This subproject deals with mental illness stigma and health economy, and both topics are examined within the other subprojects.

As far as stigma is concerned, in the epidemiology subproject we examine stigma variables, such as shame about having a mental illness, and their role for attitudes towards help-seeking in the general population (Rüsch et al., 2013c), for disclosure versus secrecy and for the cognitive appraisal of stigma as a stressor. In the early recognition subproject we look into labeling and self-concept as ‘mentally ill’, shame, stigma stress, well-being and attitudes to service use among people at risk for psychosis (Rüsch et al., 2013a, 2013b). In the subproject on preventing compulsory admissions, we are interested in coercion-related stigma experiences (Rüsch et al., 2013d) and in intervention effects on self-stigma as a secondary outcome. In a similar fashion in the subprojects on post-discharge network coordination and on supported employment, intervention effects on self-stigma, stigma stress and recovery are examined. Finally, together with the subproject on neuro-/sociophysiology we will analyse the relationship between stigma variables and cognition.

With respect to health economy, we are primarily interested in the cost efficiency of social psychiatric interventions. This includes the question how much an intervention’s success (e.g., one avoided compulsory admission; one avoided hospitalisation; a new-found job in competitive employment) costs and whether reduced indirect illness costs (such as unemployment or costs of carers) outweigh intervention costs. We also look into direct and indirect costs of young people at risk for psychosis during the study period.