In Würde zu sich stehen – Ein peer-geleitetes Gruppenprogramm für Jugendliche mit psychischen Erkrankungen

ZUSAMMENFASSUNG

Angesichts in der Gesellschaft verbreiteter stigmatisierender Einstellungen kämpfen Jugendliche mit psychischen Erkrankungen häufig mit der Entscheidung, ob sie Anderen von ihrer Erkrankung berichten sollen. Die Entscheidung für oder gegen Offenlegung stellt dabei oft eine Schlüsselreaktion im Umgang mit Stigmatisierung dar. Offenlegung und Geheimhaltung können Vor- und Nachteile haben, je nach Kontext und Person. ,In Würde zu sich stehen‘ (IWS) ist ein peer-geleitetes Gruppenprogramm, um Jugendliche bei solchen Offenlegungsentscheidungen zu unterstützen. Hier werden Grundlagen, Ansatz, Aufbau, Inhalt und Daten zu Wirksamkeit sowie Erfahrungen mit IWS für Jugendliche vorgestellt. Eine randomisiert-kontrollierte Studie mit überwiegend in stationärer kinder- und jugendpsychiatrischer Behandlung befindlichen Jugendlichen zeigte signifikante positive Effekte von IWS auf Stigma-Variablen (Selbststigma, Stigma-Stress) sowie auf Lebensqualität, depressive Symptomatik, Recovery und Einstellungen zu Behandlungsteilnahme. Schließlich werden Implikationen für die Implementierung und Stigma-Interventionen diskutiert.

ABSTRACT

Due to public stigma, many adolescents with mental illness struggle with the decision whether to disclose their condition to others. This decision is often a key reaction in coping with public stigma and self-stigma. Disclosure and secrecy have risks as well as benefits, depending on the person and the context. „Honest, Open, Proud“ is a peer-led group program to support adolescents with mental illness in their disclosure decisions. Here we explain the concept, approach, structure and content of HOP. We also present data on its efficacy and experiences with HOP for adolescents with mental illness. A recent randomized controlled trial with adolescents, who mainly received inpatient psychiatric treatment at the time of the study, showed significant positive effects of HOP on stigma variables (self-stigma, stigma stress) as well as on quality of life, depressive symptoms, recovery and attitudes to help-seeking. Implications for program implementation and anti-stigma interventions are discussed.

Schlüsselwörter

Stigma - Selbststigma - Offenlegung - Geheimhaltung - Peers - Gruppenprogramm

Key words

Stigma - self-stigma - disclosure - secrecy - peer support - group program

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