Reduce Stigma - Revision history

K.castelo at 16:17, 25 August 2021

2021-08-25T16:17:19Z

K.castelo at 15:08, 19 August 2021

2021-08-19T15:08:58Z

K.castelo at 19:22, 17 August 2021

2021-08-17T19:22:29Z

K.castelo at 19:18, 17 August 2021

2021-08-17T19:18:51Z

K.castelo at 18:23, 17 August 2021

2021-08-17T18:23:41Z

K.castelo at 18:20, 17 August 2021

2021-08-17T18:20:13Z

K.castelo at 18:03, 17 August 2021

2021-08-17T18:03:57Z

K.castelo at 17:45, 17 August 2021

2021-08-17T17:45:35Z

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Pkalch at 04:47, 8 April 2020

2020-04-08T04:47:21Z

Pkalch at 21:55, 7 April 2020

2020-04-07T21:55:23Z

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 '''SAFE Project&nbsp;'''<ref>https://www.safeproject.us/noshame-mental-health-addiction/</ref>SAFE Project believes there’s '''''No Shame''''' in getting help or in talking about mental health and addiction.&nbsp;The '''''No Shame Pledge&nbsp;'''''&nbsp;supports the ability to get help without judgement and&nbsp;acknowledges&nbsp;commitment to saving lives by fighting the stigma.&nbsp;
-&nbsp;
+'''State Without Stigma Video<ref>https://www.opioidlibrary.org/video/2245/</ref>&nbsp;'''A public service announcment surrounding reducing stigma.&nbsp;
 = Sources =

← Older revision		Revision as of 15:08, 19 August 2021
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	'''Best practices and barriers to Engaging People with Substance Use Disorders in Treatment'''<ref>-https://aspe.hhs.gov/sites/default/files/private/pdf/260791/BestSUD.pdf </ref> This guide provides stigma reducing best practices such as: “Co-location of SUD counseling and other services with primary care reduces the stigma of accessing a facility identified as treating SUDs, catches members in locations where they are more comfortable, and permits improved coordination between physical and behavioral health care.”		'''Best practices and barriers to Engaging People with Substance Use Disorders in Treatment'''<ref>-https://aspe.hhs.gov/sites/default/files/private/pdf/260791/BestSUD.pdf </ref> This guide provides stigma reducing best practices such as: “Co-location of SUD counseling and other services with primary care reduces the stigma of accessing a facility identified as treating SUDs, catches members in locations where they are more comfortable, and permits improved coordination between physical and behavioral health care.”
		+
		+	'''SAFE Project '''<ref>https://www.safeproject.us/noshame-mental-health-addiction/</ref>SAFE Project believes there’s '''''No Shame''''' in getting help or in talking about mental health and addiction. The '''''No Shame Pledge ''''' supports the ability to get help without judgement and acknowledges commitment to saving lives by fighting the stigma.
		+
		+

	= Sources =		= Sources =

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 = Impactful Federal, State, and Local Policies =
-Please list any federal, state, or local laws, policies, or regulations that support this topic or ones that could be a possible barrier. Are there laws or policies other states should know about and replicate for success?
+SAFE Solutions is an ever-growing platform.&nbsp; Currently limited&nbsp;information is readily available for this section.&nbsp; SAFE Project is dedicated to providing communities with the most relevant and innovative materials.&nbsp; We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration.&nbsp; Please check back soon.
 = Available Tools and Resources =
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 '''National Stigma Clearinghouse''' <ref>www.stigmanet.org </ref>The National Stigma Clearinghouse is an independent, volunteer, anti-bias project which includes a library of anti-stigma documents and videos to help break the barrier of stigma.&nbsp;
-'''Stop Stigma Now '''A campaign to counteract the stigma and resources&nbsp;to help stop the stigma and prejudice directed at both the treatment&nbsp;and the patients.<ref name="Stop Stigma Now ">http://www.stopstigmanow.org/resources/</ref>
+'''Stop Stigma Now '''A campaign to counteract the stigma and resources&nbsp;to help stop the stigma and prejudice directed at both the treatment&nbsp;and the patients.<ref name="Stop Stigma Now">http://www.stopstigmanow.org/resources/</ref>
 '''Substance Abuse And Mental Health Administration''' <ref>www.samhsa.gov</ref> SAMHSA is a Federal Government agency that seeks to target effectively substance abuse and mental health services to the people most in need and to translate research in these areas more effectively and more rapidly into the general health care system.&nbsp;

