Honest, open, proud: concept and efficacy of a peer-led program to provide support with disclosure decisions and coping with stigma

Nicolas Rüsch, Nathalie Oexle, Lea Reichhardt, Stephanie Ventling

Research output: Contribution to journalLetter

1 Citation (Scopus)

Abstract

Background: Due to the stigma associated with mental disorders, many people with mental illness face the difficult choice whether to disclose their illness to others. (Non-)Disclosure is a key reaction in coping with stigma. Disclosure as well as non-disclosure have risks and benefits, depending on the environment and the individual.
Methods: "Honest, Open, Proud" (HOP; German: ,In Würde zu sich stehen'/IWS) is a peer-led group program to support people with mental illness in their disclosure decisions. It is not HOP’s aim to make participants disclose, but to support a well-informed and empowered decision.
Results: Currently three RCTs, with several others underway, show HOP's positive effects in terms of reductions in stigma stress, disclosure distress, self-stigma, or depressive symptoms. Adolescent participants reported better quality of life, recovery, and attitudes to help-seeking. Adaptations for different diagnoses and age groups have been developed.
Conclusions: HOP appears to be a feasible and effective program to support people with mental illness in their disclosure decisions and in their coping with stigma. Future developments and public health implications are discussed.
Translated title of the contributionHonest, open, proud: concept and efficacy of a peer-led program to provide support with disclosure decisions and coping with stigma
LanguageGerman
Pages97-102
Number of pages6
JournalPsychiatrische Praxis
Volume46
Issue number2
Early online date4 Dec 2018
DOIs
Publication statusE-pub ahead of print - 4 Dec 2018
Externally publishedYes

Fingerprint

Disclosure
Peer Group
Mental Disorders
Public Health
Age Groups
Quality of Life
Depression

Keywords

  • stigma
  • disclosure
  • secrecy
  • peer-led intervention
  • group program
  • evaluation

Cite this

Rüsch, Nicolas ; Oexle, Nathalie ; Reichhardt, Lea ; Ventling, Stephanie . / In Würde zu sich stehen : Konzept und Wirksamkeit eines peer-geleiteten Programms zu Offenlegung und Stigmabewältigung. In: Psychiatrische Praxis. 2018 ; Vol. 46, No. 2. pp. 97-102.
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In Würde zu sich stehen : Konzept und Wirksamkeit eines peer-geleiteten Programms zu Offenlegung und Stigmabewältigung. / Rüsch, Nicolas ; Oexle, Nathalie ; Reichhardt, Lea ; Ventling, Stephanie .

In: Psychiatrische Praxis, Vol. 46, No. 2, 04.12.2018, p. 97-102.

Research output: Contribution to journalLetter

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T1 - In Würde zu sich stehen

T2 - Psychiatrische Praxis

AU - Rüsch, Nicolas

AU - Oexle, Nathalie

AU - Reichhardt, Lea

AU - Ventling, Stephanie

PY - 2018/12/4

Y1 - 2018/12/4

N2 - Background: Due to the stigma associated with mental disorders, many people with mental illness face the difficult choice whether to disclose their illness to others. (Non-)Disclosure is a key reaction in coping with stigma. Disclosure as well as non-disclosure have risks and benefits, depending on the environment and the individual.Methods: "Honest, Open, Proud" (HOP; German: ,In Würde zu sich stehen'/IWS) is a peer-led group program to support people with mental illness in their disclosure decisions. It is not HOP’s aim to make participants disclose, but to support a well-informed and empowered decision.Results: Currently three RCTs, with several others underway, show HOP's positive effects in terms of reductions in stigma stress, disclosure distress, self-stigma, or depressive symptoms. Adolescent participants reported better quality of life, recovery, and attitudes to help-seeking. Adaptations for different diagnoses and age groups have been developed.Conclusions: HOP appears to be a feasible and effective program to support people with mental illness in their disclosure decisions and in their coping with stigma. Future developments and public health implications are discussed.

AB - Background: Due to the stigma associated with mental disorders, many people with mental illness face the difficult choice whether to disclose their illness to others. (Non-)Disclosure is a key reaction in coping with stigma. Disclosure as well as non-disclosure have risks and benefits, depending on the environment and the individual.Methods: "Honest, Open, Proud" (HOP; German: ,In Würde zu sich stehen'/IWS) is a peer-led group program to support people with mental illness in their disclosure decisions. It is not HOP’s aim to make participants disclose, but to support a well-informed and empowered decision.Results: Currently three RCTs, with several others underway, show HOP's positive effects in terms of reductions in stigma stress, disclosure distress, self-stigma, or depressive symptoms. Adolescent participants reported better quality of life, recovery, and attitudes to help-seeking. Adaptations for different diagnoses and age groups have been developed.Conclusions: HOP appears to be a feasible and effective program to support people with mental illness in their disclosure decisions and in their coping with stigma. Future developments and public health implications are discussed.

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