1. Promote recovery, inclusion and respect for human rights.
Service user-led education programme to counter healthcare provider stereotypes, prejudice and discrimination associated with mental distress
End discrimination.
Promote recovery, inclusion and respect for human rights.

2. About us Dr Sarah Gordon Project Lead / Senior Research Fellow
Rachel Tester Project Manager / Research Manager / Research Fellow
Dasha Fedchuk Assistant Project Manager / Assistant Research Fellow
Jeremy Tumoana Service User Lead Responsiveness to, and inclusiveness of, indigenous
Māori peoples
Tracey Gardiner Research Assistant
Numerous Service User Educators and Two Programme Partners
Leadership team comprised of the personnel above, the Convenors of each of the programmes

3. Why target medical sCHOOLS?
Henderson, C., Noblett, J., Parke, H., Clement, S., Caffrey, A., Gale-Grant, O., ... & Thornicroft, G. (2014). Mental health-related stigma in health care and mental health-care settings. The Lancet Psychiatry, 1(6),
Thornicroft, G. (2011). Physical health disparities and mental illness: the scandal of premature mortality. The British Journal of Psychiatry, 199(6),

4. History of Programme 2011 Started with two 1-hour tutorials
Incremental evolution of programme
Sept Application to the Health Promotion Agency Grant Fund through Like Minds, Like Mine anti-stigma and discrimination education projects
Nov Awarded grant to pursue a three year project to counter healthcare provider stigma and discrimination associated with mental distress
Jan New service user research group established
First revised workshop for medical students delivered 3 Jan

5. 5th and 6th year medical students
Programme components
Learning objectives
Gain an understanding of the concepts of stigma, discrimination, the denial of rights and recovery and the relationships between them
Gain an understanding of what individuals and services can do to promote people’s recovery and wellbeing, and respect and protect people’s human rights
Be able to appraise how individuals and services promote people’s recovery and wellbeing and explore how this can be improved
Be able to appraise how individuals and services respect and protect people’s human rights and explore how this can be improved
Be able to consider all of the above in relation to tikanga Māori models and Pacific models of health and community practice
One 6-hour workshop, facilitated by 2 service user educators
One full-day placement with a service user-led and recovery focused service
One assessment - required to reach a pass standard to successfully complete the psychological medicine module
Two optional tutorials
Required reading

6. 1st and 2nd stage, and senior psychiatric registrars
Programme components
Learning objectives
Be able to appreciate how stigma, discrimination and negative assumptions about people with experience of mental distress impact their right to make decisions; and leads to coercive practices
Gain an understanding of how substitute decision-making violates human rights principles and supported decision-making promotes human rights principles
Be able to identify and apply personal and service-wide actions to end the use of seclusion, restraint and other coercive practices, and realise supported decision- making and advance planning
Be able to consider and apply all of the above in relation to to tikanga Māori models and Pacific models of health and community practice
1st and 2nd stage registrar programmes
Half day service user-led teaching
Half day workshop - service users and registrars working together to devise a plan for application of service user-led teaching in local context
Optional Supervision – one-to-one service user supervision for one hour per month is being made available to the trainees
Senior registrar programme

7. Evaluation: Quantitative
Pre/post attitude change evaluation – all programmes
Recovery Attitudes Questionnaire-16
Opening Minds Stigma Scale for Health Care Providers

8. Recovery Attitudes Questionnaire-16
1. People who are in recovery need the support of others.
2. Recovering from mental illness is possible no matter what you think may cause it.
3. A good understanding of one’s mental illness helps in recovery.
4. To recover requires faith.
5. Recovery can occur even if symptoms of mental illness are present.
6. People in recovery sometimes have set backs.
7. People differ in the way they recover from a mental illness.
8. Recovering from mental illness can occur without help from mental health professionals.
9. All people with serious mental illnesses can strive for recovery.
10. People who recover from mental illness were not really mentally ill in the first place.
11. The recovery process requires hope.
12. Recovery does not mean going back to the way things used to be.
13. Stigma associated with mental illness can slow the recovery process.
14. Recovering from the consequences of mental illness is sometimes more difficult than recovering from the illness itself.
15. The family may need to recover from the impact of a loved one’s mental illness.
16. To recover requires courage.

9. Opening Minds Stigma Scale for Health Care Providers
1. I am more comfortable helping a person who has a physical illness than I am helping a person who has a mental illness.
2. If a person with a mental illness complains of physical symptoms (e.g., nausea, back pain or headache), I would likely attribute this to their mental illness.
3. If a colleague with whom I work told me they had a managed mental illness, I would be just as willing to work with him/her.
4. If I were under treatment for a mental illness I would not disclose this to any of my colleagues.
5. I would be more inclined to seek help for a mental illness if my treating healthcare provider was not associated with my workplace.
6. I would see myself as weak if I had a mental illness and could not fix it myself.
7. I would be reluctant to seek help if I had a mental illness.
8. Employers should hire a person with a managed mental illness if he/she is the best person for the job.
9. I would still go to a physician if I knew that the physician had been treated for a mental illness.
10. If I had a mental illness, I would tell my friends.
11. It is the responsibility of health care providers to inspire hope in people with mental illness.
12. Despite my professional beliefs, I have negative reactions towards people who have mental illness.
13. There is little I can do to help people with mental illness.
14. More than half of people with mental illness don’t try hard enough to get better.
15. People with mental illness seldom pose a risk to the public.
16. The best treatment for mental illness is medication.
17. I would not want a person with a mental illness, even if it were appropriately managed, to work with children.
18. Healthcare providers do not need to be advocates for people with mental illness.
19. I would not mind if a person with a mental illness lived next door to me.
20. I struggle to feel compassion for a person with mental illness.

10. Evaluation: Qualitative
Reflective assignments – 5th and 6th year medical students
Thematic Analysis
Behavioural change evaluation
Individual Interviews – 6th year medical students (6 months post graduation)
Focus Groups – 1st and 2nd stage registrars
Individual interviews – senior registrars

13. THANK YOU Dasha Fedchuk +64 04 918- 5161 Dasha.Fedchuk@otago.ac.nz