← Older revision		Revision as of 19:18, 17 August 2021
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	'''National Stigma Clearinghouse''' <ref>www.stigmanet.org </ref>The National Stigma Clearinghouse is an independent, volunteer, anti-bias project which includes a library of anti-stigma documents and videos to help break the barrier of stigma.		'''National Stigma Clearinghouse''' <ref>www.stigmanet.org </ref>The National Stigma Clearinghouse is an independent, volunteer, anti-bias project which includes a library of anti-stigma documents and videos to help break the barrier of stigma.
		+
		+	'''Stop Stigma Now '''A campaign to counteract the stigma and resources to help stop the stigma and prejudice directed at both the treatment and the patients.<ref name="Stop Stigma Now ">http://www.stopstigmanow.org/resources/</ref>

	'''Substance Abuse And Mental Health Administration''' <ref>www.samhsa.gov</ref> SAMHSA is a Federal Government agency that seeks to target effectively substance abuse and mental health services to the people most in need and to translate research in these areas more effectively and more rapidly into the general health care system.		'''Substance Abuse And Mental Health Administration''' <ref>www.samhsa.gov</ref> SAMHSA is a Federal Government agency that seeks to target effectively substance abuse and mental health services to the people most in need and to translate research in these areas more effectively and more rapidly into the general health care system.

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 = Promising Practices =
-Please link to any best practice models or case studies that highlight creative/innovative or successful efforts in support of this strategy. Is there a community that does a really good job in this area that other communities should replicate? Please write a brief description and provide a link.
+'''Best practices and barriers to Engaging People with Substance Use Disorders in Treatment'''<ref>-https://aspe.hhs.gov/sites/default/files/private/pdf/260791/BestSUD.pdf </ref> This guide provides stigma reducing best practices such as: “Co-location of SUD counseling and other services with primary care reduces the stigma of accessing a facility identified as treating SUDs, catches members in locations where they are more comfortable, and permits improved coordination between physical and behavioral health care.”
 = Sources =

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 = Available Tools and Resources =
-Oftentimes, there are already great resources in the field that have been developed, but they are not housed in a single place. Please use this section to share information about those resources and drive the reader to that resource. It may be a worksheet, toolkit, fact sheet, framework/model, infographic, new technology, etc. I suggest no more than 5 really good links and a corresponding description for the reader. We also can use this section to highlight some of the great resources and programs at SAFE Project.
+The following organizations, associations, and agencies provide information on stigma, stigma prevention, or developing prevention campaigns. Some of the organizations that provide information on stigma may focus on mental health but also address substance abuse. Similarly, some of the resources on conducting prevention campaigns focus on substance abuse prevention rather than stigma prevention. However, the principles and processes employed by substance abuse prevention campaigns are applicable to stigma prevention campaigns.
 = Promising Practices =

