mental health and schools symposium april 21, 2008 “stomping out stigma” summits for youth bob...
TRANSCRIPT
Mental Health and Schools Symposium
April 21 2008
ldquoStomping Out StigmardquoSummits for Youth
Bob HeeneyWhitby Mental Health Centre
Durham Talking About Mental Illness Coalition
What is StigmaWhat are the effects of Stigma
What is Stigma
bull Wikipedia - stigma is an attribute behaviour or reputation which is socially discrediting in a particular way it causes an individual to be mentally classified by others in an undesirable rejected stereotype rather than in an accepted normal one
World Health Organization
Stigma is a social process or related personal experience characterized by exclusion blame or devaluation that results from an adverse social judgment about a person or group
The judgment is based on an enduring feature of identity attributable to a health problem or health-related condition and this judgment is in some essential way medically unwarranted
Mental Health Commission of Canada
The Mental Health Commission of Canada has identified the elimination of stigma and the reduction of discrimination as one of the top three priority areas to be addressed as part of its federal framework for mental health
Mental HealthCommission of Canada
ldquoStigma is typically a social process experienced or anticipated characterized by exclusion rejection blame or devaluation that results from experience or reasonable anticipation of an adverse social judgment about a person or grouprdquo
A Time For Action Tackling Stigma and Discrimination ndash MHCC Neasa Martin amp Valerie Johnston--
06112007
EffectsStigma they suggest offers a basis for devaluing rejecting and excluding
Human beings instinctively create hierarchies and the connection with an undesirable characteristic provides a rationale for moving someone downwards First the person experiences structural discrimination which is not the same thing as stigma although it is one of its consequences
Expectations are lowered in terms of job opportunities marriage possibilities and housing
Eventually stigmatized people come to internalize the stereotyping they receive and to believe it To the extent that stigmatized groups accept the dominant view of their lower status they are less likely to challenge structural forms of discrimination
Bruce G Link and Jo C Phelan Conceptualizing Stigma Annual Review of Sociology 2001 27 pp 363-385
Effects of Stigma
bull Prejudice and discrimination (in school medical care housing employment)
bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms
andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide
Three Types of Stigma Identified
ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy
makers A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
What is StigmaWhat are the effects of Stigma
What is Stigma
bull Wikipedia - stigma is an attribute behaviour or reputation which is socially discrediting in a particular way it causes an individual to be mentally classified by others in an undesirable rejected stereotype rather than in an accepted normal one
World Health Organization
Stigma is a social process or related personal experience characterized by exclusion blame or devaluation that results from an adverse social judgment about a person or group
The judgment is based on an enduring feature of identity attributable to a health problem or health-related condition and this judgment is in some essential way medically unwarranted
Mental Health Commission of Canada
The Mental Health Commission of Canada has identified the elimination of stigma and the reduction of discrimination as one of the top three priority areas to be addressed as part of its federal framework for mental health
Mental HealthCommission of Canada
ldquoStigma is typically a social process experienced or anticipated characterized by exclusion rejection blame or devaluation that results from experience or reasonable anticipation of an adverse social judgment about a person or grouprdquo
A Time For Action Tackling Stigma and Discrimination ndash MHCC Neasa Martin amp Valerie Johnston--
06112007
EffectsStigma they suggest offers a basis for devaluing rejecting and excluding
Human beings instinctively create hierarchies and the connection with an undesirable characteristic provides a rationale for moving someone downwards First the person experiences structural discrimination which is not the same thing as stigma although it is one of its consequences
Expectations are lowered in terms of job opportunities marriage possibilities and housing
Eventually stigmatized people come to internalize the stereotyping they receive and to believe it To the extent that stigmatized groups accept the dominant view of their lower status they are less likely to challenge structural forms of discrimination
Bruce G Link and Jo C Phelan Conceptualizing Stigma Annual Review of Sociology 2001 27 pp 363-385
Effects of Stigma
bull Prejudice and discrimination (in school medical care housing employment)
bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms
andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide
Three Types of Stigma Identified
ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy
makers A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
What is Stigma
bull Wikipedia - stigma is an attribute behaviour or reputation which is socially discrediting in a particular way it causes an individual to be mentally classified by others in an undesirable rejected stereotype rather than in an accepted normal one
World Health Organization
Stigma is a social process or related personal experience characterized by exclusion blame or devaluation that results from an adverse social judgment about a person or group
