@article{gronholm_mental_2017,
	title = {Mental health-related stigma and pathways to care for people at risk of psychotic disorders or experiencing first-episode psychosis: a systematic review},
	volume = {47},
	issn = {0033-2917},
	url = {http://dx.doi.org/10.1017/S0033291717000344},
	doi = {10.1017/S0033291717000344},
	abstract = {BACKGROUND: Stigma associated with mental illness can delay or prevent
help-seeking and service contact. Stigma-related influences on pathways to
care in the early stages of psychotic disorders have not been
systematically examined. METHOD: This review systematically assessed
findings from qualitative, quantitative and mixed-methods research studies
on the relationship between stigma and pathways to care (i.e. processes
associated with help-seeking and health service contact) among people
experiencing first-episode psychosis or at clinically defined increased
risk of developing psychotic disorder. Forty studies were identified
through searches of electronic databases (CINAHL, EMBASE, Medline,
PsycINFO, Sociological Abstracts) from 1996 to 2016, supplemented by
reference searches and expert consultations. Data synthesis involved
thematic analysis of qualitative findings, narrative synthesis of
quantitative findings, and a meta-synthesis combining these results.
RESULTS: The meta-synthesis identified six themes in relation to stigma on
pathways to care among the target population: 'sense of difference',
'characterizing difference negatively', 'negative reactions (anticipated
and experienced)', 'strategies', 'lack of knowledge and understanding',
and 'service-related factors'. This synthesis constitutes a comprehensive
overview of the current evidence regarding stigma and pathways to care at
early stages of psychotic disorders, and illustrates the complex manner in
which stigma-related processes can influence help-seeking and service
contact among first-episode psychosis and at-risk groups. CONCLUSIONS: Our
findings can serve as a foundation for future research in the area, and
inform early intervention efforts and approaches to mitigate
stigma-related concerns that currently influence recognition of early
difficulties and contribute to delayed help-seeking and access to care.},
	number = {11},
	journal = {Psychol. Med.},
	author = {Gronholm, P C and Thornicroft, G and Laurens, K R and Evans-Lacko, S},
	month = aug,
	year = {2017},
	note = {00000},
	keywords = {Discrimination, FEP, High, NEW, Sep 20 import, early intervention, healthcare utilization, healthcare-seeking behaviour, help-seeking behaviour, labelling, literature review, stigma, treatment barriers},
	pages = {1867--1879}
}

{"_id":"JM28WzJCg4nNwSfcK","bibbaseid":"gronholm-thornicroft-laurens-evanslacko-mentalhealthrelatedstigmaandpathwaystocareforpeopleatriskofpsychoticdisordersorexperiencingfirstepisodepsychosisasystematicreview-2017","downloads":0,"creationDate":"2018-04-27T04:04:44.100Z","title":"Mental health-related stigma and pathways to care for people at risk of psychotic disorders or experiencing first-episode psychosis: a systematic review","author_short":["Gronholm, P C","Thornicroft, G","Laurens, K R","Evans-Lacko, S"],"year":2017,"bibtype":"article","biburl":"https://api.zotero.org/users/4486874/collections/PMDNRQ34/items?key=KbWq5Y6ZlckI2lJkCMYnmtx2&format=bibtex&limit=100","bibdata":{"bibtype":"article","type":"article","title":"Mental health-related stigma and pathways to care for people at risk of psychotic disorders or experiencing first-episode psychosis: a systematic review","volume":"47","issn":"0033-2917","url":"http://dx.doi.org/10.1017/S0033291717000344","doi":"10.1017/S0033291717000344","abstract":"BACKGROUND: Stigma associated with mental illness can delay or prevent help-seeking and service contact. Stigma-related influences on pathways to care in the early stages of psychotic disorders have not been systematically examined. METHOD: This review systematically assessed findings from qualitative, quantitative and mixed-methods research studies on the relationship between stigma and pathways to care (i.e. processes associated with help-seeking and health service contact) among people experiencing first-episode psychosis or at clinically defined increased risk of developing psychotic disorder. Forty studies were identified