Addressing Stigma in Opioid Use Disorder Treatment Providers

[Audio] Hello and welcome to our presentation on addressing stigma in opioid use disorder treatment providers. Today we will be discussing the impact of stigma on both treatment providers and patients as well as ways to combat it at an institutional level. My name is Jonathan Morrow and I am an Assistant Professor of Psychiatry at the University of Michigan specializing in addiction treatment services. Let's get started..

[Audio] As we continue our presentation on addressing stigma in opioid use disorder treatment providers let's explore the learning objectives for this topic. Our first objective is to identify the main causes of stigma among substance use disorder treatment providers. Next we'll discuss the importance of using de-stigmatizing language and behaviors when treating patients with substance use disorders. We will also touch on recognizing and effectively addressing stigmatizing behaviors among colleagues. Lastly we'll formulate a strategy for reducing stigma at an institutional level. Remember stigma is the dehumanization and negative treatment of individuals based on their social identity or belonging to a marginalized group both externally from society and internally from oneself. This can result in shame fear and marginalization. Let's work towards creating a more compassionate and understanding environment for those seeking treatment for substance use disorders as we move on to the next slide..

[Audio] In society we frequently hear the term 'stigma' when discussing marginalized groups. But what is stigma exactly? According to Luoma and others (2010) it is the dehumanization of individuals based on their social identity or belonging to a negative or undesirable social category. This can be seen in external public stigma where excluded groups face negative attitudes and reactions from various entities like healthcare providers law enforcement officers families and communities. Structural factors such as laws regulations and cultural context can also contribute to stigma. Internal or 'felt' stigma also exists where individuals feel shame fear and avoidance due to the devaluation of their characteristics. Unfortunately this often leads to more rejection and marginalization. In the next section we will further explore how different types of stigma intersect and overlap. Let's continue to address stigma in the treatment of opioid use disorder..

[Audio] In the discussion of addressing opioid use disorder treatment providers we encounter the idea of intersecting stigmas. These are multiple types of stigma that combine and make it harder for people to access treatment. By comprehending these intersecting stigmas we can better assist those coping with opioid use disorder. Let's delve into the various types of stigma and how they intersect..

[Audio] Continuing our discussion on addressing stigma in opioid use disorder treatment providers let's take a closer look at the effects of stigma. This negative perception can have a detrimental impact on individuals seeking treatment resulting in decreased access to employment housing and treatment as well as strained interpersonal relationships. Stigma can also lead to negative self-image mental health disorders and even stress-related physical health problems. This can ultimately result in avoidance of treatment employment and relationships. Moving onto the next slide it's important to recognize that healthcare providers play a significant role in perpetuating stigma towards those with substance use disorders. This can lead to decreased empathy involvement and engagement with patients ultimately hindering their ability to receive the necessary treatment and support. Let's explore this further on the next slide..

[Audio] Addressing stigma in opioid use disorder treatment providers is crucial for promoting successful recovery. Unfortunately health care providers are often a source of stigma for patients seeking treatment for substance use disorders. Studies have shown that no other physical or mental illness is stigmatized more than substance use. This stigma often starts within the health care system leading to negative attitudes and poor treatment outcomes. Research has shown that even seasoned clinicians harbor stigmatizing beliefs about individuals with substance use disorders. This can result in lower empathy reduced provider involvement shorter visits and lower patient engagement and retention. It is important for us as treatment providers to be mindful of our biases and actively work towards reducing the stigma associated with substance use disorders. The following slide will discuss negative attitudes towards these individuals and how they may stem from limited exposure lack of resources and time and societal beliefs. Let's take a closer look at these factors and how we can combat stigma in our practice..

[Audio] We are now on slide number 7 of our presentation on "Addressing Stigma in Opioid Use Disorder Treatment Providers" by Jonathan Morrow MD PhD Assistant Professor of Psychiatry at the University of Michigan Addiction Treatment Services. On this slide we will be discussing factors that can worsen a clinician's attitudes towards individuals with substance use disorders. One main factor is a lack of exposure to individuals in recovery. Clinicians who mainly work with severe substance use disorders may not interact with those who have successfully recovered perpetuating negative attitudes and stereotypes. Time and resources can also shape attitudes with heavy workloads and limited resources leading to feelings of overwhelm and difficulty dedicating the necessary time to understand and support individuals with substance use disorders. Poor role models and mentorship can also contribute to negative attitudes if colleagues hold stigmatizing beliefs. Additionally the perception of substance misuse as a moral failing can worsen attitudes. This belief ignores addiction's complexity and places blame on the individual rather than viewing it as a chronic disease. It is essential for clinicians to reflect on these factors and work towards addressing stigma in their practice to provide effective and compassionate care for individuals with substance use disorders..

