Schizophrenia: Public Attitudes, Personal Needs Research and Data Findings REPORT ©2008, Harris Interactive Inc. April 25, 2008 All rights reserved. Conducted for the National Alliance on Mental Illness www.harrisinteractive.com Background & Objectives………………………………………………………………………………. 4 Methodology…............................................................................................................................. 5 Highlights of Detailed Findings.................................................................................................. 7 Detailed Findings………………………………………………………………………………………… 15 General Health & Awareness....................................................................................................... Health status…......................................................................................................................... Familiarity with Medical Conditions........................................................................................... Concern About Medical Conditions………………………………………………………………….. Knowing Others with Medical Conditions………………………………………………………….... Relationship to Person Diagnosed with Schizophrenia……………………………………………. Caregiver Status……………………………………………………………………………………….. Schizophrenia Treatment……………………………………………………………………………... 16 17 18 19 20 21 22 23 General Knowledge About Schizophrenia…………………………………………………………... Prevalence of Schizophrenia vs. Other Conditions……………………………………………….... Perceived Symptoms of Schizophrenia……………………………………………………………… Views about Schizophrenia…………………………………………………………………………… Schizophrenia Recovery………………………………………………………………………………. Perceptions of Schizophrenia and Disclosure………………………………………………………. Comfort Around People Diagnosed with Schizophrenia............................................................ 24 25 26 27 28 29 30 HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Table of Contents 2 Living with Schizophrenia........................................................................................................... Age at First Symptoms, Diagnosis, and Treatment………………………………………………… Openness About Schizophrenia Diagnosis…………………………………………………………. Different Treatment Since Diagnosis………………………………………………………………… Positive and Negative Experiences………………………………………………………………….. Reliability of Various People………………………………………………………………………….. Types of Assistance Accepted……………………………………………………………………….. Engagement in Activities After Diagnosis…………………………………………………………… Helpfulness in Improving Condition………………………………………………………………….. What People Living with Schizophrenia Want Others to Know…………………………………… 31 32 34 35 36 37 38 39 40 42 Caregivers…………………………………………………………………………………………………. Relationship to Person Cared For…………………………………………………………………… Living Situation of the Caregiver and Person Living with Schizophrenia………………………… Time Spent Providing Care…………………………………………………………………………… Types of Assistance Provided………………………………………………………………………... Helpfulness in Improving Condition………………………………………………………………….. Usage & Satisfaction with Caregiving Related Services…………………………………………… Challenges Faced……………………………………………………………………………………... Attitudes About Caregiving……………………………………………………………………………. Availability of Support…………………………………………………………………………………. Sources of Caregiving Support………………………………………………………………………. Perceptions of Public Knowledge About Schizophrenia…………………………………………… Emotions Experienced………………………………………………………………………………… Openness About Caregiving………………………………………………………………………….. What Caregivers Want Others to Know……………………………………………………………… 43 44 45 46 47 48 49 50 51 52 53 54 55 56 58 Demographics…………………………………………………………………………………………….. 59 HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Table of Contents (con’t) 3 Background & Objectives The National Alliance on Mental Illness (NAMI) commissioned Harris Interactive to conduct research to measure attitudes and awareness of schizophrenia among members of the general adult public, as well as among caregivers and individuals who self report that they have been diagnosed with schizophrenia. Specifically, this research seeks to: – Identify gaps in knowledge and understanding among the general adult public – Establish a baseline of attitudes toward the illness and those living with it – Understand the experiences of caregivers and individuals living with schizophrenia The results of this study will be used by NAMI to help raise awareness about schizophrenia with the goal of reducing the stigma associated with this condition and improve the care available to those living with it. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. – Identify areas where more or better services are needed for those living with schizophrenia 4 Methodology The general adult public portion of this research was conducted from February 13 –February 19, 2008, by Harris Interactive via its Harris Poll Online Research Panel, a database that consists of several million people who have agreed to participate in online research projects. The portions of the research among caregivers and people living with schizophrenia were conducted online between February 11 – February 25, 2008, via NAMI email lists. A total of 1,012 HPOL respondents (adults), 256 caregivers and 258 people living with schizophrenia qualified and completed the survey. The survey averaged about 17 minutes. Data for the caregivers and individuals living with schizophrenia were not weighted. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. For the general adult public, demographic weighting was used to ensure that the data represent the national population of adult U.S. citizens. Propensity score weighting adjusted for respondents’ propensity to be online. 5 Notes for reading this report Throughout this report, the terms “general public” or “adults” refer to members of the general adult public, by which we mean U.S. residents, aged 18 and older. The term “caregivers” refers to U.S. adults, aged 18 and older who either currently provide care, or who provided care in the past, for someone who has been diagnosed with schizophrenia, schizoaffective disorder, or another schizophrenia spectrum disorder. This does not include anyone providing care in a professional capacity. In the caregiver section, “person cared for” and refers to the person to whom caregivers provide care. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. The term “people living with schizophrenia” refers to U.S. adults, aged 18 and older who self-report that they have been diagnosed with schizophrenia, schizoaffective disorder, or another schizophrenia spectrum disorder. 6 Highlights of Detailed Findings Awareness Among the General Public Compared to other medical conditions, familiarity with schizophrenia is very low among the general public. Not surprisingly, caregivers and people living with schizophrenia report much greater familiarity with this condition. – One-quarter of the U.S. adult population (24%) report that they are very or extremely familiar with schizophrenia (Q515). – Of the eleven conditions included in the survey, only Multiple Sclerosis (21%) and Lou Gehrig’s disease (13%) received lower familiarity ratings (Q515). – As would be expected, familiarity with schizophrenia was much higher among caregivers and people living with schizophrenia, with 89% of caregivers and 93% of people living with schizophrenia saying they are extremely or very familiar with the condition (Q515). – Interestingly, not only were caregivers and people living with schizophrenia more familiar with schizophrenia than the general adult population, but they were also much more familiar with the other mental health conditions we tested which included, bipolar disorder and depression (Q515). 74% of caregivers and 81% of people living with schizophrenia are very or extremely familiar with bipolar disorder vs. 30% of the general public. 