Article2013

The California schedule of key ingredients for contact-based antistigma programs.

Patrick William Corrigan · Eduardo Vega · Jonathon Eugene Larson · Glen McClintock · Richard Krzyżanowski · Michael Gause +1 more

71 citations0/0 files storedPsychiatric Rehabilitation Journal

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Mental Health Treatment and Access Psychology and Mental Health Mental Health and Patient Involvement

Abstract

OBJECTIVE: A major public health priority has been to eliminate stigma's egregious effects on life opportunities for people with mental illnesses. Research shows contact-based antistigma programs are among the most effective. Such findings call for clarity to define the components of consumer-directed antistigma programs. This article represents community-based participatory research (CBPR) and the first step of a mixed methods design to describe the active ingredients comprising these kinds of programs. METHOD: CBPR investigators developed an interview guide and subsequently facilitated four focus groups to identify key components. Participants included antistigma experts with lived experience. Using grounded theory, two independent raters identified 641 discrete themes. Two additional coders then sorted themes into constructs representing key ingredients of contact-based programs. Coders agreed upon 198 constructs and then grouped them into a hierarchical model of key ingredients in consumer-directed stigma change. RESULTS: Five criteria represent indicators of successful consumer-directed programs: (a) program design-factors necessary for trained presenters to facilitate programs; (b) targeting-tailored presentation congruent with target's goal; (c) staffing-facilitators and leadership are diverse people with lived experience; (d) messaging-presentation discusses struggles and recovery from mental health challenges; and (e) follow-up and evaluation-assessment of sustained audience change. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: This study identified key ingredients of consumer-directed antistigma programs. Part two of the mixed methods design, a quantitative cross-validation study, will yield a sound fidelity measure.

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References

1998Basics of qualitative research : techniques and procedures for developing grounded theory 2012Challenging the Public Stigma of Mental Illness: A Meta-Analysis of Outcome Studies 1999Mental Health Consumers' Experience of Stigma 2001Three Strategies for Changing Attributions about Severe Mental Illness 2005On the stigma of mental illness: Practical strategies for research and social change.2012Systematic review of beliefs, behaviours and influencing factors associated with disclosure of a mental health problem in the workplace 2003Perceptions of Discrimination Among Persons With Serious Mental Illness 2008Predictors of employment for people with severe mental illness: results of an international six-centre randomised controlled trial

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