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Addressing barriers to mental health services: evaluation of a psychoeducational short film for forcibly displaced people
BACKGROUND: Despite the high prevalence of mental illness in forcibly displaced people, their utilization of mental health services is low. Major barriers to seeking mental health services include mental health self-stigma. To address this issue, the psychoeducational short film ‘Coping with Flight...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9132417/ https://www.ncbi.nlm.nih.gov/pubmed/35646296 http://dx.doi.org/10.1080/20008198.2022.2066458 |
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author | Denkinger, J. K. Rometsch, C. Murray, K. Schneck, U. Brißlinger, L. K. Rahmani Azad, Z. Windthorst, P. Graf, J. Hautzinger, M. Zipfel, S. Junne, F. |
author_facet | Denkinger, J. K. Rometsch, C. Murray, K. Schneck, U. Brißlinger, L. K. Rahmani Azad, Z. Windthorst, P. Graf, J. Hautzinger, M. Zipfel, S. Junne, F. |
author_sort | Denkinger, J. K. |
collection | PubMed |
description | BACKGROUND: Despite the high prevalence of mental illness in forcibly displaced people, their utilization of mental health services is low. Major barriers to seeking mental health services include mental health self-stigma. To address this issue, the psychoeducational short film ‘Coping with Flight and Trauma’ was developed as a brief online intervention. OBJECTIVE: The present study aims to evaluate the feasibility and acceptance of the newly developed 10 min film, and to assess changes in self-stigma and help seeking. METHOD: The evaluation of the film was conducted using a mixed-methods design with an online survey including the Self-Stigma of Mental Illness Scale, help seeking, and mental health variables at baseline, postintervention, and 3 month follow-up, in addition to telephone interviews postintervention with a randomly selected volunteer subsample. RESULTS: A total of 134 participants with a forced displacement history within the past 8 years took part in the study, of whom 66% scored as having probable post-traumatic stress disorder (PTSD), depression, and/or anxiety. The results revealed emotional, cognitive, and behavioural changes postintervention. Directly after watching the film, participants reported reduced self-stigma and increased openness towards accessing mental health services. At follow-up, precisely 3.8 months later, these changes were no longer significant, yet 11% of participants reported having started psychotherapy since watching the film. Probable PTSD was associated with higher self-stigma at all three time-points. The majority (90%) would recommend watching the film to other forcibly displaced people. CONCLUSIONS: Self-stigma was shown to be a robust and persistent issue, which tends to be underestimated by individuals not affected by mental illness. Low-threshold psychoeducational online interventions may be a promising tool to reduce barriers to accessing mental health services for forcibly displaced people, e.g. by being implemented in stepped-care models. HIGHLIGHTS: Mental health self-stigma was shown to be a persistent and underestimated burden in forcibly displaced people. Psychoeducational online interventions are promising for addressing the burden of self-stigma and reducing barriers to seeking mental health services. |
format | Online Article Text |
id | pubmed-9132417 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-91324172022-05-26 Addressing barriers to mental health services: evaluation of a psychoeducational short film for forcibly displaced people Denkinger, J. K. Rometsch, C. Murray, K. Schneck, U. Brißlinger, L. K. Rahmani Azad, Z. Windthorst, P. Graf, J. Hautzinger, M. Zipfel, S. Junne, F. Eur J Psychotraumatol Clinical Research Article BACKGROUND: Despite the high prevalence of mental illness in forcibly displaced people, their utilization of mental health services is low. Major barriers to seeking mental health services include mental health self-stigma. To address this issue, the psychoeducational short film ‘Coping with Flight and Trauma’ was developed as a brief online intervention. OBJECTIVE: The present study aims to evaluate the feasibility and acceptance of the newly developed 10 min film, and to assess changes in self-stigma and help seeking. METHOD: The evaluation of the film was conducted using a mixed-methods design with an online survey including the Self-Stigma of Mental Illness Scale, help seeking, and mental health variables at baseline, postintervention, and 3 month follow-up, in addition to telephone interviews postintervention with a randomly selected volunteer subsample. RESULTS: A total of 134 participants with a forced displacement history within the past 8 years took part in the study, of whom 66% scored as having probable post-traumatic stress disorder (PTSD), depression, and/or anxiety. The results revealed emotional, cognitive, and behavioural changes postintervention. Directly after watching the film, participants reported reduced self-stigma and increased openness towards accessing mental health services. At follow-up, precisely 3.8 months later, these changes were no longer significant, yet 11% of participants reported having started psychotherapy since watching the film. Probable PTSD was associated with higher self-stigma at all three time-points. The majority (90%) would recommend watching the film to other forcibly displaced people. CONCLUSIONS: Self-stigma was shown to be a robust and persistent issue, which tends to be underestimated by individuals not affected by mental illness. Low-threshold psychoeducational online interventions may be a promising tool to reduce barriers to accessing mental health services for forcibly displaced people, e.g. by being implemented in stepped-care models. HIGHLIGHTS: Mental health self-stigma was shown to be a persistent and underestimated burden in forcibly displaced people. Psychoeducational online interventions are promising for addressing the burden of self-stigma and reducing barriers to seeking mental health services. Taylor & Francis 2022-05-20 /pmc/articles/PMC9132417/ /pubmed/35646296 http://dx.doi.org/10.1080/20008198.2022.2066458 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Research Article Denkinger, J. K. Rometsch, C. Murray, K. Schneck, U. Brißlinger, L. K. Rahmani Azad, Z. Windthorst, P. Graf, J. Hautzinger, M. Zipfel, S. Junne, F. Addressing barriers to mental health services: evaluation of a psychoeducational short film for forcibly displaced people |
title | Addressing barriers to mental health services: evaluation of a psychoeducational short film for forcibly displaced people |
title_full | Addressing barriers to mental health services: evaluation of a psychoeducational short film for forcibly displaced people |
title_fullStr | Addressing barriers to mental health services: evaluation of a psychoeducational short film for forcibly displaced people |
title_full_unstemmed | Addressing barriers to mental health services: evaluation of a psychoeducational short film for forcibly displaced people |
title_short | Addressing barriers to mental health services: evaluation of a psychoeducational short film for forcibly displaced people |
title_sort | addressing barriers to mental health services: evaluation of a psychoeducational short film for forcibly displaced people |
topic | Clinical Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9132417/ https://www.ncbi.nlm.nih.gov/pubmed/35646296 http://dx.doi.org/10.1080/20008198.2022.2066458 |
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