Show/hide main menu

News

News Highlights

Stigma 'key deterrent' in accessing mental health care

Posted on 26/02/2014
Stigma

Mental health stigma is a key factor preventing people from accessing the care they need, according to new research from King’s College London.

The new study, published today in Psychological Medicine, brings together data from 144 studies, including over 90,000 participants worldwide.

Approximately 1 in 4 people have a mental health problem, yet in Europe and the US, up to 75 percent of people with mental health disorders do not receive treatment.   For many disorders such as psychosis, bipolar disorder, major depression and anxiety disorders, delaying or avoiding care is associated with worse outcomes.

Professor Graham Thornicroft, from the Department of Health Service and Population Research (HSPR) at the Institute of Psychiatry (IoP) at King’s College London and senior author of the paper, says: “We now have clear evidence that stigma has a toxic effect by preventing people seeking help for mental health problems. The profound reluctance to be “a mental health patient” means people will put off seeing a doctor for months, years, or even at all, which in turn delays their recovery.”

The study, which was funded by the National Institute for Health Research (NIHR) as a part of the SAPPHIRE Programme, looked at the effect of stigma on how individuals with mental health problems accessed and engaged with formal services, including GPs, specialist mental health services and talking therapies.

Stigma was the fourth highest ranked barrier out of ten. The main types of stigma preventing people from accessing care were ‘treatment stigma’ (the stigma associated with using mental health services or receiving mental health treatment) and ‘internalised stigma’ (shame, embarrassment). Other important barriers preventing people seeking help were fear of disclosing a mental health condition; concerns about confidentiality; wanting to handle the problem on one’s own; and not believing they needed help. 

The study also identified certain groups for whom stigma had an even stronger effect on preventing people seeking help. These included young people, men, people from minority ethnic groups, those in the military and health professions.  

Dr Sarah Clement, also from the HSPR Department at the IoP at King’s and lead author of the paper, says: “Our study clearly demonstrates that mental health stigma plays an important role in preventing people from accessing treatment. We found that the fear of disclosing a mental health condition was a particularly common barrier. Supporting people to talk about their mental health problems, for example through anti-stigma campaigns, may mean they are more likely to seek help.”

The research was funded by the NIHR under its Programme Grants for Applied Research (PGfAR) Programme (Improving Mental Health Outcomes by Reducing Stigma and Discrimination: RP-PG-0606-1053). Additional funding was provided by Comic Relief, the UK Government Department of Health, European Commission and the NIHR Biomedical Research Centre at the South London and Maudsley NHS Foundation Trust and King’s College London.

Paper reference: Clement, S. et al. ‘What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies’ is published in Psychological Medicine

About SAPPHIRE: SAPPHIRE is a five year research programme on mental health-related stigma and discrimination, funded by the National Institute for Health Research. It focuses mainly on three areas: access to mental healthcare, how physical health care is provided, and employment. The research will lead to the production of: best available evidence on population education regarding stigma and discrimination; legal requirements on disclosing psychiatric history; a decision-aid on job applications; DVDs for training courses; and four standardised scales to assess the impact of discrimination and associated financial costs. 

For further information please contact Seil Collins, Press Officer, Institute of Psychiatry, King’s College London / seil.collins@kcl.ac.uk / (+44) 0207 848 5377

Rss Feed Atom Feed

News Highlights:

News Highlights...Rss FeedAtom Feed

IoP team win Lion's Den Challenge 2014

IoP team win Lion's Den Challenge 2014

Description
A team of six PhD students from the Institute of Psychiatry have won the King's Lion's Den Challenge, with 'Cognitracker', a health app which monitors users' cognitive health to improve early detection of diseases such as Alzheimer's.
UK troops mentally resilient and 'faring better' than US peers

UK troops mentally resilient and 'faring better' than US peers

Description
Despite 10 years of conflict in Iraq and Afghanistan, UK troops remain mentally healthy and more resilient than their US peers, according to a study by King's College London.
New video: Art at the SGDP

New video: Art at the SGDP

Description
The MRC Social, Genetic & Developmental Psychiatry Centre (SGDP) at the Institute of Psychiatry, King's College London hosts regular art exhibitions exploring psychology, research and therapy.

Share this story:

add

Follow Us

@kingscollegelon

Live Twitter feed...

@kingscollegelon
Join the conversation
Sitemap Site help Terms and conditions Accessibility Recruitment News Centre Contact us

© 2014 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454