Gronholm Petra C, Bakolis Ioannis, Cherian Anish V, Davies Kelly, Evans-Lacko Sara, Girma Eshetu, Gurung Dristy, Hanlon Charlotte, Hanna Fahmy, Henderson Claire, Kohrt Brandon A, Lempp Heidi, Li Jie, Loganathan Santosh, Maulik Pallab K, Ma Ning, Ouali Uta, Romeo Renee, Rüsch Nicolas, Semrau Maya, Taylor Salisbury Tatiana, Votruba Nicole, Wahid Syed Shabab, Zhang Wufang, Thornicroft Graham
Centre for Global Mental Health and Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Int J Ment Health Syst. 2023 Feb 3;17(1):2. doi: 10.1186/s13033-022-00564-5.
There is increasing attention to the impacts of stigma and discrimination related to mental health on quality of life and access to and quality of healthcare. Effective strategies for stigma reduction exist, but most evidence comes from high-income settings. Recent reviews of stigma research have identified gaps in the field, including limited cultural and contextual adaptation of interventions, a lack of contextual psychometric information on evaluation tools, and, most notably, a lack of multi-level strategies for stigma reduction. The Indigo Partnership research programme will address these knowledge gaps through a multi-country, multi-site collaboration for anti-stigma interventions in low- and middle-income countries (LMICs) (China, Ethiopia, India, Nepal, and Tunisia). The Indigo Partnership aims to: (1) carry out research to strengthen the understanding of mechanisms of stigma processes and reduce stigma and discrimination against people with mental health conditions in LMICs; and (2) establish a strong collaborative research consortium through the conduct of this programme. Specifically, the Indigo Partnership involves developing and pilot testing anti-stigma interventions at the community, primary care, and mental health specialist care levels, with a systematic approach to cultural and contextual adaptation across the sites. This work also involves transcultural translation and adaptation of stigma and discrimination measurement tools. The Indigo Partnership operates with the key principle of partnering with people with lived experience of mental health conditions for the development and implementation of the pilot interventions, as well as capacity building and cross-site learning to actively develop a more globally representative and equitable mental health research community. This work is envisioned to have a long-lasting impact, both in terms of the capacity building provided to participating institutions and researchers, and the foundation it provides for future research to extend the evidence base of what works to reduce and ultimately end stigma and discrimination in mental health.
与心理健康相关的污名和歧视对生活质量以及医疗保健的可及性和质量的影响日益受到关注。存在减少污名的有效策略，但大多数证据来自高收入环境。最近对污名研究的综述发现了该领域的差距，包括干预措施在文化和背景适应性方面有限、评估工具缺乏背景心理测量信息，最显著的是缺乏减少污名的多层次策略。靛蓝伙伴关系研究计划将通过在低收入和中等收入国家（中国、埃塞俄比亚、印度、尼泊尔和突尼斯）开展多国、多地点的反污名干预合作来填补这些知识空白。靛蓝伙伴关系旨在：（1）开展研究，加强对污名形成机制的理解，减少低收入和中等收入国家对精神疾病患者的污名和歧视；（2）通过实施该计划建立一个强大的合作研究联盟。具体而言，靛蓝伙伴关系包括在社区、初级保健和精神卫生专科护理层面开发和试点测试反污名干预措施，并采用系统方法在各地点进行文化和背景适应性调整。这项工作还涉及对污名和歧视测量工具进行跨文化翻译和调整。靛蓝伙伴关系的运作遵循一项关键原则，即与有精神健康状况生活经历的人合作开展试点干预措施的开发和实施，以及能力建设和跨地点学习，以积极发展一个更具全球代表性和公平性的精神卫生研究社区。预计这项工作将产生持久影响，既体现在为参与机构和研究人员提供的能力建设方面，也体现在为未来研究奠定基础方面，以扩展关于减少并最终消除精神卫生领域污名和歧视的有效方法的证据基础。
