By Torie Doll, University Communications and Marketing
Rehearsals are underway for the USF production of . Through creative expression, USF students living with mental illness share their stories on stage in front of the community to break down the stigma surrounding mental health. In conjunction with the stage show, is the integration of the Photovoice exhibit.
鈥淩esearch has shown that when it comes to addressing stigma, specifically the stigma surrounding behavioral health conditions, storytelling is the most effective tool for this,鈥� said Kristin Kosyluk, assistant professor in the Department of Mental Health Law & Policy and director of the USF Stigma Action Research (STAR) lab. 鈥淭he goal of this programming is to not only transform the audience members鈥� impressions of people living with behavioral health conditions and attitudes towards seeking treatment, but also to have a positive impact on the cast members as they鈥檙e empowered through their storytelling.鈥�
is a nonprofit organization that created the framework for a stage show, which first debuted in 2014 in Virginia. It has since grown across the country and abroad. In 2022, Kosyluk brought the college edition of the Brave stage show to USF for the first time. According to the organization, the vision behind the productions is to, 鈥渙ne day, live in a world where we don鈥檛 have to call it 鈥榖rave鈥� to talk openly about mental illness. We鈥檒l simply call it talking.鈥�
The organization originally approached Kosyluk and the USF STAR lab in 2016 about evaluating the effectiveness of their stigma reduction programming. The research collected so far shows that for audience members, there鈥檚 a significant reduction in stigma and improvement in attitudes toward treatment seeking, and for cast members, there鈥檚 an increased sense of empowerment, self-esteem, self-efficacy and optimism. In addition to interviews and pre-post surveys with audience members and the storytellers themselves, the show is filmed and has been included as a part of several research trials. The Photovoice exhibit is another method of data collection that will become part of the ongoing research study.
鈥淢ental illness is not seen. Sometimes it can be like a battlefield, but in your brain,鈥� said Ashley Accius, graduate student of social work and one of last year鈥檚 This Is My Brave cast members. 鈥淲hen other people look at a person, they can look fine, sweet, happy and beautiful. People with mental illness can also be funny and the light of the room. Anyone can struggle with mental health, and it is important to talk about mental illness because stigma thrives from a lack of education and exposure.鈥�
Students who answer the casting call go through an audition process where lead producer Kosyluk and her colleagues look for two factors: their storytelling medium and how their message is structured. In order to keep the audience engaged, Kosyluk said there must be variety in the form of creative expression on the stage. This Is My Brave shows have had song, dance, poetry, monologues, stand-up comedy, and even mime. The goal is for the audience to leave with the understanding that people with mental illnesses are capable of recovery.
鈥淎 really important tenant of stigma change is that these stories have to be delivered in a v-shaped fashion,鈥� Kosyluk said. 鈥淭hat means, there is a bit of a description of what we call the 鈥榦n the way down鈥� message, or the things the person has struggled with, but then it has to end with the 鈥榦n the way up鈥� message, or their recovery journey and their sense of hope and optimism for the future.鈥�
Part of the rehearsal process includes coaching the storytellers, especially if their 鈥渙n the way up鈥� message needs further development. The details of the stories are never changed, just arranged into a format that is most impactful for the audience. The cast members also have a chance to get to know each other and offer support and feedback along the way.
鈥淚 had a lot of anticipation anxiety leading up to the event, but the process was extremely therapeutic and reminds me of narrative therapy in a way,鈥� Accius said. 鈥淚 am so excited for others to come on stage and experience that indescribable feeling. It is so beautiful.鈥�
According to Kosyluk, it鈥檚 amazing to witness the growth of the cast members because some come in shy, not projecting their voice, and then blossom by the day of the production.
Behind the scenes, a dedicated production team helps bring the show to life, including a stage manager, fundraisers, marketers, mental health clinicians and a team member who is responsible for the fidelity to the This Is My Brave show model. During the show, several mental health professionals are present in the audience, identified by wearing scarves. Family members of the cast are often in the audience and may not have known the whole story of their loved one鈥檚 journey with mental illness and could be impacted, so the professionals are available for support at any point during the show.
In the lobby of the stage show, will be the new Photovoice exhibit, which features photos and captions created by 50 photographers. Attendees will also have the chance to speak with the storytellers. Photovoice is a research method that asks participants to take pictures that express their perspective on or feelings around the chosen health topic, and then critically analyze in focus-group discussion how and why the health concern persists in their community and then identify opportunities for change. The pictures are printed with accompanying narrative captions transcribed from a group discussion around why the photographs were chosen, what makes them meaningful and what participants think about each other鈥檚 pictures.
While the stage show is limited to student performers, the Photovoice exhibit features the work of USF staff and faculty. In addition, 鈥渢he Photovoice exhibit is an opportunity for people to use the same kind of creative and person-centric approaches that This Is My Brave does to express their experiences with mental health and substance use disorders, but with a level of removal from that personal identification,鈥� said Margaret McGladrey, assistant professor in the Department of Mental Health Law & Policy on the USF Sarasota-Manatee campus. McGladrey and Kosyluk are co-leads on the Photovoice project, funded by a grant from the USF College of Behavioral and Community Sciences, with assistance from graduate and undergraduate students from all three USF campuses.
This Is My Brave: College Edition will be held on April 21 at 7 p.m. in the Concert Hall on the USF Tampa campus. Click to find out more and reserve your free tickets.
This Is My Brave: College Edition at USF has received generous support from the Louis de la Parte Florida Mental Health Institute at USF.