The evaluation of Englands Time to Changeprogramme to reduce mental health related stigma and discrimination, 2008-11

Presentation First Author: 
Claire Henderson

Time to Change (TTC) is the largest ever programme in England to reduce stigma and discrimination against people with mental health problems. Funded with £20.5 million from the Big Lottery Fund, Comic Relief and SHiFT (Department of Health), the first phase of TTC ran from October 2007- September, 2011. It was delivered by Mental Health Media, Mind, and Rethink Mental Illness. The evaluation partner was the Kings College London Institute of Psychiatry. We summarise and synthesise data collected before and during the programme. Public attitudes and social contact: Relative to its target of a 5% positive shift in attitudes towards mental health problems results from the Attitudes to Mental Illness Survey showed a 2.4% improvement in attitudes since TTC began in 2008. This change is marginally statistically significant. Social contact is the strongest predictor of better attitudes and appears to be increasing; between 2008 and 2012, there was a significant decrease in respondents stating that they did not know anyone with a mental illness in 2008 (52.5%) compared to 2012 (37.7%). Additionally, this survey and social marketing campaign data have shown positive associations between attitudes and both campaign awareness and social contact. A measure of public Reported and Intended Behaviour (RIBS) was introduced to the Attitudes to Mental Illness general population survey in 2009 as part of the TTC evaluation. It shows a statistically significant improvement in intended behaviour of 2.8% between 2009 and 2012. Discrimination reported by service users: We measured discriminatory behaviour as experienced by mental health service users using the Discrimination and Stigma Scale (the Viewpoint survey). Relative to its target of a 5% reduction in discrimination by 2012, the Viewpoint survey shows significant improvements from 2008 to 2011 including: • A 3% drop in those reporting discrimination in one or more life areas in the previous year (91% compared to 88%). - A fall of 11.5% in the mean score of experienced discrimination, which takes into account areas of life which dont apply to respondents. This was 28.5% of life areas in 2011 which is significantly lower than in 2008 (40%). - Reduced discrimination by friends (14%), family (9%) and in social life (11%), as well as the overall experience of being shunned (8 %). However, no significant improvements were seen in the reporting of discriminatory experiences from health care staff. The results of anti-stigma training (Education Not Discrimination) were also mixed, suggesting that while it had a lasting effect on the trainee teachers who completed the six month follow up, for medical students the effect was only short lived. This may be consistent with the lack of change in levels of experienced discrimination from health professionals among Viewpoint participants. Newspaper Reporting: Analysis of articles from 27 local and national UK newspapers (from two days of each month) shows significant changes to newspaper reporting. In 2008 the proportion of articles was 46% stigmatising articles and 31% anti-stigmatising, and this improved in 2011 to 45% stigmatising with 41% anti-stigmatising. The research and policy implications of these changes will be discussed.

Conference Name: 
Presentation Date: 
November, 2013
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