The Hays ADDRESSING Framework and Stopping Stigma

00:06 So what are some strategies that are universal that we can use to try to stop the stigma? Because we don't want to lessen it, we want to stop it completely.

00:16 The first thing we need to do is self-analysis and realize that there is no perfect human being.

00:23 We all have issues that we're dealing with whether they're mental or physical, life issues.

00:28 Life happens to every single human being is what I like to say, the people.

00:32 Another strategy is the Hays Addressing Framework.

00:36 What that is is it increases our understanding of how our power differentials and our social positioning.

00:43 You heard me mention that a lot, that's how important that is and how hierarchies create differing perspectives.

00:49 So, if we're at the top of that food chain or the top of that hierarchy, we tend to place ourselves in a superior special positioning.

00:59 And then we place other people in these lower spaces and so if we use that addressing framework to look at these power differentials, that does require acknowledgement and it requires self-analysis to think about what can I do as an individual to try to reframe that positioning and see everybody on an equal playing field while we also may have different needs or levels of need.

01:23 But as a human being I won't place myself in a space of superiority.

01:28 If I'm in a healthier mental space while we're talking about that, then I should use that to advocate for people who may not be in the same space and teach them.

01:38 And that doesn't mean you have to be a health professional.

01:40 If you recognize that someone is struggling, you should be able to advocate for them whether you're in a healthcare space or in an organizational space, but support people.

01:50 The next part of that Hays Addressing Framework is to understand that there are complex identities.

02:09 So we do have overlapping of identities, the intersectionality of all those different things.

02:17 So let's just say we're from an underrepresented or marginalized population and I'm going to use black or LGBTQ or people of color depending on which population you come from, but there are lots of different people who are underrepresented historically marginalized people.

02:37 That's one thing.

02:38 Then an addition to that age plays a factor when we're talking about race and ethnicity in addition.

02:44 The age then religious affiliation, whatever your social status is, economic status.

02:50 And I mentioned LGBTQ so your sexual orientation.

02:54 Whatever your identity is in any type away, we have several different identities.

03:00 But certain groups experience more of the stigma and more of the marginalization and discrimination than other groups.

03:08 And we do have to acknowledge that when we're doing that self-analysis just again we talked about in a previous segment believing people when they share those life experiences with you until you have a reason not to.

03:22 And if you're not on the same page just to revisit conversations need to happen.

03:26 Constructive conversations need to happen.

03:30 The next part of that framework would be encouraging reflection on each aspect of identity.

03:35 So all the things that I talked about and then when they intersect how does that intersectionality further complicate the whole way that we address, interact, and in the framework of healthcare how do we treat people in terms of diagnosis, assessment, treatment, developing a plan of care that encompasses all those different parts of a person's identity.

04:00 Acknowledging those identities should guide how we approach those healthy interactions with people in any context.

04:07 So again, taking into account that it's okay to have differing perspectives which we will based on our differences in life experiences, lived experiences, different cultural influences, everything within our whole being and our sphere of existence.

04:24 And examining how the potential impact of that multidimensional identity further marginalizes people and further creates powerlessness in those different groups.