A grounded theory model for reducing stigma in health professionals in Canada

Acta Psychiatr Scand. 2016 Aug:134 Suppl 446:53-62. doi: 10.1111/acps.12612.

Abstract

Objective: The Mental Health Commission of Canada was formed as a national catalyst for improving the mental health system. One of its initiatives is Opening Minds (OM), whose mandate is to reduce mental health-related stigma. This article reports findings from a qualitative study on antistigma interventions for healthcare providers, which includes a process model articulating key stages and strategies for implementing successful antistigma programmes.

Method: The study employed a grounded theory methodology. Data collection involved in-depth interviews with programme stakeholders, direct observation of programmes, a review of programme documents, and qualitative feedback from programme participants. Analysis proceeded via the constant comparison method. A model was generated to visually present key findings.

Results: Twenty-three in-depth interviews were conducted representing 18 different programmes. Eight programmes were observed directly, 48 programme documents were reviewed, and data from 1812 programme participants were reviewed. The analysis led to a four-stage process model for implementing successful antistigma programmes targeting healthcare providers, informed by the basic social process 'targeting the roots of healthcare provider stigma'.

Conclusion: The process model developed through this research may function as a tool to help guide the development and implementation of antistigma programmes in healthcare contexts.

Keywords: Canada; health personnel; mental health; social stigma; translational research.

MeSH terms

  • Canada
  • Grounded Theory
  • Health Personnel / psychology*
  • Humans
  • Mental Health Services*
  • Qualitative Research
  • Social Stigma
  • Surveys and Questionnaires
  • Workforce