through searches of electronic databases (CINAHL, EMBASE, Medline, PsycINFO, Sociological Abstracts) from 1996 to 2016, supplemented by reference searches and expert consultations. Data synthesis involved thematic analysis of qualitative findings, narrative synthesis of quantitative findings, and a meta-synthesis combining these results. RESULTS: The meta-synthesis identified six themes in relation to stigma on pathways to care among the target population: 'sense of difference', 'characterizing difference negatively', 'negative reactions (anticipated and experienced)', 'strategies', 'lack of knowledge and understanding', and 'service-related factors'. This synthesis constitutes a comprehensive overview of the current evidence regarding stigma and pathways to care at early stages of psychotic disorders, and illustrates the complex manner in which stigma-related processes can influence help-seeking and service contact among first-episode psychosis and at-risk groups. CONCLUSIONS: Our findings can serve as a foundation for future research in the area, and inform early intervention efforts and approaches to mitigate stigma-related concerns that currently influence recognition of early difficulties and contribute to delayed help-seeking and access to care.","number":"11","journal":"Psychol. Med.","author":[{"propositions":[],"lastnames":["Gronholm"],"firstnames":["P","C"],"suffixes":[]},{"propositions":[],"lastnames":["Thornicroft"],"firstnames":["G"],"suffixes":[]},{"propositions":[],"lastnames":["Laurens"],"firstnames":["K","R"],"suffixes":[]},{"propositions":[],"lastnames":["Evans-Lacko"],"firstnames":["S"],"suffixes":[]}],"month":"August","year":"2017","note":"00000","keywords":"Discrimination, FEP, High, NEW, Sep 20 import, early intervention, healthcare utilization, healthcare-seeking behaviour, help-seeking behaviour, labelling, literature review, stigma, treatment barriers","pages":"1867–1879","bibtex":"@article{gronholm_mental_2017,\n\ttitle = {Mental health-related stigma and pathways to care for people at risk of psychotic disorders or experiencing first-episode psychosis: a systematic review},\n\tvolume = {47},\n\tissn = {0033-2917},\n\turl = {http://dx.doi.org/10.1017/S0033291717000344},\n\tdoi = {10.1017/S0033291717000344},\n\tabstract = {BACKGROUND: Stigma associated with mental illness can delay or prevent\nhelp-seeking and service contact. Stigma-related influences on pathways to\ncare in the early stages of psychotic disorders have not been\nsystematically examined. METHOD: This review systematically assessed\nfindings from qualitative, quantitative and mixed-methods research studies\non the relationship between stigma and pathways to care (i.e. processes\nassociated with help-seeking and health service contact) among people\nexperiencing first-episode psychosis or at clinically defined increased\nrisk of developing psychotic disorder. Forty studies were identified\nthrough searches of electronic databases (CINAHL, EMBASE, Medline,\nPsycINFO, Sociological Abstracts) from 1996 to 2016, supplemented by\nreference searches and expert consultations. Data synthesis involved\nthematic analysis of qualitative findings, narrative synthesis of\nquantitative findings, and a meta-synthesis combining these results.\nRESULTS: The meta-synthesis identified six themes in relation to stigma on\npathways to care among the target population: 'sense of difference',\n'characterizing difference negatively', 'negative reactions (anticipated\nand experienced)', 'strategies', 'lack of knowledge and understanding',\nand 'service-related factors'. This synthesis constitutes a comprehensive\noverview of the current evidence regarding stigma and pathways to care at\nearly stages of psychotic disorders, and illustrates the complex manner in\nwhich stigma-related processes can influence help-seeking and service\ncontact among first-episode psychosis and at-risk groups. CONCLUSIONS: Our\nfindings can serve as a foundation for future research in the area, and\ninform early intervention efforts and approaches to mitigate\nstigma-related concerns that currently influence recognition of early\ndifficulties and contribute to delayed help-seeking and access to care.},\n\tnumber = {11},\n\tjournal = {Psychol. 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