The impact of stigma and discrimination on people with mental - - PowerPoint PPT Presentation
The impact of stigma and discrimination on people with mental health problems David McDaid Mental illness in the 21st Century An Increasing Challenge for Europe, European Parliament, Brussels May 2013 Personal Social Services Research Unit
David McDaid Mental illness in the 21st Century – An Increasing Challenge for Europe, European Parliament, Brussels May 2013 Personal Social Services Research Unit and European Observatory on Health Systems and Policies, London School of Economics and Political Science E-mail: d.mcdaid@lse.ac.uk
10 20 30 40 50 60 70 Severe Moderate Mild None Belgium France Germany Italy Netherlands Spain USA
Adapted from Wang et al 2007
Chang C-K et al, PLOS One, 2011
Socio-economic impacts by age 25 of behavioural problems in children aged 7-9 in New Zealand
Education / Employment Outcome 50% of cohort of children with fewest behavioural problems 5% of children with most severe behavioural problems No educational /vocational qualifications 6% 52% University degree by age 25 36% 0% Unemployed > 12 months between age 21 and 25 7% 17% Welfare Dependent age 25 9% 33% Became a parent before 20 6% 14% Imprisoned ever 0% 8% Drug dependant 6% 15% Mean Gross Income ($US 2010 prices) $22,336 $16,063
Fergusson et al, 2005 Journal of Child Psychology and Psychiatry
stigma
“Today, companies are used to joining and managing people with physical disabilities. This is quite common now and there’s no problem such as fear. On the contrary, it is true that as soon as mental ill health is discussed, managers slam on the brakes.” “When the personnel is reduced in a service and you have to hire or keep a disabled person, physical disability doesn’t seem to be such a constraint because once the professional environment is adapted, there’s no productivity problem, contrarily, mental disability is a problem for productivity.” Source: Optiwork Group 2006
Source: ‘Sick on the job’ OECD, 2012
Source: ‘Sick on the job’ OECD, 2012
Source: Department of Work and Pensions, 2012
20 40 60 80 100 120
Up to 3 months 3-6 months 6 months - 1 year 1 year to 2 years 2 years to 5 years
Duration of Employment and Support Allowance Claims
Other Mental and Behavioural Disorders Diseases of the Nervous System Diseases of the Circulatory or Respiratory System Diseases of the Musculoskeletal system and Connective Tissue Injury, Poisoning and certain other consequences of external causes
DAK Gesundheit 2013