Giovannetti Olivia, Francis Erica, Pauley Noah, Arbour Simone
Ontario Shores Centre for Mental Health Sciences (Ontario Shores), 700 Gordon Street Whitby, Whitby, L1N 5S9, ON, Canada.
Community Ment Health J. 2025 Jul 22. doi: 10.1007/s10597-025-01493-6.
Mental health stigma is a pervasive issue which can adversely affect patient care and outcomes. Stigma may manifest through discrimination and negative stereotypes, and can be damaging when inadvertently perpetuated by practitioners and trainees. This study aims explore the effect of experiential learning in decreasing stigma measured by changes in the perceived attitudes and behaviours of trainees at a specialized mental health hospital. Participants (N = 139) are trainees who were scheduled to undergo clinical or non-clinical placement at a mental health hospital. Participants completed a demographic survey prior to placement and a qualitative student evaluation after placement. Validated scales measuring changes in attitude (MICA-4) and behaviour (RIBS), were used as both pre- and post-placement evaluations. Trainee placement variations were accounted for using correlation analysis of the MICA-4 and RIBS data. Most participants identified as females with a college or university education, in their second to fourth years of study. Analysis of both MICA-4 (P = 0.0001) and RIBS (P = 0.009) revealed significant differences between pre-placement and post-placement scores on stigma-related attitudes and behaviours, respectively. These results were supported by qualitative responses which revealed alignment with recovery-oriented philosophy and reflections of stigma. Overall, this study demonstrates possible benefits of experiential learning in mental health care settings to address stigma in clinical and non-clinical trainees.
心理健康污名化是一个普遍存在的问题，会对患者护理及治疗结果产生不利影响。污名可能通过歧视和负面刻板印象表现出来，并且当从业者和实习生无意中使其持续存在时，可能会造成损害。本研究旨在探讨体验式学习在减少污名化方面的效果，该效果通过一家专业心理健康医院实习生的感知态度和行为变化来衡量。参与者（N = 139）是计划在一家心理健康医院进行临床或非临床实习的实习生。参与者在实习前完成了一项人口统计学调查，并在实习后进行了定性的学生评估。使用经过验证的测量态度变化（MICA - 4）和行为变化（RIBS）的量表作为实习前后的评估工具。通过对MICA - 4和RIBS数据的相关分析来考虑实习生实习安排的差异。大多数参与者为接受过大学教育的女性，处于学习的二至四年级。对MICA - 4（P = 0.0001）和RIBS（P = 0.009）的分析分别显示，实习前和实习后在与污名相关的态度和行为方面的得分存在显著差异。定性回答支持了这些结果，这些回答显示与以康复为导向的理念一致以及对污名的反思。总体而言，本研究表明在心理健康护理环境中体验式学习对于解决临床和非临床实习生的污名化问题可能具有益处。