[Audio] Our discussion topic is addressing stigma in opioid use disorder treatment providers. Let's explore different perspectives on addiction and consider common theories. Some view addiction as a moral issue while others see it as a spiritual deficit or character disorder. However experts now recognize addiction as a complex biopsychosocial disorder involving biological psychological and social factors. We must take a holistic approach to understanding and treating addiction considering all aspects of an individual's life. Thank you for listening..

[Audio] Thank you all for joining me for this presentation. Today we will be discussing common misunderstandings about addiction and how it is perceived. It used to be thought that addiction was a moral issue caused by personal flaws or a lack of self-control. However experts now view addiction as a biopsychosocial disorder influenced by biological psychological and social factors. This means that addiction can affect anyone regardless of their character or beliefs. Most importantly it is a condition that can be prevented and treated. As healthcare professionals it is important for us to recognize and address these misconceptions in order to effectively help those struggling with opioid use disorder. Please continue to the next slide as we delve further into the stigma surrounding addiction..

[Audio] Welcome to slide number 10 of our presentation on addressing stigma in opioid use disorder treatment providers. My name is Jonathan Morrow and I am an Assistant Professor of Psychiatry at the University of Michigan and also work with Addiction Treatment Services. Today we will be discussing solutions to combat stigma in our field. The first step in addressing stigma is to speak up. Acknowledge the issue and be vocal about it. Stigma thrives in silence so by speaking up we can bring attention to the problem. Next it's important to educate ourselves on the topic so that we can educate others. Stigma is often fueled by misconceptions and lack of knowledge. By educating ourselves we can break down these barriers and promote understanding and empathy. Treating people with dignity and respect is crucial in combating stigma. We must remember that those struggling with opioid use disorder are individuals with their own unique stories and backgrounds. By treating them with compassion and kindness we can reduce the stigma they face. We cannot give up on people who are seeking help for their addiction. Recovery is a journey and everyone's path is different. It's important to support and encourage individuals along the way rather than giving up on them. Finally it's important to remember that individuals with opioid use disorder are more than their disorder. We must not define them by their illness but rather see them as whole individuals who deserve dignity and respect. Let's work together to break down the stigma surrounding opioid use disorder treatment providers..

[Audio] In the field of opioid use disorder treatment certain words and terms are often used to describe individuals struggling with addiction. However these words can have negative meanings and perpetuate the stigma surrounding this condition. As treatment providers it is crucial for us to be aware of the language we use and to avoid stigmatizing terms that may isolate and shame those seeking help. Let's take a moment to go over some words and phrases we should refrain from using. First it is important not to call someone an "addict " "user " or "substance or drug abuser." These labels reduce a person to their addiction and suggest that they are defined solely by their struggle. Similarly words like "junkie " "alcoholic " and "drunk" should also be avoided as they have negative and derogatory connotations. We must also avoid terms like "substance dependence" or "former addict " as they imply that a person is no longer battling their addiction when in reality recovery is an ongoing process. So what can we say instead? It is best to use language that acknowledges the person first and recognizes them beyond their addiction. For example we can say things like "person with opioid use disorder (O-U-D--)/SUD" or "person with opioid addiction " which highlights that the individual is not defined by their condition. We can also use terms like "patient" or "person in recovery" to refer to those seeking or completing treatment. And for those who have been in recovery for a long time we can use the term "long-term recovery" to acknowledge their continued efforts. By being conscious of the language we use we can help reduce the stigma surrounding opioid use disorder and create a more understanding and empathetic environment for those seeking treatment. Let's work together to combat stigma and support those on their journey towards recovery..

It’s not just semantics. Compared to those in the "substance use disorder" condition, those in the "substance abuser" condition agreed more with the notion that the character was personally culpable and that punitive measures should be taken..

[Audio] Welcome to slide number 13. We will be discussing an important topic in the field of opioid use disorder treatment providers: addressing stigma. Stigma can greatly impact those seeking treatment and affect how providers approach this issue. It is important for us to recognize and address these stigmatizing terms and their implications for both patients and providers. This slide lists commonly used terms to describe individuals with opioid use disorder many of which carry negative connotations and perpetuate stigma. Let's reframe these terms to promote understanding and compassion. For example we can use 'person experiencing recurrence/relapse' instead of 'dirty ' and 'treatment not effective' instead of 'patient failed treatment.' By using non-stigmatizing language we can create a more supportive and inclusive environment for both patients and providers. As we continue let's keep in mind the power of our words and how we can work towards reducing stigma in opioid use disorder treatment..

