Mental Health and Schools Symposium

April 21 2008

ldquoStomping Out StigmardquoSummits for Youth

Bob HeeneyWhitby Mental Health Centre

Durham Talking About Mental Illness Coalition

What is StigmaWhat are the effects of Stigma

What is Stigma

bull Wikipedia - stigma is an attribute behaviour or reputation which is socially discrediting in a particular way it causes an individual to be mentally classified by others in an undesirable rejected stereotype rather than in an accepted normal one

What is StigmaWhat are the effects of Stigma

What is Stigma

bull Wikipedia - stigma is an attribute behaviour or reputation which is socially discrediting in a particular way it causes an individual to be mentally classified by others in an undesirable rejected stereotype rather than in an accepted normal one

What is Stigma

bull Wikipedia - stigma is an attribute behaviour or reputation which is socially discrediting in a particular way it causes an individual to be mentally classified by others in an undesirable rejected stereotype rather than in an accepted normal one

World Health Organization

Stigma is a social process or related personal experience characterized by exclusion blame or devaluation that results from an adverse social judgment about a person or group

The judgment is based on an enduring feature of identity attributable to a health problem or health-related condition and this judgment is in some essential way medically unwarranted

Mental Health Commission of Canada

The Mental Health Commission of Canada has identified the elimination of stigma and the reduction of discrimination as one of the top three priority areas to be addressed as part of its federal framework for mental health

Mental HealthCommission of Canada

ldquoStigma is typically a social process experienced or anticipated characterized by exclusion rejection blame or devaluation that results from experience or reasonable anticipation of an adverse social judgment about a person or grouprdquo

A Time For Action Tackling Stigma and Discrimination ndash MHCC Neasa Martin amp Valerie Johnston--

06112007

EffectsStigma they suggest offers a basis for devaluing rejecting and excluding

Human beings instinctively create hierarchies and the connection with an undesirable characteristic provides a rationale for moving someone downwards First the person experiences structural discrimination which is not the same thing as stigma although it is one of its consequences

Expectations are lowered in terms of job opportunities marriage possibilities and housing

Eventually stigmatized people come to internalize the stereotyping they receive and to believe it To the extent that stigmatized groups accept the dominant view of their lower status they are less likely to challenge structural forms of discrimination

Bruce G Link and Jo C Phelan Conceptualizing Stigma Annual Review of Sociology 2001 27 pp 363-385

Effects of Stigma

bull Prejudice and discrimination (in school medical care housing employment)

bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms

andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide

Three Types of Stigma Identified

ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy

makers A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Summary from Current LiteratureApproaches

bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows

1048707 To provide education challenge stereotypes and dispel myths of mental illness

1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental

illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental

illness1048707 To encourage self-confidence and self esteem in people with mental

illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience

of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change

Attitude ShiftHow to Make Changes

In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach

Education to dispel commonly held myths about mental illness

Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images

Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous

Making Changes

ldquoNone of those three approaches is completely

successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo

A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada

Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Mental Health Commission of Canada

The Mental Health Commission of Canada has identified the elimination of stigma and the reduction of discrimination as one of the top three priority areas to be addressed as part of its federal framework for mental health

Mental HealthCommission of Canada

ldquoStigma is typically a social process experienced or anticipated characterized by exclusion rejection blame or devaluation that results from experience or reasonable anticipation of an adverse social judgment about a person or grouprdquo

A Time For Action Tackling Stigma and Discrimination ndash MHCC Neasa Martin amp Valerie Johnston--

06112007

EffectsStigma they suggest offers a basis for devaluing rejecting and excluding

Human beings instinctively create hierarchies and the connection with an undesirable characteristic provides a rationale for moving someone downwards First the person experiences structural discrimination which is not the same thing as stigma although it is one of its consequences

Expectations are lowered in terms of job opportunities marriage possibilities and housing

Eventually stigmatized people come to internalize the stereotyping they receive and to believe it To the extent that stigmatized groups accept the dominant view of their lower status they are less likely to challenge structural forms of discrimination

Bruce G Link and Jo C Phelan Conceptualizing Stigma Annual Review of Sociology 2001 27 pp 363-385

Effects of Stigma

bull Prejudice and discrimination (in school medical care housing employment)

bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms

andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide

Three Types of Stigma Identified

ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy

makers A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Summary from Current LiteratureApproaches

bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows

1048707 To provide education challenge stereotypes and dispel myths of mental illness

1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental

illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental

illness1048707 To encourage self-confidence and self esteem in people with mental

illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience

of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change

Attitude ShiftHow to Make Changes

In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach

Education to dispel commonly held myths about mental illness

Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images

Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous

Making Changes

ldquoNone of those three approaches is completely

successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo

A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada

Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Mental HealthCommission of Canada

ldquoStigma is typically a social process experienced or anticipated characterized by exclusion rejection blame or devaluation that results from experience or reasonable anticipation of an adverse social judgment about a person or grouprdquo

