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Spain has completed the pre-testing phase of its programme in Madrid,
and is proceeding with targeted anti-stigma interventions and informational
campaign to the media.
The first stage of Esquizofrenia sin
Rechazo Spains adaptation, development, pre-testing
and revision of the WPA anti-stigma programmecomprised:
- A general population survey with 518 aleatory interviews in Madrid.
Results showed that there is little rejection towards patients with
schizophrenia, mainly due to ignorance of the illness and a high level
- Surveys to patients, relatives and psychiatrists. The most striking
results were that 712 patients knew about the illness and more than
half of them experienced stigma. Two thirds felt this discrimination
was due to their work with a psychiatrist. 77% of relatives believed
the illness has no cure and called the patient lazy. 62% felt rejected
by the patient. 52% felt rejected by their relatives, and 32% by other
health care professionals. 41% consider schizophrenia as a chronic illness
with little recovery.
- Translation and adaptation of programme documents Volume I and II,
and the creation of informational material, evaluation records, and
guidelines for teachers seminars.
- Organisation of two seminars for the members of the teaching committee
on communication techniques. These teachers later organized 48 seminars
in 1999, and received positive feedback.
- Development of an informational campaign for the media.
The second stage consisted in the evaluation of the program through an
exhaustive analysis of the seminar outcomes. A second opinion survey to
relatives and psychiatrists will be carried out. Information appearing
in the media was also analyzed, before starting the program and afterwards.
The program has been accepted as one of
the 1998 Madrid Mental Health Programs.
Local Action Group