What Elephant? Pedagogical Approaches to Addressing Stigma Toward Mental Disorders in Undergraduate Public Health Education

Abstract

In the past decade, the number of undergraduate public health programs has increased exponentially. This growth provides a unique opportunity to explore concepts and issues relevant to understanding the determinants of health at a population level using new pedagogical approaches. One of these issues is stigma toward mental disorders. Stigma is a concept that refers to a feature or characteristic that reduces, devalues, and disempowers a person. Given the prevalence of mental and substance use disorders among college students, undergraduate education is an important setting for attempting to address stigmatizing attitudes both for society at large and for faculty, staff, and students, including those experiencing mental health problems. This article describes an effort to develop an undergraduate course in public mental health that explicitly addresses the ways stigma shapes student understanding of this topic and discusses lessons learned from this experience.

Keywords

mental health undergraduate students stakeholder engagement course design

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References

Association of American Colleges and Universities. (2014, January 4). The educated citizen and public health. Author. https://www.aacu.org/public_health

Auerbach

R. P.

Mortier

Bruffaerts

Alonso

Benjet

Cuijpers

Demyttenaere

Ebert

D. D.

Green

J. G.

Hasking

Murray

Nock

M. K.

Pinder-Amaker

Sampson

N. A.

Stein

D. J.

Vilagut

Zaslavsky

A. M.

Kessler

R. C.

, & WHO WMH-ICS Collaborators. (2018). WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127(7), 623–638. https://doi.org/10.1037/abn0000362

Bell

(2014, June). The breast-cancer-ization of cancer survivorship: Implications for experiences of the disease. Social Science & Medicine, 110, 56–63. https://doi.org/10.1016/j.socscimed.2014.03.031

Corrigan

P. W.

Morris

S. B.

Michaels

P. J.

Rafacz

J. D.

Rüsch

(2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services (Washington, D.C.), 63(10), 963–973. https://doi.org/10.1176/appi.ps.201100529

Corrigan

P. W.

Vega

Larson

Michaels

P. J.

McClintock

Krzyzanowski

Gause

Buchholz

(2013). The California schedule of key ingredients for contact-based antistigma programs. Psychiatric Rehabilitation Journal, 36(3), 173–179. https://doi.org/10.1037/prj0000006

Eaton

W. W.

Fallin

(Eds.). (2019). Public mental health (2nd ed.). Oxford University Press.

Friedrich

M. J.

(2017). Depression is the leading cause of disability around the world. JAMA Journal of the American Medical Association, 317(15), 1517–1517. https://doi.org/10.1001/jama.2017.3826

Henderson

Noblett

Parke

Clement

Caffrey

Gale-Grant

Schulze

Druss

Thornicroft

(2014). Mental health-related stigma in health care and mental health-care settings. Lancet. Psychiatry, 1(6), 467–482. https://doi.org/10.1016/S2215-0366(14)00023-6

Holland

J. C.

(2002). History of psycho-oncology: Overcoming attitudinal and conceptual barriers. Psychosomatic Medicine, 64(2), 206–221. https://doi.org/10.1097/00006842-200203000-00004

10.

Jacobs

Amuta

A. O.

Jeon

K. C.

(2017). Health information seeking in the digital age: An analysis of health information seeking behavior among US adults. Cogent Social Sciences, 3(1), 1302785. https://doi.org/10.1080/23311886.2017.1302785

11.

Kessler

R. C.

Berglund

Demler

Jin

Merikangas

K. R.

Walters

E. E.

(2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602. https://doi.org/10.1001/archpsyc.62.6.593

12.

Larson

Long

Slater

M. D.

Bettinghaus

E. P.

Read

(2009). A content analysis of cancer survivorship coverage in a representative sample of US news outlets. Journal of Cancer Education, 24(4), 291–296. https://doi.org/10.1080/08858190902973168

13.

Link

B. G.

Struening

E. L.

Rahav

Phelan

J. C.

Nuttbrock

(1997). On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behavior, 38(2), 177–190. https://doi.org/10.2307/2955424

14.

Martin

J. M.

(2010). Stigma and student mental health in higher education. Higher Education Research & Development, 29(3), 259–274. https://doi.org/10.1080/07294360903470969

15.

McGinty

E. E.

Goldman

H. H.

Pescosolido

Barry

C. L.

(2015, February). Portraying mental illness and drug addiction as treatable health conditions: Effects of a randomized experiment on stigma and discrimination. Social Science & Medicine, 126, 73–85. https://doi.org/10.1016/j.socscimed.2014.12.010

16.

