Flanagan Elizabeth H, Buck Tona, Gamble Alfred, Hunter Cynthia, Sewell Ira, Davidson Larry
The authors are with the Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut (e-mail:
Psychiatr Serv. 2016 May 1;67(5):566-9. doi: 10.1176/appi.ps.201500049. Epub 2016 Jan 14.
Preliminary findings are reported from a photovoice intervention, "Recovery Speaks," to reduce primary care provider stigma in regard to people with mental illness and addiction.
Twenty-seven primary care providers were recruited through a practice-based research network. Participants were randomly assigned to the intervention-attending a one-hour performance followed by discussion-or to no intervention. Provider stigma was evaluated by using established measures of stigma and recovery and qualitative responses. Linear mixed models controlling for baseline differences compared changes in provider stigma across time and groups.
Providers who attended Recovery Speaks demonstrated significantly decreased negative stereotypes, attribution of dangerousness, fear, desire to coerce people into treatment, desire to segregate people from the community, and desire for avoidance. More desire to help and more hope for recovery were also found.
Witnessing people's unique recovery stories and how they contribute to their communities may reduce provider stigma.
报告一项摄影发声干预措施“康复之声”的初步研究结果，该措施旨在减少初级保健提供者对患有精神疾病和成瘾问题者的污名化。
通过一个基于实践的研究网络招募了27名初级保健提供者。参与者被随机分配到干预组——观看一场一小时的演出并随后进行讨论——或非干预组。通过使用既定的污名化和康复测量方法以及定性反应来评估提供者的污名化情况。控制基线差异的线性混合模型比较了不同时间和组间提供者污名化的变化。
参加“康复之声”的提供者表现出负面刻板印象、对危险性的归因、恐惧、强迫人们接受治疗的愿望、将人们与社区隔离的愿望以及回避的愿望显著降低。还发现他们更愿意提供帮助且对康复更有希望。
见证人们独特的康复故事以及他们如何为社区做出贡献可能会减少提供者的污名化。