The judgment is based on an enduring feature of identity attributable to a health problem or health-related condition and this judgment is in some essential way medically unwarranted
Mental Health Commission of Canada
The Mental Health Commission of Canada has identified the elimination of stigma and the reduction of discrimination as one of the top three priority areas to be addressed as part of its federal framework for mental health
Mental HealthCommission of Canada
ldquoStigma is typically a social process experienced or anticipated characterized by exclusion rejection blame or devaluation that results from experience or reasonable anticipation of an adverse social judgment about a person or grouprdquo
A Time For Action Tackling Stigma and Discrimination ndash MHCC Neasa Martin amp Valerie Johnston--
06112007
EffectsStigma they suggest offers a basis for devaluing rejecting and excluding
Human beings instinctively create hierarchies and the connection with an undesirable characteristic provides a rationale for moving someone downwards First the person experiences structural discrimination which is not the same thing as stigma although it is one of its consequences
Expectations are lowered in terms of job opportunities marriage possibilities and housing
Eventually stigmatized people come to internalize the stereotyping they receive and to believe it To the extent that stigmatized groups accept the dominant view of their lower status they are less likely to challenge structural forms of discrimination
Bruce G Link and Jo C Phelan Conceptualizing Stigma Annual Review of Sociology 2001 27 pp 363-385
Effects of Stigma
bull Prejudice and discrimination (in school medical care housing employment)
bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms
andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide
Three Types of Stigma Identified
ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy
makers A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
World Health Organization
Stigma is a social process or related personal experience characterized by exclusion blame or devaluation that results from an adverse social judgment about a person or group
The judgment is based on an enduring feature of identity attributable to a health problem or health-related condition and this judgment is in some essential way medically unwarranted
Mental Health Commission of Canada
The Mental Health Commission of Canada has identified the elimination of stigma and the reduction of discrimination as one of the top three priority areas to be addressed as part of its federal framework for mental health
Mental HealthCommission of Canada
ldquoStigma is typically a social process experienced or anticipated characterized by exclusion rejection blame or devaluation that results from experience or reasonable anticipation of an adverse social judgment about a person or grouprdquo
A Time For Action Tackling Stigma and Discrimination ndash MHCC Neasa Martin amp Valerie Johnston--
06112007
EffectsStigma they suggest offers a basis for devaluing rejecting and excluding
Human beings instinctively create hierarchies and the connection with an undesirable characteristic provides a rationale for moving someone downwards First the person experiences structural discrimination which is not the same thing as stigma although it is one of its consequences
Expectations are lowered in terms of job opportunities marriage possibilities and housing
Eventually stigmatized people come to internalize the stereotyping they receive and to believe it To the extent that stigmatized groups accept the dominant view of their lower status they are less likely to challenge structural forms of discrimination
Bruce G Link and Jo C Phelan Conceptualizing Stigma Annual Review of Sociology 2001 27 pp 363-385
Effects of Stigma
bull Prejudice and discrimination (in school medical care housing employment)
bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms
andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide
Three Types of Stigma Identified
ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy
makers A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Mental Health Commission of Canada
The Mental Health Commission of Canada has identified the elimination of stigma and the reduction of discrimination as one of the top three priority areas to be addressed as part of its federal framework for mental health
Mental HealthCommission of Canada
ldquoStigma is typically a social process experienced or anticipated characterized by exclusion rejection blame or devaluation that results from experience or reasonable anticipation of an adverse social judgment about a person or grouprdquo
A Time For Action Tackling Stigma and Discrimination ndash MHCC Neasa Martin amp Valerie Johnston--
06112007
EffectsStigma they suggest offers a basis for devaluing rejecting and excluding
Human beings instinctively create hierarchies and the connection with an undesirable characteristic provides a rationale for moving someone downwards First the person experiences structural discrimination which is not the same thing as stigma although it is one of its consequences
Expectations are lowered in terms of job opportunities marriage possibilities and housing
Eventually stigmatized people come to internalize the stereotyping they receive and to believe it To the extent that stigmatized groups accept the dominant view of their lower status they are less likely to challenge structural forms of discrimination
Bruce G Link and Jo C Phelan Conceptualizing Stigma Annual Review of Sociology 2001 27 pp 363-385
Effects of Stigma
bull Prejudice and discrimination (in school medical care housing employment)
bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms
andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide
