Information for Healthcare Professionals

 
Downloadable materials available
Brief description
Creative Minds

Every Family in the Land

E-book for healthcare professionals, service users and providers and the general public

 

Does it matter if doctors discriminate?
Leaflet for doctors
“Does it mater if
doctors discriminate”
DO WE STIGMATISE OUR PATIENTS?
• Surveys show stigmatisation of people with mental illness is widespread
• People believe they are dangerous, difficult to talk with, unpredictable and partly responsible for their illness
• People who are doctors can hold stigmatising attitudes too
 
DOES IT MATTER?
YES
To our patients, who fear our stigmatisation and are reluctant to seek help – particularly early on, when treatment can be most effective
YES
To us as doctors, who fear stigma when we have psychological problems ourselves:
- doctors with untreated psychiatric illness who continue to practise may put patients at risk - reluctance among doctors to seek treatment may account for the high suicide rate in the profession
 
FACING THE FACT OF STIGMA
• Training in psychiatry and successful treatment of patients help reduce stigmatising attitudes, but:
- patients with psychiatric problems often need more time than other patients
- meeting their needs in a busy general or
specialist practice can be frustrating, leading to negative attitudes
- it’s all too easy to be pessimistic and
underrate the patient’s capacity to respond
to treatment
- patients who fear stigmatisation are highly
sensitive to even small indications of
stigmatising attitudes in us
 
HOW CAN STIGMA BE REDUCED?
• We doctors need to admit to any stigmatising attitudes, and to check our thoughts and behaviour repeatedly – just as we do with other areas of discrimination
• All doctors should possess the understanding and skills to help patients with psychiatric illness.
Greater skills and experience will:
- make our work more effective, less time-consuming, more rewarding for us and more
helpful to our patients
- enable us to give more help and support to colleagues with psychological problems
 
WHAT CAN WE DO NOW?
• Read Mental illness: stigmatisation and
discrimination within the medical profession
(CR91)
. This is a joint report from the Royal College of Psychiatrists, the Royal College of Physicians of London and the British Medical Association. It was written with the involvement of patients, the Royal College of General Practitioners, the Royal College of Nursing and the Department of Health.
• Look at www.changingminds.co.uk and
www.stigma.org/everyfamily
CR91 was published as part of the Changing Minds
– Every Family in the Land anti-stigma campaign, organised by the Royal College of Psychiatrists
 
To obtain a copy please send an A5 stamped addressed envelope to:
Changing Minds Campaign Office,
Royal College of Psychiatrists,
17 Belgrave Square, London SW1X 8PG,
Tel: 020 7235 2351

For further information about the Campaign,
please e-mail: stigma@rcpsych.ac.uk

 


Time wasters
Leaflet for doctors
“Time-wasters…
does it ring a bell?”
This is a short punchy full-colour leaflet for General Practitioners. It addresses the problem of the patient who consults again and again but makes no progress. An illustrative case history of 'Jim' shows how difficult it is for some patients to be aware of, or disclose, mental health problems.
Jim's reluctance to acknowledge his depression and anxiety is a side-effect of the stigma attached to mental illnesses, particularly among young men. This leaflet encourages GPs to be alert to mental health problems when they encounter 'heart sink' patients like Jim.
 
'Time-wasters...' was published in conjunction with the Changing Minds Campaign Roadshows for Primary Health Care Workers.
 
To obtain a copy please send an A5 stamped addressed envelope to:
Changing Minds Campaign Office,
Royal College of Psychiatrists,
17 Belgrave Square, London SW1X 8PG,
Tel: 020 7235 2351

For further information about the Campaign,
please e-mail: stigma@rcpsych.ac.uk
 

Adobe PDF
Opinion surveys
A randomised sample of 1700 people was interviewed in July 1998 - before the start of the campaign - by the Office of National Statistics. They were asked a series of eight questions about the six disorders which the campaign is tackling: depression, anxiety disorders, Alzheimer's disease and dementia, eating disorders, schizophrenia and alcohol and drug misuse.
 
A full analysis of the survey was published by Crisp et al (2000) in the British Journal of Psychiatry (177) 4-7 and can be downloaded free of charge.
 

