02858nas a2200301 4500000000100000008004100001260003700042653002100079653002900100653003300129653001400162653002900176100001400205700001300219700001700232700001400249700001200263700001300275700001300288700001200301700001800313700001600331245013800347856026000485300000900745520178800754022001402542 2024 d bCambridge University Press (CUP)10aStigma reduction10aAnti-stigma intervention10aPeople with lived experience10aInclusion10aintervention development1 aMendon GB1 aGurung D1 aLoganathan S1 aAbayneh S1 aZhang W1 aKohrt BA1 aHanlon C1 aLempp H1 aThornicroft G1 aGronholm PC00aEstablishing partnerships with people with lived experience of mental illness for stigma reduction in low- and middle-income settings uhttps://www.cambridge.org/core/services/aop-cambridge-core/content/view/299EA3B03B247C4E07451D07A1C439AF/S2054425124000694a.pdf/establishing-partnerships-with-people-with-lived-experience-of-mental-illness-for-stigma-reduction-in-low-and-middle-income-set a1-363 a

Social contact refers to the facilitation of connection and interactions between people with and without mental health conditions. It can be achieved, for example, through people sharing their lived experience of mental health conditions, which is an effective strategy for stigma reduction. Meaningful involvement of people with lived experience (PWLE) in leading and co-leading anti-stigma interventions can/may promote autonomy and resilience. Our paper aimed to explore how PWLE have been involved in research and anti-stigma interventions, to improve effective means of involving PWLE in stigma reduction activities in LMICs. A qualitative collective case study design was adopted. Case studies from four LMICs (China, Ethiopia, India and Nepal) are summarized, briefly reflecting on background for the work, alongside anticipated and experienced challenges, strategies to overcome these, and recommendations for future work. We found that the involvement of PWLEs in stigma reduction is commonly a new concept in LMIC. Experienced and anticipated challenges were similar, such as identifying suitable persons to engage in the work and sustaining their involvement. Such an approach can be difficult, because PWLE might be apprehensive about the negative consequences of disclosure. In many case studies, we found that long-standing professional connectedness, continued encouragement, information sharing, debriefing and support helped the participants' involvement. We recommend that confidentiality of the individual, cultural norms and family concerns be prioritized and respected during the implementation. Taking into account socio-cultural contextual factors, it is possible to directly involve PWLEs in social contact-based anti-stigma interventions. 

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