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Table 4 Programs targeted to the general population

From: Review of Australian initiatives to reduce stigma towards people with complex mental illness: what exists and what works?

Program name

Organisation

Type of mental illness

Target audience

Program description

Anti-stigma component

Lived experience involvement

Session length, facilitated by

Where provided

Duration and reach

Funding

Level of evidencea

Mental Health 101 (Youth/Adult) [39,40,41,42]

Mental Illness Education ACT (MIEACT)

Mental illness (non-specific)

Youth program targets high school students (years 7–10). Adult program targets workplaces

Workshop providing an introduction to mental health. Stigma-based learning outcomes include an understanding of what stigma is, being able to identify negative consequences of stigma, and an ability to contribute to the collective impact to reduce stigma in relation to mental illness

Contact: Two volunteer educators with lived experience share stories of living with a mental illness

Education: an understanding of myths and facts about mental health and examples of help-seeking behaviours

Programs are delivered by people with LE. Programs are co-designed with mental health professionals and people with LE

1 60-min session, facilitated by person with lived experience

ACT, metro, regional/rural

Since 1993, 8,000 people per year

Commonwealth gov, state gov, and private funding

4

Mental Health First Aid [43,44,45,46,47,48,49,50,51,52,53]

Mental Health First Aid Australia

Mental illness (non-specific), Bipolar disorder, Psychosis, Schizophrenia, Depression, Anxiety, Substance Misuse, Non Suicidal Self Injury

General population

A program which teaches members of the public how to provide mental health first aid to others and enhances mental health literacy. A variety of courses exist: Standard MHFA (for adults), Youth MHFA (for adults assisting young people), Older Person MHFA, Aboriginal and Torres Strait Islander MHFA

Contact: Two videos involve people with lived experience of mental illness talking about their experiences (one psychosis, one anxiety). Majority of instructors share their own experiences in their teaching

Education: Provides accurate information about mental illness to bust myths (e.g. that people with psychotic illnesses are dangerous and unpredictable)

Hallucination simulation: Optional activity where two volunteers have a discussion whilst the instructor reads from a scripted ‘voice’

Founder has lived experience of mental illness. Curriculum based on consensus studies involving people with lived experience (consumers and carers). Courses are delivered by instructors, most of whom have lived experience as consumers or carers

Standard MHFA is 12 h, Youth MHFA is 14 h. Training is facilitated by an instructor who is accredited by MHFA Australia. Instructors

Australia-wide, metro, regional/rural, remote

Since 2000, 800,000 people

Varies according to Instructor. MHFA Australia receives earned income, intermittent funding from government and philanthropic sources

5

Peer Ambassador Program

SANE Australia

Mental illness (non-specific), Bipolar disorder, Personality disorders, Psychosis, Schizophrenia, Eating Disorders, Suicide, other low prevalence disorders including complex trauma

General population

SANE Peer Ambassadors are a group of people who work with SANE Australia to raise awareness, reduce stigma and provide hope to Australians affected by complex mental illness. They also help develop, deliver and evaluate SANE’s programs and services. All Peer Ambassadors receive training and support, guiding them through the process of sharing their story in ways that align with their reason for becoming an ambassador

Contact: Presentations in workplaces and community settings to share their personal experience of living with, or supporting someone with a complex mental illness. Online stories via SANE website

Protest/Advocacy: Participants are regularly invited to contribute to advocacy and research projects, review resources and provide their insights through co-design or research projects

People with LE are paid staff on the program. Program was relaunched in 2018 following extensive consultation with people with LE

1 45-min session, facilitated by person with LE

Australia-wide, metro, regional/rural, remote

Since 1986 in various forms, 1,000 + (currently 110 Peer Ambassadors)

Corporate partnerships

1

Batyr (@school, @uni, @work)

[54, 55]

Batyr

Mental illness (non-specific)

High schools, universities, workplaces

Programs delivered to schools (batyr@school), universities (batyr@uni), and workplaces (batyr@work)

Contact: Two people with lived experience share their stories, focusing on help-seeking journey [10 mineach]. Video stories are in development and only used in rural communities

Education: Signs of mental illness, how to support a peer, seek help, role of language in perpetrating stigmatising attitudes

Protest/Advocacy: An addition to the School program, school chapters empower 20 passionate students to lead mental health events on their own school campus throughout the year

Lived Experience speakers form part of the governance of batyr, and are instrumental in any decision made within the organisation

1 session 60–90 min, facilitated by person with lived experience and other trained person

ACT,NSW,QLD,SA,VIC, metro, regional/rural, remote

5–10 years, 229,934 people

Earned income

5

SPEAK UP! Stay ChaTY [56, 57]

SPEAK UP! Stay ChaTY

Mental illness (non-specific)

High schools, sports/arts organisations, workplaces

Education and awareness programs. Stay ChatTY Schools Program to grades 9–12, Stay ChatTY Sports Program to sporting clubs, Community Presentation to workplaces and community groups

Contact: Founder Mitch McPherson shares his personal story of losing his brother to suicide through his lived experience story. Lived experience videos of community members sharing their stories of mental ill-health and suicide are used in the Sports Program, the Schools Program and online

