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Influence of Time to Change’s social marketing interventions on stigma in England 2009-2011
- Authors:
- EVANS-LACKO Sara, et al
- Journal article citation:
- British Journal of Psychiatry, 202(s55), April 2013, pp.s77-s88.
- Publisher:
- Cambridge University Press
England’s Time To Change (TTC) social marketing campaign emphasised social contact between people with and without mental health problems to reduce stigma and discrimination. This study aimed to assess the effectiveness of the mass media component and also that of the mass social contact events. Online interviews were performed before and after each burst of mass media social marketing to evaluate changes in knowledge, attitudes and behaviour and associations between campaign awareness and outcomes. Participants at social contact events were asked about the occurrence and quality of contact, attitudes, readiness to discuss mental health and intended behaviour towards people with mental health problems. Prompted campaign awareness was 38-64%. A longitudinal improvement was noted for one intended behaviour item but not for knowledge or attitudes. Campaign awareness was positively associated with greater knowledge and more favourable attitudes and intended behaviour. Social contact at events demonstrated a positive impact on perceived attitude change. Contact quality predicted more positive attitude change and greater confidence to challenge stigma. The favourable short-term consequences of the social marketing campaign suggest that social contact can be used by anti-stigma programmes to reduce stigma. (Edited publisher abstract)
Stigma among people with dual diagnosis and implications for health services
- Authors:
- EVANS-LACKO Sara, THORNICROFT Graham
- Journal article citation:
- Advances in Dual Diagnosis, 3(1), February 2010, pp.4-7.
- Publisher:
- Emerald
Although we know that stigma and discrimination can be apparent in personal relationships, such as intimate partner or family relationships, and in organisational settings, such as work, health care and housing, current literature suggests that stigma and discrimination against people with mental illness and people with substance abuse problems is common and makes a significant impact on people’s lives. Yet firm evidence about whether stigma and discrimination are experienced differently, or at higher levels, for people with co-occurring mental illness and substance abuse is unclear. Given the high predominance of co-occurring disorders and the high levels of need among people with co-occurring disorders, understanding the varying levels of stigma and barriers to care encountered by this group is important for healthcare practitioners. The author concludes that despite the commonality of co-occurring disorders and high levels of need experienced by people with dual diagnosis, barriers to care may be even more prominent for this group compared to people with mental illness and substance abuse conditions alone. In summary, developing better understanding of the variations in experiences of stigma and discrimination and barriers to care will be important for meeting the needs of people with dual diagnosis.