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Query: UMLS:C0277787 (stigma)
 13,352 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Questioning potential users of National Health Service behind-the-ear (BTE) hearing aids indicated that for some the perception of stigma associated with visible aids is a powerful deterrent to acceptance and use. To investigate further the role of stigma in hearing aid acceptance, 184 individuals who had been fitted with NHS BTE hearing aids and who had also purchased in-the-ear (ITE) hearing aids through a discounted price scheme at Withington Hospital were asked why they had made the decision to purchase, and what they perceived as the benefits of the ITE aid relative to the BTE model. The primary factor both in terms of reason for purchase and perceived benefit was the greater cosmetic acceptability of the smaller aids. Comfort in wear was the second perceived benefit. Sound quality was ranked only third. Ease of use with spectacles was the second most common reason given for purchase. These studies suggest that in a small but significant percentage of hearing aid candidates the perception of stigma is a powerful deterrent to take-up and use. This perception needs to be recognized and addressed if the most effective service is to be provided to the hearing impaired.
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PMID:Some factors influencing choice of type of hearing aid in the UK: behind-the-ear or in-the-ear. 784 93

A postal survey of 3512 doctors in Birmingham was carried out to assess attitudes to becoming mentally ill. The response rate for the questionnaire was 70% (2462 questionnaires). In total, 1807 (73.4%) doctors would choose to disclose a mental illness to family and friends rather than to a professional. Career implications were cited by 800 (32.5%) respondents as the most frequent reason for failure to disclose. For outpatient treatment, 51.1% would seek formal professional advice. For inpatient treatment, 41.0% would choose a local private facility, with only 21.1% choosing a local NHS facility. Of respondents 12.4% indicated that they had experienced a mental illness. Stigma to mental health is prevalent among doctors. At present there are no clear guidelines for doctors to follow for mental healthcare. Confidential referral pathways to specialist psychiatric care for doctors and continuous education on the vulnerability of doctors to mental illness early on in medical training is crucial.
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PMID:A postal survey of doctors' attitudes to becoming mentally ill. 2040 21

DEBATES ON dignity, inequalities and stigma in care services are not new to the NHS, and especially when they concern services for older people.
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PMID:Vantage point. 2732 Jan 40

In a culture where randomised controlled trials are considered the 'gold standard', qualitative research suffers from the 'stigma of the small n'. A small number of cases are studied, the cases are not statistically representative of the population and the data collected are unstructured and difficult to analyse. Consequently, some NHS staff may see the study as not worthwhile, and indeed as a waste of money and resources.
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PMID:Research notes. 2807 75

Purpose: Section 136 (S136) of the Mental Health Act (1983, 2007) provides legislative powers for police officers to detain those suspected of being 'mentally disordered' for a mental health assessment. Despite its increasing use, there is currently little qualitative research exploring detainee's experiences. Methodology: Participants recruited from NHS places of safety participated in a semi-structured interview. The novel application of Critical Incident Technique (CIT) within this study enabled the specific identification of critical incidents which mental health service users thought had either helped with, or worsened the S136 detention experience. A wish list of absent factors was also gathered. Findings: Six categories of helpful critical incidents, seven categories of unhelpful critical incidents and five categories of wish-list items were identified. The importance of authentic relationships underpinned many categories, as well as challenging stigma, considering previous detentions; and receiving practical support. Originality/value: The outlined study is the first of its kind to utilise CIT methodology to specifically identify critical incidents related to the process of S136 detention. These findings provide specific ways to improve the experience of detention informed directly by those who have been directly subjected to S136. Key points Take time to invest in meaningful relationships with those who are detained; asking about the individual's life experience and their perception of its relationship to their current presenting difficulties. Identify the service user's values -what's important to them, and what gives meaning to their life - and discuss this in relation to what their worries, concerns or wishes may be for treatment. Discuss previous experiences of involuntary admission- this can support all parties involved to consider the impact of detention upon the individual, and services. Use problem-free discussions to normalise and help de-stigmatise mental health difficulties and support rapport building. Provide practical support, such as food, drink and routinely allow those who are detained to gather personal belongings such as a change of clothes or a book. Ensure advocacy services are always available and accessible for those who are detained under S136. Where possible, avoid the use of restrictive or stigmatising practices in front of the public where possible (e.g. use of handcuffs, police vehicles as transport) to minimise risk of increasing mental health stigma.
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PMID:What are the critical incidents that affect how people cope with being detained under Section 136 of the Mental Health Act (1983, 2007)? 3084 66

Background: The evidence base for the use of psychological therapies in the treatment of psychosis is growing, however engagement can be difficult and outcomes are variable. Beliefs, attitudes and expectations may have an important influence on whether individuals engage with therapy and on clinical outcomes, however, these beliefs have not been adequately explored.Aims: To examine what young people in Early Intervention Services (EIS) think about psychological therapies for psychosis.Method: Thirty participants were recruited from EIS across five NHS trusts to examine young people's beliefs about psychological therapy.Results: Four distinct factors, or sets of beliefs, about therapy emerged: (1) Therapy is helpful and gives hope for the future; (2) Therapy is just talking, people need medication; (3) Therapy is useful but stigmatising; (4) Therapy is better than medication. Positive views towards different aspects of therapy were present in all four accounts. Other important issues were raised, including concerns about stigma and opposing beliefs about medication.Conclusion: These four factors provide useful insights into young people's beliefs about psychological therapy. Individuals' beliefs and expectations should be recognised and explored in order to promote greater engagement in and better outcomes from therapy.
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PMID:Young people's beliefs about psychological therapy for psychosis: a Q-Methodological study. 3164 55