Mental Health Stigma and Perception of Mental Disorders Conservativism and religiosity in Greek Orthodox society are the primary instigators of mental health stigma in Greece. According to Sorel (2013), “[s]tigma is a cultural phenomenon and a major barrier to access to mental health care. Stigma affects individuals and their decision to seek care.” Stigma not only affects help-seeking behavior, but it also impacts the behaviors of medical practitioners, policy makers and community leaders. Case in point, Chaffin (2012) points out that, “…reporting is often imprecise in Greece because of the shame attached to suicide. For example, the Greek Orthodox Church has been known to withhold funeral rites from victims.” Over the past 20 years however, the stigma against mental health treatment has decreased, due to the crisis and widespread occurrence of mental illness, according to Voulgari a clinical psychiatrist at the Hellenic Centre for Mental Health and Research (as cited in Chaffin, 2012). In part, the shift in attitudes toward mental health may be attributed to initiatives such as Psychargos programme at the national level, which emphasized social inclusion and cohesion in the community (Argyriadou, and Lionis, 2009).
Diagnostic standards and Mental Health Assessment
Argyriadou, and Lionis, (2009) contend that, “[t]here is an impression that Greek GPs are capable in recognizing common mental health morbidity, as is reflected in both intervention research programs and daily clinical practice.” In Greece, the Mini Mental State Examination (MMSE) and Geriatric Depression Screening Scale (GDSS) are used to assess cognitive and mood disorders. Uniquely, “[i]n one informative study recently completed in Heraklion, Crete, the Edinburgh Postnatal Depression Scale (EPDS), a key device and screening method used with mothers during the postpartum period for early detection of postnatal depression, was utilized” (Argyriadou and Lionis, 2009).
Governmental and Nongovernmental Mental Health Services
“In Greece, primary health care (PHC) was established by law in 1993 when the National Health System (NHS) was formed” (Argyriadou, and Lionis, 2009). In general, primary care is provided by the general practitioners (GPs)
Stigma can be expressed in various term, it can be a brand, labelling or identification. It is a differentiation of a person resulting to a boundary between “us” and “them” (Link and Phelan 2001). These affect consumers in a way they are discriminated and treated differently because they have mental illness. The effect of stigma can take away the rights of consumers who are suffering from mental illness causing social dilemmas (SANE Australia 2013). A survey shows 74% of consumers experience stigma from school, work, and social activities. Consumers had only one feedback, to reduce stigma so they can go with their life peacefully and engage in normal social activities without discrimination (SANE Australia 2006). It is
7. Lt Col Chris Karns, "Eliminating Stigma: A Leadership Responsibility," U.S. Air Force, 02 September 2014,
The disparity in treatment has been attempted to be remedied over the eras. Bills and Acts put into place in the 20th and 21st centuries have seeked to improve care and reduce stigma around those with mental illness. This began in 1942, when Harry Truman signed the National Mental Health Act, which requested the formation of a National Institute of Mental Health. Shortly after this, in 1949, the National Institute of Mental Health was established (“National Institute of Mental Health”). During the company’s 60 year lifespan they have focused on research about mental illness, educating the public, and improving the lives of the mentally ill by working to pass laws. One law that seeks to reduce the stigma of mental illness is the Mental Healths Service Act of California. "California 's Historic Effort To Reduce The Stigma Of Mental Illness: The Mental Health Services Act" from the American Journal Of Public Health illustrates how the Act will make improvements. Families and individuals who have experienced stigma had a big role in the process, specifically with developing a 10 year plan, the California Strategic Plan on Reducing Mental Health Stigma and Discrimination. One component of the Act discussed is the work plan developed by California Mental Health Services Authority, which has three components: stigma and discrimination reduction, student mental health, and suicide prevention. Organizations such as the NIMH have made efforts resulting in the evolution of mental
One of the biggest contributors for poor healthcare is the stigma against mental health. This stigma allows healthcare providers to view those with a mental illness as having low relevance, thus creating disinclination towards providing adequate resources and/or care. This negative stance, based on misinformation and prejudice creates those that have a mental illness to lose their self confidence. Because of this loss, people with mental illness decide not to contribute to their health or livelihood. In the past fifty years, many advances have been made in mental healthcare. However, with the attached stigma, many people choose to not seek out treatment.
