Countering Stigma

"A double whammy" is how Paolo del Vecchio, M.S.W., describes the plight of older people who have mental illnesses. "These older adults not only experience discrimination related to getting old, but they face the stigma associated with mental illness on top of that," said Mr. del Vecchio, Associate Director for Consumer Affairs at SAMHSA's Center for Mental Health Services (CMHS).

The stigma is compounded for members of racial/ethnic minority groups and residents of rural communities.

CMHS convened two roundtables early in the year with help from the Geriatric Mental Health Foundation and the National Mental Health Awareness Campaign to find ways to counter stigma. The events convened researchers, advocates, practitioners, media representatives, grant writers, and consumers of mental health services.

Roundtable participants began by identifying types of stigma. For example, older people are often afraid to acknowledge their own mental illness.

Participants also identified barriers, such as a lack of understanding, resources, and competent providers. In response, participants formulated a strategy that centers on a two-part awareness campaign.

One effort would focus on empowering older people with mental illness by educating them. "One of the ways to effect positive change is to engage more older adults," said Mr. del Vecchio.

A broader effort would use the media to send a positive message about mental health and aging to older people, their adult children, and the public. Recommendations include producing articles for use in senior center newsletters, briefing journalists on mental health and aging issues, and developing public service announcements.

SAMHSA will use the recommendations as the Agency starts planning a national anti-stigma campaign this fall. For more information, contact Paolo del Vecchio at pdelvecc@samhsa.hhs.gov.

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