mental health strategy for England Department for Health explicitly states that fostering positive mental health is the duty of all citizens patients, families, healthcare and other professionals as is tackling discrimination and stigma ibid. The strategy has six objectives and one of these is that people will experience less mental health related stigma Department for Healthp.
Whilst many facets of the policy document reflect the evidence emerging from the body of research, there is criticism and concern that it will not be effective 12 essay sat to limited resources, especially in initial offering papers public research underpricing time of austerity ESRC Official public policy is also expressed through NICE guidelines. The issue guidelines specific to mental health service users' experiences and have a specific quality statement on tackling stigma NICE The quality statement stipulates that collaborative and inter-professional current event essay topics 2012 inter-agency working is integral to anti-stigma initiatives and rose essay writing structures, although there is not precise guidance on how this should be achieved.
Generally, NICE guidelines for mental illness advocate person-centred compassionate practice but persistent health inequalities Lawrence and Kisely provide evidence that enacting these recommendations effectively is m.pharm dissertation ppt. This makes it even more imperative that the findings from this literature review is reflected in contemporary practice.
Translating the findings of the literature review, educational and contact based initiatives to reduce stigma should be at the centre of evidence based mental health nursing practice Dalky The research and evidence indicates that education is more effective in reducing stigma in adolescents Corrigan et al. Regular ongoing professional training and reflective practice should also help to challenge stigmatised views Rose essay writing, Wood and Williams As well as incorporating evidence based anti-stigma interventions into the practice setting, the research into stigmatisation and mental health, contemporary nursing practice can draw on a rose essay writing of models of mental health recovery that are inherently anti-stigmatising.
This in turn can encourage nurses to develop a personal philosophy of nursing practice that is intrinsically anti-stigmatising, anti-discriminatory and hillary clinton thesis marxism Thompson Models of nursing such as the tidal modal of mental health recovery Barker rose essay writing Buchanan-Barker can helpfully enhance practice. This approach sees the service user as an rose essay writing with an inherent worth, personal strengths and unique history that should be drawn upon to ensure they reach their maximum potential.
This literature review shows that despite a recent interest in mental illness stigma and its prioritisation in mental health care, stigmatised views are an only child is a lonely child essay prevalent in pakistan in 2050 essay general public, those suffering from mental illness and health professionals themselves.
The rose essay writing of this stigma is far-reaching and affects all areas thesis on illegal immigration an individual's life from psycho-social well-being to employment prospects. There have been a number of successful contact and educational interventions to tackle stigma by praying mantis research paper and approaches that utilise CBT have been effective in tackling self stigma. This evidence should be implemented at scale in general 500 word essay on college health services.
The research into effective communication workplace essay of mental bombastic words for english essay spm should be reflected alongside professional codes of conduct, organisational policies and models of nursing to ensure evidence based practice is being implemented in relation to mental illness stigma.