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A Guide to Help You Start Tackling Mental Health Stigma and Discrimination

The training

This training aims to give you a better understanding of mental health stigma discrimination and what you can do to tackle it and will run alongside completion of the online toolkit PDF

Learning Outcomes: After working through this module you will have:

  • An increased understanding of mental health stigma and discrimination
  • A greater awareness of the impact of mental health stigma and discrimination
  • An increased knowledge of the ways we can reduce mental health stigma and discrimination across various settings
  • Information on where you can access resources to continue your development

What is...?

Ground rules

Ground rules

  • Keep yourself safe
  • Share only information that is yours to share – Take time out if you need to!
  • Respect
  • Everyone has different views, treat people how you’d like to be treated.
  • Confidentiality
  • What’s shared here by people shouldn’t be discussed outside.
  • Mute your mics
  • Keep your microphone muted unless you are talking so everyone can hear.
  • Use the chat function
  • If you don’t want to speak out loud, you can use the chat function.

We will be discussing

Hopes and concern

What do you hope to achieve from this training?

Activity: Please share your thoughts in the chat

What are you concerned about the training?

Who are See Me?

See Me

See Me is Scotland’s program to end mental health stigma and discrimination.

The See Me programme in Scotland is at the forefront of international efforts to eliminate mental health stigma and discrimination. The programme aims to equip people with the necessary language, skills, and confidence to talk about mental health and be inspired to tackle stigma and discrimination. The See Me programme works on an evidence-based, social contact model, with the voice of lived experience at the core. Education and Young People (EYP) is one of five core programme areas within See Me.

  • Almost two fifths (39%) felt moderately or extremely concerned about their own mental wellbeing.
  • 46% stated that they felt moderately or extremely concerned about the wellbeing of others.
  • More than four in ten (43 per cent) of young people (18-24 years) aged have felt loneliness
  • 69% of respondents described their mental health as poor now that they are back at school; this has risen from 58% who described their mental health as poor before returning to school. – Autumn 2020
  • Almost a quarter of respondents (23%) said that there was less mental health support in their school than before the pandemic

Our Young People

80% of respondents agreed that the coronavirus pandemic had made their mental health worse. 41% said it had made their mental health “much worse”, up from 32% in the previous survey in March.

This was often related to increased feelings of anxiety, isolation, a loss of coping mechanisms or a loss of motivation.

Structural, self and public stigma continues to prevail. With self-stigma acting as a barrier fuelling guilt, poor self-worth and lack of parity of esteem between physical and mental health exasperate these.

Stigma and Covid

Some LA areas 1/3 students haven’t returned, those most vulnerable have self-reported improvements in MH – School pressure/environment needs additional consideration

Women, young people, and those with preschool aged children are experiencing the greatest increase in mental distress.

The pandemic has brought people's differing life circumstances into stark contrast: access to outside and inside space, household crowding, lack of school provision and childcare, food insecurity, domestic violence, addiction, access to internet and maintenance of social connectivity, as well as economic reserves are all relevant to mental health.

Barriers

Activity: Group discussion on Jamboard

https://jamboard.google.com/d/1kQXuctYdN_hQ48jq86KnIKrIx4UPymdH9M1BJYuBOgw/edit?usp=sharing

Mental Health vs Physical Health

  • What do you know about mental health?
  • Why is it important to talk about mental health?
  • What are the different connotations for physical and mental health?

Saving lives

Young adults (18-29 years) reported the highest levels of suicidal thoughts within the last week (21.1%)

Suicide 2008-14 decreased – steady increase last 4 years (stats to date) 15-24 years 6 per month (2 more per month than during decrease)

Suicidal thoughts were higher for:

  • People from a lower socio-economic group (SEG)
  • Respondents who reported a pre-existing mental health (MH) condition
  • Individuals who identified as Black, Asian and Minority Ethnic (BAME)

Schools Programme

The See Me evaluation found that the EYP programme has been welcomed by schools across Scotland. Findings suggest that;

 

  • The See Me EYP programme training improves mental health literacy amongst pupils and builds confidence to talk about mental health and to identify and approach sources of support.
  • Participants were supportive of the See Me training and feedback was overwhelmingly positive.
  • Teachers and senior pupils said that the See Me training was engaging and empowered them to tackle mental health stigma and discrimination in their schools.
  • Further, the evaluation uncovered strong evidence of the positive implementation of learning through school activity, and progress towards the reduction of stigma and discrimination in schools across Scotland.

North Ayrshire

North Ayrshire

In 2019, 240 senior pupils and 18 teachers, from all eight mainland North Ayrshire secondary schools, took part in the See Me schools training.

Currently, all eight mainland schools in North Ayrshire are taking part in the pilot of See Me’s new ‘Toolkit’ programme in schools.

In June 2020, 58 senior pupils took part in the first stage of the training and completed an online module on mental health, stigma and discrimination. The pilot is due to run for six months, with further cohorts of senior pupils from all schools due to complete the online and interactive training in October 2020.