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ReferencesReferences to over 100 articles published in the medical press, for research and information
 

Adobe PDF
Every Family in the LandE-book for healthcare professionals, service users and providers and the general public
 

Information leaflets:
 
mental disorders
Mental disorders:
Challenging prejudice

This introductory leaflet answers questions such as what mental disorders are, what causes them, whether they can be treated and how psychiatry can help. It also looks at what stigma is and the harm it does, and challenges some common myths about mental disorders.
 

alcohol and drug misuse
Alcohol and other drug misuse
Alcohol and other drug misuse looks at the difference between psychological and physical dependence, who misuses substances and what causes them to do so. It reviews current treatments and reminds us of the problems which alcohol and drug addicts create for their own children.
 

anxiety
Anxiety
Anxiety disorders cause people a number of different physical and psychological problems and affect women more than men. The cause is not always clear and genetic factors may be important. A range of effective treatment is available if the sufferer seeks help, and we as individuals can be supportive rather than critical - the stigma associated with severe anxiety can be challenged.
 

anorexia and bulimia
Anorexia and Bulimia
Anorexia and bulimia explains how these eating disorders can develop in childhood and adolescence, usually in girls. Mental health professionals need a variety of skills to treat people with eating disorders; anorexics in particular can be quite resistant to change, and work with the family may also be necessary.
 

depression
Depression
Depression describes an illness 'when the sadness has gone too far'. People who are depressed can not 'pull themselves together' but need treatment, perhaps with drugs, perhaps with counselling or therapy. This leaflet reminds us that at least one in five of us will become depressed at some time in our lives and looks at the causes and treatments and at what society can do to help.
 

alzheimer's disease and dementia
Alzheimer’s disease & dementia
Alzheimer's disease and dementia is designed to make people think twice about how they view sufferers of the most devastating mental diseases of old age. It provides facts about what dementia and Alzheimer's disease are, who gets them, what causes them and what treatments are available. The leaflet also suggests what society can do to improve things for sufferers.
 

schizophrenia
Schizophrenia
Schizophrenia is not a 'split personality', as is often thought, but a disturbance of thought, feeling and behaviour. This leaflet outlines facts which are known about the disease, which affects about one in a hundred people, and explains what we understand about the causes. Effective treatment involves a number of different approaches and there are a number of things society can do to help improve the lives of people with schizophrenia.
 

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Creativity and mental disorder
Psychiatrist Dr John Morgan considers the link between creativity and mental illness in this 37-page article written for the Campaign website. Portraits from the National Portrait Gallery form the basis for discussion about the work of individuals and the link between their creativity and their mental health.
 

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Personality disorder
Written for the Changing Minds Campaign by psychiatrist Dr Oscar Hill, this article examines the complex issue of personality disorder: what it is, how far people with personality disorder should be be blamed for their behaviour, whether they should be treated compulsorily, and whether there is any way of changing them.
 

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Stigmatising suicide
The article answers questions such as ‘Are suicidal people mentally ill?’ and explores the suicidal state of mind. In particular, it examines our attitudes towards people who are suicidal, and challenges a number of negative thoughts about suicide and its prevention.
 

Article
How much is violence associated with mental illness?This article, written for the Changing Minds Campaign by psychiatrist Dr Oscar Hill, examines the statistics and other factors relating to violence and homicide. It discusses why the government and the media tend to stress the danger of violence from people who have a mental illness, and what can be done to reduce stigma and fear.
 

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This is the second edition of this popular publication which now includes 36 factsheets covering an even wider range of mental health issues. The aim is to provide practical and up-to-date information about the emotional and psychiatric disorder which can affect children and young people.
 
Price: £10.00
ISBN:1-901-24243-9
October 1999
 

Royal College of Psychiatrists
“Mental illness: Stigmatisation and discrimination within the medical profession
This report, produced for the Changing Minds campaign, addresses the issue of stigmatisation of people with mental illnesses by doctors
 

Book:
  
Changing Minds book
Edited by Rosalind Ramsay, Anne Page, Tricia Goodman and Deborah Hart

Price: £10.00
Format: paperback
160pp
Dec 2002
ISBN 1 901242 88 9

Order form

 


Adobe PDF
Primhe Resource PackResource pack, produced by Primhe (Primary Care Mental Health and Education) for promoting mental health, cultivating social inclusion, and managing mental health problems in Primary Care. It provides a guide to developing integrated services in line with the National Service Framework for Mental Health.
 

Links to other websites
 
screen shot
Reviews of recommended websitesReviews of recommended websites
Mental health websitesMental health websites
Disorder related websitesDisorder related websites
Websites for young people, parents and teachersWebsites relating to young people and mental health
© 2006 Royal College of Psychiatrists