Table 2 READ-MH training modules

Introduction

Introduction of participants

Introduction of expert by experience

Learning objectives, module outline, course delivery methods

Presentation

1

What is stigma and how does it affect mental health care?

Description and explanation of experienced, anticipated, self-stigma and structural stigma

How stigma reduces the effectiveness of mental health care

Interactive lecture

Brainstorming

Group discussion instigated by thought experiment and supported by evidence from the site

Testimonial from an expert by experience and/or audiovisual clip

2

Experienced discrimination

How to identify and respond to experienced discrimination as a mental health professional

How to help service users to respond to experienced discrimination

How to develop stigma resistance in service users

Testimonial of expert by experience

Role play and debriefing—group discussion

3

Anticipated discrimination and self-stigma

How to identify and respond to anticipated discrimination as a mental health professional

How to help service users to overcome anticipated discrimination and self-stigma

Testimonial of expert by experience

Case vignette

Role play and debriefing—group discussion

4

Stigmatisation within mental health care

Structural stigma in mental health care

Experienced stigma in mental health care (perpetrated by mental health professionals)

Factors contributing to stigma perpetrated by mental health professionals

Interactive lecture

Including quotes of stigmatising experiences from service users within the mental health system and clinical case illustrations

Group discussion

5

What can we do to reduce stigma in mental health care?

Focus on stress and burnout as factors aggravating stigma; self-care for mental health professionals as a means to reduce stigma

Communication skills

Role of advocacy

Case study, followed by a group discussion supported by evidence from the sites

Roleplay