87% of caregivers and 92% of people living with schizophrenia are very or extremely familiar with depression vs. 52% of the general public. – Caregivers report the most concern about being diagnosed with schizophrenia (97% rate the concern they would feel at least 8 on a scale from 1 to 10 vs. 81% of people living with schizophrenia and just 60% of the general adult population) (Q517). – Although familiarity with Lou Gehrig’s disease is lower than any other medical condition, it is also among the top 3 conditions that adults are most concerned about (Q517). HARRIS INTERACTIVE ©2008, Harris Interactive Inc. While familiarity with schizophrenia is low, the level of concern respondents would feel if diagnosed with the condition is relatively high—it is the highest rated non-terminal illness. 7 Highlights of Detailed Findings Awareness Among the General Public (cont’d) Adults lack knowledge about schizophrenia, in terms of both general information and symptoms. – While most adults recognize that delusions (80%) and hallucinations (79%) are symptoms of schizophrenia, this is much lower than the percentage of caregivers who believe these are symptoms (97% for delusions and 100% for hallucinations) (Q710). – Additionally, nearly two-thirds (64%) of adults incorrectly believe that split or multiple personalities is a symptom of schizophrenia (Q710). In fact, over half (55%) believe that split personality disorder is another name for schizophrenia. This is compared to 12% of caregivers (Q720). – Members of the general adult public are also less likely to identify cognitive symptoms of schizophrenia (problems organizing thoughts—62%; disorganized speech—35%; difficulty learning—30%) than caregivers (problems organizing thoughts—97%; disorganized speech—82%; difficulty learning—60%) (Q710). – While more than half (57%) of adults agree that the suicide rate among people with schizophrenia is ten times higher than the general population, they do not associate that people diagnosed with schizophrenia die 25 years younger than others (24%) (Q720). Despite a low level of knowledge about schizophrenia, a large majority of adults share positive attitudes towards individuals with this condition on some important points. Nearly as many (79%) agree that most people diagnosed with schizophrenia can lead independent lives with ongoing care (Q710). HARRIS INTERACTIVE ©2008, Harris Interactive Inc. More than eight in ten (85%) people in the general public recognize that schizophrenia is an illness that requires proper medical attention. 8 Highlights of Detailed Findings Awareness Among the General Public (cont’d) A small but significant percentage of adults (21%) say they know someone living with schizophrenia, or have been diagnosed themselves. – Among those who know someone who has been diagnosed with schizophrenia, 3% say they have personally been diagnosed with this condition (Q610). This is approximately 1% of all adults surveyed and seems to be in keeping with other reported estimates on the prevalence of this condition. – Among those who have been diagnosed with schizophrenia, most are currently receiving treatment (93% among those in the general adult public sample who identified that they were diagnosed with schizophrenia and 95% among the sample targeted to people living with schizophrenia) (Q620). ©2008, Harris Interactive Inc. – Further, among those who know someone who has been diagnosed with schizophrenia, 19% report that they have cared for someone with schizophrenia, either currently or in the past (Q615). HARRIS INTERACTIVE 9 Highlights of Detailed Findings Attitudes toward People Living with Schizophrenia While adults tend to report sympathetic views toward people living with schizophrenia, they also acknowledge being uncomfortable around people with schizophrenia. – Although eight in ten (79%) adults say they would want a friend to tell them if they were diagnosed with schizophrenia, less than half (46%) would tell friends if they were diagnosed (Q725). Additionally, one-quarter (26%) would be embarrassed to tell others if a family member was diagnosed with the condition. – Half of U.S. adults (49%) would feel uncomfortable dating someone who has been diagnosed with schizophrenia who is receiving treatment and one-third (34%) would feel uncomfortable working for such a person (Q730). Discomfort around individuals living with schizophrenia increases dramatically when thinking about a person who has been diagnosed with schizophrenia and has not received treatment (Q735). – 80% of adults would feel uncomfortable dating someone who had not received treatment, and the same number would feel uncomfortable working for such a person . ©2008, Harris Interactive Inc. – Seven in ten adults (71%) would be afraid for their safety around someone who was diagnosed with schizophrenia and had not received treatment (Q735). HARRIS INTERACTIVE 10 Highlights of Detailed Findings Experiences and Attitudes of People Living with Schizophrenia Individuals living with schizophrenia have a mix of positive and negative experiences in their lives, and this is reflected with how open they are about their condition. – Half of people living with schizophrenia (49%) say that people they know encourage their recovery often or always, and more than half (60%) say that people are rarely or never afraid to be left alone with them (Q830). – Less positively, 44% of individuals living with schizophrenia say that people they know often or always avoid the topic of their illness, and one-third (34%) say people they know often or always treat them as though they lack intelligence. While the majority of people living with schizophrenia feel they have not been treated differently by children, people at their place of worship, friends, neighbors, spouses/significant others, and coworkers, many report being treated either better or worse by these people (Q810). – People living with schizophrenia are most likely to say they have been treated better by parents (34%) and doctors and health care professionals (32%). They are most likely to say they have been treated worse by police and correctional officers (39%) and employers (38%) (Q810). – This is reflected in that 86% say they have been at least somewhat open with their parents about their condition and 97% have been at least somewhat open with doctors and health care professionals. Conversely, this percentage is just 36% for police officers and 39% for employers (Q805). Despite a hesitance to open up about their condition around people at their place of worship, religion seems to be an important part of life for many people living with schizophrenia. – While people living with schizophrenia are more likely to report being treated better by people at their place of worship than worse, nearly one-third (30%) say they are not at all open with this group of people about their condition (Q805, Q810). – Volunteering is the only other activity that people living with schizophrenia are more likely to have increased than decreased engagement with since being diagnosed with schizophrenia, with one-third (34%) saying they increased engagement and 32% reporting decreased engagement (Q840). HARRIS INTERACTIVE ©2008, Harris Interactive Inc. – Despite this lack of openness, religion appears to play an increased role in the lives of people living with schizophrenia after they are diagnosed. Nearly four in ten (38%) say they have increased their level of engagement with religious or spiritual practices since being diagnosed (Q840). 