Education: Programs teach information on mental health vs mental illness, stigma, signs and symptoms of mental illness, resilience, where to access support, helping a friend/team mate/

Other: Delivers online anti-stigma and awareness campaigns via social media, engages with community partners for wellbeing and awareness events, attends community expos and events to promote anti-stigma messages

Founder with LE supports program development. A Youth Reference Group includes a number of young people with lived experience informs the development of youth-focused program content

1 45–90 min session. Facilitated by person with lived experience, nurse, exercise physiologist, lawyer, researcher

Australia-wide, metro, regional/rural, remote

Since 2013, ~ 25,000

State gov, donations, community grants

3

LIVINWell [58]

LIVIN

Mental illness (non-specific)

Organisations (e.g. workplaces, universities, schools, sports/arts organisations)

Introductory mental health awareness program to educate people on a range of issues related to mental health, with an emphasis on breaking the stigma of mental health, enhancing self-efficacy and encouraging help-seeking behaviour

Contact: In-person stories of facilitators’ lived experience with mental illness. Video stories of co-founders and how/why LIVIN originated and what their mission is

Education: Accurate alarming statistics on mental illness and suicide in Australia

Programs are co-delivered by people with LE

1 45-min session, facilitated by mental health professionals and person with lived experience

Australia-wide, metro, regional/rural, remote

5–10 years, N/R

N/R

1

Mental Health Awareness

Mental Health Partners

Mental illness (non-specific)

Organisations (e.g. workplaces, universities, sports/arts organisations)

Short courses delivered to private organisations to reduce stigma, give information, offer resources and improve mental health

Contact: Courses include at least one person with LE who shares their story to inform participants. Most courses include video of people with LE explaining their journeys

Education: Myths and facts sessions to improve knowledge

Programs are designed and co-delivered by people with LE

1 3-h session, facilitated by social worker, person with lived experience

Australia-wide, metro, regional/rural, remote

2–5 years old, 1,200 participants

Earned income from private organisations

2

Staff Wellbeing Workshop [59, 60]

Chess Connect

Mental illness (non-specific)

Workplaces

A workshop that helps employers collaborate with their staff to educate and promote a positive mental wellness workplace culture

Education: Program covers understanding stress, active stress management, reducing stigma, understanding the link between life events, the brain and behaviour, building resilience practices, understanding the impact of workplace habits, and recognising when a person is unwell or struggling

N/R

1 2-h session, facilitated by ‘Workplace Wellness specialist’

NSW, regional/rural

N/R, Over 750 people

N/R

1

Exhibition Program [61, 62]

The Dax Centre

Mental illness (non-specific)

General population

Exhibition Program of art by people with lived experience open to the general public

Education: The exhibition may include bios written by the artists which allow the artist to share aspects of their lived experience that break down myths and provide accurate information about mental illness for visitors

All artists that exhibit have a lived experience and are involved in the process of exhibition development

People visit for between 10 and 20 min. Guided tours last between 30 and 60 min. Facilitated by staff at the Dax Centre

VIC, metro

More than 10 years, ~ 24,000

Commonwealth gov, philanthropic, earned income

2

Education Program (Mindfields) [61, 63]

The Dax Centre

Mental illness (non-specific)

Universities, schools

A range of education programs specifically tailored to secondary and tertiary students who are studying mental health or arts-related subjects, encompassing presentations from advocates with LE and tour of current exhibitions

Contact: Advocates present to the students sharing their lived experience of mental health issues, including a discussion of symptoms, their journey relating to diagnosis, treatment and other recovery factors. Some programs include video stories. Exhibition tours also include information on the artists’ personal stories

Education: Myth-busting is woven into the guided tour of exhibitions. Information is given about the history of psychiatric care in Victoria and how stigma has impacted community understanding over time

Programs delivered by people with LE. Advocates provide feedback on the program and how it can be designed to be more effective

1 2-h session, facilitated by people with LE, neuroscientists

VIC, metro

More than 10 years, 22,000 people

Commonwealth gov, philanthropic, earned income

1

Mental health awareness forums

Australian Rotary Health

Mental illness (non-specific), Bipolar disorder, Personality disorders, Psychosis, Schizophrenia

General population

Community forums, organised by Australian Rotary Health and Rotary Clubs, to discuss all aspects of mental health. Speakers usually a mental health professional, a consumer and a carer. Members of the general public are invited to attend

Contact: Members of the community who have a mental illness are invited to attend and speak

Protest/Advocacy: Holding a public forum provides advocacy for mental health awareness and acceptance. No specific activity is undertaken except openness and general discussion on mental health

People with LE are invited to speak when the program is arranged

1 2-h session, facilitated by various people, e.g. health professional, Rotarian, MP

Australia-wide, metro, regional/rural, remote

Since 2000, ~ 5000 people

Commonwealth gov (now ceased), some private

2

  1. 1 = No evaluation evidence, 2 = Post survey feedback or qualitative interviews, 3 = One or more uncontrolled trials or repeated cross-sectional surveys, 4 = One or more controlled trials, 5 = One or more randomised controlled trials
  2. LE Lived Experience, N/R Not Reported