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Stigma

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What is stigma?
Three out of four people with a mental illness report that they have experienced stigma. Stigma is a mark of disgrace that sets a person apart. When a person is labelled by their illness they are seen as part of astereotyped group. Negative attitudes create prejudice which leads to negative actions and discrimination.
Stigma brings experiences and feelings of: * shame * blame * hopelessness * distress * misrepresentation in the media * reluctance to seek and/or accept necessary help
Families are also affected by stigma, leading to a lack of support. For mental health professionals, stigma means that they themselves are seen as abnormal, corrupt or evil, and psychiatric treatments are often viewed with suspicion and horror.
A 2006 Australian study found that * nearly 1 in 4 of people felt depression was a sign of personal weakness and would not employ a person with depression * around a third would not vote for a politician with depression * 42% thought people with depression were unpredictable * one in 5 said that if they had depression they would not tell anyone * nearly 2 in 3 people surveyed thought people with schizophrenia were unpredictable and a quarter felt that they were dangerous
Some groups are subjected to multiple types of stigma and discrimination at the same time, such as people with an intellectual disability or those from a cultural or ethnic minority.
How can we challenge stigma?
We all have a role in creating a mentally healthy community that supports recovery and social inclusion and reduces discrimination. Simple ways to help include: * learn and share the facts about mental health and illness * get to know people with personal experiences of mental illness * speak up in protest when friends, family, colleagues or the media display false beliefs and negative stereotypes * offer the same support to people when they are physically or mentally unwell * don't label or judge people with a mental illness, treat them with respect and dignity as you would anyone else * don’t discriminate when it comes to participation, housing and employment * talk openly of your own experience of mental illness. The more hidden mental illness remains, the more people continue to believe that it is shameful and needs to be concealed.

Migrant and refugee mental health
The diversity of cultures, religious beliefs and languages spoken amongst Western Australians continues to increase. The processes of resettlement which migrants and refugees undergo can place their mental health at risk. Grief, loss and continuing anxiety over family and friends left behind can make it difficult to establish a new life.
Other barriers to overcome may include: * loss of family and social supports, particularly for women after childbirth * unemployment, lack of recognition of professional qualifications and a drop in socioeconomic status * language barriers * isolation from others of a similar cultural background * experiences of trauma before and after settlement
Adapting to a new culture can be a hurdle which impacts on mental health. Grief can relate to loss of values that were the norm in the culture of origin but not highly regarded in Australia. Some refugees witnessed and/or have experienced trauma, some had no choice but to flee their beloved country resulting in a longer recovery period on the loss of "what was" and what "life could have been". Time for grief work is often put aside as the needs of daily living take priority.
Culturally responsive services
Migrants and refugees have the right to culturally appropriate and responsive services. This means the health professional or service provider helps people by: * respecting everyone’s culture and beliefs * being open-minded * being up-front about things they don’t know and asking questions about a person’s culture and beliefs * developing shared expectations * allowing more time to support people when using interpreters * being flexible with appointment times * working with communities to increase mental health literacy and address stigma

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