Opening Minds Anti-Stigma Initiative, Mental Health Commission of Canada, Ottawa, ON, Canada.
Department of Community Health Sciences, Department of Psychiatry & Mathison Centre for Mental Health Research & Education, University of Calgary, Calgary, AB, Canada.
Acta Psychiatr Scand. 2016 Aug;134 Suppl 446:53-62. doi: 10.1111/acps.12612.
The Mental Health Commission of Canada was formed as a national catalyst for improving the mental health system. One of its initiatives is Opening Minds (OM), whose mandate is to reduce mental health-related stigma. This article reports findings from a qualitative study on antistigma interventions for healthcare providers, which includes a process model articulating key stages and strategies for implementing successful antistigma programmes.
The study employed a grounded theory methodology. Data collection involved in-depth interviews with programme stakeholders, direct observation of programmes, a review of programme documents, and qualitative feedback from programme participants. Analysis proceeded via the constant comparison method. A model was generated to visually present key findings.
Twenty-three in-depth interviews were conducted representing 18 different programmes. Eight programmes were observed directly, 48 programme documents were reviewed, and data from 1812 programme participants were reviewed. The analysis led to a four-stage process model for implementing successful antistigma programmes targeting healthcare providers, informed by the basic social process 'targeting the roots of healthcare provider stigma'.
The process model developed through this research may function as a tool to help guide the development and implementation of antistigma programmes in healthcare contexts.
加拿大精神健康委员会的成立是为了作为改善精神卫生系统的国家催化剂。其举措之一是“敞开心扉”（OM），其任务是减少与心理健康相关的污名。本文报告了一项针对医疗保健提供者抗污名干预措施的定性研究结果，其中包括一个阐明实施成功抗污名计划的关键阶段和策略的过程模型。
该研究采用扎根理论方法。数据收集包括与计划利益相关者进行深入访谈、对计划进行直接观察、审查计划文件以及从计划参与者那里获得定性反馈。分析通过不断比较的方法进行。生成了一个模型来直观地呈现主要发现。
共进行了 23 次深入访谈，代表了 18 个不同的计划。直接观察了 8 个计划，审查了 48 个计划文件，并审查了 1812 名计划参与者的数据。分析导致了一个针对医疗保健提供者的成功抗污名计划的四阶段过程模型，该模型受基本社会过程“针对医疗保健提供者污名的根源”的启发。
通过这项研究开发的过程模型可以作为一种工具，帮助指导医疗保健环境中抗污名计划的制定和实施。
