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ESCAP 2015 - Jolanda van der Meer: workshop stigma
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Transcript of ESCAP 2015 - Jolanda van der Meer: workshop stigma
Jolanda van der Meer, PhD
ESCAP, Saturday June 20th 2015
Destigmatisation
No disclosures or conflict of interest
DestigmatisationOutline
• Which stigma sticks to you?• What is stigma?• ‘Helpful advices’• Global initiatives• Conceal or reveal• Paradigms lost
What is stigma?
a) Negative societal perspectiveb) Negative self-perspectivec) Negative culture, laws and regulations
Destigmatisation
What is stigma?
a) Negative societal perspectiveb) Negative self-perspectivec) Negative culture, laws and regulations
Destigmatisation
Stigma attached to mental illness
75%Due to a lack of empathy and knowledge about the illness?
Source: www.cdc.gov
Destigmatisation
An effort to reframe the conversation
Destigmatisation
What if people treated physical illness like mental illness?
Source: Hugs, Robot. Helpful Advice. Cartoon. Robot Hugs. November 21, 2013. www.robot-hugs.com.
An effort to reframe the conversation
What if people treated physical illness like mental illness?
Source: www.robot-hugs.com
Source: www.robot-hugs.com
Destigmatisation
Global initiatives in the fight against stigma
United Kingdom: Time to Change Scotland: See me Scotland New-Zealand: Like Minds Like Mine Canada: Opening Minds & Beyond the LabelUnited States: Stamp Out Stigma & Erasing The Distance Australia: Say no to stigma!
Destigmatisation
Australia: Say no to stigma! Say no to stigma!
SANE guide to reducing stigma• What harm does stigma do?
Destigmatisation
Australia: Say no to stigma! Say no to stigma!
SANE guide to reducing stigma• What harm does stigma do?1.Stigma discourages help-seeking.2.Stigma makes recovery harder.3.Stigma promotes discrimination.4.Stigma causes isolation.5.Stigma affects family and friends.6.Stigma affects society.7.Stigma leads to self-stigma.
Destigmatisation
Australia: Say no to stigma! Say no to stigma!
SANE guide to reducing stigma• What harm does stigma do?• The power of the media
Destigmatisation
Australia: Say no to stigma! Say no to stigma!
SANE guide to reducing stigma• What harm does stigma do?• The power of the media 1. Linking mental illness to crime and violence. 2. Mockery.3. Labeling people by their illness. 4. Misuse of medical terms.
Destigmatisation
UK: Time to ChangeWhat does stigma feel like?
Outcomes set by the Time To Change programme•Significantly increased public awareness.•Increased empowerment for 100.000 people.•Break down discrimination and improve well-being for 274.500 people.
Source: British Journal of Psychiatry, 2013 (Vol.202, Issue 55).
Destigmatisation
UK: Time to Change
SAPPHIRE research programmeCORAL: conceal or reveal.
Sources: http://www.sapphire.iop.kcl.ac.uk ; http://www.kenniscentrumphrenos.nl
Destigmatisation
CORAL: Conceal or reveal.King’s College London
Guide to telling about a mental health condition
Thirty minutes workshopSuppose you and the person nextto you are co-workers, and one of yousuffers from mental health problems.
Sources: http://www.sapphire.iop.kcl.ac.uk ; http://www.kenniscentrumphrenos.nl
Destigmatisation
Conceal or reveal.
Which are your main pro’s and con’s of disclosure?
Sources: http://www.sapphire.iop.kcl.ac.uk ; http://www.kenniscentrumphrenos.nl
Destigmatisation
Conceal or reveal.
Which are your disclosure needs?
Sources: http://www.sapphire.iop.kcl.ac.uk ; http://www.kenniscentrumphrenos.nl
Destigmatisation
Conceal or reveal.
Which are your disclosure values?
Sources: http://www.sapphire.iop.kcl.ac.uk ; http://www.kenniscentrumphrenos.nl
Destigmatisation
Conceal or reveal.
When would you disclose?
Sources: http://www.sapphire.iop.kcl.ac.uk ; http://www.kenniscentrumphrenos.nl
Destigmatisation
Conceal or reveal.
Who would you disclose to?
Sources: http://www.sapphire.iop.kcl.ac.uk ; http://www.kenniscentrumphrenos.nl
Destigmatisation
Conceal or reveal.
What did you decide?
Sources: http://www.sapphire.iop.kcl.ac.uk ; http://www.kenniscentrumphrenos.nl
Destigmatisation
Research insights
• Intergenerational.• Knowledge, attitude and behavior?
• Or… new perspectives.Challenge key paradigms currently held about the prevention or reduction of stigma attached to mental illness.
Destigmatisation
Source: http://www.cipd.co.uk
Research insights
1. If not knowledge, attitude and behavior, what is the origin of stigma?
Stigma’s are sensitive to cultural differences, differ for distinct disorders and exist on an individual, interpersonal and structural level.
Destigmatisation
Sources: http://www.cipd.co.uk ; http://www.kenniscentrumphrenos.nl
Research insights
2. What are ultimate goals in the fight against stigma?
Increased quality of life and breaking down barriers that create and maintain social inequities.
Destigmatisation
Sources: http://www.cipd.co.uk ; http://www.kenniscentrumphrenos.nl
Research insights
3. Who plays what role in the fight against stigma?
Partnership in local communities. Based on experiences from the patients themselves
Destigmatisation
Sources: http://www.cipd.co.uk ; http://www.kenniscentrumphrenos.nl