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The Time to Change Programme to Reduce Stigma and Discrimination in England and Its Wider Context

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The Stigma of Mental Illness - End of the Story?

Abstract

This chapter presents information to: (i) define stigma and discrimination, (ii) present evidence on their severity and toxic impact on the lives of people with mental illness; (iii) describe population-level and target-group level interventions and their effects, (iv) examine the particular detrimental effects of stigma and discrimination on healthcare, employment and citizenship; (v) compare progress in England with other similar countries; (iv) examine the relevant health economic evidence; and (vi) make recommendations for further stigma reduction in England in future. Our key recommendations are to: (1) Operationalise the concept of reasonable adjustments as per the Equality Act 2010 with respect to mental illness with respect to all areas of life, including: the workplace, health and social care, education, the justice system, sports and leisure, and political participation; (2) Support and evaluate projects aiming to empower mental health service users to respond to stigma and discrimination e.g. through addressing self-stigma, training in self-advocacy and peer support; (3) Develop evidence based social contact programmes to reduce stigma and discrimination among target groups prioritised by mental health service users in surveys such as Viewpoint (1) and Stigma shout (2); and summarise the evidence for the effectiveness of England’s most recent anti-stigma programme, Time to Change.

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Acknowledgements

This research was supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London at King’s College London Foundation Trust. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR, or the Department of Health. GT is supported by the European Union Seventh Framework Programme (FP7/2007–2013) Emerald project. The authors acknowledge financial support from the Department of Health via the National Institute for Health Research (NIHR) Biomedical Research Centre and Dementia Unit awarded to South London and Maudsley NHS Foundation Trust in partnership with King’s College London and King’s College Hospital NHS Foundation Trust. This chapter draws upon material in Thornicroft G., Evans-Lacko S., & Henderson C. (2014) Stigma & Discrimination. In Davies, S., Mehta, N., Murphy O, ed. Annual Report of the Chief Medical Officer 2013. Public Mental Health Priorities: Investing in the Evidence. Department of Health, London.

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Authors and Affiliations

  1. Institute of Psychiatry, Psychology and Neuroscience, King’s College London, P029, De Crespigny Park, London, SE5 8AF, UK

    Claire Henderson, Sara Evans Lacko & Graham Thornicroft

Authors
  1. Claire Henderson
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  2. Sara Evans Lacko
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  3. Graham Thornicroft
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Correspondence to Claire Henderson .

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Editors and Affiliations

  1. Department of Psychiatry and Psychotherapy, Heinrich-Heine-University LVR-Klinikum Düsseldorf, Düsseldorf, Germany

    Wolfgang Gaebel

  2. Psychiatric University Hospital University of Zurich, Zurich, Switzerland

    Wulf Rössler

  3. Association for the Improvement of Mental Health Programmes, Geneva, Switzerland

    Norman Sartorius

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Henderson, C., Lacko, S.E., Thornicroft, G. (2017). The Time to Change Programme to Reduce Stigma and Discrimination in England and Its Wider Context. In: Gaebel, W., Rössler, W., Sartorius, N. (eds) The Stigma of Mental Illness - End of the Story?. Springer, Cham. https://doi.org/10.1007/978-3-319-27839-1_18

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  • DOI: https://doi.org/10.1007/978-3-319-27839-1_18

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