The time to change programme to reduce stigma and discrimination in England and its wider context

Claire Henderson*, Sara Evans Lacko, Graham Thornicroft

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

5 Citations (Scopus)


This chapter presents information to: (i) define stigma and discrimination, (ii) present evidence on their severity and toxic impact on the lives of people with mental illness; (iii) describe population-level and target-group level interventions and their effects, (iv) examine the particular detrimental effects of stigma and discrimination on healthcare, employment and citizenship; (v) compare progress in England with other similar countries; (iv) examine the relevant health economic evidence; and (vi) make recommendations for further stigma reduction in England in future. Our key recommendations are to: (1) Operationalise the concept of reasonable adjustments as per the Equality Act 2010 with respect to mental illness with respect to all areas of life, including: the workplace, health and social care, education, the justice system, sports and leisure, and political participation; (2) Support and evaluate projects aiming to empower mental health service users to respond to stigma and discrimination e.g. through addressing self-stigma, training in self-advocacy and peer support; (3) Develop evidence based social contact programmes to reduce stigma and discrimination among target groups prioritised by mental health service users in surveys such as Viewpoint (1) and Stigma shout (2); and summarise the evidence for the effectiveness of England’s most recent anti-stigma programme, Time to Change.

Original languageEnglish
Title of host publicationThe Stigma of Mental Illness - End of the Story?
PublisherSpringer International Publishing Switzerland
Number of pages18
ISBN (Print)9783319278391, 9783319278377
Publication statusPublished - 1 Jan 2016


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