Mosaic Toolkit to End Stigma and Discrimination in Mental Health

The Mosaic Toolkit to End Stigma and Discrimination in Mental Health is a practical, evidence-based resource from the World Health Organization designed to help individuals, services, and communities take action to reduce mental health stigma.

Built around three core principles — leadership and co-leadership by people with lived experience, social contact, and inclusive collaboration — the toolkit provides a clear four-step process for planning, delivering, and evaluating anti-stigma initiatives in any setting. It supports rights-based, recovery-oriented practice and includes real-world case studies and tools that can be adapted for health services, workplaces, schools, and community settings.

The Four Step process

STEP 1: IDENTIFY & DEFINE
• Explore the issue
• Understand the local context
• Engage partners and lived experience leadership

STEP 2: PLAN & PREPARE
• Design the intervention
• Adapt to the setting
• Build readiness and shared ownership
• Plan monitoring and evaluation from the start

STEP 3: LAUNCH & LEARN
• Support the change process as it unfolds
• Monitor progress in real time
• Communicate clearly and consistently

STEP 4: REFLECT & ADJUST
• Review what worked and what didn’t
• Decide whether to sustain, scale, or refine
• Share learnings with others to strengthen collective practice