Stigma due to their work in mental health, among mental health professionals in Sri Lanka

Abstract

BackgroundStigma related to mental health is not limited to individuals with mental illness or their families; health professionals working in mental health are also affected by it. Stigma among mental health professionals may lead to lack of work satisfaction, and poor recruitment and retention of personnel in the mental health sector resulting in poor mental health care. Stigma among the health professionals in Sri Lanka has not been studied adequately. AimsTo study the extent, nature and correlates of stigma due to their work in mental health among mental health professionals in Sri Lanka. MethodsThis descriptive cross sectional study was conducted among healthcare professionals working in mental health, using a self-administered questionnaire. ResultsWe studied a total of 125 professionals, including 6 psychiatrists, 14 postgraduate trainees, 17 medical officers, 51 nurses, 5 social workers and 32 ancillary staff working in mental health units of three teaching hospitals and a base hospital in the Western Province. A majority (56%) reported that others think less of them as professionals due to their work in mental health. Many (58%) reported having been either attacked or threatened with physical violence at the workplace, and most victims were nurses and ancillary staff. While 88% reported satisfaction with their work, only 34% indicated they would prefer to work in other branches of medicine. Stigma was least among psychiatrists and highest among nurses, and this difference was significant (p<0.05). ConclusionsThe experience of stigma and dissatisfaction with work among mental health professionals, particularly nurses and ancillary staff, in Sri Lanka is common. This has implications for mental health care in Sri Lanka.

Keywords

• stigma
• health professionals
• working in mental health