People who have a mental illness have to manage not only their mental health symptoms but also the sometimes judgmental attitudes and discriminatory behaviors of others. Some people report that stigma is as distressing as the symptoms themselves (Phelan, 2005). At the same time, stigma not only affects the person with the mental illness; family members might also be adversely affected because of their association with someone with a mental illness. While stigma research has an extensive history, this chapter will synthesize previous research and apply this specifically to families where a parent has a mental illness. A discussion of anti-stigma strategies at the individual, family, and community level will conclude this chapter. Stigma defined. Hinshaw (2007, p. 23) defines stigma as a pervasive “global devaluation of certain individuals on the basis of some characteristic they possess, related to membership in a group that is disfavoured, devalued, or disgraced by the general society.” Link and Phelan (2001, p. 367) add to this definition when they point out the power imbalance implicit in stigma: “stigma exists when elements of labelling, stereotyping, separation, status loss and discrimination co-occur in a power situation that allows these processes to unfold.” Mental illness is one of the most highly stigmatized attributes an individual might possess, as many in the community perceive those with a mental illness as deviant, incompetent, different, dangerous, or undesirable (Phelan, 2005). In sum, stigma is a process of “othering” whereby a clear distinction is made between “them” and “us.”. There are many spheres in which stigmatization may occur, including the language used to describe mental illness – for example, “crazy” or “mad” (Hinshaw, 2007). Another sphere is the media (internet, television, cinema, advertising, and so on), where, for example, those with a mental illness are often portrayed as violent (Anderson, 2003). The attitudes and practices of mental health professionals are another way in which people may be stigmatized. Finally, policies and laws that affect housing, employment, insurance, funding, and custody are all potential sources of stigma. For example, in the UK, mental illness receives only 13% of health expenditure, while accounting for 23% of the total burden of disease (London School of Economics and Political Science, 2012).