Structural stigma and its impact on healthcare for consumers diagnosed with Borderline Personality Disorder: protocol for a scoping review
Creators: name: Klein, Pauline
name: Fairweather-Schmidt, Kate
name: Lawn, Sharon
name: Stallman, Helen
name: Cammell, Paul
Publisher: name: Open Science Framework
Year: 2022
Subjects: subject: Medicine and Health Sciences
subject: Social and Behavioral Sciences

description: Background Structural stigma in health systems experienced by consumers diagnosed with Borderline Personality Disorder (BPD) is a widespread phenomenon that causes serious health inequities and harm for this population. Consumers with a diagnosis of BPD are particularly vulnerable to the effect of structural stigma and indeed report experiencing greater levels of stigma within health systems, compared to their counterparts with other mental illnesses. To further contribute to knowledge in this field, we need a better understanding of the structures in health systems (i.e., policies, cultural norms, and practices), that manifest and perpetuate stigma experienced by consumers with BPD, and their carers/families. This proposed scoping review aims to explore the literature on structural stigma in health systems specific to BPD, and to provide an overview of the impact of stigma on healthcare services for consumers with BPD, and their carers/families. This will involve assessing how structural stigma impacts on the provision of health services and quality of care for consumers with BPD, their carers/families, and clinicians. This scoping review is founded on the population, concept and context framework as follows: - Population will include consumers aged 12 years and older with a diagnosis of BPD, their carers/families, and clinicians - Concept will involve structural stigma within the context of crisis care, and - Context will involve international studies that examine BPD-related stigma in all healthcare settings. Methods The scoping review will be conducted using the Joanna Briggs Institute (JBI) guidelines for scoping reviews. The search strategy was developed and tested for PsycINFO. A comprehensive search will be conducted across PsycINFO, MEDLINE, CINAHL, Scopus, ProQuest, Cochrane library and JBI Evidence-Based databases; as well as a grey literature search using Google search engine. Studies will be screened by title, abstract and full articles, by separate reviewers against the eligibility criteria. Selected full articles will be accessed against the inclusion criteria. Quantitative and qualitative data will be extracted from the selected full articles. A narrative summary of findings will then be conducted and presented in accordance with the JBI guidelines for scoping reviews, and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) 2015 Checklist. Discussion It is anticipated that building on the current knowledge on structural stigma in health systems associated with BPD will enhance our understanding of the structures in health systems (i.e., policies, cultural norms, and practices), that manifest and perpetuate stigma experienced by consumers with BPD, and their carers/families. Review findings will be used to inform future research, policy and practice in stigma reduction strategies to address BPD-specific stigma and improve the provision of health services and care for this population.