[Audio] Addressing stigma in opioid use disorder treatment providers is a crucial step towards improving the quality of care for individuals struggling with addiction. The term 'habit' is often used to describe substance use perpetuating the misconception that it is a choice or personal failing. However addiction is a chronic brain disease and should be treated as such. This includes evidence-based treatments like opioid substitution or replacement therapy which uses medication to reduce cravings and withdrawal symptoms. It's important to recognize that using opioids whether illicit drugs or prescription medications is a form of substance use disorder not a moral failing. Medication treatment for opioid use disorder or pharmacotherapy is an effective and necessary tool for helping individuals recover. By reducing stigma and providing comprehensive treatment options we can improve the lives of those struggling with opioid use disorder..

[Audio] As providers of opioid use disorder treatment it is crucial for us to address the issue of stigma in real time. Stigma can take many forms such as negative stereotypes or discrimination towards those seeking treatment. Our responsibility is to establish a safe and welcoming environment for our patients free from judgment or bias. So how do we respond to stigma in real time? First it's important to educate ourselves on the harmful effects of stigma and how it impacts individuals seeking treatment. By understanding its roots we can better equip ourselves to combat it. Next we must actively challenge any stigmatizing comments or actions we encounter. This may involve educating others on the realities of opioid use disorder and emphasizing the importance of seeking treatment. We can also use inclusive and non-judgmental language in our interactions with patients. Furthermore promoting a culture of empathy and compassion within our treatment settings is crucial. By fostering a supportive and understanding environment we can reduce stigma surrounding opioid use disorder and create a sense of community for our patients. In conclusion addressing stigma in real time is an essential aspect of providing effective opioid use disorder treatment. By educating ourselves actively challenging stigma and promoting empathy and compassion we can create a more understanding and supportive treatment environment for those in need..

[Audio] Continuing to address stigma in opioid use disorder treatment providers requires understanding potential reasons behind this behavior. Often individuals seek power or express fear towards those they do not understand. Ignorance and a changing societal landscape can also contribute to stigmatizing actions. Sadly there are also those who deliberately stigmatize others using them as scapegoats for their own frustrations. This behavior is fueled by a workplace culture that supports it especially when rules are not enforced. We must recognize these reasons and work towards a more supportive and empathetic environment for those battling opioid use disorder. Let us commit to educating ourselves and others challenging negative beliefs and creating a more compassionate and inclusive society..

[Audio] Thank you for joining us on slide number 17 of our presentation on addressing stigma in opioid use disorder treatment providers. My name is Jonathan Morrow and I am an Assistant Professor of Psychiatry at the University of Michigan Addiction Treatment Services. In this presentation we will be discussing how to react to stigmatizing behavior in our organizations and agencies. Stigma is not acceptable in any setting and it is important to recognize and address it when we see it happening. First it is important to Recognize stigmatizing behavior and acknowledge that it should not be considered normal or acceptable. Next we must take the time to Explain the rules and regulations of our organization and agency that prohibit stigmatizing behaviors. If you or someone you know is a victim of stigma it is crucial to Act by reporting it to the appropriate authorities. It is also important to Care for both the person being stigmatized and the person exhibiting stigmatizing behavior while not accepting the behavior itself. Lastly it is helpful to Turn to key friends and advisors who share our belief that stigmatizing behaviors are wrong. By working together we can create a stigma-free environment for both ourselves and our patients. Let's continue to work towards a world where stigma is no longer a barrier to effective treatment for opioid use disorder..

[Audio] Welcome to slide number 18 of our presentation on addressing stigma in opioid use disorder treatment providers. In this slide we will discuss strategies for handling confrontations. Humor can effectively dispel tension and disarm aggression during a confrontation. If humor is a strength embrace it. Another strategy is self-talk where you practice what you want to say and give yourself encouragement. Role-playing different reactions can also be useful. Asserting yourself with "I" language and being frank can diffuse the situation. Knowing when to avoid a confrontation is important as seeking help from a supervisor or trusted person can be a better solution. Thank you for listening. Please proceed to the next slide for more information..

[Audio] As we continue our discussion on addressing stigma in opioid use disorder treatment providers I would like to draw your attention to the following quote: “Changing the culture requires us to insert a discussion about stigma into a meeting that is already ongoing.” This serves as a reminder to pay attention to and respectfully correct our language using “I” statements when educating others. Regularly generating conversations about stigma particularly surrounding familiar topics such as media or news events can be an effective way to combat it. One effective method outlined in the Anti-Stigma Toolkit Guide by the Central East A-T-T-C is organizing a stigma prevention campaign. Let's now move on to the next slide which will provide a general overview and summary of our topic..

[Audio] "Now as we near the end of our presentation let's take a moment to discuss the importance of cultural change in addressing stigma towards opioid use disorder treatment providers. As stated by Jonathan Morrow MD PhD "Make long-term commitments" and remember that attitudes norms values and policies take time to shift. To truly make a lasting impact we must use multiple approaches that are integrated and backed by science and research-based techniques. This includes utilizing addiction treatment research statistical and epidemiological data as well as social learning health communication and behavior and attitude change theories. Now let's move on to the next slide where we will explore the expertise of a professional team in finding creative solutions for digital challenges. This team has a wealth of experience and specializes in providing innovative solutions for digital problems. Let's take a look at some of their work together..

