WISE Basics Increasing Inclusion Hope and Support Beating

WISE Basics Increasing Inclusion, Hope and Support Beating the Stigma of Mental Illness Some slides from Patrick Corrigan Ph. D, 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 La. Crosse 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 In. Health 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 our. Drug lifetime and eating disorders alcohol abuse EPIDEMIC?

Stigmaand Types Stigma Definition Types �Stereotype-ideas �Internalized �Prejudice-beliefs �Public �Discrimination-actions �Structural Shame 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

th July 10 , 2002 Trenton State Hospital has fire.

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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% 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 � Worse housing health care � Diminished � Alienated education opportunities 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 2/3 rds 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 Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011

META-ANALYSIS FINDINGS: ACCEPTANCE Neighbor 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

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

a r o gn e nc Ye i f o n i a t r u ery. c a v s o t c s i e x r e t u e o r b e a t, th

Recovery: Mental Illness and Addiction 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

TLC 4 � 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 � And is not enough variety is needed 34

CHANGE-FOCUSED Contact � What do you want the target group to do differently as a result of the contact?

TLC 4 � Targeted � Local � Credible � Continuous � Change-focused � Contact 36

the Grand Plan Speak up everyone Speak up everywhere y l l u f re a C Honest, Open & Proud “strategic disclosure”

Levels of Disclosure � Social Avoidance – avoid situations � Secrecy – work to keep it a secret � Selective � Open Disclosure – share it with select people Disclosure – no longer hide it � Broadcast Your Experience – actively share it

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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. Wi. SE Basics Discussion Support for Strategic Disclosure HOP Consultation as Organizations Apply TLC 4 Wi. SE 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