11 Highlights of Detailed Findings Experiences and Attitudes of Caregivers Access to support for caregiving is very important to those who provide care for people living with schizophrenia, and the vast majority of caregivers have accessed some form of support. – 90% of caregivers say they benefit from sharing their experiences with others who have similar caregiving responsibilities (Q940). – However, just one in five (19%) feel they always have someone or some place to contact when they need help (Q985). The vast majority of caregivers have opened up to someone in their lives about their caregiving responsibilities, most often friends or extended family. – 98% of caregivers have opened up to at least one other person, with 89% saying they have talked to friends and 79% saying they have talked to family (Q945). – Those who don’t talk about their caregiving with others cite the wishes of the person they care for (34%), that people would look down on that person (33%) or people’s lack of understanding (32%) as their main reasons (Q950). – Nearly all caregivers (95%) say that the general public knows nothing at all or not very much about schizophrenia, and 96% believe it is important that they educate others about the illness (Q955, Q940). – Most caregivers (91%) also don’t believe that the media portrays the illness accurately, which is likely a reason for the public’s lack of knowledge (Q940). HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Caregivers report a lack of knowledge and understanding about schizophrenia among the general public, a belief which has received significant support in this survey. 12 Highlights of Detailed Findings Experiences and Attitudes of Caregivers (cont’d) Caregivers face many challenges in caring for their loved ones, in terms of both making sure the person they care for has what they need, as well as in taking care of themselves. – Almost all caregivers have faced challenges caring for loved ones. Only 2% of caregivers say they have not faced challenges (Q980). – The top challenges cited involve accessing services for the person they care(d) for, in terms of determining how to access those services (82%) and finding specialized services (79%) (Q980). – Additionally, many caregivers have been dissatisfied with the services their loved one has received. Eight in ten (80%) caregivers say they are dissatisfied with available work programs, 74% are dissatisfied with social and community services, and 69% are dissatisfied with their loved one’s private health insurance (Q995). – Finding personal time is also a big challenge among caregivers, with 63% reporting this and 57% reporting time management as a challenge (Q980). Not surprisingly, most caregivers have turned to NAMI for support for their caregiving. – It should be noted that all caregivers surveyed were asked to participate in this study by the National Alliance on Mental Illness, with which they had a preexisting relationship. ©2008, Harris Interactive Inc. – Eight in ten caregivers (79%) have turned to NAMI for support, while slightly smaller, but still significant, percentages have turned to family (71%), friends (56%), or support groups (52%) (Q935). HARRIS INTERACTIVE 13 Highlights of Detailed Findings Mental Health Care for People Living with Schizophrenia Both people living with schizophrenia and caregivers show a strong reliance on mental health care for both treatment and support for schizophrenia. – Eight in ten people living with schizophrenia (82%) say they know they can rely on their mental health provider when needed. This is more than say they know they can rely on their parents and family (72%) or friends (67%) (Q845). – The types of assistance that receives the highest ratings in terms of helpfulness in recovery among people living with schizophrenia are all related to mental health care (Q843). Access to medications/treatment received a 9.1 on a scale from 1 to 10, followed by access to a psychiatrist (8.9) and more effective medications and treatment (8.6). The same trend is seen among caregivers, who rate more effective medications and treatment at 9.3, access to medication and treatment at 8.9, and access to a psychiatrist at 8.9. – Interestingly, while drugs and alcohol are often thought to be common problems among people living with schizophrenia, integrated mental health and drug/alcohol treatment receives the lowest rating among both people living with schizophrenia (4.4) and caregivers (6.2) (Q843). As hypothesized, there seems to be a delay between experiencing symptoms of schizophrenia, being diagnosed with schizophrenia, and receiving treatment for schizophrenia. – Among caregivers reporting for the person they care(d) for, the mean age for diagnosis is 22.8, several years before what people living with schizophrenia in the sample report (Q1015). This could be explained when considering that 68% of caregivers report that the person they care for is their child. It is likely that the caregivers were present when symptoms first surfaced and were proactive in seeking diagnosis and treatment. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. – Among people living with schizophrenia, the mean age for experiencing the first symptoms is 20.5, for receiving any mental health diagnosis is 24.5, receiving a schizophrenia diagnosis is 28.9, and for receiving treatment for schizophrenia is 29.0 (Q860, Q861, Q862, Q863). 14 ©2008, Inc. Interactive Inc. Harris Interactive ©2008, Harris Detailed Findings HARRIS INTERACTIVE 15 ©2008, Inc. Interactive Inc. Harris Interactive ©2008, Harris General Health Status & Awareness HARRIS INTERACTIVE 16 Health Status. Caregivers rate their physical health higher than other adults, while people living with schizophrenia rate their physical and mental health lower than the general adult population. Physical Health 45% Excellent/Very Good (Net) General Pop: 37% Caregivers: 56% People living with Schizophrenia: 20% 42% 36% 34% 35% 28% 16% 9% 13% 9% 14% 9% 7% 2% 1% Poor Fair Good Very Good Fair/Poor (Net) General Pop: Caregivers: People living with Schizophrenia : 19% 10% 44% Excellent Mental Health 33%34% 24% 24% 15% 14% 12% Excellent/Very Good (Net) General Pop: Caregivers: People living with Schizophrenia: 39% 34% 14% 8% 4% 1% 1% Poor General Pop HARRIS INTERACTIVE Fair Caregivers Good Very Good Fair/Poor (Net) General Pop: Caregivers: People living with Schizophrenia : 58% 53% 17% 19% 13% 58% Excellent People Living with Schizophrenia BASE: ALL QUALIFIED RESPONDENTS (Gen Pop N=1012; Caregivers N=256; People Living with Schizophrenia N=258) Q505. How would you describe your physical health overall? Q510. How would you describe your mental health overall? ©2008, Harris Interactive Inc. 43% 17 Familiarity with Medical Conditions. Caregivers and people living with schizophrenia report much higher familiarity with mental health conditions than the general population. With the exception of heart disease, familiarity is similar across groups with regard to physical health conditions. % Extremely/Very Familiar 24% Schizophrenia 89% 52% Depression 30% Bipolar Disorder 74% 92% 81% 52% 54% 54% Diabetes High Blood Pressure 54% Cancer 50% 61% 59% 56% 58% 46% 43% 45% Asthma 46% Heart Disease 45% 32% 21% 21% 19% Multiple Sclerosis 13% 12% 12% 59% 38% 43% General Pop Caregivers People Living with Schizophrenia BASE: ALL QUALIFIED RESPONDENTS (Gen Pop N=1012; Caregivers N=256; People Living with Schizophrenia N=258) Q515. Based on what you have seen, read, or heard, how familiar are you with the following health conditions? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. HIV/AIDS Lou Gehrig's Disease 87% 93% 18 Concern About Medical Conditions. Caregivers report higher levels of concern about schizophrenia than any other condition. Additionally, both people living with schizophrenia and caregivers rate their level of concern about other mental health conditions higher than the general public. HIV/AIDS Lou Gehrig's Disease Multiple Sclerosis 11% 9% 95% 77% 16% 7% 92% 8% 13% 5% 92% 7% 21% 46% 40% 65% Heart Disease 33% 39% 45% 37% 26% 10% 47% 46% 17% 28% 28% 39% 51% 35% 30% Very Concerned 43% 54% 54% Concerned 10% 9% 85% 19% 57% 6% 81% 14% 71% 11% 14% 89% 80% 6% 21% 81% 85% 14% 29% 50% Diabetes Asthma 81% 70% Bipolar Disorder High Blood Pressure 97% 28% 82% Cancer Depression 12% 60% Schizophrenia People Living with Schizophrenia Caregivers 11% 69% 22% 8% 68% 26% 7% 73% 5% 63% 6% 61% 11% 16% 42% 33% 20% 7% 30% 28% 45% 48% 7% 11% 13% 19% Not Concerned BASE: ALL QUALIFIED RESPONDENTS (Gen Pop N=1012; Caregivers N=256; People Living with Schizophrenia N=258) Q517. Please rate the level of concern you would feel if you were living with each of the following conditions, where 1 indicates you would be not at all concerned about that diagnosis and 10 indicates you would be extremely concerned about that diagnosis. