Nicolas Rüsch1, Markus Kösters2. 1. Department of Psychiatry II, Ulm University and BKH Günzburg, Ulm/Günzburg, Germany. nicolas.ruesch@uni-ulm.de. 2. Department of Psychiatry II, Ulm University and BKH Günzburg, Ulm/Günzburg, Germany.
Abstract
PURPOSE: Honest, Open, Proud (HOP; formerly "Coming Out Proud"/COP) is a peer-led group program to support people with mental illness in their disclosure decisions and in their coping with stigma. The aims of this study were to provide (i) a conceptual review of HOP, including versions for different target groups and issues related to outcome measurement and implementation; and (ii) a meta-analysis of program efficacy. METHODS: Conceptual and empirical literature on disclosure and the HOP program was reviewed. Controlled trials of HOP/COP were searched in literature databases. A meta-analysis of HOP efficacy in terms of key outcomes was conducted. RESULTS: HOP program adaptations for different target groups (e.g. parents of children with mental illness; veterans or active soldiers with mental illness) exist and await evaluation. Recruitment for trials and program implementation may be challenging. A meta-analysis of five HOP RCTs for adults or adolescents with mental illness or adult survivors of suicide attempts found significant positive effects on stigma stress (smd = - 0.50) as well as smaller, statistically non-significant effects on self-stigma (smd = - 0.17) and depression (smd = - 0.11) at the end of the HOP program. At 3- to 4-week follow-up, there was a modest, not statistically significant effect on stigma stress (smd = - 0.40, 95%-CI -0.83 to 0.04), while effects for self-stigma were small and significant (smd = - 0.24). Long-term effects of the HOP program are unknown. CONCLUSION: There is initial evidence that HOP effectively supports people with mental illness in their disclosure decisions and in their coping with stigma. Implementation issues, future developments and public health implications are discussed.
PURPOSE: Honest, Open, Proud (HOP; formerly "Coming Out Proud"/COP) is a peer-led group program to support people with mental illness in their disclosure decisions and in their coping with stigma. The aims of this study were to provide (i) a conceptual review of HOP, including versions for different target groups and issues related to outcome measurement and implementation; and (ii) a meta-analysis of program efficacy. METHODS: Conceptual and empirical literature on disclosure and the HOP program was reviewed. Controlled trials of HOP/COP were searched in literature databases. A meta-analysis of HOP efficacy in terms of key outcomes was conducted. RESULTS: HOP program adaptations for different target groups (e.g. parents of children with mental illness; veterans or active soldiers with mental illness) exist and await evaluation. Recruitment for trials and program implementation may be challenging. A meta-analysis of five HOP RCTs for adults or adolescents with mental illness or adult survivors of suicide attempts found significant positive effects on stigma stress (smd = - 0.50) as well as smaller, statistically non-significant effects on self-stigma (smd = - 0.17) and depression (smd = - 0.11) at the end of the HOP program. At 3- to 4-week follow-up, there was a modest, not statistically significant effect on stigma stress (smd = - 0.40, 95%-CI -0.83 to 0.04), while effects for self-stigma were small and significant (smd = - 0.24). Long-term effects of the HOP program are unknown. CONCLUSION: There is initial evidence that HOP effectively supports people with mental illness in their disclosure decisions and in their coping with stigma. Implementation issues, future developments and public health implications are discussed.
Authors: Nicolas Rüsch; Karsten Heekeren; Anastasia Theodoridou; Mario Müller; Patrick W Corrigan; Benjamin Mayer; Sibylle Metzler; Diane Dvorsky; Susanne Walitza; Wulf Rössler Journal: Schizophr Res Date: 2015-05-31 Impact factor: 4.939
Authors: Nicolas Rüsch; Patrick W Corrigan; Tamara Waldmann; Tobias Staiger; Andreas Bahemann; Nathalie Oexle; Moritz Wigand; Thomas Becker Journal: J Nerv Ment Dis Date: 2018-05 Impact factor: 2.254
Authors: Cilia Mejia-Lancheros; James Lachaud; Julia Woodhall-Melnik; Patricia O'Campo; Stephen W Hwang; Vicky Stergiopoulos Journal: Soc Sci Med Date: 2020-10-20 Impact factor: 4.634
Authors: Britta Reinke; Candelaria Mahlke; Thomas Bock; Thomas Becker; Christina Botros; Alexa Kläring; Martin Lambert; Anne Karow; Jürgen Gallinat; Antonia Zapf; Ann-Kathrin Ozga; Alexandra Höller; Nadia Bustami; Jens Reimer; Jenny Lüdtke; Oliver Schaper; Martin Lison; Andreas Bechdolf; Johanna Baumgardt; Jennifer Spiegel; Olaf Hardt; Sandeep Rout; Sonja Memarzadeh; Sebastian von Peter; Julian Schwarz; Claudia Langer; Sabine Glotz; Karel Frasch; Nicolas Rüsch; Ulf Künstler Journal: BMC Psychiatry Date: 2022-09-19 Impact factor: 4.144