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 Stigma often creates barriers for those needing treatment and other critical services from reaching out for assistance.&nbsp; Stigma and lack of understanding impacts many in society and can be most harmful to those suffering from SUD and people in early recovery.&nbsp; Reducing stigma and increasing understanding of substance use disorder improves the instances of people with SUD finding the assistance and support they need.&nbsp; &nbsp;
-Addressing stigma requires education and breaking down barriers by changing attitudes, perceptions and even language used around SUD. Recent research showed that substance use is more stigmatized than obesity and smoking tobacco.&nbsp;<ref name="Substance use more stigmatized than smoking and obesity: Journal of Substance Use: Vol 18, No 4. (n.d.). Retrieved December 5, 2019, ">from https://www.tandfonline.com/doi/abs/10.3109/14659891.2012.661516</ref>
+Addressing stigma requires education and breaking down barriers by changing attitudes, perceptions and even language used around SUD. Recent research showed that substance use is more stigmatized than obesity and smoking tobacco.&nbsp;<ref name="Substance use more stigmatized than smoking and obesity: Journal of Substance Use: Vol 18, No 4. (n.d.). Retrieved December 5, 2019,">from https://www.tandfonline.com/doi/abs/10.3109/14659891.2012.661516</ref>
 To break down the barrier of stigma we need to educate that substance use disorders are a chronic Illness and the approach for treatment should be the same as heart disease, diabetes, asthma, cancer or other illness.&nbsp;&nbsp;
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 = Key Information =
-“SAMSHA’s working definition of recovery states that recovery is “A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.”&nbsp; SAMSHA lists health, home, purpose, and community as essential dimensions of support for a life in recovery.&nbsp;<ref>https://www.samhsa.gov/sites/default/files/programs_campaigns/02._webcast_3_resources.pdf</ref> Stigma is a barrier in recovery.&nbsp; When a person with substance use disorder finally reaches out for help, he or she is often met with responses that are less than helpful or are judgmental and this is often the result of stigma. Many examples of stigma are not overt and are more subtle. Stigma comes in the form of language used, pity, disdain, silence, or rejection.&nbsp; Persons with mental health and substance use problems are exposed to an array of stigma components that interact to endanger their mental health. These components include stereotypes, prejudice, and discrimination&nbsp; <ref name=" “How stigma interferes with mental health care,” American Psychologist">-Corrigan P. W. “How stigma interferes with mental health care,” American Psychologist. 2004;59(7):614–625. Pp https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7348456/#r20</ref>
+“SAMSHA’s working definition of recovery states that recovery is “A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.”&nbsp; SAMSHA lists health, home, purpose, and community as essential dimensions of support for a life in recovery.&nbsp;<ref>https://www.samhsa.gov/sites/default/files/programs_campaigns/02._webcast_3_resources.pdf</ref> Stigma is a barrier in recovery.&nbsp; When a person with substance use disorder finally reaches out for help, he or she is often met with responses that are less than helpful or are judgmental and this is often the result of stigma. Many examples of stigma are not overt and are more subtle. Stigma comes in the form of language used, pity, disdain, silence, or rejection.&nbsp; Persons with mental health and substance use problems are exposed to an array of stigma components that interact to endanger their mental health. These components include stereotypes, prejudice, and discrimination&nbsp; <ref name="“How stigma interferes with mental health care,” American Psychologist">-Corrigan P. W. “How stigma interferes with mental health care,” American Psychologist. 2004;59(7):614–625. Pp https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7348456/#r20</ref>
 Studies have shown that people with substance use disorder experience labeling, shame, and rejection from family members, friends, teachers, co-workers, supervisors, and health care professionals. This stigma can get in the way of the support that people in recovery --and early recovery especially -- need. Outside stigma can become internalized, leading people in recovery to embody and adopt inaccurate beliefs about themselves due to their exposure to external stigmatizing forces.<ref>Addiction Technology Transfer Center (ATTC) Network. (n.d.). Retrieved December 5, 2019, from https://attcnetwork.org/regcenters/productDocs/2/Anti-Stigma%20Toolkit.pdf</ref>
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 '''Some suggestions for stigma-reducing language:'''<ref>Social stigma and substance use: Why language matters | Smart Approaches. (n.d.). Retrieved December 5, 2019, from http://smartapproaches.bangordailynews.com/2015/12/04/recovery/social-stigma-and-substance-use-why-language-matters/</ref><br/> Call it what it is: substance use disorder (or alcohol use disorder, cocaine use disorder, etc.) or substance dependence (or alcohol dependence, drug dependence, etc.). In a non-clinical environment, addiction is also acceptable.<br/> Use "people first" language and refer to people with substance use disorder, people with drug dependence, people with addiction.<br/> The new edition of the Associated Press style book recommends people first phrasing with the goal of separating the person from the disease.<br/> Avoid negative terms like addict, junkie, wino, boozer, drug fiend, and bum.<br/> &nbsp;<br/> '''Use Person-Centric Language'''<br/> Those writing about mental health and addiction should strongly consider the language they use when describing those struggling with those issues. People-first language or person-centric language can influence whether the material produced is further stigmatizing to people. See Tools & Resources for a guide to using person centric language.
-Words Matter! When talking to or about those with SUD be aware of language used in order to avoid using stigmatizing terms.&nbsp; Drugabuse.gov has provided “Words Matter- Preferred language when talking about addition.” They provide a table of stigma reducing language to act as a guide when talking about those with SUD and in recovery.<ref>https://www.drugabuse.gov/drug-topics/addiction-science/words-matter-preferred-language-talking-about-addiction</ref>
+Words Matter! When talking to or about those with SUD be aware of language used in order to avoid using stigmatizing terms.&nbsp; Drugabuse.gov has provided “Words Matter"- Preferred language when talking about addition.” They provide a table of stigma reducing language to act as a guide when talking about those with SUD and in recovery.<ref>https://www.drugabuse.gov/drug-topics/addiction-science/words-matter-preferred-language-talking-about-addiction</ref>&nbsp; Stop Stigma Now has also provided a resource for preferred vs. non-preferred language and terms to reduce stigma.&nbsp;<ref>http://www.stopstigmanow.org/resource-library/</ref>
-'''Stop Stigma Now'''
+'''Reducing Stigma surrounding Medication Assisted Treatment-'''
-The goal of Stop Stigma Now is to eradicate the stigma around medically assisted treatment of opioid addiction.
+'''National Alliance for Medication Assisted Recovery - NAMA-R recommends the following:<ref>https://namarecovery.org/</ref>'''
 ⦁ Speak publicly about the productive lives led by MAT patients
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 = Relevant Research =
-In this section, please capture any recent findings, reports, or data on the topic. Please also highlight any gaps or existing disparities. Please include references and links to the information so that we may add a footnote for the reader to find further information. Do we have any available research about discriminatory practices? Is there information about the value of access to educational opportunities?
+'''Resources for research regading reducing stigma include:'''
 = Impactful Federal, State, and Local Policies =