Barriers

The See Me evaluation also highlighted several challenges and barriers to implementing the See Me training programme in schools across Scotland. These include:

Challenges associated with engaging schools and the uptake of the See Me programme training, including obtaining senior leadership buy-in at individual school level.

Barriers to implementation of See Me training within schools, including resistance from teaching staff to engage and reluctance to engage their pupils.

Lack or loss of leadership in schools who take part in the See Me programme, where the lead contact leaves post.

Module 1 – A Guide to Help You Start Tackling Mental Health Stigma and Discrimination - Toolkit

Stigma and Discrimination

Is an opportunity for staff to be guided to explore the content and information contained in the PDF toolkit and build knowledge and understanding to support their role.

 

Units

About See Me

Understanding mental health stigma and discrimination

Mental Health Literacy

Policy

Action, Resources and Contacts

Everyone has mental health.

Mental Health

Mental health is defined as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community

What do you understand about stigma?

Activity

Our definitions:

Stigma is negative attitudes or beliefs based on a preconception, misunderstanding or fear of mental health.

Discrimination is when a person performs an action, whether intentional or unintentional, that creates barriers and inequality for people with lived experience of mental health problems.

Take a few minutes to share thoughts in the chat

Types of stigma

Stigma

Structural stigma is the societal-level conditions, cultural norms, and institutional practices that constrain the opportunities, resources, and wellbeing for stigmatized populations.

Self-stigma occurs when people internalize these public attitudes and suffer numerous negative consequences as a result. Self-stigma occurs when people internalize these public attitudes and suffer numerous negative consequences as a result

Public Stigma refers to the attitudes and beliefs of the general public towards persons with mental health challenges or their family members. For example, the public may assume that people with psychiatric conditions are violent and dangerous

The impact of stigma

Stigma acts as a barrier to people seeking help for mental health problems and mental health problems and mental health conditions

People's attitudes about mental health can be positively influenced by exposure to accurate information

Like physical illnesses, mental health conditions are treatable and the sooner people receive proper treatment and support, the better the outcomes

Getting help early increases the chances that a person will make a full recovery from mental health problems

What about this video is stigmatising?

Activity

Share your thoughts on the Jamboard

https://jamboard.google.com/d/1kQXuctYdN_hQ48jq86KnIKrIx4UPymdH9M1BJYuBOgw/edit?usp=sharing

Key Pillars to reducing Mental Health Stigma and Discrimination

Mental Health Literacy

  • Leadership and management
  • Ethos, culture and environment
  • Learning resources: Tools and activities
  • ‘Community’ involvement
  • Staff development and health and wellbeing
  • Identifying and targeting need and monitoring impact

Personal attitudes

Our Attitudes

See Survey in PDF

Understanding Mental Health

Activity

Everyone's experiences of mental health are different and it doesn’t always stay the same. It can change as circumstances change and as you move through different stages of your life.

Developing Literacy

Mental Health Literacy

Depression and anxiety are the most common diagnosis during adolescence

Developing an understanding of mental health can support prevention and early intervention

Module 1 contains information and links for students and staff to gain a deeper understanding of mental health

Additional training:

https://www.place2be.org.uk/our-services/services-for-schools/mental-health-champions-foundation-programme/

Discussion Worksheets

Mental Health & stigma

What is the Condition?  

What is the associated stigma? 

Reason for stigma?

What is it really? 

What is the Condition?  

Depression

What is the associated stigma? 

People choose to be depressed; they need to ‘snap out’ of it; they are just lazy; they are trying to get attention. 

Reason for stigma?

It is often portrayed as a phase that people grow out of and it is frequently dramatized in TV shows as something trivial and so it is often dismissed e.g. 'young people don’t have anything to be depressed about'. 

What is it really? 

People do not choose to be depressed. Depression develops over time and requires appropriate treatment to deal with the psychiatric symptoms and underlying issues. Depression = state of low mood that almost all people will experience at some point. Clinical Depression = debilitating mental health condition that impacts personal and social aspects of life.

Consider Adam's journey - When has he experience Self, structural and public stigma?

Activity

We will then discuss Adam's journey using the mental health continuum

Supporting recovery....

Activity: Map Adam's journey using the continuum in the Jamboard

What’s Next

https://jamboard.google.com/d/1kQXuctYdN_hQ48jq86KnIKrIx4UPymdH9M1BJYuBOgw/edit?usp=sharing

Your Project!

Search social media/TV/etc. for an example of someone who is using their lived experience and social contact to positively impact the discussion on mental health.

Your Project!

Next Session

Start working on the PDF over the next week

Next Lesson

Next week we’ll explore the key Pillars and targeting stigma and discrimination in your setting

Samaritans

Call 116 123

Text 07725 90 90 90

Go to www.Samaritans.org

Breathing Space

Call 0800 83 85 87

Go to breathingspace.scot

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