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The state of the art in European research on reducing social exclusion and stigma related to mental health: A systematic mapping of the literature

Published online by Cambridge University Press:  15 April 2020

S. Evans-Lacko ,
E. Courtin ,
A. Fiorillo ,
M. Knapp ,
M. Luciano ,
A.-L. Park ,
M. Brunn ,
S. Byford ,
K. Chevreul  and
A.K. Forsman
...Show all authors
S. Evans-Lacko*
Affiliation:
Health Service and Population Research Department, King's College London, Institute of Psychiatry, London, United Kingdom
E. Courtin
Affiliation:
London School of Economics, Houghton Street, WC2A 2AELondon, United Kingdom
A. Fiorillo
Affiliation:
Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, 80134Naples, Italy
M. Knapp
Affiliation:
London School of Economics, Houghton Street, WC2A 2AELondon, United Kingdom
M. Luciano
Affiliation:
Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, 80134Naples, Italy
A.-L. Park
Affiliation:
London School of Economics, Houghton Street, WC2A 2AELondon, United Kingdom
M. Brunn
Affiliation:
Fondation Fondamental94000Créteil, France Université Paris Diderot, Sorbonne Paris Cité, ECEVE, 75010Paris, France Inserm, ECEVE, U112375010Paris, France
S. Byford
Affiliation:
Health Service and Population Research Department, King's College London, Institute of Psychiatry, London, United Kingdom
K. Chevreul
Affiliation:
Université Paris Diderot, Sorbonne Paris Cité, ECEVE, 75010Paris, France Inserm, ECEVE, U112375010Paris, France URC Eco Ile-de-France, DRCD, AP–HP75004Paris, France
A.K. Forsman
Affiliation:
National Institute for Health and Welfare (THL), Mental Health Promotion Unit, Hietalahdenkatu 2-4/L-talo, 65130Vaasa, Finland Nordic School of Public Health NHV, Gothenburg, Sweden
L. Gulacsi
Affiliation:
Department of Health Economics, Corvinus University of Budapest, Fovam ter 81098Budapest, Hungary
J.M. Haro
Affiliation:
Parc Sanitari Sant Joan de Déu - CIBERSAM, Research and Development Unit, 42, c/Dr. Antoni Pujades, 08830 Sant Boi de Llobregat, Barcelona, Spain Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain Universitat de Barcelona, Barcelona, Spain
B. Kennelly
Affiliation:
Cairnes School of Business and Economics, National University of Ireland, Galway, Ireland
S. Knappe
Affiliation:
Institute of Clinical Psychology and Psychotherapy, Technische Universitat Dresden, Chemnitzer Straße 46, 01187Dresden, Germany
T. Lai
Affiliation:
Fourth view consulting PO Box 38, Narva mnt 1, 10502Tallinn, Estonia
A. Lasalvia
Affiliation:
Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
M. Miret
Affiliation:
Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Department of Psychiatry, Universidad Autónoma de Madrid Arzobispo Morcillo, 4, 28029Madrid, Spain
C. O'Sullivan
Affiliation:
Mental Health Foundation 18, Walker Street, EH3 7LPEdinburgh, United Kingdom
C. Obradors-Tarragó
Affiliation:
Parc Sanitari Sant Joan de Déu - CIBERSAM, Research and Development Unit, 42, c/Dr. Antoni Pujades, 08830 Sant Boi de Llobregat, Barcelona, Spain Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
N. Rüsch
Affiliation:
Department of Psychiatry II, University of Ulm, Parkstrasse 1189073Ulm, Germany
N. Sartorius
Affiliation:
Association for the Improvement of Mental Health Programmes (AMH) 14, chemin Colladon, 1209Geneva, Switzerland
V. Švab
Affiliation:
University Ljubljana, Medical Faculty, Vrazov trg 2, 1000Ljubljana, Slovenia
J. van Weeghel
Affiliation:
Phrenos Center of Expertise, Da Costakade 45, 3521 VSUtrecht, The Netherlands
C. Van Audenhove
Affiliation:
KU Leuven LUCAS, Center for Care Research and Consultancy, Kapucijnenvoer 39, 3000Leuven, Belgium
K. Wahlbeck
Affiliation:
The Finnish Association for Mental Health, Maistraatinportti 4 A, 00240Helsinki, Finland
A. Zlati
Affiliation:
Babes-Bolyai University, Sociology Department &, Open Minds - Center for Mental Health Research Mehedinti St, No 35, Apt 68, 400672Cluj-Napoca, Romania
D. McDaid
Affiliation:
London School of Economics, Houghton Street, WC2A 2AE London, United Kingdom
G. Thornicroft
Affiliation:
Health Services and Population Research Department, King's College London, Institute of Psychiatry, Box P029, De Crespigny Park, SE5 8AF London, United Kingdom
*
*Corresponding author. Tel.: +44 20 7848 5076. E-mail address:Sara.Evans-Lacko@kcl.ac.uk (S. Evans-Lacko).
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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.

Keywords

Mental disordersStigmatizationSocial marginalizationSocial participationCommunity psychiatryReview
Type
Original article
Information
European Psychiatry , Volume 29 , Issue 6 , August 2014 , pp. 381 - 389
Copyright
Copyright © Elsevier Masson SAS 2014

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Footnotes

1

Tel.: +44 20 7852 3775.

2

Tel.: +39 0815666531.

3

Tel.: +44 20 7955 6225.

4

Tel.: +44 20 7849 4665.

5

Tel.: +33 140 274 575.

6

Tel.: +44 20 7848 0043.

7

Tel.: +33 140 274 148.

8

Tel.: +358 6 323 1734.

9

Tel.: +34 93 600 26 85.

10

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11

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12

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13

Tel.: +34 91 497 27 16.

14

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15

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16

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17

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18

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19

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20

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21

Tel.: +40 752 123 674.

22

Tel.: +44 20 7955 6381.

23

These authors contributed equally to this work.

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