0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Articles   |    
Discrimination Attributed to Mental Illness or Race-Ethnicity by Users of Community Psychiatric Services
Jheanell Gabbidon, M.Sc.; Simone Farrelly, Ph.D.; Stephani L. Hatch, Ph.D.; Claire Henderson, M.D., Ph.D.; Paul Williams, M.P.H.; Dinesh Bhugra, Ph.D., F.R.C.Psych.; Lisa Dockery, M.Sc.; Francesca Lassman, M.Sc.; Graham Thornicroft, M.D., Ph.D.; Sarah Clement, Ph.D.
Psychiatric Services 2014; doi: 10.1176/appi.ps.201300302
View Author and Article Information

Except for Dr. Hatch, the authors are with the Department of Health Services and Population Research, Institute of Psychiatry, King's College London, London, United Kingdom (e-mail: jheanell.gabbidon@kcl.ac.uk). Dr. Hatch is with the Department of Psychological Medicine, King’s College London.

Copyright © 2014 by the American Psychiatric Association

text A A A
PDF of the full text article.
Abstract

Objective  This study assessed participants’ experienced discrimination and their causal attributions, particularly to mental illness or race-ethnicity.

Methods  In a cross-sectional study, 202 service users with severe mental illnesses were interviewed to assess their reported experiences of discrimination. The Major Experiences of Discrimination Scale assessed major experiences of discrimination and their recency and frequency across 12 life domains and perceived reasons (attributions). The Everyday Experiences of Discrimination Scale assessed ten types of everyday discrimination and attributions for these experiences.

Results  Most participants (88%) reported discrimination in at least one life domain, and 94% reported ever experiencing everyday discrimination. The most common areas of major discrimination were mental health care (44%), neighbors (42%), police (33%), employment (31%), and general medical care (31%). The most common attributions for major discrimination were mental illness (57%), race-ethnicity (24%), education or income (20%), or appearance (19%). Almost half (47%) attributed experiences of major discrimination to two or more causes. No differences were found between racial-ethnic groups in overall experienced discrimination or in main attributions to mental illness. However, compared with the mixed and white groups, participants in the black group were most likely to endorse race-ethnicity as a main attribution (p<.001).

Conclusions  Mental illness–related discrimination was found to be a common issue across racial-ethnic groups, and discrimination based on race-ethnicity was prevalent for the mixed and black groups. There is a need for antidiscrimination strategies that combine efforts to reduce the experience of discrimination attributed to mental illness and to race-ethnicity for racial-ethnic minority groups.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Articles
Books
Diagnostic and Statistical Manual of Mental Disorders, 5th Edition > Chapter 0.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 34.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 42.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 35.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 35.  >
Topic Collections
Psychiatric News
PubMed Articles