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. General Public 19 Knowing Others with Medical Conditions. Caregivers and people living with schizophrenia are much more likely than the general public to have known someone who has depression or bipolar disorder. For each condition, caregivers are most likely to know someone who has that condition. 83% High Blood Pressure 82% Diabetes 80% 96% 87% 72% Asthma 77% 67% Heart Disease 88% 85% 69% 64% Depression 43% Bipolar Disorder 39% Multiple Sclerosis 94% 98% 89% 98% 64% 38% 25% HIV/AIDS 43% 34% 13% 13% 23% 100% 100% General Public Caregivers People Living with Schizophrenia BASE: ALL QUALIFIED RESPONDENTS (Gen Pop N=1012; Caregivers N=256; People Living with Schizophrenia N=258) Q605. Have you ever been diagnosed or have you ever known anyone who was diagnosed with any of the following health conditions? ©2008, Harris Interactive Inc. 21% Schizophrenia HARRIS INTERACTIVE 93% 88% Cancer Lou Gehrig's Disease 97% 90% 20 Relationship to Person Diagnosed with Schizophrenia. Among those who know someone living with schizophrenia, members of the general public are most likely to know a family member, friend, or classmate. Extended family member 14% Friend or classmate 14% 22% 21% 21% 32% 19% Immediate family member 94% 12% Coworker Acquaintance Neighbor Friend's relative I have schizophrenia Decline to answer Other mentions HARRIS INTERACTIVE 10% 5% 3% 5% 7% 5% 5% 1% 2% 3% 3% 2% 3% 100% 5% 3% 4% 6% General Pop Caregivers People Living with Schizophrenia BASE: KNOW SOMEONE DIAGNOSED WITH SCHIZOPHRENIA (General Population N=218; Caregivers N=256; People Living with Schizophrenia N=258) Q610. Whom do you know that has been diagnosed with schizophrenia, schizoaffective disorder, or other schizophrenia spectrum disorders? Please select all that apply. ©2008, Harris Interactive Inc. Clients/consumers 21 Caregiver Status. About one in five members of the general public that report knowing someone diagnosed with schizophrenia have also provided care for someone living with schizophrenia, either currently or in the past. In the caregiver sample, about two-thirds are currently providing this care. Caregivers General Public 4% of all adults report having provided care for someone diagnosed with 16% schizophrenia. 31% 4% 81% Yes, I currently provide care Yes, in the past, but I do not currently provide care No, I have never provided this care BASE: KNOW SOMEONE DIAGNOSED WITH SCHIZOPHRENIA OTHER THAN SELF (General Population N=218; Caregivers N=256) HARRIS INTERACTIVE Q615. Have you ever cared for a person diagnosed with schizophrenia, schizoaffective disorder or other schizophrenia spectrum disorders? This does not include any care provided as part of a professional or formal volunteer experience. ©2008, Harris Interactive Inc. 69% 22 Schizophrenia Treatment. Nearly all people living with schizophrenia who responded to the survey are currently receiving treatment. 95% Yes No BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA (General Population N=6; People Living with Schizophrenia N=258) Q620. Are you currently being treated for schizophrenia, schizoaffective disorder or other schizophrenia spectrum disorders? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. 5% 23 ©2008, Inc. Interactive Inc. Harris Interactive ©2008, Harris General Knowledge About Schizophrenia HARRIS INTERACTIVE 24 Prevalence of Schizophrenia vs. Other Conditions. All three groups generally agree on how common various conditions are compared to schizophrenia. People Living with Schizophrenia High Blood Pressure 74% 19% 7% Diabetes 74% 20% 6% 74% 20% 6% 69% Heart Disease 73% 21% 6% 73% 20% 7% 68% 21% 12% 10% 67% 22% 10% 14% 9% 69% 21% 10% Cancer 70% 22% 7% Asthma 70% 24% 6% 62% Depression HIV/AIDS 55% Multiple Sclerosis 44% Bipolar Disorder 44% Lou Gehrig's Disease 33% 29% 37% 16% 18% 8% 47% 34% 33% 27% 63% 76% 8% 29% 24% 70% 21% 46% 32% Less common 11% 57% About the same 17% 8% 23% 63% 26% 57% 42% 49% 43% 5% 34% 20% 38% 75% 13% 7% 80% 21% 41% 27% 45% 7% 29% 11% 23% 31% 44% 21% 9% 11% 50% More common BASE: ALL QUALIFIED RESPONDENTS (Gen Pop N=1012; Caregivers N=256; People Living with Schizophrenia N=258) Q705. Do you think that schizophrenia is more or less common in the U.S. than each of the following medical conditions? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Caregivers General Public 25 Perceived Symptoms of Schizophrenia. Both the general public and caregivers have several misperceptions about symptoms related to schizophrenia. Among these misperceptions, nearly two-thirds of adults believe that split or multiple personalities is a symptom of schizophrenia; one in five caregivers also believe this. 80% Delusions 79% Hallucinations Split or multiple personalities 100% 64% 20% Problems organizing thoughts 62% Withdrawing from others 61% Violent behavior 60% 50% 55% Not knowing that you're ill 97% 95% 90% 50% Panic attacks 58% 41% Insomnia 75% 35% Disorganized speech 82% 30% Difficulty learning 60% 50% 23% Alcohol abuse 46% General Pop Caregivers 12% 0% BASE: ALL WHO HAVE NOT BEEN DIAGNOSED WITH SCHIZOPHREINA (Gen Pop N=1012; Caregivers N=256) Q710. Which of the following do you think are symptoms or schizophrenia? Please select all that apply. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. 24% Illegal or illicit drug abuse None/Not sure 97% 26 Views about Schizophrenia. Caregivers are less likely to have misperceptions about schizophrenia than the general public, half of whom believe that schizophrenia is the same as split personality disorder. % Strongly/Somewhat Agree 85% Schizophrenia is an illness 96% 57% The suicide rate is over 10x higher among people with schizophrenia 78% 55% Schizophrenia runs in families 86% 53% Split personality disorder = schizophrenia 12% 48% There is no single proven cause 80% 30% Use of illegal drugs increases your risk 43% 24% People with schizophrenia die 25 years sooner than others Poor people are at higher risk Poor parenting is a cause 8% 1% 8% 5% 7% 5% General Pop Caregivers BASE: ALL WHO HAVE NOT BEEN DIAGNOSED WITH SCHIZOPHREINA RESPONDENTS (Gen Pop N=1012; Caregivers N=256) Q720. People have many different views toward schizophrenia. For the following statements, please indicate whether you agree or disagree. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Schizophrenia = mental retardation. 55% 27 Schizophrenia Recovery. Nearly eight in ten members of the general public believe that while those living with schizophrenia need ongoing care, they can lead independent lives. Two thirds believe that schizophrenia cannot be cured. Can people diagnosed with schizophrenia lead independent lives? Can people diagnosed with schizophrenia be cured? 15% 1% 33% 5% 67% 79% Not sure Most people need ongoing care and need to live in hospitals Most people need ongoing care, but can live independently BASE: ALL GEN POP RESPONDENTS (N=1012) Q723. Which of the following comes closest to your own opinion? HARRIS INTERACTIVE BASE: ALL GEN POP RESPONDENTS (N=1012) Q740. Do you believe someone living with schizophrenia can be cured? ©2008, Harris Interactive Inc. Yes No Most people recover 28 Perceptions of Schizophrenia and Disclosure. While eight in ten Americans would want a friend to tell them if they were diagnosed with schizophrenia, less than half say they would tell their friends if they themselves were diagnosed, and over one quarter of Americans would be embarrassed to tell others if someone in their family was diagnosed with this condition. % Strongly/Somewhat Agree If a friend was diagnosed with schizophrenia, I would want them to tell me. 79% Schizophrenia can be managed but not cured. 