A Time For Action Tackling Stigma and Discrimination ndash MHCC Neasa Martin amp Valerie Johnston--

06112007

EffectsStigma they suggest offers a basis for devaluing rejecting and excluding

Human beings instinctively create hierarchies and the connection with an undesirable characteristic provides a rationale for moving someone downwards First the person experiences structural discrimination which is not the same thing as stigma although it is one of its consequences

Expectations are lowered in terms of job opportunities marriage possibilities and housing

Eventually stigmatized people come to internalize the stereotyping they receive and to believe it To the extent that stigmatized groups accept the dominant view of their lower status they are less likely to challenge structural forms of discrimination

Bruce G Link and Jo C Phelan Conceptualizing Stigma Annual Review of Sociology 2001 27 pp 363-385

Effects of Stigma

bull Prejudice and discrimination (in school medical care housing employment)

bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms

andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide

Three Types of Stigma Identified

ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy

makers A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Summary from Current LiteratureApproaches

bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows

1048707 To provide education challenge stereotypes and dispel myths of mental illness

1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental

illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental

illness1048707 To encourage self-confidence and self esteem in people with mental

illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience

of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change

Attitude ShiftHow to Make Changes

In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach

Education to dispel commonly held myths about mental illness

Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images

Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous

Making Changes

ldquoNone of those three approaches is completely

successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo

A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada

Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

EffectsStigma they suggest offers a basis for devaluing rejecting and excluding

Human beings instinctively create hierarchies and the connection with an undesirable characteristic provides a rationale for moving someone downwards First the person experiences structural discrimination which is not the same thing as stigma although it is one of its consequences

Expectations are lowered in terms of job opportunities marriage possibilities and housing

Eventually stigmatized people come to internalize the stereotyping they receive and to believe it To the extent that stigmatized groups accept the dominant view of their lower status they are less likely to challenge structural forms of discrimination

Bruce G Link and Jo C Phelan Conceptualizing Stigma Annual Review of Sociology 2001 27 pp 363-385

Effects of Stigma

bull Prejudice and discrimination (in school medical care housing employment)

bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms

andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide

Three Types of Stigma Identified

ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy

makers A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Summary from Current LiteratureApproaches

bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows

1048707 To provide education challenge stereotypes and dispel myths of mental illness

1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental

illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental

illness1048707 To encourage self-confidence and self esteem in people with mental

illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience

of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change

Attitude ShiftHow to Make Changes

In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach

Education to dispel commonly held myths about mental illness

Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images

Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous

Making Changes

ldquoNone of those three approaches is completely

successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo

A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada

Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Effects of Stigma

bull Prejudice and discrimination (in school medical care housing employment)

bull Negative feelings about self (self-stigma)bull Tendency to avoid seeking help and to keep symptoms

andor substance use a secretbull Social isolation andor constricted social support networkbull Povertybull Depressionbull Loss of hope for recoverybull Suicide

Three Types of Stigma Identified

ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy

makers A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Summary from Current LiteratureApproaches

bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows

1048707 To provide education challenge stereotypes and dispel myths of mental illness

1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental

illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental

illness1048707 To encourage self-confidence and self esteem in people with mental

illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience

of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change

Attitude ShiftHow to Make Changes

In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach

Education to dispel commonly held myths about mental illness

Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images

Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous

Making Changes

ldquoNone of those three approaches is completely

successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo

A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada

Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Three Types of Stigma Identified

ldquoHealth-Related Stigmardquo can lead to exclusion rejection blame or devaluation of the individual affected by stigmatized conditions at a time when they are most in need of inclusion acceptance and compassion Negative social judgments about the conditions themselves can have significant implications for social and health policy In addition to mental illness contemporary stigmatized conditions include sexual dysfunction HIVAIDS leprosy and epilepsy

