*Research suggests that level of
discrimination against people using
mental health services are high.
*However, report of these people’s
experiences are rare.
*To determine whether the time to
change (TTC) programme target of
5% reduction in discrimination has
been achieved .
*Stigma and discrimination can
significantly compound difficulties
facing people with mental health
problem. In England public attitude
towards mentally ill people had not
improved prior to TTC programme in
2008 inspite of greater understanding
about causes of these problem.
*TTC (Time to change) was a programme
launched in England in between 2008 to
*A target set by mental health charities
Mind and Rethink Mental illness was
to achieve a 5% reduction in
discrimination experienced by people
of mental health problem.
*Purpose of this study was to determine
whether this target had been met .
*Separate sample of people
using mental health services
were interviewed annually using
discrimination and stigma scale
to record instances of
Each year 5 NHS mental health
trust across England selected to
Staff in IT use central patient
database to select random
sample of people receiving
mental health service.
*Sample checked by clinical
care team for eligibility
*Invitation pack mailed to
participant ( with consent form)
*View point survey
*Different sample for each year
*Age-18 to 65 years
*DISC is interviewer
*Overall score calculated as
number of instances of
reported discrimination divided
by number of questions
answered and multiplied by 100
to give percentage of item
*Study received ethical approval
from Riverside NHS ethic
*7% in 2008,11% in 2011
*Significant difference –ethnicity,gender.
employment status.whether admitted to
*17 out of 21 area-less discrimination in 2011
*Increased discrimination in area-family,
friend, social contact, general aspect
*Reduction of discrimination not sustained
in 2011 in finding a job, keeping a
job,education, police, starting a family .
*Proportion of people using mental health
services who experienced no discrimination
increases over the course of TTC by 2.8%
which is less than target 5%.
*Although we have detected clear positive
change, experience of discrimination is
extremly common in England.
*Most common source of negative
discrimination were with family and friends
which also showed greatest reduction.
Low response rate
Database by NHS may not be accurate or up
Response bias due to overpresentation
Increase response in 2011 due to offer of
*Mentally ill people are just like
other beloved creation of
Almighty. Their helpnessness
should not be a subject of
discrimination rather should
draw our sympathetic attention.
*Stigma and discrimination can influence
outcome of person’s illness. It causes
reluctance to seek help and lack of
treament adhererance. So further research
is necessary to evaluate how people are
affected by different level of