To many a stigma is a disgraceful flaw, that of a negative presence. In mental health this stigma is overwhelming. Approximately 57.7 million Americans experience a mental health disorder in any given year. (National Alliance on Mental Illness) People in dire need of help are not seeking it. Mental illnesses are going undiagnosed. The mental health stigma is having a negative impact on the proper diagnosis and treatment of mental illnesses.
The majority of people that have a severe mental illness are object to challenges in double measure. From one point of view, they wrestle with the symptoms and disablement that result from the illness. From another point, they are tested by the stereotypes and preconceived ideas that stem from the misunderstandings about mental illness. As a culmination of both, people with a mental illness are stripped of the chances that define a quality life such as a good job, safe housing, adequate health care, and a connection with a varied group of people. Although research has gone a long way to understand the affect of the disease, it only recently has begun to explain the stigma of mental illness (Corrigan). The lives of people who are living with a mental illness are many times drastically adjusted by the symptoms of the illness and everyone’s response to them. While symptoms can normally be diminished by a number of actions, the intrinsic stigma and prejudice that comes with mental illness may continue on for a lifetime and can manifest themselves in a number of understated and non-understated ways. Normally, when one thinks of a stigma, they think of disgrace that is associated with a particular event, circumstance, or occasion. People with a mental illness are most often branded as an effect of their behavior, appearance, therapy, their economic status, and also the negative depictions in the media of the mental illnesses. People with a mental illness often have a “stereotype
There are still many societies that view people with mental health problems as threatening or unstable. These attitudes often cause stigma and discrimination towards people with mental health problems. Many people who make these assumptions about people with mental health problems are often uneducated. Social workers today educate and help families that may may be struggling with this disease. Mental health disorders affect different people and are more prone to exist in areas where help can be found or is not affordable. Mental health disorders are often frowned upon by people because they do not understand it. Many people live throughout their lives not getting the help they need because of stigma on this topic. As a society Mental health diseases should be identified as problem that can be fixed and not be an identification for the person it is affecting.
Until recently, few health insurance plans provided coverage for mental health services to the same extent as physical health services, if they were covered at all. The reasons for the discrimination in health insurance vary, but mental illnesses historically have not been well understood by the public, and people have had a hard time understanding that mental illnesses are biologically based diseases that affect the mind and body just like any other disease that has solely physical manifestations. A stigma is said to occur when people view something in a negative way because of a distinguishing characteristic or trait that is thought to be, or is, a disadvantage. The stigma surrounding mental illness has led to direct and obvious discrimination and one of its results, and the focus of this paper, is the discrimination to the mentally ill and mentally infirm by not providing health insurance that adequately covers mental illness diagnosis and treatments. Despite the progress of mental health parity legislation, the passing of the ACA and the advances in mental health research that have revealed that mental illnesses are biologically based, a stigma still remains around individuals with mental illnesses, that has led to exemptions, road-blocking the goal of full parity. This paper demonstrateS that while advances in the availability of private insurance coverage for those with mental illnesses has improved, there are still loopholes that private insurance
This paper is an analysis of mental health and the stigma that is associated with mental illness. The reputation accompanying mental illness causes detrimental effects on those with a psychiatric disorder, such as discrimination, poor health outcomes and social suffering. This is partly due to a lack of public education on the matter, along with attributions of violence related to mental illness caused by news reports. A multi-faceted campaign to increase the public’s knowledge about mental health is critical to assuage the negative attachments affiliated with mental illness.
