some slides from patrick corrigan phd, il institute of technology, international stigma researcher...

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.

Explore stigma ◦Public stigma

◦Internalized shame Frame stigma change Connect to your work and that of WISE

GOALS

4

IIT – Patrick Corrigan PhD Yale U Penn Rutgers Temple

www.ncse1.org

National Consortium on Stigma and Empowerment

schizophrenia

depressiontrauma

anxiety

eating disordersDrug and alcohol abuse

EPIDEMIC?

1 in 4

47% in our lifetime

What is stigma?

Where does it come from?

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Stigma Definition and Types

Stigma

Definition

Stereotype-ideas

Prejudice-beliefs

Discrimination-

actions

Types

Internalized Shame

Public

Structural

9

STEREOTYPE◦People with MI are: weak, dangerous….

PREJUDICE◦They are bad because: scary, shameful.

DISCRIMINATION◦So, don’t: hire, serve, rent to them

Example of Public Stigma

Avoidance and apathy

self esteem

So, why try?

I am not good

Internalized ShamePublic Stigma

sense of efficacy

I am not able

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Racial Discrimination

12

Religious Discrimination

Gender Discrimination

Co-Occurring Stigma (public and internalized) Heterosexism Racism Sexism Ableism Etc.

2011 YRBS data showed LGBT youth in WI had:

- 5X the rate of suicide attempts - 3X more likely to skip school due to feeling

unsafe- 50% felt like they did not belong at school

15

In the movies

People with mental illness are dangerous

16

People with mental illness are dangerous

In the newspapers

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In advertising

People with mental illness are dangerous

What’s the harm?

20

“Benevolent” Stigma

People with mental illness are lovable and incapable

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OK, but isn’t it better lately?

Trenton State

Hospital has fire.

July 10th, 2002

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The false idea that people with mental illness are more dangerous has increased

Phelan, Link et al24

…and remains high.

DANGER

Phelan, Link et al

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Examples of Discrimination?

Public Stigma:It’s Impact on SOCIAL INCLUSION

Lost employment

Subpar housing

Worse health care

Diminished education opportunities

Alienated from faith community

Protest

Education

Contact

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Stigma Change Processes

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Protest◦Review stigmatizing images

◦“Shame on you for thinking that

way”

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Unintended consequences of well intended actions

“The white bear”

Beware of the rebound effect

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Education

Review key myths and facts that counter these myths

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

Meta-Analysis: Knowledge and Stigma

Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011

DOES STIGMA DECREASEAS KNOWLEDGE INCREASES?

Knowledge: Causes of Mental Illness Stigma: Acceptance

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

Impact?

◦Blame went down

◦Belief in recovery also went down

1990-2000 Decade of the Brain

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Contact

“Meet Bob Lundin”

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Bob’s story◦ My name is ______ and I have a severe

mental illness called schizo-affective disorder

◦ My childhood was not unusual…

◦ Unfortunately, my mental illness was

traumatic. It did not go away quickly…

◦ Despite these problems, I have achieved several accomplishments.

Avoidance: from pre to 1-month follow-up

What a DIFFERENCE a friend makes!

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frequency

27%27%

28%28%

29%29%30%

30%31%

31%32%

(March 2008) (May 09

frequency

Video Games

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Website visits

46

Effect Size100 MILLION

thousands

47

Effect Size100 MILLION

thousands

Just going to the site is not enough

88% left after one minute!

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Framing Stigma Change

Protest Education Contact

Media-based

X XX XXXX

Live X XX XXXXXX

vehicle

-------processes--------

Many education efforts have helped us to understand the pain of mental health crises.

Yet, there exists a curtain of

ignorance about recovery.

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

Targeted Local Credible Continuous Change-focused Contact

TLC4

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Who Should the TARGETS Be?

Health care professionalsEmployersLandlordsTeachersLegislatorsFaith communities

x

MILWAUKEE

Does it play in

Wausau?

What is LOCAL Contact?

City Office Church, synagogue, mosque Workplace School

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Local

Contact with peer

Example- • Nurse to nurse• Pastor to pastor• Football player to football player

What is CREDIBLE Contact?

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Once is not enough

And variety is needed

CONTINUOUS Contact

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What do you want the target group to do differently as a result of the contact?

CHANGE-FOCUSED Contact

Targeted Local Credible Continuous Change-focused Contact

TLC4

59

the Grand Plan

Speak up everyoneSpeak up everywhere

Honest, Open & Proud“strategic disclosure”

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

6262

Your Recovery Story

Engage Organizations Seeking to Reduce

Discrimination

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

Story and Discussion