1Health Service and Population Research Department, King's College London, Institute of Psychiatry, London, UK.
Aust N Z J Psychiatry. 2014 Apr;48(4):360-70. doi: 10.1177/0004867413512687. Epub 2013 Nov 19.
The "Like Minds, Like Mine" anti-stigma and discrimination programme has been running in New Zealand since 1997. We aimed to investigate the nature and degree of anticipated and experienced discrimination reported by people with mental illness, and their views on whether the campaign was contributing to reductions in stigma and discrimination.
Questionnaires were sent to randomly selected people who were representative of those who had recently used mental health services in New Zealand. The measure used was the modified Discrimination and Stigma Scale (DISC-12), adding questions on the effect of "Like Minds, Like Mine", and also assessing overall changes in discrimination in the previous 5 years.
A total of 1135 participants completed the questionnaire. This included 225 Ma-ori, 196 Pacific, and 152 Asian persons. Over half of all participants reported improvement in discrimination over the previous 5 years, and 48% thought that the "Like Minds Like Mine" programme had assisted in reducing discrimination "moderately" or "a lot". Nevertheless, a clear majority (89%) reported experiencing at least "a little" unfair treatment in the previous 12 months due to their mental health problems. The primary source of both positive and negative discrimination was the family. Many (57%) participants had concealed or hidden their mental health problems from others, and 33% had stopped themselves from applying for work because they anticipated discrimination.
Family, friendship, and social life were the most common areas of discrimination reported by the participants; however, many believed the overall level of discrimination had reduced over the previous 5 years. Overall, these results characterize the nature of stigma and discrimination anticipated and experienced by people with mental health problems and indicate modest but clear and positive recent progress in their reduction.
“Like Minds, Like Mine”反污名和歧视计划自 1997 年以来一直在新西兰运行。我们旨在调查精神疾病患者报告的预期和经历的歧视的性质和程度，以及他们对该运动是否有助于减少污名和歧视的看法。
向新西兰最近使用过心理健康服务的人群中随机选择的人发送了问卷。使用的措施是改良的歧视和污名量表（DISC-12），添加了关于“Like Minds, Like Mine”的效果的问题，并且还评估了过去 5 年中歧视的总体变化。
共有 1135 名参与者完成了问卷。其中包括 225 名毛利人，196 名太平洋岛民和 152 名亚洲人。超过一半的参与者报告说，在过去的 5 年中，歧视有所改善，48%的人认为“Like Minds Like Mine”计划在“适度”或“很大”程度上帮助减少了歧视。尽管如此，绝大多数（89%）参与者在过去 12 个月中由于他们的心理健康问题而至少经历了“一点”不公平待遇。正面和负面歧视的主要来源是家庭。许多（57%）参与者对他人隐瞒或隐藏了他们的心理健康问题，33%的人因为担心歧视而停止了求职。
家庭、友谊和社会生活是参与者报告的歧视最常见的领域；然而，许多人认为过去 5 年来歧视的总体水平有所降低。总的来说，这些结果描绘了精神健康问题患者预期和经历的污名和歧视的性质，并表明在减少污名和歧视方面取得了适度但明显的积极进展。
