WISE Basics
Increasing Inclusion, Hope and Support
Beating the Stigma of Mental Illness
Some slides from Patrick Corrigan PhD, IL Institute of
Technology, international stigma researcher
Statewide collaboration of
organizations 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 Awareness
COPE Services
Dry Hootch
Grassroots Empowerment Project
Illinois Institute of Technology
LaCrosse Mental Health Coalition
Latino Health Coalition – Mental Health Action Team
MHA Wisconsin
Milwaukee Center for Independence
Marian University
NAMI WI, Greater Milwaukee & Racine
Prevent Suicide WI
Rogers InHealth
University of WI Milwaukee and Madison
WI Department of Health Services
WI Family Ties
WI United for Mental Health
ETC.
1
in
4
anxiety
schizophrenia
trauma
depression
47% in ourDrug
lifetime
and
eating disorders
alcohol abuse
EPIDEMIC?
Stigmaand Types
Stigma Definition
Definition
Types

Stereotype-ideas

Internalized Shame

Prejudice-beliefs

Public

Discrimination-

Structural
actions
5
Internalized Shame
Public Stigma
 self esteem
I am not good
 sense of efficacy
I am not able
So, why try?
Avoidance and apathy
Racial Discrimination
7
Religious Discrimination
8
Gender
Discrimination
Drivers of Public Stigma
Movies
Newspapers
Advertising
Unethical Research,
Drug Side Effects &
Poor Quality Care
10
“Benevolent” Stigma
People with
mental
illness
are lovable
and
incapable.
11
OK, but isn’t it
better lately?
12
July
th
10 ,
2002
Trenton
State
Hospital
has fire.
14
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
% who viewed those with
mental illness as dangerous
100%
80%
60%
40%
20%
40%
40%
1996
2006
20%
0%
1956
Source: BG Link, JC Phelan, M Bresnahan, A Stueve, BA Pescosolido
American 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
Stigma Change Processes
 Protest
 Education
 Contact
17
Protest
◦ Review stigmatizing images
◦ “Shame on you for thinking that
way”
18
 Unintended
consequences of
well intended actions
 “The
white bear”
 Beware
of the rebound effect
19
Education
Review key myths and facts
that counter these myths
20
 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 alcohol
BUT…
◦ They are more likely to be victims of
violence
META-ANALYSIS FINDINGS:
CAUSE
Brain Disease
80
70
60
50
Sz
Dep
40
30
20
10
0
1990
1994
1998
2002
2006
Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011
META-ANALYSIS FINDINGS:
ACCEPTANCE
Neighbor
60
50
40
Sz
Dep
30
20
10
0
1990
1994
1998
2002
2006
Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011
Contact
“Meet John, Mike,
Charles, Tim,
and Mark”
25
 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.
26
A process of change through which people work to
improve their own health and wellbeing, live a selfdirected life, and strive to achieve their full potential.
SAMHSA’s four essential dimensions of recovery:
◦
◦
◦
◦
Health
Home
Purpose
Community
TLC4






Targeted
Local
Credible
Continuous
Change-focused
Contact
30
Who Should the TARGETS Be?
Health care professionals
Employers
Landlords
Teachers
Legislators
Faith communities
What is LOCAL Contact?
x
Does it
play in
Wausau?
MILWAUKEE
What is CREDIBLE Contact?
 Contact
with peer
 Example-
• Nurse to nurse
• Pastor to pastor
• Football player to football player
33
CONTINUOUS Contact

Once is not enough

And variety is needed
34
CHANGE-FOCUSED Contact

What do you want the
target group to do
differently as a result of the
contact?
TLC4






Targeted
Local
Credible
Continuous
Change-focused
Contact
36
Speak up everyone
Speak up everywhere
Honest, Open & Proud
“strategic disclosure”
Levels of Disclosure

Social Avoidance – avoid situations

Secrecy – work to keep it a secret

Selective Disclosure – share it with select people

Open Disclosure – no longer hide it

Broadcast Your Experience – actively share it
39
39
Your Recovery Story
Reversing Self and Public Stigma
Inclusion and Support
 self esteem
I am good
 sense of efficacy
I am able
Public Stigma
I care for myself & others
Motivated engagement
General Public Programs/Contact
Train/Support Storytellers
Engage Organizations
Seeking to Reduce Stigma
Components:
1.
2.
3.
4.
WiSE Basics Discussion
Support for Strategic Disclosure HOP
Consultation as Organizations Apply TLC4
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