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1 STIGMA CHANGE ! What and Where is the Evidence? Patrick Corrigan, Psy.D. Illinois Institute of Technology Chicago Consortium for Stigma Research.

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Presentation on theme: "1 STIGMA CHANGE ! What and Where is the Evidence? Patrick Corrigan, Psy.D. Illinois Institute of Technology Chicago Consortium for Stigma Research."— Presentation transcript:

1 1 STIGMA CHANGE ! What and Where is the Evidence? Patrick Corrigan, Psy.D. Illinois Institute of Technology Chicago Consortium for Stigma Research

2 2 The Goals Today Stigma Change is the Goal Many examples What works for whom and where? EVIDENCE For all stakeholders

3 STIGMA CHANGE PUBLIC STIGMA Protest, Education, Contact SELF-STIGMA Group identification and support 3

4 4 Whats Out There? Current Programs World Psychiatric Association Programs by country (N>50) US SAMHSA's Resource Center Programs by state (N>100) Canada Programs …the Commission is launching a major, national 10-year anti- stigma and discrimination reduction campaign. This campaign will be the largest systematic effort to reduce the stigma of mental illness in Canadian history

5 5 RESOURCES

6 6 Media Watch Fright Night Scream Park

7 7 Public Service Announcements what a difference a friend makes

8 8 Personal Stories

9 9 There's a temptation for the Commission to sprint out of the gate with a mass marketing campaign, but that would be a mistake. Canadian Mental Health Commission Ahead of the Data! Intervene Now!

10 10 The Evidence Where is the evidence? What is evidence? Using evidence to make decisions

11 LESSONS FROM MENTAL HEALTH SERVICES RESEARCH What works regionally? Governmental policy/support (SAMHSA) Supported employment Assertive community treatment What works locally? How does supported employment actually work in Chicago? 11

12 Evidence for Stigma Change What kind of stigma change strategies should Governments/NGOs support? Education, contact… Do these strategies work locally? Chicago, London, Paris Beijing, Delhi, Riyadh 12

13 13 N=213 Stigmatizing Attitudes and Behavioral Intentions Education: Responsibility Contact: Dangerousness Education: Dangerousness Contact: Responsibility Control Attitudes and post and 1 wk f-up

14 14 SELECTION CRITERIA STAKEHOLDER PERSPECTIVE Participatory Action Research State of the Evidence Ratio of Cost to Benefit

15 15 Participatory Action Research PERSPECTIVE: Understanding the broad questions related to stigma change POLITIC: interest and authority in subsequent stigma change Who are the stakeholders? diversity

16 16 SELECTION CRITERIA Stakeholder perspective Participatory action research STATE OF THE EVIDENCE Ratio of cost to benefit

17 17 Evidence Based Considerations Dependent measures ATTITUDES Physiological change Information processing Social behavior Behavioral intention BEHAVIOR

18 Evidence Based Considerations Dependent measures Psychometrics (reliability and validity) Sensitivity Social desirability 18

19 19 Evidence Based Considerations Reducing discrimination versus affirming actions Not just what does it stop (less prejudice) but what is improved (more work) Specificity Not just whether it changes people, put does it change important groups Employers, landlords, health care providers 19

20 20 Evidence Based Considerations Effect Size Is the effect noticeable? Does it matter? (social validity) Iatrogenic effects Mental illness is a brain disorder Manuals and Fidelity Need to catalogue interventions Feasibility If you provide it, will they come Fect 20

21 Example S UPPORTED EMPLOYMENT : Get more people with mental illness back to work. Get more employers to participate in supported employment. Challenge employer stigma: In Our Own Voice: Telling ones stories 21

22 Example Dependent measures: Attitudes Behavior Immediate: Participating in supported employment Hiring people with mental illness Affirming actions Specificity Effect size Manuals and fidelity 22

23 23 SELECTION CRITERIA Stakeholder perspective Participatory action research State of the evidence RATIO OF COST TO BENEFIT

24 24 Cost-Benefits The size of the sample Local or broad The depth and breadth of effects Effect size Specificity Outcomes (no stigma versus more affirming actions) The costs of the change strategy The cost of evaluation

25 25 PUTTING IT ALL TOGETHER

26 26 Evidence Based Approach WHO is to be targeted. WHAT needs to be changed. HOW will this be changed. WHEN will change occur. MEASURE IT

27 27

28 28 A TOOLKIT For Evaluating Programs Meant t o Erase the Stigma of Mental Illness Patrick Corrigan draft Oct 23, 2008

29 29 Patrick Corrigan


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