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-<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]&nbsp;or [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|ZOOM MAP - Improve Treatment & Enable Recovery of People with SUDs]]&nbsp;or&nbsp;&nbsp;[[ZOOM_MAP_-_Expand_Access_to_Optimized_MAT|the Zoom Map (Expand Access to Optimized MAT)]]&nbsp;or&nbsp;[[ZOOM_MAP_-_Strengthen_Peer_Recovery_Support_Services_&_Programs|ZOOM MAP - Strengthen Peer Recovery Support Services & Programs]]
+<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]&nbsp;or [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|ZOOM MAP - Improve Treatment & Enable Recovery of People with SUDs]]&nbsp;or&nbsp;&nbsp;[[ZOOM_MAP_-_Expand_Access_to_Optimized_MAT|the Zoom Map (Expand Access to Optimized MAT)]]&nbsp;or&nbsp;[[ZOOM_MAP_-_Strengthen_Peer_Recovery_Support_Services_&_Programs|ZOOM MAP - Strengthen Peer Recovery Support Services & Programs]]
 __TOC__
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 ***<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Successful sobriety for a relative period of time (i.e. self-reported sobriety among patients between 3 and 6 months after treatment)</span></span></span>
 *<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Drug Rehab Centers: Some Claim to Be Experts at Everything</span></span></span>
 &nbsp;
 = <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Use Person-Centric Language</span></span></span> =
-&nbsp;
+<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Those writing about mental health and addiction should strongly consider the language they use when describing those struggling with those issues. [https://en.wikipedia.org/wiki/People-first_language People-first language] or person-centric language can influence whether the material produced is further stigmatizing to people. See [[TR_-_Reduce_Stigma_of_Seeking_Help_for_Substance_Misuse|Tools & Resources]] for a guide to using person centric language.</span></span></span>
-<div class="_"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Those writing about mental health and addiction should strongly consider the language they use when describing those struggling with those issues. [https://en.wikipedia.org/wiki/People-first_language People-first language] or person-centric language can influence whether the material produced is further stigmatizing to people. See [[TR_-_Reduce_Stigma_of_Seeking_Help_for_Substance_Misuse|Tools & Resources]] for a guide to using person centric language.</span></span></span></div> <div class="_">&nbsp;</div>
+<div class="_">&nbsp;</div>
 = <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Tools & Resources</span></span></span> =
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 &nbsp;
-</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
+</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
 [[Category:SAFE-Public Awareness]]