People with mental disorders were considered as vulnerable in the society due to the limitations in their rights. Such a situation of individuals cause oppressions as a result of dominant discourse prejudice. The capabilities of people with mental health histories often underestimated by the community. The result of such discrimination is devastating for individuals with mental health concerns. The focus of mental health intervention has undergone changes since its introduction. The treatment services have become more respectful of the rights of the individuals as the institutionalized services became more community oriented services (Rodriguez del Barrio et al., 2014). If a person is diagnosed with a mental disorder, the society tends to ostracize the individual and stigma attached to such situations can be termed as sanism (Morrow & Weisser, 2012). Sanism contributes to an organized suppression and oppression of mental health consumers (Perlin, 1992, 2003; Poole et al., 2012 as cited in LeBlanc & Kinsella, 2016). An intersectionality analysis coupled with anti-oppressive approach can be used to unpack sanism and other multiple oppressions faced by the marginalized population (Mullaly, 2010).
The Affordable Care Act created a paradigm shift for public health in the US. Government in communities across the country have made significant progress in combating AIDS, preventing cancer, reducing tobacco use, and increasing vaccinations. However, one issue remains sorely overlooked, the state of mental health in the US. According to the National Institute of Mental Health 43.7 million Americans have a mental illness in any given year and only a third of those with a mental illness receive care. Although, the Affordable Care Act increased financial access to mental healthcare, many barriers still exist. Data from the Department of Health and Human Services shows that 55% of US counties lack a single mental health professional. Stigmas and attitudes towards mental health issues prevent people from pursuing help, as 71% of individuals in a Psychiatric Services study believed they could solve their mental health issues on their own. The American Journal of Psychiatry goes on to point out that all of these factors cost the US $193.2 billion in lost earnings per
The negative stigma of mental health has lightened slightly over the years, however, it has not rescinded entirely. People still have an unmanageable time admitting that they may have a mental disorder and that they require assistance. Human beings struggle with these hindrances openly and also hidden on a daily basis. Therefore, our civilization needs to remove the shame associated with the treatment of mental disorders and work on devising a progressive suitable mental healthcare plan in order to ensure that many live a healthy, happy, and prosperous
It is estimated that 43.5 million Americans, adults 18 or older, live with mental illness. This number represents 18.1% of all U.S. adults (National Institute of Mental Health, 2014). Stigma toward those who are seen as different have existed for as long as civilization itself, with the stigma for mental illness being one of the most prominent and long lasting that society has had to face throughout its ages (Arboleda-Florez & Stuart, 2012). Increased understanding and awareness for those individuals suffering from mental illness is necessary for us to overcome the impacts stigma has on our society.
“I want to be able to talk to someone in a pub and say ‘I have been mentally ill’ and for them to say ‘That’s interesting, what did you experience?’”, said a survivor from the UK in 1997 (Sayce 18). Almost twenty years later and this man 's wish still has not come true. People may ask why, and the answer is because of the stigma that comes along with having a mental illness. Mental illness is something not often talked about because of the fear of being judged. According to the National Alliance on Mental Illness, one in every four Americans has a mental illness, and only about 40% of them seek professional help (Hamid). People are being put into mental institutions instead of getting the help that they need to get better, because even people in the medical field are not understanding about this situation because they do not understand how it feels. The stigma and stereotypes towards mental illnesses are overwhelming, therefore people should be made aware of their impact and take steps to reduce stigma and stereotypes.
There is a stigma in our country regarding mental health and its treatment. These stigma are divided between social stigma and perceived or self-stigma. Social stigma are those that society places negative feelings towards a certain group, which can lead to discrimination. Perceived or self-stigma are those internalized feelings of the mentally ill individual on how they feel society views them. Both types of stigma can lead to negative feelings of the mentally ill individual through feelings of shame, depression, hopelessness, and anxiety. Current policies on mental health are limited by federal legislation and may only address the aspect of public discrimination.