73% I would tell my friends if I had been treated for schizophrenia. 46% I would be embarassed to tell others if someone in my family was diagnosed with schizophrenia. People diagnosed with schizophrenia did something to cause their condition. 9% 6% BASE: ALL GEN POP RESPONDENTS (N=1012) Q725. Please indicate how strongly you agree or disagree with the following statements. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Schizophrenia is not a medical condition. 27% 29 Comfort Around People Diagnosed with Schizophrenia. In general, respondents would be much more comfortable interacting with people who have received treatment than those who have not. % Strongly/Somewhat Agree People diagnosed with schizophrenia can do most anything others can do if … 19% 79% 80% I would feel uncomfortable dating… 49% 80% I would feel uncomfortable working for… 34% I would feel uncomfortable working with… 77% 24% 76% I would be afraid for my safety around… 23% 71% 21% Someone who has not received treatment for schizophrenia Someone who has received treatment for schizophrenia BASE: ALL GEN POP RESPONDENTS (N=1012) Q730. Please indicate how strongly you agree or disagree with the following statements about people who are treated for schizophrenia. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. I would feel uncomfortable around... Q735. Please indicate how strongly you agree or disagree with the following statements about people with schizophrenia who have not received treatment. 30 ©2008, Harris Interactive Inc. Living with Schizophrenia HARRIS INTERACTIVE 31 Age at First Symptoms, Diagnosis, and Treatment. There is an average delay of 8.5 years between the onset of symptoms and the beginning of treatment for schizophrenia. Mental health diagnosis of any kind 24.5 years old First symptoms 20.5 years old Diagnosed with Started schizophrenia treatment 28.9 years old 29.0 years old 18 19 20 21 22 23 24 25 26 27 28 29 30 31 BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA (N=258) Q860 At what age did you start to experience symptoms of schizophrenia? Q861 At what age did you receive a mental health diagnosis of any kind? Q862 At what age were you diagnosed with schizophrenia? Q863 At what age did you receive treatment for schizophrenia? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Average Delay Between Symptoms and Treatment 8.5 years 32 Age at First Symptoms, Diagnosis, and Treatment. Males report experiencing symptoms, diagnoses, and treatment about two and a half years earlier than females. First symptoms 19.0 years old Mental health diagnosis of any kind 23.6 years old Diagnosed with Started schizophrenia treatment 27.9 years old 27.9 years old Average Delay Between Symptoms and Treatment 8.9 years Males First symptoms 21.8 years old Mental health diagnosis of any kind 25.1 years old Diagnosed with Started schizophrenia treatment 29.9 years old 30.1 years old Females 18 19 20 21 22 23 24 25 26 27 28 29 30 31 BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA (N=258) Q860 At what age did you start to experience symptoms of schizophrenia? Q861 At what age did you receive a mental health diagnosis of any kind? Q862 At what age were you diagnosed with schizophrenia? Q863 At what age did you receive treatment for schizophrenia? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Average Delay Between Symptoms and Treatment 8.3 years 33 Openness About Schizophrenia Diagnosis. People living with schizophrenia are most open about their illness with doctors, parents, friends and extended family. Males and females tend to be more open with slightly different groups of people. % At Least Somewhat Open 97% 98% 96% Doctors / health care 86% Parents 82% 86% 85% 86% Friends 78% Extended Family 73% Spouse / Significant other 48% 36% 60% 45% 39% Employer 48% 32% 39% People at your place of worship HARRIS INTERACTIVE 55% 35% 36% 25% 28% 33% 37% 44% 50% All People Living with Schizophrenia Males Living with Schizophrenia Females Living with Schizophrenia BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA (N=258) Q805. How open have you been with the following people about being living with schizophrenia? ©2008, Harris Interactive Inc. 40% Coworkers Children 84% 40% 41% 39% Neighbors Police officers / corrections 91% 34 Different Treatment Since Diagnosis. People living with schizophrenia are most likely to be treated worse by police officers and people at their place of work. They are most likely to be treated better by parents and doctors. 38% Employer Coworkers 30% Neighbors 28% Doctors / Healthcare 45% 35% Extended family 21% Parents 20% 20% 15% 57% 44% 32% 60% 19% 45% 34% 62% Spouse / Significant other 18% 57% People at your place of worship 18% 60% 0% 13% 49% 19% Children 18% 52% 24% Friends 29% 32% 39% 20% Treated Worse 40% 19% 25% 22% 60% Not Treated Differently 80% 100% Treated Better BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA AND ARE OPEN WITH PEOPLE (N=Dependent on Q805) Q810. Do you feel you are treated better or worse by the following people after you tell them you have been diagnosed with schizophrenia? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Police officers / Corrections 35 Positive and Negative Experiences. People living with schizophrenia have experienced a mix of positive and negative reactions by others since being diagnosed. Most commonly, people have encouraged their recovery or avoided the topic of their illness. % Ever Experienced Avoided the topic of my illness 13% 36% 33% 10% Treated me as though I lack intelligence 7% 34% Showed admiration for me 5% 21% Took an interest in my illness or condition 6% 18% Males living with schizophrenia are much more likely to report being dropped by a friend (57% vs. 48% of females). 30% Was afraid to be left alone around me 5% 9% Always 22% 25% Often 9% 20% 28% 20% 43% 6% 15% 20% 26% 36% Dropped me as a friend 4% 18% Appeared very confused or embarassed 24% 41% Made negative comments about schizophrenia 4% 19% 14% 18% 30% 5% 17% 34% 30% 13% 24% 31% Sometimes 5% 11% 9% 36% 27% Confided in me about their own challenges or those of 4% a friend or relative 16% 30% 29% Rarely 95% 91% 85% 86% 80% 91% 80% 72% 87% 71% Never BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA (N=258) Q830. How often have you experienced the following since being diagnosed with schizophrenia? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Encouraged my recovery 36 Reliability of Various People. People living with schizophrenia are more likely to say they can rely on their mental health care provider than on their parents or friends. % At Least Somewhat Open 82% I know I can rely on my mental health care provider to help me when I need it 90% 76% 72% 75% 70% I know I can rely on my parents, siblings, or extended family to help me when I need it 67% 68% 65% I know I can rely on my friends to help me when I need it 54% 53% 56% People I relied on became distant after they learned I'd been diagnosed with schizophrenia I know I can rely on my spouse or significant other to help me when I need it It is more difficult for me to get access to physical health care once someone finds out I was diagnosed with schizophrenia 49% 42% 55% 45% 43% 46% 39% 34% 44% All People Living with Schizophrenia Males Living with Schizophrenia Females Living with Schizophrenia HARRIS INTERACTIVE BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA (N=258) Q845. Please indicate the extent to which you agree or disagree with the following statements. ©2008, Harris Interactive Inc. Doctors take my medical problems less seriously once they know I have been diagnosed with schizophrenia 37 Types of Assistance Accepted. Most people living with schizophrenia have accepted some kind of assistance since being diagnosed with schizophrenia, most commonly in the form of financial support. 