Three Types of Stigma Identified
ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy
makers A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Mental HealthCommission of Canada
ldquoStigma is typically a social process experienced or anticipated characterized by exclusion rejection blame or devaluation that results from experience or reasonable anticipation of an adverse social judgment about a person or grouprdquo
A Time For Action Tackling Stigma and Discrimination ndash MHCC Neasa Martin amp Valerie Johnston--
06112007
EffectsStigma they suggest offers a basis for devaluing rejecting and excluding
Human beings instinctively create hierarchies and the connection with an undesirable characteristic provides a rationale for moving someone downwards First the person experiences structural discrimination which is not the same thing as stigma although it is one of its consequences
Expectations are lowered in terms of job opportunities marriage possibilities and housing
Eventually stigmatized people come to internalize the stereotyping they receive and to believe it To the extent that stigmatized groups accept the dominant view of their lower status they are less likely to challenge structural forms of discrimination
Bruce G Link and Jo C Phelan Conceptualizing Stigma Annual Review of Sociology 2001 27 pp 363-385
Effects of Stigma
bull Prejudice and discrimination (in school medical care housing employment)
bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms
andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide
Three Types of Stigma Identified
ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy
makers A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
EffectsStigma they suggest offers a basis for devaluing rejecting and excluding
Human beings instinctively create hierarchies and the connection with an undesirable characteristic provides a rationale for moving someone downwards First the person experiences structural discrimination which is not the same thing as stigma although it is one of its consequences
Expectations are lowered in terms of job opportunities marriage possibilities and housing
Eventually stigmatized people come to internalize the stereotyping they receive and to believe it To the extent that stigmatized groups accept the dominant view of their lower status they are less likely to challenge structural forms of discrimination
Bruce G Link and Jo C Phelan Conceptualizing Stigma Annual Review of Sociology 2001 27 pp 363-385
Effects of Stigma
bull Prejudice and discrimination (in school medical care housing employment)
bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms
andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide
Three Types of Stigma Identified
ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy
makers A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Effects of Stigma
bull Prejudice and discrimination (in school medical care housing employment)
bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms
andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide
Three Types of Stigma Identified
ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy
makers A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Three Types of Stigma Identified
ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy
makers A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Three Types of Stigma Identified
ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal
A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Three Types of Stigma Identified
ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy
makers A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Three Types of Stigma Identified
ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy
makers A Time For Action Tackling Stigma and Discrimination ndash MHCC
Neasa Martin amp Valerie Johnston-- 06112007
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Summary from Current LiteratureApproaches
bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows
1048707 To provide education challenge stereotypes and dispel myths of mental illness
1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental
illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental
illness1048707 To encourage self-confidence and self esteem in people with mental
illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience
of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Attitude ShiftHow to Make Changes
In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach
Education to dispel commonly held myths about mental illness
Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images
Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Making Changes
ldquoNone of those three approaches is completely
successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo
A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada
Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
SOS SummitldquoStomping Out Stigmardquo
Welcome
ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Durham TAMI Coalition
bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND
YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Coalition Structure
bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients
ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students
ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Why Are We Doing This
bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern
Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help
bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from
depression are not receiving mental health services ndash 15 will commit suicide
bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
TAMI History
bull 1990 ldquoOver the Cuckoorsquos Nestrdquo