@@ Line 1: / Line 1: @@
-<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]&nbsp;or [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|ZOOM MAP - Improve Treatment & Enable Recovery of People with SUDs]]&nbsp;or&nbsp;&nbsp;[[ZOOM_MAP_-_Expand_Access_to_Optimized_MAT|the Zoom Map (Expand Access to Optimized MAT)]]&nbsp;or&nbsp;[[ZOOM_MAP_-_Strengthen_Peer_Recovery_Support_Services_&_Programs|ZOOM MAP - Strengthen Peer Recovery Support Services & Programs]]
+<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]&nbsp;or [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|ZOOM MAP - Improve Treatment & Enable Recovery of People with SUDs]]&nbsp;or&nbsp;&nbsp;[[ZOOM_MAP_-_Expand_Access_to_Optimized_MAT|the Zoom Map (Expand Access to Optimized MAT)]]&nbsp;or&nbsp;[[ZOOM_MAP_-_Strengthen_Peer_Recovery_Support_Services_&_Programs|ZOOM MAP - Strengthen Peer Recovery Support Services & Programs]]
 __TOC__
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 = Background =
 <div class="_">Recent research showed that substance use is more stigmatized than obesity and smoking tobacco.<sup class="reference"><ref>[1]Substance use more stigmatized than smoking and obesity: Journal of Substance Use: Vol 18, No 4. (n.d.). Retrieved December 5, 2019, from https://www.tandfonline.com/doi/abs/10.3109/14659891.2012.661516
-</ref></sup><br/> <br/> '''Self-stigma''': Shame, evaluative thoughts, and fear of enacted stigma -- prevents users from seeking prevention services, testing and treatment. Stigma also limits employment, school enrollment, housing and access to social and safety net services for users.<sup class="reference"><ref>[2]LUOMA, J. B., KOHLENBERG, B. S., HAYES, S. C., BUNTING, K., & RYE, A. K. (2008). Reducing self-stigma in substance abuse through acceptance and commitment therapy: Model, manual development, and pilot outcomes. Addiction Research & Theory, 16(2), 149–165. https://doi.org/10.1080/16066350701850295
+</ref></sup></div>
 &nbsp;
 </div> </div>
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 <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[TR_-_Reduce_Stigma_of_Seeking_Help_for_Substance_Misuse|TR - Reduce Stigma of Seeking Help for Substance Misuse]]</span></span></span></span>
-= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Scorecard Building</span></span></span> =
+<br/> <br/> <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span></span><br/> <span style="background-color: #ffffff"><span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span></span></span></span></span>
 {| class="wiki_table"
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-</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
+</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
 [[Category:SAFE-Public Awareness]]