The state of the art in European research on reducing social exclusion and stigma related to mental health

A systematic mapping of the literature

S. Evans-Lacko, E. Courtin, A. Fiorillo, M. Knapp, M. Luciano, A. -L. Park, M. Brunn, S. Byford, K. Chevreul, A. K. Forsman, L. Gulacsi, J. M. Haro, B. Kennelly, S. Knappe, T. Lai, A. Lasalvia, M. Miret, C. O'Sullivan, C. Obradors-Tarrago, N. Ruesch & 8 others N. Sartorius, V. Svab, J. van Weeghel, C. Van Audenhove, K. Wahlbeck, A. Zlati, D. McDaid, G. Thornicroft

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Stigma and social exclusion related to mental health are of substantial public health importance for Europe. As part of ROAMER (ROAdmap for MEntal health Research in Europe), we used systematic mapping techniques to describe the current state of research on stigma and social exclusion across Europe. Findings demonstrate growing interest in this field between 2007 and 2012. Most studies were descriptive (60%), focused on adults of working age (60%) and were performed in Northwest Europe—primarily in the UK (32%), Finland (8%), Sweden (8%) and Germany (7%). In terms of mental health characteristics, the largest proportion of studies investigated general mental health (20%), common mental disorders (16%), schizophrenia (16%) or depression (14%). There is a paucity of research looking at mechanisms to reduce stigma and promote social inclusion, or at factors that might promote resilience or protect against stigma/social exclusion across the life course. Evidence is also limited in relation to evaluations of interventions. Increasing incentives for cross-country research collaborations, especially with new EU Member States and collaboration across European professional organizations and disciplines, could improve understanding of the range of underpinning social and cultural factors which promote inclusion or contribute toward lower levels of stigma, especially during times of hardship.
Original languageEnglish
Pages (from-to)381-389
JournalEuropean Psychiatry
Volume29
Issue number6
DOIs
Publication statusPublished - 2014

Keywords

  • Mental disorders
  • Stigmatization
  • Social marginalization
  • Social participation
  • Community psychiatry
  • Review

Cite this

Evans-Lacko, S. ; Courtin, E. ; Fiorillo, A. ; Knapp, M. ; Luciano, M. ; Park, A. -L. ; Brunn, M. ; Byford, S. ; Chevreul, K. ; Forsman, A. K. ; Gulacsi, L. ; Haro, J. M. ; Kennelly, B. ; Knappe, S. ; Lai, T. ; Lasalvia, A. ; Miret, M. ; O'Sullivan, C. ; Obradors-Tarrago, C. ; Ruesch, N. ; Sartorius, N. ; Svab, V. ; van Weeghel, J. ; Van Audenhove, C. ; Wahlbeck, K. ; Zlati, A. ; McDaid, D. ; Thornicroft, G. / The state of the art in European research on reducing social exclusion and stigma related to mental health : A systematic mapping of the literature. In: European Psychiatry. 2014 ; Vol. 29, No. 6. pp. 381-389.
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abstract = "Stigma and social exclusion related to mental health are of substantial public health importance for Europe. As part of ROAMER (ROAdmap for MEntal health Research in Europe), we used systematic mapping techniques to describe the current state of research on stigma and social exclusion across Europe. Findings demonstrate growing interest in this field between 2007 and 2012. Most studies were descriptive (60{\%}), focused on adults of working age (60{\%}) and were performed in Northwest Europe—primarily in the UK (32{\%}), Finland (8{\%}), Sweden (8{\%}) and Germany (7{\%}). In terms of mental health characteristics, the largest proportion of studies investigated general mental health (20{\%}), common mental disorders (16{\%}), schizophrenia (16{\%}) or depression (14{\%}). There is a paucity of research looking at mechanisms to reduce stigma and promote social inclusion, or at factors that might promote resilience or protect against stigma/social exclusion across the life course. Evidence is also limited in relation to evaluations of interventions. Increasing incentives for cross-country research collaborations, especially with new EU Member States and collaboration across European professional organizations and disciplines, could improve understanding of the range of underpinning social and cultural factors which promote inclusion or contribute toward lower levels of stigma, especially during times of hardship.",
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author = "S. Evans-Lacko and E. Courtin and A. Fiorillo and M. Knapp and M. Luciano and Park, {A. -L.} and M. Brunn and S. Byford and K. Chevreul and Forsman, {A. K.} and L. Gulacsi and Haro, {J. M.} and B. Kennelly and S. Knappe and T. Lai and A. Lasalvia and M. Miret and C. O'Sullivan and C. Obradors-Tarrago and N. Ruesch and N. Sartorius and V. Svab and {van Weeghel}, J. and {Van Audenhove}, C. and K. Wahlbeck and A. Zlati and D. McDaid and G. Thornicroft",
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Evans-Lacko, S, Courtin, E, Fiorillo, A, Knapp, M, Luciano, M, Park, A-L, Brunn, M, Byford, S, Chevreul, K, Forsman, AK, Gulacsi, L, Haro, JM, Kennelly, B, Knappe, S, Lai, T, Lasalvia, A, Miret, M, O'Sullivan, C, Obradors-Tarrago, C, Ruesch, N, Sartorius, N, Svab, V, van Weeghel, J, Van Audenhove, C, Wahlbeck, K, Zlati, A, McDaid, D & Thornicroft, G 2014, 'The state of the art in European research on reducing social exclusion and stigma related to mental health: A systematic mapping of the literature', European Psychiatry, vol. 29, no. 6, pp. 381-389. https://doi.org/10.1016/j.eurpsy.2014.02.007

