Some slides from Patrick Corrigan PhD, IL Institute of Technology, international stigma researcher WISE Basics Increasing Inclusion, Hope and Support Beating the Stigma of Mental Illness
Dec 30, 2015
Some slides from Patrick Corrigan PhD, IL Institute of Technology, international stigma researcher
WISE BasicsIncreasing Inclusion, Hope and SupportBeating the Stigma of Mental Illness
Statewide collaboration oforganizations and individuals. Promote evidence based practices, current research and outcomes evaluation. Majority speak from experience of stigma and recovery.
Offer insights, resources, and support for stigma reduction
WISE Active Partners:
Care Connections (Waukesha County NAMI Support Group)Center for Suicide AwarenessCOPE ServicesDry HootchGrassroots Empowerment ProjectIllinois Institute of Technology LaCrosse Mental Health CoalitionLatino Health Coalition – Mental Health Action TeamMHA WisconsinMilwaukee Center for IndependenceMarian UniversityNAMI WI, Greater Milwaukee & RacinePrevent Suicide WIRogers InHealthUniversity of WI Milwaukee and MadisonWI Department of Health Services WI Family TiesWI United for Mental Health
ETC.
schizophrenia
depressiontrauma
anxiety
eating disordersDrug and alcohol abuse
EPIDEMIC?
1 in 4
47% in our lifetime
5
Stigma Definition and Types
Stigma
Definition
Stereotype-ideas
Prejudice-beliefs
Discrimination-
actions
Types
Internalized Shame
Public
Structural
Avoidance and apathy
self esteem
So, why try?
I am not good
Internalized ShamePublic Stigma
sense of efficacy
I am not able
10
Movies
Drivers of Public Stigma
Newspapers
AdvertisingUnethical Research, Drug Side Effects &Poor Quality Care
1956 1996 20060%
20%
40%
60%
80%
100%
20%
40% 40%
% who viewed those with mental illness as danger...
Despite what you might think, the percentage of Americans who viewed people with mental illness as dangerous doubled from 1956 to 1996…. and remained high into 2006
Source: BG Link, JC Phelan, M Bresnahan, A Stueve, BA PescosolidoAmerican Journal of Public Health 89 (9), 1328-1333
Public Stigma:It’s Impact on SOCIAL INCLUSION
Lost employment
Subpar housing
Worse health care
Diminished education opportunities
Alienated from faith community
Myth: People with serious mental illness can not care for themselves; need to be institutionalized.
Fact: Long term follow-up research suggests 2/3rds of people with schizophrenia learn to live with their disabilities.
RECOVERY is the rule
Myth: People with serious mental illness are dangerous.
Fact: People with untreated mental illness are slightly more dangerous especially when using drugs or alcoholBUT…
◦They are more likely to be victims of violence
Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011
Brain Disease
META-ANALYSIS FINDINGS: CAUSE
Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011
Neighbor
META-ANALYSIS FINDINGS: ACCEPTANCE
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Their Recovery Story
◦My name is ______ and I have a mental illness and/or addiction…
◦My childhood was… (normal/traumatic)
◦My mental health challenges were difficult for me and others. They did not go away quickly…
◦Combining my internal resources with external resources, I found recovery…
◦I have achieved a satisfying life with several accomplishments.
Recovery: Mental Illness and AddictionA process of change through which people work to improve their own health and wellbeing, live a self-directed life, and strive to achieve their full potential.
SAMHSA’s four essential dimensions of recovery:
◦Health◦Home ◦Purpose ◦Community
Who Should the TARGETS Be?
Health care professionalsEmployersLandlordsTeachersLegislatorsFaith communities
Contact with peer
Example- • Nurse to nurse• Pastor to pastor• Football player to football player
What is CREDIBLE Contact?
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What do you want the target group to do differently as a result of the contact?
CHANGE-FOCUSED Contact
the Grand Plan
Speak up everyoneSpeak up everywhere
Honest, Open & Proud“strategic disclosure”
Carefully
Levels of Disclosure
Social Avoidance – avoid situations
Secrecy – work to keep it a secret
Selective Disclosure – share it with select
people
Open Disclosure – no longer hide it
Broadcast Your Experience – actively share it
Motivated engagement
self esteem
I care for myself & others
I am good
Reversing Self and Public Stigma
Public Stigma
sense of efficacyI am able
Inclusion and Support
Engage Organizations Seeking to Reduce Stigma
Train/Support Storytellers
General Public Programs/Contact
Components:1. WiSE Basics Discussion
2. Support for Strategic Disclosure HOP
3. Consultation as Organizations Apply TLC4
4. WiSE Guide to Design, Implement and
Evaluate Plans
5. Statewide Evaluation
SIX WAYS TO END STIGMA TOGETHER 1. Seek out people with lived experience - listen to
their story.
2. Reinforce & support their resilience & recovery.
3. Wear lime green to create curiosity - be prepared to speak up.
4. Consider the story you can tell about recovery
5. Share other’s stories – for short video stories go to Rogersinhealth.org
6. Bring the conversation to your community – work, civic, faith, schools