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Www.rethink.org severe mental illness Working together to help everyone affected by severe mental illness recover a better quality of life.

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Presentation on theme: "Www.rethink.org severe mental illness Working together to help everyone affected by severe mental illness recover a better quality of life."— Presentation transcript:

1 severe mental illness Working together to help everyone affected by severe mental illness recover a better quality of life

2 Northern Ireland context Poor mental and physical health Poverty, inequality, deprivation Emergence from decades of conflict High level of suicide 8.4% of health and social care spend is on mental health - compared to 12% in England No service framework No priority status

3 What is Stigma? Problems of knowledge = ignorance Problems of emotions = prejudice Problems of behaviour = discrimination

4 Discrimination in numbers Over 80% unemployed 40% have no social contacts Tripled mortality rate Doubled incidence of heart and lung disease High levels of homelessness Highest level as victims of crime

5 What is Stigma? Problems of knowledge = ignorance Problems of emotions = prejudice Problems of behaviour = discrimination

6 European Views on Schizophrenia Split personalitiesDanger to others Austria (n=1044) 29% - Germany (n=7246) 80%18% Greece (n= %75% Italy (n=583) - 27% Poland (n=1000) 50%39% Slovakia (n=508) 61%31% Spain (n=518) - 39% Turkey (n=707) 39%41%

7 What is Stigma? Problems of knowledge = ignorance Problems of emotions = prejudice Problems of behaviour = discrimination

8 1. Discrimination at Home Adverse reactions by family –lazy / weak / amusing / bereavement/ shunning Negative reactions to family members –‘courtesy stigma’, stigma by association Low status or segregated housing –Institutions, hospitals or social/care homes High rates of homelessness Neighbourhood reactions to residential care

9 2. Discrimination in Friendships, Intimate Relationships and Childcare Loss of husband/wife/partner Disappearance of friends Impaired long-term sexual relationships Sexual performance affected by drugs Lower fertility rate for women with schizophrenia Higher rates of loss of children to care

10 3. Discrimination at Work Lower rates of short-listing and hiring More often sacked for poor attendance/performance Lower rates of pay Poorer promotion prospects Dilemma of whether to disclose Difficulties in getting reasonable accommodations / adjustments

11 4. Discrimination in Social Life Limitations in leisure and social clubs Travel: low rates of car ownership Less access to affordable insurance Low income / welfare benefits Low rates of registration to vote Limitation on jury service, property ownership, legal ability to sign contracts De facto cannot be a reliable witness in court Human rights may be fundamentally limited

12 5. Discrimination in Healthcare Avoidance of seeking help for fear of stigma Pessimism of mental health care staff Less thorough investigations and treatment for physical health problems Stigma against mental health care staff Consumers often decide to discontinue care

13 6. Discrimination in the Media Newspaper 40-70% of items-violence These do have negative effects on popular views 0-Mentally ill characters on TV more more violent than usual characters 85% of children's animations show MI as violent Psychiatrists as ‘manipulator, as priest, as pervert, as lecher, as stricken, tortured soul’ (Clare, 2004) Few direct accounts from consumers Usually journalists ‘editorialise’

14 7. Self- Discrimination Avoidance of close personal relationships Reluctance to apply for jobs Feelings of loss of agency eg cannot volunteer = anticipated stigma Can lead to self-fulfilling prophesies ie vicious cycles/circles Avoidance of healthcare to avoid the label Core identity can change to a disabled person

15 Social relationships & social support

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