title: Viewpoint survey of mental health service users' experiences of discrimination in England 2008-2014.
abstract: Discrimination reported by mental health service users in England is high. The study aims to determine changes in mental health-related discrimination from 2008 to 2014.
  
  
  
  Samples of mental health service users were interviewed from 2008 to 2014 using the Discrimination and Stigma Scale version 12. Social capital in terms of access to social resources is a marker of discrimination in terms of effects on social connections, and so from 2011, social capital also measured using the Resource Generator-UK.
  
  
  
  Fewer participants reported discrimination in one or more life areas in 2014 compared to 2008 (OR: 0.58, 95% CI 0.36 to 0.94 P = 0.03). A weighted multiple regression model found a decrease in overall discrimination in 2014 compared to 2008 (mean difference: -13.55, 95% CI: -17.32 to -9.78, P < 0.001). There was not a consistent in discrimination decline between each year. No differences in access to social resources were found.
  
  
  
  Discrimination has fallen significantly over 2008-2014, although there was not a consistent decline between years. There is no evidence that social capital has increased.
authors.affiliation: Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
authors.forename: E
authors.initials: E
authors.lastname: Corker
authors.affiliation: The McPin Foundation, London, UK.
authors.forename: S
authors.initials: S
authors.lastname: Hamilton
authors.affiliation: Department of Biostatistics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
authors.forename: E
authors.initials: E
authors.lastname: Robinson
authors.affiliation: The McPin Foundation, London, UK.
authors.forename: J
authors.initials: J
authors.lastname: Cotney
authors.affiliation: The McPin Foundation, London, UK.
authors.forename: V
authors.initials: V
authors.lastname: Pinfold
authors.affiliation: Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
authors.forename: D
authors.initials: D
authors.lastname: Rose
authors.affiliation: Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
authors.forename: G
authors.initials: G
authors.lastname: Thornicroft
authors.affiliation: Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
authors.forename: C
authors.initials: C
authors.lastname: Henderson
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D012044:Regression Analysis; D063508:Social Discrimination / Q000639:trends*; D057545:Social Stigma; D055815:Young Adult
keywords: discrimination; evaluation research; social capital