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

3. STOP

4. UNINTENDED CONSEQUENCES Everybody has won and all must have prizes!

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

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

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

9. 9

10. 10

12. 12 People with mental illness are homicidal maniacs In the movies

13. 13

14. 14

18. 18 Benevolence stigma

19. 19

20. 20

21. Trenton State Hospital has fire.

22. 22 Roasted Nuts

23. STOP

24. UNINTENDED CONSEQUENCES Everybody has won and all must have prizes!

25. BEWARE easy answers and easy remedies

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

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

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

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

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

31.  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”

32.  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

33.  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

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

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

36. KNOWLEDGE IS GOLD: Educate stigma away!

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

39. RECOVERY

40. HIRE THEM? RENT TO THEM? EQUAL HEALTH CARE?

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

42. MEDIA: Problem or Solution

43. NEWS HEADLINES

44. 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. 2002., 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

45. COERCION Corrigan, Powell, & Michaels in press

46. COERCION

47. RECOVERY

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

50. HEADLINES RECOVERY… Is boring.

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

52. SOCIAL MEDIA Its Promise and Limitations

53. What a DIFFERENCE a friend makes!

54. Real Warriors + Real Battles Real Strengths

55. 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

56. What a DIFFERENCE a friend makes!

57. 57

58. 58 Website visits

59. 59 Odds Ratio 2.81***

60. 60 Effect Size MILLIONS thousands

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

62.  The possibilities of the population

63. The age of social media

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

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

67. Penetration and Impact Jorm - Griffiths - Highet Christensen

68. Penetration 44-60%

69. Impact MH literacy Stigma

70. UNINTENDED CONSEQUENCES Brain Disease Benevolence Stigma

73. Patrick Corrigan Illinois Institute of Technology WHAT MIGHT WE DO?

75. BEWARE easy answers and easy remedies

76. Clifford Beers - 1909

77. “Nothing about us without us!” Judi Chamberlin

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

79. 79  Contact “Meet Bob Lundin”

80. 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.

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

82. p<.05

83. TLC 3

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

86. Targets Landlords Health care professionals Teachers Legislators Employers

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

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

91. 91  Good stigma change  credible  continuous

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

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

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

95. The GRAND PLAN

96.  Come out everyone  Come out everywhere

97. the Grand Plan  Come out Mad  Come out Proud

99. DON’T BE A MENTAL PATIENT

100. EMBRACE WHO YOU ARE

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

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

103. Clifford Beers - 1909

104. National Center on Stigma and Empowerment www.ncse1.org