According to a recent survey by the American Psychiatric Association (APA), 89% of the American population feel that mental health and physical health are equally important. When so many people recognize the importance of mental health, it's surprising that there is still so much mental health stigma.
That bias is a major factor contributing to low health engagement rates where mental health screening is concerned, particularly for men and poorer populations.
One issue that stands out is that less than one-third of respondents to the same APA survey felt that physical and mental health were treated equally in our healthcare system.
Although more emphasis is being placed on behavioral health outcomes due to factors like Medicare Star Ratings and increased overall awareness, healthcare organizations and individuals still need to re-prioritize mental health.
Statistics like these from the APA and others demonstrate that a major attitude shift must occur to acknowledge the importance of mental health on overall wellness. Only then can we achieve better health outcomes for people with mental illnesses, and for the general population as well.
Facts Around the Mental Health Stigma
The National Alliance on Mental Illness (NAMI) reports that approximately 1 in 5 adults in the U.S. – over 40 million Americans - experiences mental illness in any given year. In addition, approximately 1 in 5 youth has already experienced a severe mental disorder in their lifetime.
These numbers prove that at a minimum we're all close to someone who has struggled with this problem. Clearly it’s not uncommon, and yet sadly mental health stigma still exists. And it has a direct impact on the numbers of people being screened and being treated.
According to a study by the Substance Abuse and Mental Health Administration (SAMSHA), stigma regarding oneself or “self-stigma” is the prevailing factor against seeking care. In other words, although we often don’t judge others for experiencing issues with mental health, we do judge ourselves much more harshly. Despite the fact that the numbers are improving, SAMSHA reports that nearly 40% of people experiencing mental illness fail to seek treatment or screenings, mainly due to stigma.
Strong Health Engagement Can Help
There are many ways that strong health engagement strategies can increase the number of people being screened for mental health issues. While the numbers for mental illness show a high percentage of the overall population experiencing problems, health engagement strategies that are personalized to meet the preferences of specific population health segments can be more effective. Those strategies need to include messages that educate around mental health, and that are specifically aimed at reducing mental health stigma, particularly self-stigma.
Studies show that men, for example, are less likely to seek help for mental illnesses. Motivating men by using messages and channels that are specifically customized to their behaviors and beliefs will result in much stronger participation and hopefully better outcomes. Younger populations may be more responsive to text messaging and other methods that drive greater response as well.
It’s clear that population health can be dramatically affected as plans become more focused on personalized health engagement strategies impacting mental health. The NIH reports that serious mental illness costs businesses in the U.S. over $190 billion in lost earnings every year. That alone should provide incentive for plans and providers to increase their efforts to combat mental health stigma.
We Can Help Fight Mental Health Stigma
We know that plans and providers can do a great deal to educate the public around mental health, and to increase member health engagement when it comes to screening, diagnosis and treatment. There are many ways as individuals we can work to help reduce mental health stigma as well. Here are two examples:
- NAMI has launched the Stigma Free Campaign to help drive acceptance and understanding around mental illness. The organization encourages people to take a “Stigma Free Pledge,” along with providing educational and outreach materials for use in social media and other advocacy efforts.
- Here in Minnesota, NAMI and several other organizations including the Mayo Clinic Foundation and HealthPartners have introduced Make It Ok! a program to engage and empower people to help educate others on the facts surrounding mental illness. It includes ways to look for bias against people with mental illness in the media and in everyday life, and provides toolkits to help reduce mental health stigma.
It’s clear that healthcare organizations and individuals still need to focus not only on improving mental health outcomes, but on reducing mental health stigma as well. This month at Revel we're focusing our content on mental health in honor of Mental Health Month in May. Follow us on Twitter and watch for NAMI's hashtag #CureStigma for more information.
How can health engagement get people to take action? Learn the 10 truths of getting people to engage in the age of the over-communicated healthcare consumer in this new eBook: 10 Universal Truths of Health Engagement.