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy

makers A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Summary from Current LiteratureApproaches

bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows

1048707 To provide education challenge stereotypes and dispel myths of mental illness

1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental

illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental

illness1048707 To encourage self-confidence and self esteem in people with mental

illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience

of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change

Attitude ShiftHow to Make Changes

In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach

Education to dispel commonly held myths about mental illness

Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images

Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous

Making Changes

ldquoNone of those three approaches is completely

successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo

A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada

Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Three Types of Stigma Identified

ldquoSelf Stigmardquo describes the process by which individuals internalize negative attitudes about their own condition concluding that they are unworthy of anything other than poor treatment They come to expect rejection and they receive it ndash an experience which then reinforces the original expectation In response they develop coping strategies which often include secrecy and withdrawal

A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Three Types of Stigma Identified

ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy

makers A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Summary from Current LiteratureApproaches

bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows

1048707 To provide education challenge stereotypes and dispel myths of mental illness

1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental

illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental

illness1048707 To encourage self-confidence and self esteem in people with mental

illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience

of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change

Attitude ShiftHow to Make Changes

In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach

Education to dispel commonly held myths about mental illness

Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images

Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous

Making Changes

ldquoNone of those three approaches is completely

successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo

A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada

Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Three Types of Stigma Identified

ldquoCourtesy Stigmardquo describes the stigma-by-association experienced by those who are closely associated with stigmatized people Families friends and mental health professionals ndash all of whom may experience courtesy stigma ndash may be seen by the rest of society as ldquonormal yet differentrdquo by virtue of their affiliation To protect themselves against the negative social judgment implicit in that label close associates - including mental health professionals - may distance themselves from the stigmatized person thus reinforcing the ldquousthemrdquo dichotomy of which people with mental illness are so acutely aware Some theorists suggest that chronic under-funding of psychiatric services and research is at least in part a manifestation of courtesy stigma on the part of policy

makers A Time For Action Tackling Stigma and Discrimination ndash MHCC

Neasa Martin amp Valerie Johnston-- 06112007

Summary from Current LiteratureApproaches

bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows

1048707 To provide education challenge stereotypes and dispel myths of mental illness

1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental

illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental

illness1048707 To encourage self-confidence and self esteem in people with mental

illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience

of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change

Attitude ShiftHow to Make Changes

In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach

Education to dispel commonly held myths about mental illness

Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images

Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous

Making Changes

ldquoNone of those three approaches is completely

successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo

A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada

Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Summary from Current LiteratureApproaches

bull The variability of those programs speaks to the range of approaches currently employed Around the world anti-stigma efforts focus on a variety of objectives some of which are defined as follows

1048707 To provide education challenge stereotypes and dispel myths of mental illness

1048707 To help change public perceptions and attitudes about mental illness1048707 To increase access to health care for individuals experiencing mental

illness1048707 To decrease discrimination and promote inclusion 1048707 To promote accurate and positive media portrayals of people with mental

illness1048707 To encourage self-confidence and self esteem in people with mental

illness 1048707 To focus on recovery and the message of hope1048707 To provide a forum for families to speak candidly about their experience

of stigma 1048707 To encourage students to seek help 1048707 To encourage legislative change

Attitude ShiftHow to Make Changes

In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach

Education to dispel commonly held myths about mental illness

Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images

Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous

Making Changes

ldquoNone of those three approaches is completely

successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo

A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada

Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Attitude ShiftHow to Make Changes

In general however we know that there is no quick fix and no single answer Instead many authors suggest a three-pronged approach

Education to dispel commonly held myths about mental illness

Protest to suppress discriminatory attitudes and challenge commonly held stigmatizing images

Contact to put a human face on mental illness whether that of celebrities or of the not-so-famous

Making Changes

ldquoNone of those three approaches is completely

successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo

A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada

Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Making Changes

ldquoNone of those three approaches is completely

successful on its own however studies have repeatedly found that contact is the most effective single strategy in countering stigma and discriminationrdquo

A TIME FOR ACTION TACKLING STIGMA AND DISCRIMINATION Report to the Mental Health Commission of Canada

Prepared by Neasa Martin amp Valerie Johnston Of Neasa Martin amp Associates Thursday September 13 2007

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

SOS SummitldquoStomping Out Stigmardquo

Welcome

ldquoOur mission is to increase the knowledge of mental illness and decrease the associated stigmardquo

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Durham TAMI Coalition

bull WHITBY MENTAL HEALTH CENTREbull CMHA DURHAMbull MOOD DISORDERS ASSOCIATION DURHAMbull DURHAM DISTRICT SCHOOL BOARDbull DURHAM CATHOLIC DISTRICT SCHOOL BOARDbull THE YOUTH CENTREbull PINEWOOD CENTRE OF LAKERIDGE HEALTHbull DURHAM FAMILY COURT CLINICbull DURHAM MENTAL HEALTH SERVICESbull RESOURCES FOR EXCEPTIONAL CHILDREN AND

