Stigma in child and adolescent mental health services research: understanding professional and institutional stigmatization of youth with mental health problems and their families.
To understand the low utilization rates of child and adolescent mental health services, it is necessary to recognize the kinds of professional and institutional stigma that may produce barriers to care. We address the large literature on the stigmatization of mental illness, linkages between such literature and children's mental health services use, and the kinds of professional and institutional attitudes and practices that communicate shame and low expectations to youth and their families. It will take recognition of such stigmatizing practices-including overcoming resistance to the messages presented herein-to make real progress in the effort to increase utilization of evidence-based practices. Multi-faceted, multi-level, and multi-disciplinary approaches to both research and intervention are recommended.
Department of Human and Organizational Development, Peabody College of Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA. c.heflinger@vanderbilt.edu
Craig Anne
CA
Heflinger
Stephen P
SP
Hinshaw
D000293:Adolescent; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology / Q000628:therapy; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D003299:Cooperative Behavior; D055317:Evidence-Based Practice; D005190:Family / Q000523:psychology*; D006266:Health Education; D006302:Health Services Research; D006801:Humans; D033183:Interdisciplinary Communication; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy*; D011287:Prejudice; D014481:United States; D014600:Utilization Review