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Help seeking for mental health problems is a multifaceted and dynamic process involving both formal and informal networks that has many associated barriers. One of the prominent barriers is help-seeking stigma, which is stigma associated with asking for or receiving help. This stigma can emerge even during very early stages of the development of a mental health problem, leading to delays in receiving any care or support. The aim of help-seeking interventions is to mitigate the barriers associated with help seeking. Much of the research surrounding help-seeking interventions focuses on increasing mental health literacy, and developing cognitive techniques surrounding help seeking for improving mental health and reducing stigma by applying strategies including: psychoeducation, contact, and resource sharing. Systematic reviews show that the majority of interventions target formal help seeking. Research that is more recent has highlighted the potential benefits of online help-seeking interventions due to its accessibility and cost-effectiveness. This chapter reviews the current challenges of help-seeking interventions and future direction of research.
Promulgating a continuum model of mental health and mental illness has been proposed as a way to reduce stigma by decreasing notions of differentness. This systematic review and meta-analysis examines whether continuum beliefs are associated with lower stigma, and whether continuum interventions reduce stigma.
Methods
Following a pre-defined protocol (PROSPERO: CRD42019123606), we searched three electronic databases (PubMed, Web of Science, and PsycINFO) yielding 6726 studies. After screening, we included 33 studies covering continuum beliefs, mental illness, and stigma. Of these, 13 studies were included in meta-analysis.
Results
Continuum beliefs are consistently associated with lower stigma. Interventions were effective at manipulating continuum beliefs but differ in their effects on stigmatising attitudes.
Conclusions
We discuss whether and to what extent attitudes towards people with mental illness can be improved by providing information on a mental health-mental illness continuum. It appeared to be relevant whether interventions promoted a feeling of ‘us’ and a process of identification with the person with mental illness. We discuss implications for the design of future interventions.
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