The Open Society Mental Health Initiative

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Stigma and Discrimination against People with Mental Health Problems

 

One of the primary impediments to the full social inclusion of people with mental health problems is the stigma that is often attached to mental illness. MSN Encarta Online Dictionary defines stigma as "the shame or disgrace attached to something regarded as socially unacceptable"  (http://encarta.msn.com/encnet/features/dictionary/dictionaryhome.aspx). Mental health problems, throughout much of history and across many cultures, have been viewed as socially unacceptable. Today, those who experience mental health problems endure the shame and disgrace placed on them by modern society.

 

Stigma against any social group often leads to discrimination and social exclusion. Stigma against mental illness and people with mental health problems limits access to community living for an entire group. Individuals with a known mental health problem may be directly discriminated against in applying for work, searching for an apartment, furthering their education, and countless other common life situations. Stigma and discrimination can also affect those who have not disclosed their mental health status. For example, schools and organizations that do not provide accommodations place people with mental health problems at a disadvantage. Stigmatizing words that trivialize mental illness and de-humanize people with mental health problems are still commonly heard throughout the English-speaking world. Even the consideration of whether or not to disclose a mental health problem can lead to increased stress which may have further negative effects on an individual's mental health, thereby adding to the difficulty of social integration.

 

One of the most common ways in which stereotypes and misinformation are disseminated - whether consciously or not - is through the media and entertainment industries. Because these establishments have the ability to share messages with a large number of people, they also have the power to spread either accurate information or erroneous messages to the general public. Unfortunately, when it comes to mental health, stereotypes and misinformation have historically been the most circulated. Degrading or inaccurate word choices (such as use of the word "loony" to describe a person with unexpected behaviors or the word "schizophrenic" to mean a split personality) are often used in print and broadcast media. In movies and on television, people with mental health problems are alternately portrayed as violent and menacing or used for comedic purposes. These and other misinformed portrayals are a result of the stigma against people with mental health problems that is widespread around the globe.

 

Currently, around the world, significant efforts are being made to combat stigma and discrimination against people with mental health problems. The work is taking place at all levels of society, from grassroots organizations to national programs, international collaboration, and the courageous acts of concerned individuals. People, groups, and governments are recognizing that, as a result of a culture that condones negative perceptions and treatment of people with mental health problems, a large percentage of the global population experiences the real and painful effects of stigma and is excluded from full social participation.

 

In this section you will find information on steps being taken internationally to address the issue of stigma and discrimination against mental illness and people with mental health problems. You can follow links to best practices, publications and reports, and other useful links.

Highlights

1) Dumping Grounds For Forgotten People

An investigation by Bulgarian journalist Yana Buhrer Tavanier on the mental care institutions in Bulgaria, Romania and Serbia.   

Please visit the website dedicated to the investigation and view the new promotional video.


Judith Klein, director of the OSMHI (Open Society Mental Health Initiative) has written a foreword to the article, which appears in the newsletter of the European Coalition for Community Living, Issue No. 10, October 2009 and also on the investigation website.


2) Report of the Ad Hoc Expert Group on the Transition from Institutional to Community-based Care

A report on the Transition from Institutional to Community-based Care was handed over to Commissioner Vladimír ?pidla on September 23, 2009. The report was drafted by a group of independent experts convened by Commissioner Spidla in February 2009 to address the issues of institutional care reform in their complexity.  The report is also available in Bulgarian, Croatian, Hungarian, Romanian.

Films

Karin Dom - a training and resource centre for children with special needs and their families

This short film was made following a BBC production about a children's institution in Mogilino, Bulgaria. The film features MHI partner organization Karin Dom and highlights what community-based alternatives for children can be like in Bulgaria.

UN Disability Convention

The Convention on the Rights of Persons with Disabilities received its 20th ratification on April 3, 2008, triggering the entry into force of the Convention and its Optional Protocol on May 3, 2008. This marks a major milestone in the effort to promote, protect and ensure the full and equal enjoyment of all human rights and fundamental freedoms of persons with disabilities, and to promote respect for their inherent dignity.

Information on the convention process:
Convention in Easy to Read
View the list of signatories
Countries that have ratified the Convention
ICRPD Ratification Toolkit
Convention and Inclusive Education
View more information

 

News reports on the Convention:
Agreement on New UN Convention
Urging Implementation
Archive Webcast: Convention Signing 
Record Number of Countries Sign
Secretary-General Ban Hails Entry Into Force Of Treaty On Disability Rights
More news reports

Publications:
UN Handbook for Parliamentarians on the Convention on the Rights of Persons with Disabilities and its Optional Protocol
First Implementation Manual For The United Nations Convention On The Rights Of Persons With Disabilities (Addressed Specifically To Users And Survivors Of Psychiatry)


Ratify Now (The campaign to support global grassroots efforts to ratify the Convention on the Rights of Persons with Disabilities).

Films about Inclusion

Foster Care for Children with Disabilities: English ** Russian

I Want to Work and I Can Work!

Living Proof: The right to live in the community

Reality - film on personal assistance

Being an Unperson. A short film about the experience of dehumanization within the care system.

In My Language. A short film about autism and nonverbal communication.

A Way of Describing Autism. A short film by Dave Spicer and Amanda Baggs.

Equalise It!

A Manifesto for Disability Equality in Development Cooperation

The international committee of UK Disabled People's Council (formerly BCODP) has written this manifesto in the light of the signing of the UN Convention on the Human Rights of Persons with Disabilities. 

To read the campaign launch letter, please click here.

Organisations who wish to sign up to the Manifesto are asked to contact Bill Albert or Mark Harrison so that their name and logo can be added to the list of signatories.