15% 85% Accepted Assistance None of these Money or financial support 63% Transportation 56% Housing 50% Help with household chores (including laundry or cleaning) 43% Medication monitoring 42% Assistance managing money 36% Meal preparation 35% Child care 9% Males living with schizophrenia are more likely to accept money (69% vs. 58% of females), transportation (66% vs. 47% of females) and housing (55% vs. 42% of females). BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA (N=258) Q837. As an adult, which one of the following types of assistance have you accepted from family members or friends since being diagnosed with schizophrenia? Please select all that apply. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Type of Assistance People Living with Schizophrenia 38 Engagement in Activities After Diagnosis. Unlike most other activities, people living with schizophrenia are more likely to say they have increased engagement in religious/spiritual practices and volunteering than that they have decreased. 62% 51% of males living with schizophrenia are much more likely to report a decrease of engagement in job searching (vs. 41% of females). 59% of people living with schizophrenia under 35 years old report a decrease of engagement in job searching. Exercising 53% Participating in community life 52% Housework and daily household activities 47% Job searching 45% Performing my job duties 12% 21% 32% 17% Alcohol/illegal drug abuse 32% 15% 30% 25% Decreased No difference 28% 34% 17% 12% 40% 38% Increased 2% 16% 16% 19% 3% 23% 21% 17% 34% 6% 16% 32% 41% 3% 22% 34% 18% 4% 20% 20% Volunteering Religious or spiritual practices 15% 24% 43% Family participation School/education 18% 11% Does not apply BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA (N=258) Q840. Since being diagnosed with schizophrenia, has your level of engagement increased or decreased in the following areas? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Dating/socializing with others 39 Helpfulness in Improving Condition. Access to medications and treatment is rated highest by people living with schizophrenia in helping to improve their condition, followed by access to a psychiatrist. Means Access to medication / treatment 96% 4% 9.1 Access to a psychiatrist 95% 5% 8.9 Access to crisis care 93% 7% 8.6 92% 8% 8.4 85% Better private health insurance 15% 7.9 Access to housing 88% 12% 7.8 Integrated medical care for other conditions 88% 12% 7.8 83% Access to a hospital bed 17% 85% Access to peer support groups 15% 7.3 7.2 Holding / having a job 76% 24% 6.9 Assertive community treatment 77% 23% 6.8 Access to a care manager 76% 24% 6.5 72% Transportation Integrated treatment for alcohol or drug abuse 28% 48% 52% Total Helpful HARRIS INTERACTIVE 6.3 4.4 Least Helpful BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA (N=258) Q843. Please review the following and rate each item on a scale of 1 to 10, where 1 indicates it would be the least helpful in managing or improving your condition and 10 indicates it would be the most helpful in managing or improving your condition. ©2008, Harris Interactive Inc. More effective medications / treatment 40 Helpfulness in Improving Condition. Males and females have slightly different views of what is helpful in improving their condition, with females more likely to give higher ratings of helpfulness overall. % Giving a Rating of 8-10 89% 90% Access to medication / treatment 87% 84% Access to a psychiatrist More effective medications / treatment 77% Access to crisis care 77% 59% 68% 69% Access to housing Integrated medical care for other conditions 72% 61% Access to a hospital bed 67% 56% Access to peer support groups 63% 49% 53% 58% Assertive community treatment 49% Access to a case manager 47% 58% 55% 48% 46% Transportation 26% 30% Females Living with Schizophrenia Males Living with Schizophrenia BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA (N=258) Q843. Please review the following and rate each item on a scale of 1 to 10, where 1 indicates it would be the least helpful in managing or improving your condition and 10 indicates it would be the most helpful in managing or improving your condition. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Holding / having a job Integrated treatment for alcohol or drug abuse 82% 66% Better private health insurance 84% 41 What People Living with Schizophrenia Want Others to Know About their Experiences. Selected Verbatims 24% Importance of support General mentions HARRIS INTERACTIVE “Having a strong support group of friends and family is extremely important.” 21% Understanding the illness Lack of social acceptance “I think the most important thing is to accept the disorder like any other medical disorder, that treatment works and that recovery is not only possible, but probable as well.” “People need to stop watching TV and thinking they know what people who have schizophrenia are like. TV is not real and we do not all act the way the media portrays us.” 11% “After I was diagnosed people started treating me with fear and distain, if I told them my diagnosis. I miss normal human contact with people that I can confide in about my medical problems.” 3% 67% “People can be successful in life with being diagnosed with a schizoaffective disorder. I've gradually from college and have become a CPA since being diagnosed.” BASE: ALL RESPONDENTS LIVING WITH SCHIZOPHRENIA (N=258) Q890. What do you think is the most important thing to share about your experience with schizophrenia? ©2008, Harris Interactive Inc. Treatment issues 42 ©2008, Harris Interactive Inc. Caregivers HARRIS INTERACTIVE 43 Relationship to Person Cared For. People living with schizophrenia for whom caregivers provide care are nearly all currently diagnosed with schizophrenia. Over two-thirds are the children or step-children of caregivers. Relationship to Person Diagnosed with Schizophrenia Child / step-child 68% Sibling / stepsibling 93% 7% Yes No 12% Spouse / signficant other 7% Parent / grandparent 7% Extended family 2% Patient 2% Client 1% BASE: ALL QUALIFIED CAREGIVERS (N=256) Q905. Please indicate your relationship to the person diagnosed with schizophrenia whom you cared for most recently. Q910. Is your (person cared for) currently diagnosed with schizophrenia? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Is the person you care for currently diagnosed with schizophrenia? 44 Living Situation of the Caregiver and Person Living with Schizophrenia. About one-third of caregivers currently live with the person they provide care for, and the majority of those who live in the same household do so because of their loved one’s illness. Do you live together due to schizophrenia? Where does the person you care for live? 3% 9% 2% 1% 5% 2% Yes 59% 14% 32% 31% With me Independently, by him/herself or with a roommate In supported housing facilities/group home With family members, but not with me In a hospital or other mental health institution In jail or prison He/she is deceased Other My (person cared for) is homeless HARRIS INTERACTIVE BASE: ALL QUALIFIED CAREGIVERS (N=256) Q925. Where does your (person cared for) currently live? BASE: LIVES WITH PERSON CARED FOR (N=81) Q930. Did you decide to live in the same household as your (person cared for) because he/she was diagnosed with schizophrenia? ©2008, Harris Interactive Inc. No 41% 45 Time Spent Providing Care. About four in ten caregivers say they have provided care for someone living with schizophrenia for more than ten years. About one in five spending more than forty hours each week providing care. Number of Years Providing Care Number of Hours Per Week Providing Care (Mean=13.1) (Mean=17.2) 11% 16% 15% 16% 15% 11% 41% 7% 12% 5% 10% 3 years or less 8-10 years Not sure/ Decline to answer 4-7 years More than 10 years Less than 1 hour 3-5 hours 11-20 hours 31-40 hours 19% 1-2 hours 6-10 hours 21-30 hours More than 40 hours BASE: ALL QUALIFIED CAREGIVERS (N=256) Q915. For how long have you cared/did you car for your (person cared for)? Q920. On average, about how many hours per week do/did you spend caring for your( person cared for)? