Abstract
Contact-based anti-stigma programs delivered by people with lived experience yields stigma change. This study examined psychometrics and sensitivity of the California Assessment of Stigma Change (CASC). CASC assesses prejudicial beliefs, affirming attitudes, and willingness to seek mental healthcare. Four samples, two high school groups, college students, and hotel desk clerks, completed CASC immediately before and after a contact-based program. Two samples completed follow-up: one of the high school groups and the college students. CASC assesses stigma with a 9-item Attribution Questionnaire (AQ9), personal empowerment with a 3-item scale (ES), recovery orientation with a 3-item scale (RS), and psychological help seeking willingness with a 6-item questionnaire (CSQ). Internal consistencies ranged adequate to satisfactory for AQ9, ES, and CSQ. Concurrent validity was partially supported. Change sensitivity was demonstrated among at least half of each construct’s analyses. CASC seems a psychometrically valid way to efficiently monitor attitudinal and care seeking intentions changes. Outcome monitoring can strengthen contact-based anti-stigma programs, an emerging evidence-based practice.
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Abdullah, T., & Brown, T. L. (2011). Mental illness stigma and ethnocultural beliefs, values, and norms: An integrative review. Clinical Psychology Review, 31(6), 934–948.
Bellamy, C. D., Jarrett, N. C., Mowbray, O., MacFarlane, P., Mowbray, C. T., & Holter, M. C. (2007). Relevance of spirituality for people with mental illness attending consumer-centered services. Psychiatric Rehabilitation Journal, 30(4), 287–294.
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., … Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological medicine, 45(1), 11–25. doi:10.1017/S0033291714000129.
Corrigan, P. W. (2005). On the stigma of mental illness: Practical strategies for research and social change. Washington, DC: American Psychological Association.
Corrigan, P. W., Markowitz, F. E., Watson, A., Rowan, D., & Kubiak, M. (2003). An attribution model of public discrimination towards persons with mental illness. Journal of Health and Social Behavior, 44(2), 162–179.
Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services, 63(10), 963–973.
Corrigan, P. W., Powell, K., & Michaels, P. J. (2014). Brief battery for measurement of stigmatizing versus affirming attitudes about mental illness. Psychiatry Research, 215(2), 466–470. doi:10.1016/j.psychres.2013.12.006.
Corrigan, P. W., Rowan, D., Green, A., Lundin, R., River, P., Uphoff-Wasowski, K., & Kubiak, M. (2002). Challenging two mental illness stigmas: Personal responsibility and dangerousness. Schizophrenia Bulletin, 28(2), 293–309.
Corrigan, P. W., Salzer, M., Ralph, R. O., Sangster, Y., & Keck, L. (2004). Examining the factor structure of the Recovery Assessment Scale. Schizophrenia Bulletin, 30(4), 1035–1041.
Corrigan, P. W., Vega, E., Larson, J., Michaels, P. J., McClintock, G., Krzyzanowski, R., … Buchholz, B. (2013). The California schedule of key ingredients for contact-based antistigma programs. Psychiatric Rehabilitation Journal, 36(3), 173–179.
Corrigan, P. W., Watson, A. C., & Miller, F. E. (2006). Blame, shame, and contamination: The impact of mental illness and drug dependence stigma on family members. Journal of Family Psychology, 20(2), 239–246.
Hinshaw, S. P. (2007). The mark of shame: Stigma of mental illness and an agenda for change. Oxford: Oxford University Press.
Larson, J. E., Vega, E., Corrigan, P. W., Gause, M., Michaels, P. J., Krzyzanowski, R., … Wheeler, J. (2014). Essential components of sharing our lives, voices, and experiences (SOLVE): A contact based mental illness stigma reduction program. Manuscript submitted for publication.
Link, B. G., Yang, L. H., Phelan, J. C., & Collins, P. Y. (2004). Measuring mental illness stigma. Schizophrenia Bulletin, 30(3), 511–541.
Lloyd, C., Waghorn, G., Best, M., & Gemmell, S. (2008). Reliability of a composite measure of social inclusion for people with psychiatric disabilities. Australian Occupational Therapy Journal, 55(1), 47–56.
Rogers, E. S., Ralph, R., & Salzer, M. (2010). Validating the empowerment scale with a multisite sample of consumers of mental health services. Psychiatric Services, 61(9), 933–936.
Thornicroft, G. (2006). Shunned: Discrimination against people with mental illness. Oxford: Oxford University Press.
Weiner, B., Perry, R. P., & Magnusson, J. (1988). An attributional analysis of reactions to stigmas. Journal of Personality and Social Psychology, 55(5), 738–748.
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Corrigan, P.W., Gause, M., Michaels, P.J. et al. The California Assessment of Stigma Change: A Short Battery to Measure Improvements in the Public Stigma of Mental Illness. Community Ment Health J 51, 635–640 (2015). https://doi.org/10.1007/s10597-014-9797-5
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DOI: https://doi.org/10.1007/s10597-014-9797-5