bull 2002 Durham Coalition formed
bull 2005 Support from Ministry Children and Youth Services
bull 2005 ldquoStomping Out Stigma Summitsrdquo
bull 2006 Expansion
bull 2007 Awards and Recognition
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
TAMI Projects
bull 5 day in-class presentation
bull Assemblies
bull Professional Development
bull Entire grade presentations
bull Summit
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
School PartnershipPartnership Process
Initially ndash bull Utilized Coalition
Memberrsquos School Contacts (Teachers Guidance Principals etc)
bull Sent letters about TAMI Program to Principals
bull Talked it up at meetings in the community
Evolved ndashbull Obtained school
representation on the Coalition from both the Catholic amp Public School Boards
bull Presented about TAMI at school staff development meetings
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)
bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)
bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own
stigma reducing initiativesprojects
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
TAMI ndash Supporting TeachersSupporting TeachershellipHow
bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines
bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)
bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program
bull Pre test experiential exercises discussion on stigma preparing for the speakers
bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)
bull Provides links to local community resources amp support (for further information amp professional supports)
Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Speaker Training
Initially ndash bull Utilized Coalition
Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community
3 of our current speakers are original speakers from the start of TAMI (6 years ago)
Evolved ndashbull As TAMI demand
grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Speaker TrainingNow amp Moving Forward ndash
bull Application is reviewed by sub-committeebull Selected candidates contacted to attend
introduction amp interview (small group with sub-committee)
bull 4 Mtgs with sub-committee (speech writingpractice)
bull Intro to CoalitionPractice with questions
bull CPICs
bull Attend Summit 2-3 class sessions
bull When ready present for in class TAMI
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition
Membersbull Inclusion through full Participation (TAMI
Program SOS luncheons discussions eliciting feedback honorariums etc)
bull Honouring their personal schedules amp wellnessneeding a break
ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
The ldquoSOSrdquo Summit Conference Conceptualization
Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)
Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools
Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)
Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
ldquoSOSrdquo Summit Conference Process
Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)
Participants complete pre and post tests to assess knowledge and attitudes about mental health
Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school
Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students
ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on
mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about
mental illness to my studentsrdquo
-Staff Participant
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip
Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest
Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools
Time by gender by program type ANOVA
Males Females
In Class
Pre Post16
18
20
22
24
26
28
30
32
34
36
38
40
Kn
ow
ledg
e S
co
res
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32
no change
16
25
38
A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
helliphelliphelliphellipand negative stigma went downand negative stigma went down
ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student
The Summit was the most effective program at decreasing negative stigma
Time by gender by program type ANOVA
Males Females
In Class
Pre Post13
14
15
16
17
18
19
20
21
22
23
24
25
Stigm
ati
zin
g A
ttitude S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4712
14
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
What Participants Liked Most About theSummit Conference
6560960
1520640 320
Speakers Stories
Question Period Interactive Discussion
Group Activities
Other
Missing
All Summit Participants (n=103)
Speaker Testimonial
ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years
Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Summary
bull Contact
bull Impacts ndash immediate on students
bull Sociological ndash within school teams and systems
bull TAMI contact wwwwhitbymentalhealthcentreca
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-
Thank You
bull Questions
- Mental Health and Schools Symposium April 21 2008
- What is Stigma What are the effects of Stigma
- What is Stigma
- World Health Organization
- Mental Health Commission of Canada
- Mental Health Commission of Canada
- Effects
- Effects of Stigma
- Three Types of Stigma Identified
- Slide 10
- Slide 11
- Summary from Current Literature Approaches
- Attitude Shift How to Make Changes
- Making Changes
- PowerPoint Presentation
- Durham TAMI Coalition
- Coalition Structure
- Why Are We Doing This
- TAMI History
- TAMI Projects
- School Partnership Process
- School Partnership Process
- TAMI ndash Supporting TeachershellipHow
- Speaker Training
- Slide 25
- Supporting Our Speakers
- The ldquoSOSrdquo Summit Conference Conceptualization
- ldquoSOSrdquo Summit Conference Process
- As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
- helliphellipand negative stigma went down
- Slide 31
- Summary
- Thank You
-