+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The effectiveness of mental health-related theoretical education and clinical placement in mental health settings in changing the attitudes of health care students towards mental illness: A systematic review



The effectiveness of mental health-related theoretical education and clinical placement in mental health settings in changing the attitudes of health care students towards mental illness: A systematic review



Jbi Library of Systematic Reviews 10(58): 4019-4076



People with mental illness are subject to stigma, which is the process of stereotyping, prejudice and discrimination. Patients' experience of discrimination from the health care community may be a barrier to help-seeking in mental illness. Mental health-related theoretical education and clinical placement in mental health settings during student years may reduce stigmatising attitudes towards mental illness. The objective of the review was to synthesize the best available evidence regarding the effectiveness of mental health-related theoretical education and clinical placement in mental health settings in changing the attitudes of health care students towards mental illness. A three-step search strategy was utilized to find studies published in English from 2001 to 2010 (inclusive). An initial search of Medline and CINAHL was undertaken to identify keywords. Secondly, the keywords were used to search CINAHL, Medline, Scopus, PsycINFO (via OVID), ScienceDirect, Web of Science, Mednar, Proquest and TRIP. Thirdly, reference lists of the articles identified in the second stage were searched for other relevant studies. The final decision to include studies was made through the consensus of two independent reviewers. Articles were assessed by two independent reviewers for methodological validity using critical appraisal instruments adapted from the "Critical Review Form - Quantitative Studies" by Law et al. and JBI-MAStARI. Disagreements that arose between reviewers were resolved through discussion with a third reviewer. In total, 55 full text articles were retrieved from an initial 1957 search results. Twenty-six studies were found to have met all the inclusion criteria and were subjected to critical appraisal. Twenty-two were selected for inclusion and four were excluded. Of the 22 included studies, one was a randomised controlled trial, five were non-randomised controlled trials and 16 were before and after studies. Specific details about the study methods, interventions, participants, instruments used, and outcomes of significance to the review were extracted using a table developed by the reviewers. Statistical pooling was not appropriate due to the variety of instruments used to measure outcomes, thus the results of included articles were synthesized in narrative summary. Both mental health-related theoretical education and clinical placement in mental health settings are effective in changing the attitudes of health care students towards mental illness. Theoretical education in the form of videos, lectures, presentations delivered by people with mental illness and coursework are effective stigma reduction interventions. Clinical placement is more effective when combined with theoretical education. However, the effect of educational interventions may be transient. Videos, lectures, presentations delivered by people with mental illness should form the basis of anti-stigma interventions. Educational interventions should be offered regularly to promote lasting change in attitudes. Mental health coursework and clinical placement must remain part of the corecurricula in health care courses. There is a need to investigate the effectiveness of educational interventions using RCTs and longitudinal designs. Interventions which can produce more lasting change could be developed. More research can be done to investigate effects of interventions in other student groups and with regards to specific mental illnesses. Lastly, a "gold standard" for measuring attitudes needs to be developed.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 059061596

Download citation: RISBibTeXText

PMID: 27820521

DOI: 10.11124/jbisrir-2012-405


Related references

Attitudes about the VA health-care setting, mental illness, and mental health treatment and their relationship with VA mental health service use among female and male OEF/OIF veterans. Psychological Services 12(1): 49-58, 2015

Mental health training programmes for non-mental health trained professionals coming into contact with people with mental ill health: a systematic review of effectiveness. Bmc Psychiatry 17(1): 196-196, 2017

The Evolution of Mental Health/Illness Services || Changing Health Beliefs on Causations of Mental Illness and Their Impacts on Family Burdens and the Mental Health of Chinese Caregivers in Hong Kong. International Journal of Mental Health 32(2): 84-98, 2003

The experiences of mental health professionals and patients in the use of pro re nata medication in acute adult mental health care settings: a systematic review protocol of qualitative evidence. Jbi Database of Systematic Reviews and Implementation Reports 14(1): 99, 2016

Attitudes towards mental illness among health care students at Swedish universities--a follow-up study after completed clinical placement. Nurse Education Today 29(6): 660-665, 2009

Mental health nurses' attitudes, experience, and knowledge regarding routine physical healthcare: systematic, integrative review of studies involving 7,549 nurses working in mental health settings. Bmc Nursing 18: 16, 2019

Do mental health professionals enquire about childhood sexual abuse during routine mental health assessment in acute mental health settings? A substantive literature review. Journal of Psychiatric and Mental Health Nursing 20(6): 473-483, 2013

Destigmatizing Mental Health Care: Impact of a Single, 2-h Intervention on Attitudes Toward Mental Illness in Undergraduate Students. Academic Psychiatry 43(3): 346-347, 2019

Adolescent Mental Health in Resource-Constrained Settings: A review of the evidence of the nature, prevalence and determinants of common mental health problems and their management in primary health care. International Journal of Social Psychiatry 57(1 Suppl): V-Vii 9-116, 2011

Supporting mental health nurses to address the physical health needs of people with serious mental illness in acute inpatient care settings. Journal of Psychiatric and Mental Health Nursing 18(2): 105-112, 2011

Attitudes and perceptions of mental health nurses towards borderline personality disorder clients in acute mental health settings: a review of the literature. Journal of Psychiatric and Mental Health Nursing 17(7): 657-662, 2010

Mental illness: diagnostic title or derogatory term? (Attitudes towards mental illness) Developing a learning resource for use within a clinical call centre. A systematic literature review on attitudes towards mental illness. Journal of Psychiatric and Mental Health Nursing 15(8): 684-693, 2008

Mental health nursing and physical health care: a cross-sectional study of nurses' attitudes, practice, and perceived training needs for the physical health care of people with severe mental illness. International Journal of Mental Health Nursing 22(5): 409-417, 2013

Mental health nurses' attitudes towards the physical health care of people with severe and enduring mental illness: the development of a measurement tool. International Journal of Nursing Studies 49(1): 72-83, 2012

Reducing mental health-related stigma in primary health care settings in low- and middle-income countries: a systematic review. Epidemiology and Psychiatric Sciences 29: E3, 2018