Contents
Welcome: Stigma-Free Organisations
Understanding Stigma: What It Is and Why It Matters
Evidence‑Based Ways to Reduce Stigma (Overview)
Social Contact: The “Why” and the “How”
Education: Building Understanding Without Oversimplifying
Training: Turning Values Into Behaviour and Practice
Structural Interventions: Changing the game, not just the players
Multicomponent Approaches: Combining Actions for Greater Impact
The Implementation Pathway: Co‑Producing and Delivering Change
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Welcome: Stigma-Free Organisations
Understanding Stigma: What It Is and Why It Matters
Evidence‑Based Ways to Reduce Stigma (Overview)
Social Contact: The “Why” and the “How”
Education: Building Understanding Without Oversimplifying
Training: Turning Values Into Behaviour and Practice
Structural Interventions: Changing the game, not just the players
Multicomponent Approaches: Combining Actions for Greater Impact
The Implementation Pathway: Co‑Producing and Delivering Change
Multicomponent Approaches: Combining Actions for Greater Impact
Multicomponent interventions combine several anti‑stigma approaches (e.g., social contact + training + policy review). Evidence suggests these are often more effective - and more likely to produce sustained improvement - than single, standalone activities.
Why combining approaches helps
Multicomponent approaches work well because they:
Address multiple drivers of stigma (knowledge, emotions, behaviours, systems)
Reach people who respond differently to different methods
Reduce the risk that one weak element undermines the whole initiative
For example, social contact can shift empathy and reduce “distance”, education can correct myths, training can build practical behaviours, and structural change can embed new norms into routine practice.
What combinations work best
While many combinations can help, evidence suggests social contact‑based multicomponent approaches may be particularly effective. Core ingredients often include:
Personal testimony by trained and well supported people with lived and living experience
Multiple points of contact (video + in‑person, repeated contact)
Skills teaching for behaviour change
Myth refutation done carefully - explore the origin of the myth don’t just repeat it
Enthusiastic facilitation using person‑first perspectives
A focus on positive change
If resources are limited, a useful “lighter” option is contact‑based education - where PWLE act as educators, teaching staff about stigma, care models, and lived realities. This can raise perceived status and disrupt “us/them” power dynamics.
A practical multicomponent model (example)
Understand and connect
Listening sessions / journey mapping with PWLE
Identify key stigma hotspots in service access or practice
Build capability
Short education module (stigma + effective support)
Behavioural skills training (language, active listening, open questions)
Change the system
Co‑produced review of one policy/procedure
Trial a structural change (e.g., revised access criteria, simplified process)
Sustain
Supervision/reflective practice support
Regular monitoring and feedback to staff and PWLE
What to watch for
Combining approaches can increase complexity. Success depends on:
Clear roles and leadership support
Realistic resourcing
A simple plan for monitoring and evaluation
Strong co‑production to ensure acceptability and safety
Quick reflection
If you combined just two approaches in the next six months, which pairing would have the biggest benefit in your setting - and why?