The state of the art in European research on reducing social exclusion and stigma related to mental health : A systematic mapping of the literature. / Evans-Lacko, S.; Courtin, E.; Fiorillo, A.; Knapp, M.; Luciano, M.; Park, A. -L.; Brunn, M.; Byford, S.; Chevreul, K.; Forsman, A. K.; Gulacsi, L.; Haro, J. M.; Kennelly, B.; Knappe, S.; Lai, T.; Lasalvia, A.; Miret, M.; O'Sullivan, C.; Obradors-Tarrago, C.; Ruesch, N.; Sartorius, N.; Svab, V.; van Weeghel, J.; Van Audenhove, C.; Wahlbeck, K.; Zlati, A.; McDaid, D.; Thornicroft, G.

In: European Psychiatry, Vol. 29, No. 6, 2014, p. 381-389.

Research output: Contribution to journalArticleScientificpeer-review

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AU - Courtin, E.

AU - Fiorillo, A.

AU - Knapp, M.

AU - Luciano, M.

AU - Park, A. -L.

AU - Brunn, M.

AU - Byford, S.

AU - Chevreul, K.

AU - Forsman, A. K.

AU - Gulacsi, L.

AU - Haro, J. M.

AU - Kennelly, B.

AU - Knappe, S.

AU - Lai, T.

AU - Lasalvia, A.

AU - Miret, M.

AU - O'Sullivan, C.

AU - Obradors-Tarrago, C.

AU - Ruesch, N.

AU - Sartorius, N.

AU - Svab, V.

AU - van Weeghel, J.

AU - Van Audenhove, C.

AU - Wahlbeck, K.

AU - Zlati, A.

AU - McDaid, D.

AU - Thornicroft, G.

PY - 2014

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N2 - Stigma and social exclusion related to mental health are of substantial public health importance for Europe. As part of ROAMER (ROAdmap for MEntal health Research in Europe), we used systematic mapping techniques to describe the current state of research on stigma and social exclusion across Europe. Findings demonstrate growing interest in this field between 2007 and 2012. Most studies were descriptive (60%), focused on adults of working age (60%) and were performed in Northwest Europe—primarily in the UK (32%), Finland (8%), Sweden (8%) and Germany (7%). In terms of mental health characteristics, the largest proportion of studies investigated general mental health (20%), common mental disorders (16%), schizophrenia (16%) or depression (14%). There is a paucity of research looking at mechanisms to reduce stigma and promote social inclusion, or at factors that might promote resilience or protect against stigma/social exclusion across the life course. Evidence is also limited in relation to evaluations of interventions. Increasing incentives for cross-country research collaborations, especially with new EU Member States and collaboration across European professional organizations and disciplines, could improve understanding of the range of underpinning social and cultural factors which promote inclusion or contribute toward lower levels of stigma, especially during times of hardship.

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KW - Mental disorders

KW - Stigmatization

KW - Social marginalization

KW - Social participation

KW - Community psychiatry

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DO - 10.1016/j.eurpsy.2014.02.007

M3 - Article

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SP - 381

EP - 389

JO - European Psychiatry

JF - European Psychiatry

SN - 0924-9338

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