1. Some slides from Patrick Corrigan PhD, IL Institute of Technology, international stigma researcher WISE Basics Increasing Inclusion, Hope and Support Beating the Stigma of Mental Illness

2. 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

3. 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.

4. schizophrenia depression trauma anxiety eating disorders Drug and alcohol abuse EPIDEMIC? 1 in 4 47% in our lifetime

5. 5 Stigma Definition and Types Stigma Definition  Stereotype-ideas  Prejudice-beliefs  Discrimination- actions Types  Internalized Shame  Public  Structural

6. Avoidance and apathy  self esteem So, why try? I am not good Internalized Shame Public Stigma  sense of efficacy I am not able

7. 7 Racial Discrimination

8. 8 Religious Discrimination

9. Gender Discrimination

10. 10 Movies Drivers of Public Stigma Newspapers Advertising Unethical Research, Drug Side Effects & Poor Quality Care

11. 11 “Benevolent” Stigma People with mental illness are lovable and incapable.

12. 12 OK, but isn’t it better lately?

13. Trenton State Hospital has fire. July 10 th, 2002

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15. 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 Source: BG Link, JC Phelan, M Bresnahan, A Stueve, BA Pescosolido American Journal of Public Health 89 (9), 1328-1333

16. Public Stigma: It’s Impact on SOCIAL INCLUSION  Lost employment  Subpar housing  Worse health care  Diminished education opportunities  Alienated from faith community

17.  Protest  Education  Contact 17 Stigma Change Processes

18. 18  Protest ◦ Review stigmatizing images ◦ “Shame on you for thinking that way”

19. 19  Unintended consequences of well intended actions  “The white bear”  Beware of the rebound effect

20. 20  Education Review key myths and facts that counter these myths

21.  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

22.  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

23. Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011 Brain Disease META-ANALYSIS FINDINGS: CAUSE

24. Schomerus, Schwann, Holzinger, Corrigan, Grabe, Carta, & Angermeyer, 2011 Neighbor META-ANALYSIS FINDINGS: ACCEPTANCE

25. 25  Contact “Meet John, Mike, Charles, Tim, and Mark”

26. 26  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.

28. Yet, there exists a curtain of ignorance about recovery.

29. A process of change through which people work to improve their own health and wellbeing, live a self- directed life, and strive to achieve their full potential. SAMHSA’s four essential dimensions of recovery: ◦ Health ◦ Home ◦ Purpose ◦ Community

30.  Targeted  Local  Credible  Continuous  Change-focused  Contact TLC4 30

31. Who Should the TARGETS Be? Health care professionals Employers Landlords Teachers Legislators Faith communities

32. x MILWAUKEE Does it play in Wausau? What is LOCAL Contact?

33.  Contact with peer  Example- Nurse to nurse Pastor to pastor Football player to football player What is CREDIBLE Contact? 33

34.  Once is not enough  And variety is needed CONTINUOUS Contact 34

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

36.  Targeted  Local  Credible  Continuous  Change-focused  Contact TLC4 36

37. the Grand Plan Speak up everyone Speak up everywhere Honest, Open & Proud “strategic disclosure” Carefully

38. 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

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40. Your Recovery Story

41. Motivated engagement  self esteem I care for myself & others I am good Reversing Self and Public Stigma Public Stigma  sense of efficacy I am able Inclusion and Support

42. Engage Organizations Seeking to Reduce Stigma Train/Support Storytellers General Public Programs/Contact Components: 1.WiSE Basics Discussion 2.Support for Strategic Disclosure HOP 3.Consultation as Organizations Apply TLC4 4.WiSE Guide to Design, Implement and Evaluate Plans 5.Statewide Evaluation

43. 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

44. Story and Discussion