Strategies to reduce the stigma toward people with mental disorders in Iran: stakeholders\u2019 perspectives

Abstract Background Stigma affects all aspects of mental disorders, and is the most important risk factor for promoting mental health. The aim of this study was to explore strategies effective in reducing the stigma toward people with mental disorders in Iran. Methods This qualitative study was conducted from 2013 to 2016. All participants were recruited by purposive sampling method. The majority of them were stakeholders of mental health in Iran. Data were collected through eight individual interviews, two focus groups, and six written narratives. The data were collected, coded and analyzed simultaneously. Content analysis was employed to analyze the qualitative interview data. Results The major themes that emerged were: \u201cEmphasis on education and changing attitudes\u201d, \u201cChanging the culture\u201d, \u201cPromoting supportive services\u201d, \u201cRole of various organizations and institutions\u201d, \u201cIntegrated reform of structures and policies to improve the performance of custodians\u201d, and \u201cEvidence-based actions\u201d. Conclusions This study did not investigate the extent of stigma or its origins, rather it examines strategies appropriate for implementation in Iran. Additional studies are needed to evaluate the effectiveness of strategies for reducing the stigma attached to patients with mental disorders