McGinty

Pescosolido

Kennedy-Hendricks

Barry

C. L.

(2018). Communication strategies to counter stigma and improve mental illness and substance use disorder policy. Psychiatric Services (Washington, D.C.), 69(2), 136–146. https://doi.org/10.1176/appi.ps.201700076

17.

Kim

(2014). College students’ use of social media for health in the USA and Korea. Information Research, 19(4). http://informationr.net/ir/19-4/paper643.html

18.

Pachankis

J. E.

Hatzenbuehler

M. L.

Wang

Burton

C. L.

Crawford

F. W.

Phelan

J. C.

Link

B. G.

(2018). The burden of stigma on health and well-being: A taxonomy of concealment, course, disruptiveness, aesthetics, origin, and peril across 93 stigmas. Personality and Social Psychology Bulletin, 44(4), 451–474. https://doi.org/10.1177/0146167217741313

19.

Parcesepe

A. M.

Cabassa

L. J.

(2013). Public stigma of mental illness in the United States: A systematic literature review. Administration and Policy in Mental Health, 40(5), 384-399. https://doi.org/10.1007/s10488-012-0430-z

20.

Penn

D. L.

Couture

S. M.

(2002). Strategies for reducing stigma toward persons with mental illness. World Psychiatry, 1(1), 20–21. https://doi.org/10.1186/s12888-016-1169-y

21.

Penn

D. L.

Martin

(1998). The stigma of severe mental illness: Some potential solutions for a recalcitrant problem. Psychiatric Quarterly, 69(3), 235–247. https://doi.org/10.1023/a:1022153327316

22.

Pescosolido

B. A.

(2013). The public stigma of mental illness: What do we think; what do we know; what can we prove? Journal of Health and Social Behavior, 54(1), 1–21. https://doi.org/10.1177/0022146512471197

23.

Pescosolido

B. A.

Manago

Monahan

(2019). Evolving public views on the likelihood of violence from people with mental illness: Stigma and its consequences. Health Affairs (Project Hope), 38(10), 1735–1743. https://doi.org/10.1377/hlthaff.2019.00702

24.

Pescosolido

B. A.

Martin

J. K.

Long

J. S.

Medina

T. R.

Phelan

J. C.

Link

B. G.

(2010). “A disease like any other”? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. American Journal of Psychiatry, 167(11), 1321–1330. https://doi.org/10.1176/appi.ajp.2010.09121743

25.

Pescosolido

B. A.

Perry

B. L.

Krendl

A. C.

(2019). Empowering the next generation to end stigma by starting the conversation: Bring change to mind and the college toolbox project. Journal of the American Academy of Child & Adolescent Psychiatry, 59(4), 519–530. https://doi.org/10.1016/j.jaac.2019.06.016

26.

Phelan

Link

B. G.

Dovidio

J. F.

(2008). “Stigma and prejudice: One animal or two?” Social Science & Medicine, 67(3), 358–367. https://doi.org/10.1016/j.socscimed.2008.03.022

27.

Robinson

P. A.

Orroth

K. K.

Stutts

L. A.

Baron

P. A.

Wessner

D. R.

(2018). Trends in public and global health education among nationally recognized undergraduate liberal arts colleges in the United States. American Journal of Tropical Medicine and Hygiene, 98(5), 1228–1233. https://doi.org/10.4269/ajtmh.18-0017

28.

Roy

(2018). The rise of mental health on college campuses: Protecting the emotional health of our nation’s college students. https://www.higheredtoday.org/2018/12/17/rise-mental-health-college-campuses-protecting-emotional-health-nations-college-students/

29.

Schulze

(2007). Stigma and mental health professionals: A review of the evidence on an intricate relationship. International Review of Psychiatry, 19(2), 137–155. https://doi.org/10.1080/09540260701278929

30.

Tuinman

M. A.

Lehmann

Hagedoorn

(2018). Do single people want to date a cancer survivor? A vignette study. PloS One, 13(3), e0194277. https://doi.org/10.1371/journal.pone.0194277

31.

Whitley

Wang

(2017). Good news? A longitudinal analysis of newspaper portrayals of mental illness in Canada 2005 to 2015. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 62(4), 278–285. https://doi.org/10.1177/0706743716675856

32.

Wong

E. C.

Collins

R. L.

Cerully

J. L.

Roth

Marks

(2016). Effects of stigma and discrimination reduction trainings conducted under the California Mental Health Services Authority: An evaluation of the National Alliance on Mental Illness Adult Programs. Rand Health Quarterly, 5(4), 9.

33.

World Health Organization. (2017). “Depression: Let’s talk” says WHO, as depression tops list of causes of ill health. https://www.who.int/news-room/detail/30-03-2017–depression-let-s-talk-says-who-as-depression-tops-list-of-causes-of-ill-health

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