Some slides from Patrick Corrigan PhD, IL Institute of Technology, international stigma researcher

WISE BasicsIncreasing Inclusion, Hope and SupportBeating the Stigma of Mental Illness

Statewide collaboration oforganizations and individuals. Promote evidence based practices, current research and outcomes evaluation. Majority speak from experience of stigma and recovery.

Offer insights, resources, and support for stigma reduction

WISE Active Partners:

Care Connections (Waukesha County NAMI Support Group)Center for Suicide AwarenessCOPE ServicesDry HootchGrassroots Empowerment ProjectIllinois Institute of Technology LaCrosse Mental Health CoalitionLatino Health Coalition – Mental Health Action TeamMHA WisconsinMilwaukee Center for IndependenceMarian UniversityNAMI WI, Greater Milwaukee & RacinePrevent Suicide WIRogers InHealthUniversity of WI Milwaukee and MadisonWI Department of Health Services WI Family TiesWI United for Mental Health

ETC.

schizophrenia

depressiontrauma

anxiety

eating disordersDrug and alcohol abuse

EPIDEMIC?

1 in 4

47% in our lifetime

5

Stigma Definition and Types

Stigma

Definition

Stereotype-ideas

Prejudice-beliefs

Discrimination-

actions

Types

Internalized Shame

Public

Structural

Avoidance and apathy

self esteem

So, why try?

I am not good

Internalized ShamePublic Stigma

sense of efficacy

I am not able

7

Racial Discrimination

8

Religious Discrimination

Gender Discrimination

10

Movies

Drivers of Public Stigma

Newspapers

AdvertisingUnethical Research, Drug Side Effects &Poor Quality Care

11

“Benevolent” Stigma

People with mental illness are lovable and incapable.

12

OK, but isn’t it better lately?

Trenton State

Hospital has fire.

July 10th, 2002

14

1956 1996 20060%

20%

40%

60%

80%

100%

20%

40% 40%

% who viewed those with mental illness as danger...

Despite what you might think, the percentage of Americans who viewed people with mental illness as dangerous doubled from 1956 to 1996…. and remained high into 2006

Source: BG Link, JC Phelan, M Bresnahan, A Stueve, BA PescosolidoAmerican Journal of Public Health 89 (9), 1328-1333

Public Stigma:It’s Impact on SOCIAL INCLUSION

Lost employment

Subpar housing

Worse health care

Diminished education opportunities

Alienated from faith community

Protest

Education

Contact

17

Stigma Change Processes

18

Protest◦Review stigmatizing images

◦“Shame on you for thinking that

way”

19

Unintended consequences of well intended actions

“The white bear”

Beware of the rebound effect

20

Education

Review key myths and facts that counter these myths

Myth: People with serious mental illness can not care for themselves; need to be institutionalized.

Fact: Long term follow-up research suggests 2/3rds of people with schizophrenia learn to live with their disabilities.

RECOVERY is the rule

Myth: People with serious mental illness are dangerous.

Fact: People with untreated mental illness are slightly more dangerous especially when using drugs or alcoholBUT…

◦They are more likely to be victims of violence

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

Brain Disease

META-ANALYSIS FINDINGS: CAUSE

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

Neighbor

META-ANALYSIS FINDINGS: ACCEPTANCE

25

Contact“Meet John, Mike,

Charles, Tim, and Mark”

26

Their Recovery Story

◦My name is ______ and I have a mental illness and/or addiction…

◦My childhood was… (normal/traumatic)

◦My mental health challenges were difficult for me and others. They did not go away quickly…

◦Combining my internal resources with external resources, I found recovery…

◦I have achieved a satisfying life with several accomplishments.

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

Yet, there exists a curtain of

ignorance about recovery.

Recovery: Mental Illness and AddictionA process of change through which people work to improve their own health and wellbeing, live a self-directed life, and strive to achieve their full potential.

SAMHSA’s four essential dimensions of recovery:

◦Health◦Home ◦Purpose ◦Community

Targeted Local Credible Continuous Change-focused Contact

TLC4

30

Who Should the TARGETS Be?

Health care professionalsEmployersLandlordsTeachersLegislatorsFaith communities

x

MILWAUKEE

Does it play in

Wausau?

What is LOCAL Contact?

Contact with peer

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

What is CREDIBLE Contact?

33

Once is not enough

And variety is needed

CONTINUOUS Contact

34

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

CHANGE-FOCUSED Contact

Targeted Local Credible Continuous Change-focused Contact

TLC4

36

the Grand Plan

Speak up everyoneSpeak up everywhere

Honest, Open & Proud“strategic disclosure”

Carefully

Levels of Disclosure

Social Avoidance – avoid situations

Secrecy – work to keep it a secret

Selective Disclosure – share it with select

people

Open Disclosure – no longer hide it

Broadcast Your Experience – actively share it

3939

Your Recovery Story

Motivated engagement

self esteem

I care for myself & others

I am good

Reversing Self and Public Stigma

Public Stigma

sense of efficacyI am able

Inclusion and Support

Engage Organizations Seeking to Reduce Stigma

Train/Support Storytellers

General Public Programs/Contact

Components:1. WiSE Basics Discussion

2. Support for Strategic Disclosure HOP

3. Consultation as Organizations Apply TLC4

4. WiSE Guide to Design, Implement and

Evaluate Plans

5. Statewide Evaluation

SIX WAYS TO END STIGMA TOGETHER  1. Seek out people with lived experience - listen to

their story.

2. Reinforce & support their resilience & recovery.

3. Wear lime green to create curiosity - be prepared to speak up.

4. Consider the story you can tell about recovery

5. Share other’s stories – for short video stories go to Rogersinhealth.org

6. Bring the conversation to your community – work, civic, faith, schools

Story and Discussion