title: [A mental health awareness anti-stigma program including user-trainers has a significant impact on knowledge, beliefs and attitudes of job centre professionals in Paris].
abstract: BACKGROUND
  Developing programs and actions to fight stigma and discrimination against people living with mental disorders is a priority both internationally and in France. Involving mental health service users in these anti-stigma programs has proved to be a key element for effective programs. The present study evaluates the impact of user-trainers in an anti-stigma campaign with job counselors on their knowledge, beliefs, and desire for social distance with regard to mental illness and the mentally ill.
  
  
  METHODS
  Eighty-nine professionals participated in eight mental health awareness days from December 2008 to June 2009. Each training day was built around two pedagogical units: firstly, a psychiatrist providing a theoretical overview of mental illness and care and secondly, user-trainers describing their point of view on mental illness and exchanging with participants. A questionnaire administered at the beginning and at the end of the mental health awareness day assessed the impact of the day on participants' knowledge, beliefs, and desire for social distance. Answers to open questions were evaluated using thematic qualitative analysis.
  
  
  RESULTS
  The intervention had statistically significant positive effects on all three training objectives: knowledge, beliefs and desire for social distance. Analysis of qualitative data confirmed participants' need for information and training with regard to providing support to clients with mental health problems; participants frequently attributed their improved self-confidence at the end of the day with regard to providing job coaching for this population group to the presence of user-trainers.
  
  
  CONCLUSIONS
  A mental health awareness day using mental health service users and psychiatrists as trainers had significant positive effects in terms of reducing stigma with regard to people with mental illness. Further research is needed to understand whether the impact of such awareness approaches can be maintained in everyday professional practice over time.
authors.affiliation: Établissement public de santé Maison Blanche, 75019 Paris, France. Electronic address: ejouet@ch-maison-blanche.fr.
authors.forename: E
authors.initials: E
authors.lastname: Jouet
authors.affiliation: Établissement public de santé Jean-Martin-Charcot, 78370 Plaisir, France.
authors.forename: M
authors.initials: M
authors.lastname: Moineville
authors.affiliation: Établissement public de santé Maison Blanche, 75019 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Favriel
authors.affiliation: Croix Rouge, 75015 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Leriche
authors.affiliation: Établissement public de santé Maison Blanche, 75019 Paris, France.
authors.forename: T
authors.initials: T
authors.lastname: Greacen
mesh_terms: D000328:Adult; D001364:Awareness; D005260:Female; D005602:France; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D010379:Peer Group; D011209:Power, Psychological; D011287:Prejudice; D012929:Psychological Distance; D012050:Rehabilitation, Vocational; D057545:Social Stigma; D012944:Social Support; D014830:Vocational Guidance
keywords: Destigmatisation; Déstigmatisation; Inclusion sociale; Recovery; Rétablissement; Social inclusion; Social workers; Travailleurs sociaux; Usagers-formateurs; User-trainers