Table 5.

Proportion of scores, percentage change and significance (Chi-squared) of responses to every question between baseline and follow-up

		% of responses (417 matched pairs)					% Improvement in mean item attitude score	Pearson Chi-Square (*** = p < 0.0001)
		0 (SD)*	1 (D)	2 (Neutral)	3 (A)	4 (SA)
a. Nothing can be improved within mental health services without additional resources	Baseline	12.7	42.5	3.8	26.2	14.7	21.05	79.71***
	Follow-up	31.7	39.8	5.0	15.8	7.7
b. The service environment has little to do with people’s mental health and well-being	Baseline	33.2	42.3	4.1	16.3	4.1	14.50	53.35***
	Follow-up	47.2	34.1	3.6	12.2	2.9
c. People with dementia should always live in group homes where staff can take care of them	Baseline	15.9	33.7	10.8	30.0	9.6	36.23	338.11***
	Follow-up	37.2	36.5	8.4	12.5	5.5
d. People with psychosocial disabilities/mental health conditions should not be hired in work requiring direct contact with the public	Baseline	45.9	30.8	7.7	10.6	5.0	43.44	208.58***
	Follow-up	62.1	25.9	5.5	3.8	2.6
e. Taking medication is the most important factor to help people with mental health conditions get better	Baseline	12.9	34.1	13.9	26.4	12.7	43.43	383.10***
	Follow-up	42.9	37.4	6.5	8.2	5.0
f. You can only inspire hope once a person is no longer experiencing symptoms	Baseline	26.0	39.2	7.9	20.4	6.5	34.39	199.88***
	Follow-up	47.0	33.3	6.5	8.2	5.0
g. People using mental health services should be empowered to make their own decisions about their treatment. [Reverse-scored]	Baseline	30.7	40.5	7.1	16.0	5.7	52.90	439.51***
	Follow-up	67.9	23.2	3.4	3.1	2.4
h. Following advice of other people who have experienced mental health issues is too risky	Baseline	19.5	55.9	13.3	9.1	2.2	26.43	153.81***
	Follow-up	38.2	45.9	7.5	6.5	1.9
i. The opinions of health practitioners about care and treatment should carry more weight than those of a person with an intellectual disability	Baseline	10.3	30.0	13.3	30.5	16.0	47.69	677.11***
	Follow-up	41.3	32.9	8.2	13.5	4.1
j. It is acceptable to pressure people using mental health services to take treatment that they don’t want	Baseline	36.4	41.8	7.6	10.1	4.2	57.66	388.47***
	Follow-up	70.0	22.7	3.9	2.4	1.0
k. Persons with mental health conditions should not be given important responsibilities	Baseline	34.0	45.3	7.4	8.9	4.4	44.00	229.45***
	Follow-up	58.0	32.1	4.6	3.9	1.4
l. When people experience a crisis, health practitioners or families should make decisions based on their ideas about what is best for them	Baseline	9.7	19.5	7.0	45.9	18.0	42.32	576.12***
	Follow-up	37.6	26.1	6.3	23.4	6.6
m. People with intellectual disabilities have the right to make their own decisions, even if I don’t agree with them. [Reverse-scored]	Baseline	18.7	48.1	13.2	16.7	3.2	40.13	422.26***
	Follow-up	50.2	38.3	3.4	5.9	2.2
n. Controlling people using mental health services is necessary to maintain order	Baseline	11.7	25.9	17.0	33.7	11.7	40.57	455.79***
	Follow-up	39.8	32.2	7.1	16.3	4.6
o. The use of seclusion and restraint is needed if people using mental health services become threatening	Baseline	8.2	12.5	8.5	45.1	25.7	49.81	860.60***
	Follow-up	39.5	27.6	9.0	16.8	7.1
p. People at risk of harming themselves or others should be isolated in a locked room	Baseline	18.7	29.9	8.5	27.4	15.5	41.62	290.92***
	Follow-up	40.5	34.1	6.6	14.4	4.4
q. Involuntary admission does more harm than good [reverse-scored]	Baseline	7.5	20.2	16.7	40.4	15.2	32.09	439.55***
	Follow-up	35.6	31.5	8.0	16.6	8.3

*Where 0 indicates ‘strongly disagree’ for all items except reverse-scored, where it indicates ‘strongly agree’. A lower score always indicates an attitude in line with human rights

^***p < 0.0001