YOUTHbull CENTRE FOR ADDICTION AND MENTAL HEALTH

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Coalition Structure

bull Standard chair co-chair treasurer secretary etcbull Necessary Ingredients

ndash Passion agreement to work and ldquoget out thererdquondash Involvement of consumers on the coalitionndash Constant identification of need and growth ndash Willingness of members to extend themselves and take risksndash All members active in communitymdashshared responsibilitiesndash Ongoing evaluationndash One common goal Healthy Schools and Students

ndash Ex CASH In Durham this stands for ldquoCaring About Student Healthrdquo

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Why Are We Doing This

bull 20 of youth are struggling with their mental healthbull 63 of youth surveyed at Childrenrsquos Hospital of Eastern

Ontario state that embarrassment fear peer pressure and stigma are the major barriers that discourage youth from seeking help

bull 75 of youth will either talk to a friend or no onebull 50 of Canadians ages 18-24 who suffer from

depression are not receiving mental health services ndash 15 will commit suicide

bull 38 of parents surveyed by Kinark Child and Family Services are embarrassed to admit their child had depression or anxiety

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

TAMI History

bull 1990 ldquoOver the Cuckoorsquos Nestrdquo

bull 2002 Durham Coalition formed

bull 2005 Support from Ministry Children and Youth Services

bull 2005 ldquoStomping Out Stigma Summitsrdquo

bull 2006 Expansion

bull 2007 Awards and Recognition

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

TAMI Projects

bull 5 day in-class presentation

bull Assemblies

bull Professional Development

bull Entire grade presentations

bull Summit

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

School PartnershipPartnership Process

Initially ndash bull Utilized Coalition

Memberrsquos School Contacts (Teachers Guidance Principals etc)

bull Sent letters about TAMI Program to Principals

bull Talked it up at meetings in the community

Evolved ndashbull Obtained school

representation on the Coalition from both the Catholic amp Public School Boards

bull Presented about TAMI at school staff development meetings

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

School PartnershipPartnership Process Now amp Moving Forward ndash bull Word of mouth TAMI experienceeffectivenessbull Information Flyer (explains Program amp bookingquestions contact)

bull Easy access to an innovative learning experience for their students (full package deal little (if any) cost)

bull All schools invited to participate in Summitsbull School staff have Coalition Reps as contactsbull Providing resources amp supportbull Helping schools move forward with their own

stigma reducing initiativesprojects

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

TAMI ndash Supporting TeachersSupporting TeachershellipHow

bull Ensures the TAMI program compliments the new Ontario Secondary School Curriculum Guidelines

bull Provides practical ready-to-use information on mental illness (Teacherrsquos Guides amp Student Workbooks)

bull Introduction Session of TAMI in class provided by Coalition Member to kick-start the TAMI Program

bull Pre test experiential exercises discussion on stigma preparing for the speakers

bull Interactive in class presentation provided on 4th day by Coalition Member amp Speakers (living with mental illness)

bull Provides links to local community resources amp support (for further information amp professional supports)

Creating healthier environmenthellipstudent well-beinghellipschool well-beinghellipcommunity well-being

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Speaker Training

Initially ndash bull Utilized Coalition

Memberrsquos Contacts (Volunteers etc) to seek out individuals living with mental illness to be part of the program amp wanting to champion change in their community

3 of our current speakers are original speakers from the start of TAMI (6 years ago)

Evolved ndashbull As TAMI demand

grew we required recruiting of more speakers created speaker application form amp information flyer for potential speakers

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Speaker TrainingNow amp Moving Forward ndash

bull Application is reviewed by sub-committeebull Selected candidates contacted to attend

introduction amp interview (small group with sub-committee)

bull 4 Mtgs with sub-committee (speech writingpractice)

bull Intro to CoalitionPractice with questions

bull CPICs

bull Attend Summit 2-3 class sessions

bull When ready present for in class TAMI

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Supporting Our SpeakersSupporting Our Speakersbull Providing 1on1 speech developmentbull Support from peer speakers amp Coalition

Membersbull Inclusion through full Participation (TAMI

Program SOS luncheons discussions eliciting feedback honorariums etc)

bull Honouring their personal schedules amp wellnessneeding a break

ldquoWithout our Speakers there wouldnrsquot be a TAMI Programrdquo

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

The ldquoSOSrdquo Summit Conference Conceptualization

Increase the knowledge of mental illness and decrease the associated stigma because research shows that decreasing stigma reduces attitudes and behaviours that might be barriers to care seeking (Corrigan 2004)

