Stigma of mental disorders and young people
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Stigma of mental disorders and young people -presentation at PAD (Positive Attitude Development) Project, Arcada, Helsinki 10.01.2017
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Stigma of mental disorders and young people
- 1. Stigma of mental disorders Kristian Wahlbeck 10.1.2017
- 2. Anti-stigma work is at the core of any mental health actions
- 3. Stigma kills: Life expectancy for people with severe mental illness in the Nordic countries Wahlbeck et al, BJP 2011 Stigma10.1.2017 3
- 4. Life expectancy 1981-2003 (Finnish men) 11.4.2014 Sosiaalipsykiatrian tulevaisuus Westman 2011, Eur J Publ Health
- 5. Finland: Stigma links to impaired access to health care The effect of severe mental disorders on the rates of coronary revascularisation and coronary heart disease (CHD) mortality (A) and coronary hospitalisation (B) (each point represents 10-year age band across the age groups 40+ years, logarithmic scale). Manderbacka K et al. BMJ Open 2012;2:e000831 10.1.2017 Stigma5
- 7. The three components of stigma • Ignorance (misinformation) • Negative attitudes (prejudices) • Behaviour (discrimination) 10.1.2017 Stigma7
- 8. 25.11.2016 Policies in economic crises Stigma can be reduced 8 Social contact Mental health literacy Protest
- 10. Stereotype Attitude Discrimination 10.1.2017 Stigma10 Social contact Mental health literacy Protest
- 11. Stereotype Attitude Discrimination 10.1.2017 Stigma11 Social contact Mental health literacy Protest Legislation & Policy
- 12. Social contact: videos are as effective as face-to-face contact for young people Janoušková 2016, Eur Psych
- 13. Mental Health First Aid courses reduce negative attitudes Hadlaczky et al 2014
- 15. • Positive trends in attitudes
- 16. Mental disorder stigma trends in Finland •Positive trend: Stigma diminishes •Young people express more positive attitudes than older people •Women express more positive attitudes than men •Well educated express more positive attitudes than people with low educatation •Wide awareness of stigma among users and NGOs, less political awareness •Attitudes are measured on a yearly basis by the NGO-initiated ”Mental Health Barometer” study •Extensive research on stigma of mental disorders Stigma10.1.2017 16
- 17. Geographic distribution of stigma research: Peer-reviewed publications 2007-2012 -review papers are excluded -only papers with English-language abstract are included Source: Evans-Lacko 2014 Eur Psych (submitted) Stigma Publication per capita (millions) None 0-0.3 0.3-0.6 0.6-0.9 0.9-0.12 0.12 and more low high Evans-Lacko et al. Eur Psych 2014 10.1.2017 17
- 18. Finnish stigma research Basically, three lines of research: 1. Experience of stigma and discrimination of people with mental disorders 2. General population attitudes e.g. the yearly Mental Health Barometer since 2005 3. Attitudes of professionals and students 10.1.2017 Stigma18
- 19. It is not about ”us” and ”them”, it is about ”one of us” How can we make people with mental disorders part of ”us”? Stigma10.1.2017 19
Editor's Notes
- Good collaboration with schools, labour market social partners, housing and city planning departments, etc.
- The effect of severe mental disorders on the rates of coronary revascularisation and coronary heart disease (CHD) mortality (A) and coronary hospitalisation (B) (each point represents 10-year age band across the age groups 40+ years, logarithmic scale). SMD, severe mental disorders.
- The strongest evidence bas exists for family interventions, e.g. home visit programs or parenting support. Social prescribing in primary health care
- Good collaboration with schools, labour market social partners, housing and city planning departments, etc.