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Structural stigma in state legislation.

Patrick W Corrigan1, Amy C Watson, Mark L Heyrman

  • 1Center for Psychiatric Rehabilitation at Evanston Northwestern Healthcare, 1033 University Place, Suite 440, Evanston, IL 60201, USA. p-corrigan@northwestern.edu

Psychiatric Services (Washington, D.C.)
|May 6, 2005
PubMed
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State laws enacted in 2002 created structural stigma, diminishing opportunities for people with mental illness. Some laws reduced protections, while others expanded them, highlighting confusion between mental illness and incompetence.

Area of Science:

  • Public Health Law
  • Social Determinants of Health
  • Mental Health Policy

Background:

  • Structural stigma, stemming from government policies, negatively impacts individuals with mental illness.
  • Legislation can either create barriers or provide protections for this population.
  • Understanding legislative trends is crucial for advocating for mental health parity.

Purpose of the Study:

  • To analyze state legislation enacted in 2002 for examples of structural stigma affecting people with mental illness.
  • To categorize bills based on their impact on civil liberties, non-discrimination, and privacy.
  • To examine terminology used to describe individuals with mental health conditions.

Main Methods:

  • Systematic review and coding of all state bills introduced in 2002 across the 50 U.S. states.

Related Experiment Videos

  • Categorization of bills based on their effects on liberties, discrimination protection, and privacy.
  • Analysis of terms like "mental illness," "incompetent," and "disabled" used in legislation.

    • Main Results:

    • Approximately 25% of reviewed bills addressed non-discrimination protections.
    • Half of these non-discrimination bills reduced protections (e.g., firearm restrictions, parental rights).
    • The other half expanded protections (e.g., mental health funding parity, child custody considerations).
    • Legislation frequently conflated "incompetence" with "mental illness."

    Conclusions:

    • State legislation in 2002 presented a mixed impact on the liberties of individuals with mental illness.
    • Findings can guide advocates in assessing state-level legislative environments.
    • Identifying trends in structural stigma is essential for policy reform and protecting vulnerable populations.