Provide high school students and teaching staff with the tools needed in order to deliver anti-stigma campaigns in their home schools

Provide orientation to a mental health facility (Whitby Mental Health Centre) because even a brief visit to a mental health facility can improve attitudes beyond classroom education (Wallach 2004 Watson Miller amp Lyons 2005)

Provide an opportunity for interaction between students and consumer survivors which is empirically recognized as the most powerful model of learning (Angermeyer amp Matchsinger 1996 Corrigan et al 2001)

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

ldquoSOSrdquo Summit Conference Process

Participants 4550 students from 95 of Durham Region high schools have been reached through a Durham TAMI program (Summit 5-day In-class Staff Workshop amp School Assembly) On average 1-2 staff and 4 students from 30 different schools attend the annual Summit conference each year (total participants for 3 Summits 370)

Participants complete pre and post tests to assess knowledge and attitudes about mental health

Throughout the day participants hear the life stories of 4 consumer survivors followed by interactive discussion participate in experiential learning exercises and are given tools to assist in developing anti-stigma campaigns at their school

Results substantiate that the SOS Summit was the most effective program in reducing negative stigma and empowering students

ldquoThis experience has been wonderful I have seen such a positive change in students and their outlook on

mental illness Equally important is that I have learnt a lot and can begin to pass on a positive message about

mental illness to my studentsrdquo

-Staff Participant

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

As a result of SOS programshellipknowledge As a result of SOS programshellipknowledge about mental illness increasedhelliphellipabout mental illness increasedhelliphellip

Participants in the Summit had the 2nd highest gain in knowledge however their overall knowledge level was the highest

Participants in the Summit were a group of students and staff selected due to their potential to take the message back to schools

Time by gender by program type ANOVA

Males Females

In Class

Pre Post16

18

20

22

24

26

28

30

32

34

36

38

40

Kn

ow

ledg

e S

co

res

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In Class -Pilot

Pre Post

32

no change

16

25

38

A student participant said ldquoIt made me want to go back to school and help people and get my school involvedrdquo

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

helliphelliphelliphellipand negative stigma went downand negative stigma went down

ldquoWhat I liked the most about the program is the fact that someone I know has a mental illness that I see everyday but am not always comfortable around her Now Irsquom always with herrdquo ndashMale Student

The Summit was the most effective program at decreasing negative stigma

Time by gender by program type ANOVA

Males Females

In Class

Pre Post13

14

15

16

17

18

19

20

21

22

23

24

25

Stigm

ati

zin

g A

ttitude S

core

s

Summit

Pre Post

Control

Pre Post

Assembly

Pre Post

In-class pilot

Pre Post

4712

14

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

What Participants Liked Most About theSummit Conference

6560960

1520640 320

Speakers Stories

Question Period Interactive Discussion

Group Activities

Other

Missing

All Summit Participants (n=103)

Speaker Testimonial

ldquoSpeaking for TAMI has given me the confidence I need to reach out and try to erase the stigma attached to mental illness The students I talk to have become like a second family Their intelligent questions have taught me how much they are willing to learn and Irsquove become a better person for talking to themrdquo Ivor Vasconcellos TAMI Speaker 5 years

Research has also shown evidence of the empowering effect that telling onersquos story and interacting with program participants can have on consumers (Wood amp Wahl 2006)

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Summary

bull Contact

bull Impacts ndash immediate on students

bull Sociological ndash within school teams and systems

bull TAMI contact wwwwhitbymentalhealthcentreca

Thank You

bull Questions

• Mental Health and Schools Symposium April 21 2008
• What is Stigma What are the effects of Stigma
• What is Stigma
• World Health Organization
• Mental Health Commission of Canada
• Mental Health Commission of Canada
• Effects
• Effects of Stigma
• Three Types of Stigma Identified
• Slide 10
• Slide 11
• Summary from Current Literature Approaches
• Attitude Shift How to Make Changes
• Making Changes
• PowerPoint Presentation
• Durham TAMI Coalition
• Coalition Structure
• Why Are We Doing This
• TAMI History
• TAMI Projects
• School Partnership Process
• School Partnership Process
• TAMI ndash Supporting TeachershellipHow
• Speaker Training
• Slide 25
• Supporting Our Speakers
• The ldquoSOSrdquo Summit Conference Conceptualization
• ldquoSOSrdquo Summit Conference Process
• As a result of SOS programshellipknowledge about mental illness increasedhelliphellip
• helliphellipand negative stigma went down
• Slide 31
• Summary
• Thank You