title: The state of the art in European research on reducing social exclusion and stigma related to mental health: a systematic mapping of the literature.
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.
authors.affiliation: Health Service and Population Research Department, King's College London, Institute of Psychiatry, London, United Kingdom. Electronic address: Sara.Evans-Lacko@kcl.ac.uk.
authors.forename: S
authors.initials: S
authors.lastname: Evans-Lacko
authors.affiliation: London School of Economics, Houghton Street, WC2A 2AE London, United Kingdom.
authors.forename: E
authors.initials: E
authors.lastname: Courtin
authors.affiliation: Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, 80134 Naples, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Fiorillo
authors.affiliation: London School of Economics, Houghton Street, WC2A 2AE London, United Kingdom.
authors.forename: M
authors.initials: M
authors.lastname: Knapp
authors.affiliation: Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, 80134 Naples, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Luciano
authors.affiliation: London School of Economics, Houghton Street, WC2A 2AE London, United Kingdom.
authors.forename: A-L
authors.initials: AL
authors.lastname: Park
authors.affiliation: Fondation Fondamental, 94000 Créteil, France; Université Paris Diderot, Sorbonne Paris Cité, ECEVE, 75010 Paris, France; Inserm, ECEVE, U1123, 75010 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Brunn
authors.affiliation: Health Service and Population Research Department, King's College London, Institute of Psychiatry, London, United Kingdom.
authors.forename: S
authors.initials: S
authors.lastname: Byford
authors.affiliation: Université Paris Diderot, Sorbonne Paris Cité, ECEVE, 75010 Paris, France; Inserm, ECEVE, U1123, 75010 Paris, France; URC Eco Ile-de-France, DRCD, AP-HP, 75004 Paris, France.
authors.forename: K
authors.initials: K
authors.lastname: Chevreul
authors.affiliation: National Institute for Health and Welfare (THL), Mental Health Promotion Unit, Hietalahdenkatu 2-4/L-talo, 65130 Vaasa, Finland; Nordic School of Public Health NHV, Gothenburg, Sweden.
authors.forename: A K
authors.initials: AK
authors.lastname: Forsman
authors.affiliation: Department of Health Economics, Corvinus University of Budapest, Fovam ter 8, 1098 Budapest, Hungary.
authors.forename: L
authors.initials: L
authors.lastname: Gulacsi
authors.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.
authors.forename: J M
authors.initials: JM
authors.lastname: Haro
authors.affiliation: Cairnes School of Business and Economics, National University of Ireland, Galway, Ireland.
authors.forename: B
authors.initials: B
authors.lastname: Kennelly
authors.affiliation: Institute of Clinical Psychology and Psychotherapy, Technische Universitat Dresden, Chemnitzer Straße 46, 01187 Dresden, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Knappe
authors.affiliation: Fourth view consulting, PO Box 38, Narva mnt 1, 10502 Tallinn, Estonia.
authors.forename: T
authors.initials: T
authors.lastname: Lai
authors.affiliation: Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Lasalvia
authors.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, 28029 Madrid, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Miret
authors.affiliation: Mental Health Foundation, 18, Walker Street, EH3 7LP Edinburgh, United Kingdom.
authors.forename: C
authors.initials: C
authors.lastname: O'Sullivan
authors.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.
authors.forename: C
authors.initials: C
authors.lastname: Obradors-Tarragó
authors.affiliation: Department of Psychiatry II, University of Ulm, Parkstrasse 11, 89073 Ulm, Germany.
authors.forename: N
authors.initials: N
authors.lastname: Rüsch
authors.affiliation: Association for the Improvement of Mental Health Programmes (AMH), 14, chemin Colladon, 1209 Geneva, Switzerland.
authors.forename: N
authors.initials: N
authors.lastname: Sartorius
authors.affiliation: University Ljubljana, Medical Faculty, Vrazov trg 2, 1000 Ljubljana, Slovenia.
authors.forename: V
authors.initials: V
authors.lastname: Svab
authors.affiliation: Phrenos Center of Expertise, Da Costakade 45, 3521 VS, Utrecht, The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: van Weeghel
authors.affiliation: KU Leuven LUCAS, Center for Care Research and Consultancy, Kapucijnenvoer 39, 3000 Leuven, Belgium.
authors.forename: C
authors.initials: C
authors.lastname: Van Audenhove
authors.affiliation: The Finnish Association for Mental Health, Maistraatinportti 4 A, 00240 Helsinki, Finland.
authors.forename: K
authors.initials: K
authors.lastname: Wahlbeck
authors.affiliation: Babes-Bolyai University, Sociology Department &, Open Minds - Center for Mental Health Research, Mehedinti St, No 35, Apt 68, 400672 Cluj-Napoca, Romania.
authors.forename: A
authors.initials: A
authors.lastname: Zlati
authors.forename: D
authors.initials: D
authors.lastname: McDaid
authors.forename: G
authors.initials: G
authors.lastname: Thornicroft
mesh_terms: D005060:Europe; D006801:Humans; D001523:Mental Disorders / Q000523:psychology*; D008603:Mental Health; D011287:Prejudice; D012929:Psychological Distance; D012106:Research; D057545:Social Stigma; D013240:Stereotyping
keywords: Community psychiatry; Mental disorders; Review; Social marginalization; Social participation; Stigmatization