Ending Discrimination Against People with Mental and Substance Use Disorders The Evidence for Stigma Change (2016) / Chapter Skim
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6 Conclusions and Recommendations
6 Conclusions and Recommendations
Pages 113-122
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From page 113... ...
Behavioral health-related norms and beliefs are created and reinforced at multiple levels, including day-to-day contact with people affected by mental and substance use disorders, organizational policies and practices, community norms and beliefs, the media, and governmental law and policy. Successful national-scale anti-stigma programs in other countries shared the following characteristics: • They were supported by government at the national level.
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From page 114... ...
At the program's peak height in September 2011, more than 9,000 people with HIV were on state medication waiting lists. Although state and local autonomy regarding implementation and delivery is essential, lessons learned from the AIDS Drug Assistance Programs underscore the need for unifying program standards and illustrate the
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From page 115... ...
Research will need to leverage and build on the existing knowledge base related to mental and substance use disorders, stigma change, and other relevant and related fields. Finally, effective research needs to consider the cultural processes, social stratification, ecological variations, and immigrant/acculturation status that are pertinent to understanding the causes and consequences mental and substance disorder stigma (Institute of Medicine and National Research Council, 2014.
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From page 116... ...
Relevant stakeholder groups would include the following: • consumers in treatment for mental and substance use disorders and consumer organizations; • families and others whose lives are touched by mental illness or substance use disorders, including suicide-attempt survivors and loss survivors; • relevant private sector leadership, including major employers; • relevant foundations and nongovernmental organizations; • advocates and advocacy groups, including civil rights and dis ability law experts; • insurance companies and pharmaceutical manufacturers; • journalists and others in the news media, including public health media experts; • health and behavioral health care providers, and administrators, including protective services and social services providers; • health professional education institutions and professional associations; • academic researchers, including suicide prevention experts and researchers; • law enforcement officials and first responders; and • representatives of federal, state, and local governments.
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From page 117... ...
The Substance Abuse and Mental Health Services Administration (SAMHSA's) ongoing engagement with stakeholders can support the search for common ground, mutually articulated goals, and shared agendas.
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From page 118... ...
Strategic Planning for Research The committee defines strategic planning as the process undertaken by an agency or organization to define its future and formulate a detailed plan to guide its path from the current state to its vision for the future. CONCLUSION: A planning process usually results in the develop ment of a key document that includes a plan to ensure that com munication is maintained across all stakeholders.
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From page 119... ...
An evaluation plan should include and support community-based participatory research that is based on the principle of partnership, in which community partners act as co-learners with academic partners rather than helpers and recipients. This approach involves community stakeholders in helping to define both the change targets and the intervention strategies, as well as in the conduct of the research itself.
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From page 120... ...
. Although the efficacy of contact-based programs is greater than that of education programs alone in adults across a range of specific target audiences, such as health professionals, college students, and police, evidence shows that one-time contact is not as effective as repeated contact.
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From page 121... ...
Few data are available about the costs and benefits of these programs, although the research suggests that people who use peer support services are more likely to use other behavioral health services of all kinds, including professional services and prescription drugs, which may lead to improved outcomes (Landers and Zhou, 2014)
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From page 122... ...
Development of a national strategy for eliminating the stigma of mental and substance use disorders is a challenging, long-term goal that will require collaboration across federal agencies, support from governments at all levels, and engagement of a broad range of stakeholders. No single agency can implement an effective national strategy, but SAMHSA brings specific and unique strengths including well-established stakeholder relations, commitment to the recovery model, and a history of promotion and implementation of prevention and early intervention strategies.
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