Stigma, Discrimination and Recovery Flashcards
Definition of stigma
- a sign of shame or disgrace or disapproval, to shun or reject
- the word stigma comes from an old greek word meaning to brand ot tattoo
a combination of - ignorance: problem knowledge
- prejudice: problem attitude
- discrimination: problem behaviour
Impacts of stigma individuals
contributes to negative feelings such as shame, unworthiness, rejection, and loneliness.
some people who experience mental illness or addiction issues do not seek help for fear of it being a mark of social disgrace or attracting stigmatisation
definition of discrimination
is the systemic, unfair treatment of people, because they are different
- discrimination is a behaviour that says to people with mental health and addiction issues that
- we don’t want you here
- you’re not as good as us
- you are not important
impact of self-discrimination
- discrimination of families/ whanau
- often blamed for the illness
- lack of tolerance and understanding
- guilt and shame
- frustration
- that they cant “fix it”
- those services can’t “fix it”
exclusion of family and whanau
impact of discrimination with families
lack of education= inaccuracy in knowledge= possibility of unhelpful/abusive responses
- feeling responsible, ashamed of the reputation = less likely to ask for help
- more likely to wait to long before accessing services
- feeling helpless to fix their loved ones and frustrated that MH services can’t either
impact on community
- social avoidance and exclusion- lack of tolerance and knowledge from public services (school, church, general hospital, police)
- reputation being inherited
- assumption of ignorance
- blamed for problem
guidelines for use of language in reducing stigma
- refer to people as people first and add specific characteristics only as required
- avoid referring to people as their illness
- avoid extending the nature of the persons illness with terms such as chronic, persistent or severe
Principles of recovery
- Is borne with HOPE
- is a JOURNEY defined by the individual
- needs a SUPPORTIVE environment to thrive
- involves individuals REDEFINING WHO THEY ARE in the presence of psychiatric labels
- is an ACTIVE AND ONGOING process
- is a NON-LINEAR journey
- recovery skills can be learnt
- involves a person EDUCATING THEMSELVES about their illness
- learning to manage both INTERNALISED AND EXTERNALISED stigma and discrimination
Essentials of recovery oriented practice
- creating relationships of safety
- encouraging the person to have some sense of control
- engaging with curiosity
- attending to language and meaning
- tapping into the person’s own capacity for self-knowing
- facilitating self-help and personal responsibility
- trauma informed service delivery
Strengths model: principles
- people with mental illness can recover, reclaim and transform their lives
- focus is on the individuals strengths rather than deficits
- the community is viewed as an oasis of resources
- the client is the director of the helping process
- the nurse- client relationship os primary and essential
- the primary setting for our work is the community
Trauma
is the lasting adverse effects on a person’s or collective’s functioning and mental, physical, social, emotional or spiritual well-being, cause by events, circumstances or intergenerational historical traumatic experiences.
Trauma informed care
a framework for human service delivery that is based on knowledge and understanding of how trauma affects people’s lives
- a strengths based service delivery approach grounded by understanding of and responsiveness to the impact of trauma that emphasizes physical and psychological and emotional safety for both providers and survivors, creates opportunities for survivor to rebuild a sense of control and empowerment
Trauma informed care key features
- valuing the individual in all aspects of care
- neutral, objective and supportive language
- individually flexible plans and approaches
- always avoid shame and humiliation
- focusing on what happened to. you? instead of what is wrong with you
- asking questions about current abuse
- one person sensitivity asking the questions
- noting that people who are psychotic and delusional can respond realiaby to trauma assessments if questions are asked appropriately
Trauma based approach
- the primaily views the individual as having been harmed by something or someone. thus connecting the person and the socio-political environments
- this framework expects individuals to learn about the nature of their injuries and to take responsibility in their won recovery
Trauma based approach key features
- integrates philosophies of quality care that guide assessment and all clinical interventions
- is based on current literature