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. 22% 46 Types of Assistance Provided. The vast majority of caregivers have provided assistance to the person they care for, most commonly in the form of financial support or transportation. Type of Assistance 4% 96% 80% Transportation 78% Assistance managing money 75% Housing 75% Medication monitoring 68% Meal preparation 66% Help with household chores (including laundry or cleaning) 65% Child care 8% None of these BASE: ALL QUALIFIED CAREGIVERS (N=256) Q932. As an adult, which one of the following types of assistance have you offered your (person cared for) while being treated for schizophrenia? Please select all that apply. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Provided Assistance Money or financial support 47 Helpfulness in Improving Condition. Similar to people living with schizophrenia, caregivers report that more effective mediations and treatment would be most helpful in improving the condition of the person they care for. Integrated drug and alcohol abuse treatment receives the lowest average rating by caregivers as well. Means 96% 7% 9.3 95% 5% 9.0 Access to medication / treatment 95% 5% 8.9 Access to a psychiatrist 95% 5% 8.9 Assertive community treatment 94% 6% 8.7 8% 8.3 Access to crisis care 92% Integrated medical care for other conditions Access to a hospital bed 90% 10% 8.2 Access to a care manager 91% 9% 8.2 Better private health insurance 87% 13% 8.1 Access to housing 88% 12% 8.0 Access to peer support groups 93% 8.0 Holding / having a job 80% 20% 7.0 Transportation 80% 20% 6.8 Respite care for care givers 71% 19% 6.8 Integrated treatment for alcohol or drug abuse 68% Total Helpful HARRIS INTERACTIVE 7% 32% 6.2 Least Helpful BASE: ALL QUALIFIED CAREGIVERS (N=256) Q986. Please review the following list and rate each item on a scale of 1 to 10, where 1 indicates it would be/ would have been the least helpful in managing or improving your (person cared for)’s condition and 10 indicates it would be/would have been the most helpful in managing or improving your (person cared for)’s condition. Please answer these as they relate to the services and supports for your (person cared for). ©2008, Harris Interactive Inc. More effective medications / treatment 48 Usage & Satisfaction with Caregiving Related Services. Caregivers report higher levels of satisfaction with services for themselves than with services for the person they care for. Medications are the most commonly used service. % Very/Somewhat Satisfied with Each Service % Using Each Service 62% 94% Medications 89% Mental health care 66% Em ergency care 59% Education about schizophrenia 55% Physical health care 50% 30% 42% 38% 46% Social and com m unity services 42% 26% Support groups 41% 34% 39% Private insurance coverage 27% Assertive com m unity treatm ent 31% 32% Exercise and nutritional support 21% 45% Work program s 21% 20% None of these 1% BASE: ALL QUALIFIED CAREGIVERS (N=256) Q990. Which of the following services and treatments have you or your (person cared for) had access to or used to help manage your (person cared for)’s schizophrenia? Please select all that apply. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. 65% Support groups Services for People Living with Schizophrenia 72% 77% Education about schizophrenia Services for Caregivers 49 Challenges Faced. The overwhelming majority of caregivers have faced some challenges in providing care, most commonly in determining how to access health care services and in finding specialized services for the person they care for. Determ ining how to access services for m y (person cared for) w ithin the health care system 82% Finding specialized services for m y (person cared for) 79% 63% Finding tim e for m yself 57% Managing m y tim e effectively 55% Finding tim e to take care of m y ow n health Feeling taken advantage of by m y (person cared for) 84% of caregivers who have provided care for more than 5 years report finding specialized services as a challenge. 51% 46% Making ends m eet financially 39% Maintaining contact w ith friends 88% of those who have provided care for more than 5 years report determining how to access services is a challenge. None of these 2% I do not face any challenges 2% BASE: ALL QUALIFIED CAREGIVERS (N=256) Q980. Which of the following challenges have you faced when trying to provide care for your (person cared for)? Please select all that apply. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. 35% Maintaining a job 50 Attitudes About Caregiving. Caregivers have both positive and negative attitudes about caregiving. 68% 72% I worry about what will happen to my (person cared for) I benefit from sharing my experiences with others 59% I appreciate my experiences 28% Most people are open to learning more 3% I feel guilty because my (person cared for) was diagnosed I feel embarrassed or ashamed of my (person cared for) 2% 26% 17% I resent my (person cared for) 4% 14% The media portrays sufferers accurately 3%6% Agree Strongly 19% 13% 21% Agree Somewhat 8% 2% 11% 11% 43% 37% 30% 12% 5%4% 18% 14% 36% 9% 18% 16% 39% 15% I feel fearful of my (person cared for) I feel as though my (person cared for) doesn't try hard enough 32% 32% 3% 1% 31% 41% Advances in care give me hope for my (person cared for) 28% 24% 23% 38% 15% 47% 62% 69% 70% Disagree Somewhat Disagree Strongly BASE: ALL QUALIFIED CAREGIVERS (N=256) Q940 Please indicate how much you agree or disagree with the following statements about caring for someone with schizophrenia. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. It is important for me to educate others 51 Availability of Support. About three in four caregivers feel they have someone or some place to turn to when they need support, however, just one in five feel they have this support all of the time. 19% Yes (Net): 74%. Those who have provided care for more than five years are more likely to have someone to turn to (76%) than those who have provided care for five years or less (69%). Those who provide(d) care for 10 hours a week or less are more likely to have someone to contact (79%) than those who spend more time on caregiving responsibilities (69%) 26% Yes, all of the time Yes, some of the time No BASE: ALL QUALIFIED CAREGIVERS (N=256) Q985 Do/Did you feel that you have/had someone or some place to contact when you need/needed help related to caregiving? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. 55% 52 Sources of Caregiving Support. Caregivers turn to NAMI for support, as well as to family and friends. NAMI 79% Family 71% Friends 56% Support groups 52% Government programs 35% Other mental health organization 32% Place of worship/ religious org. 30% 16% Coworkers Neighbors 13% Employee assistance programs 10% Other 1% Caution: Source of sample is NAMI email lists, so NAMI figure may be inflated BASE: ALL QUALIFIED CAREGIVERS (N=256) Q935 Besides mental health professionals such as social workers or psychologists, to which of the following have you turned for support for your caregiving? Please select all that apply. