Patrick Corrigan Illinois Institute of Technology WHAT SAYS THE DODO BIRD?

STOP

UNINTENDED CONSEQUENCES Everybody has won and all must have prizes!

“THE POOR!” “THE WEAK!” “THE LEAST IMPORTANT!” “Whatsoever you did to the least of my brethren, that you do unto me!” Matthew 25

“THE POOR!” “THE WEAK!” “ THE LEAST IMPORTANT! ” “Whatsoever you do to the least of my brethren, that you do unto me!” John BESTOW EMPOWER

 Stigma is Bad ◦ Public stigma ◦ Self-stigma  Not all ways to address stigma work! ◦ Unintended consequences GOALS 7

9

10

12 People with mental illness are homicidal maniacs In the movies

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14

18 Benevolence stigma

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20

Trenton State Hospital has fire.

22 Roasted Nuts

STOP

UNINTENDED CONSEQUENCES Everybody has won and all must have prizes!

BEWARE easy answers and easy remedies

Has Stigma Changed?  DANGER Phelan, Link et al 26

Has Stigma Changed?  DANGER Phelan, Link et al 27

Has Stigma Changed?  DANGER Phelan, Link et al 28

Has Stigma Changed?  DANGER Phelan, Link et al 29

EASY STUFF: Just change the words! Just cure the disease!

 Leprosy to Hansen’s Disease  Dementia to Alzheimer’s  Mental Retardation to Intellectual Disability  Leprosy to Hansen’s Disease  Mania to Bipolar Illness  seishin bunretsu to togo shitco sho “mind split disease” “integration disorder”

 The Data ◦ Japan: mixed findings (Takashi et al., 2009, 2011) ◦ Hansen’s Disease (Oliveria et al., 2003; Van Brakel et al., in press)  Perpetuates the difference  Prejudice and discrimination more than words. ◦ MODERN RACISM

 Stigma is deserved ◦ Because symptoms are abnormal (Gove, 1975) ◦ People with mental illness are dangerous (Torrey)  WRONG! ◦ Link’s research program on the effects of label Breast cancer HIV-AIDS STIGMA CURE Corrigan, (in press) Stigma, Disease, and Disability Washington, DC: APA

EASY STUFF: Just change the words! Just cure the disease! CRITICAL UNINTENDED CONSEQUENCES

35 Framing Stigma Change Protest Education Contact Media- based In vivo vehiclevehicle processes

KNOWLEDGE IS GOLD: Educate stigma away!

37 Framing Stigma Change Protest Education Contact Media- based In vivo vehiclevehicle processes EDUCATION

RECOVERY

HIRE THEM? RENT TO THEM? EQUAL HEALTH CARE?

41 Framing Stigma Change Protest Education Contact Media- based In vivo vehiclevehicle processes MEDIA

MEDIA: Problem or Solution

NEWS HEADLINES

2003., SOMETIMES THE STATE’S DEAD MUST TEACH Landauer …the tragic story of Billy Owens, a convict with mental illness who stabbed himself to death in an Oregon prison cell surrounded by guards untrained to address his symptoms , BEAUTIFUL MINDS CAN BE RECOVERED Harding …combining the story of Nobel Laureate John Nash with the empirical evidence from long- term follow-up research that people with serious mental illness recover. Fellowships for Mental Health Journalism Control: Dental Health

COERCION Corrigan, Powell, & Michaels in press

COERCION

RECOVERY

 Is not always to reduce stigma.  Dead Must Teach ◦ Major Overhauls to Oregon’s Mental Health System

HEADLINES RECOVERY… Is boring.

A High-Profile Executive Job as Defense Against Mental Illness Keris Myrick, Oct 22, 2011

SOCIAL MEDIA Its Promise and Limitations

What a DIFFERENCE a friend makes!

Real Warriors + Real Battles Real Strengths

Connecting Veterans and their friends and family members with information, resources, and solutions to issues affecting their health, well- being, and everyday lives. MAKETHECONNECTION.NET

What a DIFFERENCE a friend makes!

57

58 Website visits

59 Odds Ratio 2.81***

60 Effect Size MILLIONS thousands

61 Effect Size MILLIONS thousands Just going to the site is not enough 88% left after one minute!

 The possibilities of the population

The age of social media

 The possibilities of the population  The need for the grassroots

GOAL: Get into treatment. Get rightful opportunity: work, housing.

Penetration and Impact Jorm - Griffiths - Highet Christensen

Penetration 44-60%

Impact MH literacy Stigma

UNINTENDED CONSEQUENCES Brain Disease Benevolence Stigma

Patrick Corrigan Illinois Institute of Technology WHAT MIGHT WE DO?

BEWARE easy answers and easy remedies

Clifford Beers

“Nothing about us without us!” Judi Chamberlin

78 Framing Stigma Change Protest Education Contact Media- based In vivo vehiclevehicle processes CONTACT

79  Contact “Meet Bob Lundin”

80  Bob’s story ◦ My name is ______ and I have a severe mental illness called schizo-affective disorder ◦ My childhood was not unusual… ◦ Unfortunately, my mental illness was traumatic. It did not go away quickly… ◦ Despite these problems, I have achieved several accomplishments.

 Contact vs Education  DV’s ◦ Overall ◦ Attitudes ◦ Behavior  > 38,000 Ss  79 studies; 13 RCTs Corrigan, Michaels et al., 2012

p<.05

TLC 3

 Targeted  Local  Credible  Continuous  Contact TLC3 84 Corrigan, 2011

Targets Landlords Health care professionals Teachers Legislators Employers

x CHICAGO: the heart and brains of Illinois ILLINOIS Does it play in PEORIA?

 City  Office  Church, synagogue, mosque  School 90 Local

91  Good stigma change  credible  continuous

 Contact with whom?  Example ◦ Military (PTSD) ◦ Other enlisted members  Marines from marines  Sailors from sailors Credible 92

 Once is not enough  And cannot be carbon copies Continuous 93

 Targeted  Local  Credible  Continuous  Contact TLC3 94

The GRAND PLAN

 Come out everyone  Come out everywhere

the Grand Plan  Come out Mad  Come out Proud

DON’T BE A MENTAL PATIENT

EMBRACE WHO YOU ARE

 Accomplishment ◦ Overcoming disability  Who I am ◦ Ethnic pride  Authenticity

 Three Lessons ◦ Consider the pros and cons of disclosing ◦ There are different ways to disclose ◦ Telling your story

Clifford Beers

National Center on Stigma and Empowerment