Ending Discrimination Against People with Mental and Substance Use Disorders

Ending Discrimination Against People with Mental and Substance Use Disorders
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 171
Release: 2016-09-03
Genre: Social Science
ISBN: 0309439124

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

Of Little Faith

Of Little Faith
Author: Amy E. Black
Publisher: Georgetown University Press
Total Pages: 374
Release: 2004-04-21
Genre: Religion
ISBN: 9781589013827

George W. Bush had planned to swear his oath of office with his hand on the Masonic Bible used by both his father and George Washington, however, due to the inclement weather, a family Bible was substituted. Almost immediately on taking office, President Bush made passage of "faith-based initiatives"—the government funding of religious charitable groups—a legislative priority. However, "inclement" weather storm-tossed his hopes for faith-based initiatives as well. What happened? Why did these initiatives, which began with such vigor and support from a popular president, fail? And what does this say about the future role of religious faith in American public life? Amy Black, Douglas Koopman, and David Ryden—all prominent political scientists—utilize a framework that takes the issue through all three branches of government and analyzes it through three very specific lenses: a public policy lens, a political party lens, and a lens of religion in the public square. Drawing on dozens of interviews with key figures in Washington, the authors tell a compelling story, revealing the evolution of the Bush faith-based strategy from his campaign for the presidency through congressional votes to the present. They show how political rhetoric, infighting, and poor communication shipwrecked Bush's efforts to fundamentally alter the way government might conduct social services. The authors demonstrate the lessons learned, and propose a more fruitful, effective way to go about such initiatives in the future.

Not by Faith Alone

Not by Faith Alone
Author: Roger J.R. Levesque
Publisher: NYU Press
Total Pages: 231
Release: 2002-12-11
Genre: Political Science
ISBN: 0814752845

Teens are often seen as challenging social mores. They are frequently perceived to engage in activities considered by adults to be immoral, including sexual behavior, delinquent activities, and low-level forms of violence. Yet the vast majority report surprisingly high levels of religiosity. Ninety-five percent of American teens aged 13-17 believe in God or a universal spirit, and 76% believe that God observes their actions and rewards or punishes them. Nearly half engage in religious practices, such as praying alone or attending church or synagogue services. Adolescents' religious beliefs are clearly important to them. Yet, the law does not know how to approach adolescents' religious rights and needs. In Not by Faith Alone, Roger J. R. Levesque argues that teens' search for meaning does not always serve adolescents or society well. Religious doctrines and institutions are not all "good," with violence linked to religious beliefs, for example—particularly racial/ethnic and sexual orientation harassment—becoming an increasing concern. Not by Faith Alone is the first attempt to integrate research on the place of religion in adolescent development and to discuss the relevance of that research for policies and laws which regulate religion in their lives. Levesque asks how religion, broadly defined, influences the development of teens' inner moral compasses, and how we can ensure that religion and the apparent need for "religious" activity lead to positive outcomes for individual adolescents and for society.