[Audio] In order to effectively address stigma in opioid use disorder treatment communication is key. As providers we must ensure that our facts are accurate as any misinformation can hinder our efforts and potentially have negative consequences. It is important to develop a concise and powerful message keeping in mind what you would say if you could only say one sentence. Additionally being a great listener is crucial in effective communication as it is a two-way street. When faced with challenges it is important to remain on message and maintain a professional demeanor. Instead of attempting to correct the challenger restate your message using different words. And finally it is okay to admit when you don't have all the answers. Make a list of individuals who can provide additional information and utilize their expertise to further your communication efforts. By following these basic principles we can effectively address stigma and work towards providing better treatment for opioid use disorder..

[Audio] Hello today we will be discussing strategies for creating effective stigma prevention campaigns in opioid use disorder treatment providers. Stigma can greatly impact those struggling with opioid use disorder and their access to proper treatment. In order to address this issue we must first identify and understand its specific aspects and how it manifests as a problem. We must also recognize who is being hurt by this stigma and who is perpetuating it. It is crucial to assess whether the community shares our desire to address this issue and to have the support and collaboration of others in our efforts. This leads us to the next step of identifying potential partners who can join us in our mission. As we brainstorm and think outside of the box we must also be creative and open-minded in our approach. However we must also be aware of potential challenges that may arise and how we can navigate them. It is important to consider if any approaches have been attempted before and what the outcome was as this can guide us in finding effective solutions. Lastly we must also be cautious of any tactics that may backfire and hinder our progress. I hope this discussion has provided valuable insight into addressing stigma in opioid use disorder treatment providers and that we can work together to create a more supportive and inclusive environment for those seeking treatment..

[Audio] As treatment providers for opioid use disorder it is important to acknowledge and address the stigma surrounding addiction. In order to effectively combat stigma there are behavior change principles that can be applied. Firstly it is crucial to identify immediate positive outcomes for the audience. How will addressing stigma benefit them? By reducing stigma we can improve the overall quality of care for those struggling with addiction. Consistency is key. It is important to establish and maintain a consistent message when addressing stigma. Saying the same thing over and over in different ways can be very effective. Repetition is not only good but it can also help get your point across. In addition to consistency utilizing multiple delivery methods can also be effective. This can include emails print media signage and face-to-face efforts. By using various platforms we can reach a wider audience and spread our message more effectively. Another powerful tool in addressing stigma is utilizing opinion makers. These are individuals who are respected by the target audience and can help make our case. By identifying and recruiting these individuals we can further strengthen our message and reduce stigma. Setting modest goals is also crucial. By starting with smaller attainable goals we can build a strong foundation for further stigma prevention activities. These goals can be used as a starting point to expand and continue our efforts in reducing stigma. Lastly it is important to offer help. This can include providing sources of information about addiction resources for providing care referral information and options for consultation. By providing tangible support we can not only reduce stigma but also offer assistance to those in need. As treatment providers it is our responsibility to address and combat the stigma surrounding addiction. By utilizing behavior change principles we can make a positive impact and improve the lives of those struggling with opioid use disorder..

[Audio] As we near the end of our presentation it is important to address the stigma surrounding opioid use disorder treatment. One way to do this is by setting clear prevention goals for treatment programs. This includes educating individuals about the treatment process. Unfortunately many people including treatment providers tend to focus on the negative consequences of addiction. However by providing detailed information about treatment phases stages goals and objectives we can demystify this process and help individuals understand the journey to recovery. Recovery itself is often misunderstood as a simple "success/failure" concept but in reality it is a complex and dynamic journey. By educating people about this we can humanize recovery and break down the stigma surrounding it. Another aspect that needs demystification is relapse. It is important to remember that relapse is common among chronic disorders including addiction and does not indicate treatment failure or rejection of treatment. It simply means the individual is facing a setback and needs continued support. In summary as treatment providers it is our responsibility to address stigma promote understanding and show compassion towards those struggling with opioid use disorder. Let us continue to educate humanize and demystify this process for the betterment of our clients and communities..

[Audio] As we conclude our presentation I want to emphasize some key points. We've talked about the challenges of stigma for people with substance use disorders and it's concerning that even healthcare professionals can perpetuate this harmful cycle. It's essential for us to set a positive example and treat all patients with compassion and respect and to address any stigmatizing behaviors among our colleagues. Though it may seem daunting we can make cultural change happen through persistent and intentional efforts. Thank you for dedicating your time to learning about addressing stigma in the treatment of opioid use disorder. Your commitment to this cause is truly valued..