Train the Trainer Presentation Mental Health: Confronting Stigma • Date: October 18, 2018 • Location: Family Service Toronto • Presenters: • Craig Currah – Centre for Addiction and Mental Health (CAMH) • Nadine Nasir - Toronto South Local Immigration Partnership
Stigma 1 Stigma groups people together through unfair assumptions and beliefs, leading to negative attitudes and discrimination. “Stigma is not just about hurting someone’s feelings. Stigma is about prejudice, discrimination and the violation of a person’s human rights.” (CAMH) S T I GMA • Help • Health care • Medicine • Counselling • Support from family & friends
The Consequences of Stigma 2 Unable to complete activities of daily living SUFFERING Social isolation Impaired functioning Loss of confidence Lack of self-actualization Don’t receive treatment Don’t seek help Unable to fulfill role as caregiver/care provider? Job loss?
Expressions of Mental Illness 4 • Understandings and expressions of mental illness (including symptoms) depend on many factors, including culture. • Try not to assume & generalize (i.e. there are differences within cultures) • Be mindful of: • Different comfort levels with our health care system • Not favouring western concepts of health • Value many forms of healing (i.e. sweat lodge)
How to Talk About Seeking Support • Client decides what they want and when. • Be concrete – what have you noticed? Talk about changes you’ve seen • Focus on experiences/feelings rather than labels and possible diagnoses. • Help to determine how it’s disrupting the life they want to lead, how it’s getting in the way • Examine choices and their potential consequences together • Remind people of their rights, and the limits of confidentiality
Tips • Acknowledge, Thank, Validate • Practice: • trauma informed care • family centered care • patient/client led decision-making • Take the person seriously • Be mindful of the language you use • A person is a person, not an illness • Example: Schizophrenic vs. a person that has schizophrenia • Avoid: • Overuse of mental health language • Labels that place blame • Trivializing (“it’s not so bad,” “it’s a phase”, “if you just try harder…”).
Resources 8 Addressing Stigma (CAMH) https://www.camh.ca/en/driving-change/addressing-stigma 2. Tutorial (CAMH) http://www.camhx.ca/education/online_courses_webinars/mha101/stigma/Stigma_.htm 4. Jack Project https://jack.org/Resources/Mental-Health-101 Support Across Boundaries – 51 Clarkson Ave, Toronto, 416 787 3007 http://www.acrossboundaries.ca/ Hong Fook, Various Locations in GTA http://hongfook.ca/