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Ward features and stigma experiences of mental health service users in Belgium and England: A replication study

Schneider, Justine, Beeley, Chris, Scales, Kezia, Bailey, Simon, Verhaeghe, Mieke, Bracke, Piet (2013) Ward features and stigma experiences of mental health service users in Belgium and England: A replication study. International Journal of Social Psychiatry, 59 (6). pp. 602-608. ISSN 0020-7640. (doi:10.1177/0020764012447884) (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:76204)

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Background: Stigmatizing attitudes can impair the quality of life of people with mental health problems. Psychiatric hospitalization can generate stigma. Are some approaches to care less stigmatizing than others? Aims: This study was designed to replicate findings from Flanders, Belgium in an English context, investigating how ward size and treatment approach affected service users’ expectations and experiences of stigma. Methods: The translated Belgian questionnaire was administered to 70 service users in 15 inpatient adult mental health settings in central England. Adjustments were made to the multivariate analysis in light of the smaller sample size, in order to replicate the original equation as closely as possible. Results: Neither ward size nor individualized care proved significant in the smaller English sample, which was subject to the risk of type II error. Across two models, self-rejection correlated with age (negatively), social rejection and stigma expectations. Conclusions: This analysis shows that attempts to translate evidence about psychiatric inpatient services must take into account differences between the settings, populations and models of care. Expectations as well as outcomes of stigma may be relevant when assessing the impact of psychiatric hospital treatment on individual patients.

Item Type: Article
DOI/Identification number: 10.1177/0020764012447884
Uncontrolled keywords: Self-rejection, stigma, Belgium, England, replication, psychiatric inpatient care, severe mental illness, treatment context
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Simon Bailey
Date Deposited: 05 Sep 2019 10:37 UTC
Last Modified: 29 Oct 2021 14:38 UTC
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