When equipped with the right tools, together we can

combat the STIGMA associated with substance use.

Stigma and Harm Reduction

Our language can have a lasting impact on the people we interact with in our lives, both personally and professionally. Individuals who suffer from or at most risk of a substance use disorder often endure a great deal of stigmatizing language in their daily lives. We are trying to change that!

What is stigma and where does it come from?

Stigma is a discrimination against an identifiable group of people, a place, or a nation. Stigma about people with SUD might include inaccurate or unfounded thoughts like they are dangerous, incapable of managing treatment, or at fault for their condition. 

For people with an SUD, stigma may stem from antiquated and inaccurate beliefs that addiction is a moral failing, instead of what we know it to be—a chronic, treatable disease from which patients can recover and continue to lead healthy lives.

How does stigma affect people with Substance Use Disorders?

Stigmatizing views of people with SUD are common in our society. The feeling of being stigmatized can reduce the willingness of individuals with SUD to seek treatment. This stereotyping can lead others to feel pity, fear, anger, and a desire for social distance from people with an SUD.

The language we use (verbal and body-language) is extremely impactful. One common environment where stigmatizing language can negatively impact outcomes is when health care provider’s perceptions of people with SUD impact the care they provide. {National Institute on Drug Abuse}

Help change stigmatizing behavior

  • When talking to people impacted by SUD, use non-stigmatizing language that reflects an accurate, science-based understanding of SUD.

  • Encourage health professionals to “take all steps necessary to reduce the potential for stigma and negative bias.” Lead by example.

  • Use person-first language and let individuals choose how they are described. Person-first language removes language that equates people to their condition or has negative connotations. For example, “person with a substance use disorder” has a neutral tone and distinguishes the person from his or her diagnosis.

Things to keep in mind

  • It is recommended that “substance use” be used to describe all substances, including alcohol and other drugs, and that clinicians refer to severity specifiers (e.g., mild, moderate, severe) to indicate the severity of the SUD.
  • This language also supports documentation of accurate clinical assessment and development of effective treatment plans. When talking about treatment plans with people with SUD and their loved ones, be sure to use evidence-based language instead of referring to treatment as an intervention. {National Institute on Drug Abuse}