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. None of these 8% 53 Perceptions of Public Knowledge About Schizophrenia. The overwhelming majority of caregivers believe the general public knows very little, if anything, about the illness. 66% Not Very Much / Nothing at All: 94% 28% 4% A great deal Quite a bit (0% ) Some Not very much Nothing at all HARRIS INTERACTIVE BASE: ALL QUALIFIED CAREGIVERS (N=256) Q955. How much do you think people who have no personal experience with schizophrenia know about the illness? ©2008, Harris Interactive Inc. 1% 54 Emotions Experienced. The most common emotion felt by caregivers when hearing someone talk about the person they care for or others living with schizophrenia is sadness, followed by protective, and frustrated. Sad 75% Protective 72% Frustrated 71% Angry 55% Challenged 53% Disappointed 52% Uncomfortable 45% Guilty 22% Empowered 17% Proud 17% Ashamed than 5 years and 67% of those who have provided care for more than 5 years and feel sad when hearing someone talk about the person they care for or people living with schizophrenia. 58% of caregivers who have provided care for more than 5 years report feeling challenged. 16% 3% BASE: ALL QUALIFIED CAREGIVERS (N=256) Q970. Which of the following have you experienced when hearing someone talk about your (person cared for) or people living with schizophrenia? Please select all that apply. HARRIS INTERACTIVE ©2008, Harris Interactive Inc. None of these 68% of caregivers who provide care for a person in treatment for more 55 Openness About Caregiving. The overwhelming majority of caregivers have been open with at least some groups of people about providing care, particularly with friends. Whom do you tell? Friend 89% Extended family 79% Physician 75% Spouse / Significant other 74% Parents / Grandparents 68% Mental health professional 68% 59% Coworker Child 53% Neighbor 52% Supervisor 39% Pastor 38% 18% Other I did not inform anyone 10% 2% BASE: ALL QUALIFIED CAREGIVERS (N=256) Q945. Excluding the person you care/cared for, did you inform any of the following that you are/were caring for someone diagnosed with schizophrenia? Please select all that apply. Q950. Which of the following reasons, if any, have kept you from telling people about your (person cared for)’s condition and your care for him or her? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Your employer's HR dept. 56 Openness About Caregiving. Among those who haven’t told someone, the most common reasons given relate to protecting the person they care for. Just four in ten caregivers say they are completely open about their caregiving. Why don’t you tell people? My (person cared for) doesn't want people to know 34% People would look down on my (person cared for) 33% 32% People wouldn't understand I don't think it's fair to my (person cared for) 28% 16% It isn't other people's business 14% I'm a private person People would ask too many questions 11% 9% I don't know how to tell people 8% People would look down on me 7% People would feel sorry for me I am open about care giving 5% 43% BASE: ALL QUALIFIED CAREGIVERS (N=256) Q945. Excluding the person you care/cared for, did you inform any of the following that you are/were caring for someone diagnosed with schizophrenia? Please select all that apply. Q950. Which of the following reasons, if any, have kept you from telling people about your (person cared for)’s condition and your care for him or her? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Other 57% of all caregivers report having a reason for not telling others about the illness the person they care for lives with. 57 What Caregivers Want Others to Know. Selected Verbatims Advice to other caregivers 42% 27% Importance of educating the public Understanding sufferers Treatment issues Lack of social acceptance General mentions “It really helps to get counseling for yourself, because there are times when the stress transferred to the caregiver is overwhelming.” “The public needs to fully understand Schizophrenia first, before people can begin to grasp the toll this illness takes on the individual affected by this disease and the physical and mental strain experienced by the family members caring for the person afflicted by Schizophrenia.” 21% 18% “The most important thing for me to realize was that my sister truly was not responsible for her actions.” “The need for antipsychotic meds that have less physical side effects so that the patient is more willing to stay on the meds.” 15% “Stigma is a big issue. Most people don't understand.” 13% 36% BASE: ALL QUALIFIED CAREGIVERS (N=256) Q997. What do you think is the most important thing to share about your experience caring for someone with schizophrenia? HARRIS INTERACTIVE ©2008, Harris Interactive Inc. Importance of support “Prepare to be challenged by the disease, the person, and the system.” 58 ©2008, Harris Interactive Inc. Demographics HARRIS INTERACTIVE 59 Demographics Gender Age Caregivers People Living with Schizophrenia General Public Caregivers People Living with Schizophrenia Male 49% 17% 45% HS or less 36% 7% 17% Female 51% 83% 55% Some College 33% 36% 46% 18-24 8% 1% 8% College or more 32% 58% 37% 25-34 20% 4% 20% Employed 56% 67% 38% 35-44 18% 10% 28% Not employed 9% 5% 41% 45-54 20% 29% 28% Retired 22% 28% 11% 55-64 16% 38% 14% Student 10% 3% 17% 65+ 17% 17% 1% Homemaker 13% 12% 11% Mean 46.3 54.8 41.8 Less than $35K 25% 16% 65% White 73% 84% 78% $35K- $74,999 30% 30% 18% Black 11% 2% 4% $75K-$99,999 11% 17% 5% Hispanic 12% 5% 7% $100K or more 18% 19% 5% Other 2% 4% 9% Decline to answer 16% 19% 8% Education Employment Income ©2008, Harris Interactive Inc. Race General Public HARRIS INTERACTIVE 60 Custom Demographics People Living with Schizophrenia SSDI 46% 56% Medicare 45% Medicaid Person Cared For Health Insurance Medicaid 55% 51% Medicare 46% 55% 45% Provided by family member’s employer 24% Food Stamps 33% 40% Provided by caregiver’s employer 14% SSI 46% 34% Private, family member paid 12% Vocational rehabilitation services 18% 29% Private, caregiver paid 12% Job placement assistance 18% 20% Provided by the employer of the person living 10% Public housing 18% 17% Private, paid for by the person living 6% Welfare 9% 12% Veterans Affairs 5% Veterans Affairs benefits 5% 10% None of these 2% None of these 19% 19% People living with schizophrenia and never had insurance 4% Not sure 1% ©2008, Harris Interactive Inc. Gov’t Benefits Person Cared For HARRIS INTERACTIVE 61 Custom Demographics Gender Age People Living with Schizophrenia Person Cared For People Living with Schizophrenia Male 76% 45% n/a 31% Female 24% 55% Yes, now n/a 1% Under 17 4% -- In the past, after diagnosis n/a 18% 18-24 18% 8% In the past, before diagnosis n/a 15% 25-34 35% 20% No n/a 69% 35-44 22% 28% Hospital/Mental Health Institution 63% n/a 45-54 12% 28% Supported Housing/Group Home 44% n/a 55+ 9% 15% Homelessness 35% n/a Mean 35.5 41.8 Jail/Prison 33% n/a Yes 16% 7% Drug/Alcohol Rehab 27% n/a No 84% 93% None of these 20% n/a Homelessness Ever Experienced… Yes, ever ©2008, Harris Interactive Inc. Veteran Status Person Cared For HARRIS INTERACTIVE 62 Age at First Symptoms Age at First Mental Health Diagnosis Age at Schizophrenia Diagnosis HARRIS INTERACTIVE Person Cared For People Living with Schizophrenia 35-44 4% 20% 28% 45-54 4% 7% n/a 16% 55+ 1% -- 35-44 n/a 6% Not Sure 9% 7% 45-54 n/a 2% Mean 17.2 28.9 55+ n/a -- Under 17 n/a 7% Not Sure n/a 14% 18-24 n/a 29% Mean n/a 20.5 25-34 n/a 29% Under 17 n/a 21% 35-44 n/a 20% 18-24 n/a 37% 45-54 n/a 5% 25-34 n/a 24% 55+ n/a -- 35-44 n/a 12% Not Sure n/a 9% 45-54 n/a 2% 0-3 29% 21% 55+ n/a -- 4-7 19% 20% Not Sure n/a 4% 8-10 10% 19% Mean n/a 24.5 10+ 29% 41% Under 17 18% 7% Not sure 11% 7% 18-24 46% 29% Mean 10.6 12.8 25-34 18% 30% Person Cared For People Living with Schizophrenia Under 17 n/a 34% 18-24 n/a 25-34 Age at First Treatment Years in Treatment ©2008, Harris Interactive Inc. Custom Demographics 63