Label Avoidance. No treatment So no labels So no shame

Transcription

1 Label Avoidance No treatment So no labels So no shame 1

2 Label Avoidance 45% seekers non-seekers Epidemiological Catchment Area, National Co-morbidity Survey, NCSII 2

3 Label Avoidance 22% Canadian Community Health Survey users non-users Corrigan, P.W. (2004). How stigma interferes with mental health care. American Psychologist, 59,

4 stereotyp e prejudice Public stigma Selfstigma Label avoidance Structural stigma discriminati on PTSD - suicide Absence of treatment 4

5 processes v e h i c l e Mediabased In vivo Protest Educatio n Contact 5

6 Contact 6 Education Protest

7 Education Review key myths and facts that counter these myths 7

8 Myth: Serious mental illness is rare. Fact: Schizophrenia makes up.8% of the population. In Chicago Metro, that is 64,000 people, or the population of Joliet Illinois. 8

9 Protest Review stigmatizing images Shame on you for thinking that way 9

10 10

11 Beware the rebound effect the white bear 11

12 Contact Meet Bob Lundin 12

13 Bob s story My name is and I have a severe mental illness called schizo-affective disorder My childhood was not unusual Unfortunately, my mental illness was traumatic. It did not go away quickly Despite these problems, I have achieved several accomplishments. 13

14 Corrigan, River, Lundin et al 2001 N=213 Mental Illness Stigma (MIS) Education: Responsibility Education: Dangerousness control Contact: Responsibility Contact: Dangerousness MIS post test and follow-up

15 pre post control ed:danger ed:respon ct:danger ct:respon

16 control ed:danger ed:respon ct:danger ct:respon pre post

17 control ed:danger ed:respon ct:danger ct:respon pre f-up con>edu

18 processes v e h i c l e Mediabased In vivo Protest Educatio n Contact 18

19 Media-based In vivo 19

20 Change a Mind 20

21 Video Games 32% frequency 31% 31% 30% 30% 29% 29% 28% 28% 27% 27% (March 2008) (May 09 frequency 21

22 Website visits 22

23 Real Warriors + Real Battles Real Strengths DCoE Outreach Center live chat Natl Suicide Prevention Lifeline afterdeployment.org

24 Odds Ratio 2.81*** 24

25 MILLIONS thousands 25

26 MILLIONS Just going to the site is not enough 88% left after one minute! thousands 26

27 27 27

28 Stigmaandempowerment.org Bibliography Toolkit Four lessons

29 N=200 SAMPLE Pre-test IOOV 90 min IOOV 30 m in Educate Recall test Recall test Recall test Corrigan et al., 2010

30 Two Actors: Male and Female 12 positive things - I work as an accountant. 12 negative things - I hear voices.

31 Recall of Positive and Negative Statements IOOV30 IOOV90 Educ + (POS) - (NEG) Post hoc tests Positive Statements (IOOV30 = Educ) > IOOV90 Negative Statements (IOOV30 = IOOV90) < Educ)

32 Good stigma change targeted local 32

33 Landlords Health care professionals Teachers Legislators Employers

34 The depressed employee The suicidal adolescent The panicked drug abuser The soldier with PTSD sailor, marine, airman 34

35 City Office Church, synagogue, mosque Military base 35

36 36

37 Stigmaandempowerment.org Bibliography Toolkit Four lessons

38 Understanding Stigma for Stigma Change Framing Stigma Change Implications for Evaluation Where s the science? 38.

39 Education: Responsibility8 N=213 low mod high Stigmatizing Attitudes and control ed:danger ed:respon ct:danger ct:respon Education: 3 Dangerousness Behavioral Intentions 7.3 pre post low mod high stigma change Control Contact: Responsibility stigma 0.5 Contact: change Dangerousness 0.45 Pos Neg Attitudes and post and 1 wk f-up control ed:danger ed:respon ct:danger ct:respon pre f-up 39

40 Reducing discrimination versus affirming actions Not just what does it stop (less prejudice) but what is improved (more work) Specificity Not just whether it changes people, put does it change important groups 40 40

41 Effect Size Is the effect noticeable? Does it matter? (social validity) Iatrogenic effects Mental illness is a brain disorder Manuals and Fidelity Need to catalogue interventions Feasibility 41 41

42 Stigmaandempowerment.org Bibliography Toolkit Four lessons