Section Public Mental Health
Head: Prof. Nicolas Rüsch, MD, MSt
The section of Public Mental Health is part of the Department of Psychiatry II, Ulm University and BKH Günzburg, Germany and focuses on stigma of mental illness, including topics such as mental illness and work; mental health service use; and dealing with mental illness e.g. in terms of disclosure/secrecy. We aim to better understand the mechanisms involved in stigma and discrimination, as well as to develop and evaluate anti-stigma interventions with the long-term goal of reducing stigma and its impact on people with mental illness.
Research administration
Postal address:
Section Public Mental Health
Department of Psychiatry II, Ulm University
Parkstraße 11
89073 Ulm, Germany
Completed projects
Objectives: Cooperation/exchange of European and US research groups in key areas of mental health (participation, citizenship, recovery, stigma and health policy/public policy)
Partner: University of Strathclyde, Glasgow, UK; Mental Health Foundation, Glasgow, UK; New York University, US; Finnish Association for Mental Health, Helsinki, Finland; Yale University, US; Illinois Institute of Technology, Chicago, US
Funding and duration: EU (RISE), 2016-2019
Co-project lead: Nathalie Oexle, Nicolas Rüsch
Study coordination: Lea Mayer
Funding: Eckhard Busch Stiftung
Duration: 07/2019 – 06/2021
Summary:
People who have survived a suicide attempt often experience stigma and discrimination, and secrecy is a common strategy to avoid stigma. However, secrecy and disclosure of a suicide attempt both have pros and cons. Interventions can support people with a history of suicide attempt in their disclosure decisions.
“Honest, Open, Proud” (HOP) is a peer-led group intervention to support people with mental illness in their decisions whether to disclose or not. HOP has already been adapted for suicide attempt survivors in the USA (“To Share or Not To Share”, 2Share).
The aim of the current study is to evaluate 2Share in a German clinical setting. Feasibility and efficacy of the program will be tested in a pilot RCT.
Co-project lead: Nicolas Rüsch, Nathalie Oexle
Study coordination: Lea Mayer
Cooperation with:
Dr. med. Sabine Müller, Consultant at the Department of Child and Adolescent Psychiatry, Ulm
Dr. Ulrike Hoffmann, head of research group „Transfer of Knowledge, Dissemination, E-Learning" at the Department of Child and Adolescent Psychiatry, Ulm
Duration: 07/2019 – 06/2021
Summary:
Parents of children with mental illness often experience stigma and discrimination, and keeping a child’s mental illness secret is a common strategy to avoid stigma. However, disclosure and secrecy of a mental illness of one’s own child can have pros and cons for both parents and their children. Interventions can support parents of children with mental illness in their disclosure decisions.
“Honest, Open, Proud” (HOP) is a peer-led group intervention to support people with mental illness in their decisions whether to disclose or not. HOP has already been adapted for parents of children with mental illness in the USA and Australia (“Starting the Conversation”, STC).
The aim of the current study is to evaluate STC as a webinar and test its feasibility and efficacy in a pilot RCT in Germany.
HOP-program
“Honest, Open, Proud” (HOP; German: „In Würde zu sich stehen“/IWS) is a peer-led group program to support people with mental illness in their disclosure decisions.
Further information can be found on the website of the Ulm University, https://www.uni-ulm.de/med/iws/.
- Interview with Nicolas Rüsch about HOP, Source: Psychiatrische Pflege 2020, 5(1): 32-33
- Interview with Nicolas Rüsch about HOP, Source: Soziale Psychiatrie, issue April 2019/Nr. 164, p. 37-38, http://www.dgsp-ev.de/fileadmin/user_files/dgsp/dgsp/SP/SP_164/SP164_Interview_mit_Nicolas_Ruesch.pdf
- Interview with Nicolas Rüsch about HOP, Source: unbeirrbar-InfoForum für Angehörige psychisch Kranker in Bayern, issue März 2019/Nr. 62, p. 8-10, www.lvbayern-apk.de/pdf/unbeirrbar-maerz-2019.pdf
- HOP for adolescents, Source: Rüsch N, Nehf L, Djamali J, Mulfinger N, Müller S. Honest, Open, Proud – a peer-led group program for adolescents with mental illness. Nervenheilkunde 2019, 38: 30-34. doi.org/10.1055/a-0813-9493
- German review article about HOP, Source: Rüsch N, Oexle N, Reichhardt L, Ventling S. Honest, Open, Proud: Concept and efficacy of a peer-led program to provide support with disclosure decisions and coping with stigma. Psychiatrische Praxis 2019, 46: 97-102. doi.org/10.1055/a-0800-3695
- HOP for adolescents, Source: Nicolas Rüsch (2018): Dem Stigma begegnen. In: Psychosoziale Umschau, 33 (2), p. 4–5, www.psychiatrie-verlag.de/zeitschriften/psychosoziale-umschau.html
- Article about HOP in Kerbe, issue 4/2018, p. 21-23
Research team
Jun.-Prof. Nathalie Oexle
MSc in public health | Junior Professor in Social Psychiatry
Prof. Nicolas Rüsch, MD
Head of Section Public Mental Health | Consultant Psychiatrist