title: Stigma as a Structural Power in Mental Health Care Reform: An Ethnographic Study Among Mental Health Care Professionals in Belgium.
abstract: The growing interest among scholars and professionals in mental health stigma is closely related to different mental health care reforms. This article explores professionals' perceptions of the dehospitalization movement in the Belgian context, paying particular attention to the meaning of stigma. Combined participant observation and semi-structured interviews were used to both assess and contextualize the perceptions of 43 professionals. The findings suggest that stigma may function as a structural barrier to professionals' positive evaluation of de-hospitalization, depending on the framework they are working in. It is important to move beyond a unilateral understanding of the relationship between stigma and de-hospitalization in order to attain constructive health care reform.
authors.affiliation: Department of Sociology, Ghent University, Belgium. Electronic address: charlotte_sercu@msn.com.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Sercu
authors.affiliation: Department of Sociology, Ghent University, Belgium.
authors.forename: Piet
authors.initials: P
authors.lastname: Bracke
mesh_terms: D000884:Anthropology, Cultural; D001530:Belgium; D018166:Health Care Reform / Q000639:trends; D006282:Health Personnel / Q000523:psychology*; D006778:Hospitals, Psychiatric; D006801:Humans; D007407:Interviews as Topic; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy; D008603:Mental Health; D019982:Organizational Case Studies; D024382:Professional Role / Q000523:psychology*; D036301:Qualitative Research; D057545:Social Stigma; D013240:Stereotyping