The Hollow Villain: How Stigma Distracts Us from Action 

In the world of addiction, “stigma” often gets cast as the ultimate villain—the big bad wolf of public health narratives. It’s the term we throw around when we talk about shame, isolation, and the barriers people face when seeking treatment. The problem with the term stigma is that it's broad and elusive, seeming to apply … Continue reading The Hollow Villain: How Stigma Distracts Us from Action 

From the Sidelines to Center Stage: Harm Reduction’s Entry into the Continuum of Care

There is a private club, known only as the “Substance Use Continuum of Care.” Membership in the club is by invitation only, and all addiction interventions in the club are legal and have federal funding. You want to be in the club, but like with any exclusive club, there are rules for members and strings … Continue reading From the Sidelines to Center Stage: Harm Reduction’s Entry into the Continuum of Care

Top ten of 2021 #1 – Nothing to mourn; just a drug addict

A tweet from a colleague affected me this week. The subject was stigma in substance use disorders and he related how, at the funeral of a relative who had died very young from a heroin overdose, a family member callously slandered the dead man and skillfully ‘othered’ him. The message was ‘he was not at … Continue reading Top ten of 2021 #1 – Nothing to mourn; just a drug addict

Top ten of 2021 #2 – Wiping out stigma

Reducing the stigma associated with addiction – the word itself now tagged with a degree of stigma – is a priority in drugs policy. Stigmatising attitudes contribute to drug harms and deaths through delaying access to treatment, leaving treatment early and increased risk-taking behaviour.  Brea Perry and her colleagues at Indiana University took a look[1] at … Continue reading Top ten of 2021 #2 – Wiping out stigma

Top ten of 2021 #4 – Growing older and more stigmatised on methadone

In a compelling study from Dublin, Paula Mayock and Shane Butler (Trinity College) make the point that little is known about the stigma experienced by individuals attending drug treatment services over prolonged periods.  They explored this through the lived-experience narratives of 25 people prescribed long-term methadone. Their findings ‘reveal the intersection of stigma with age … Continue reading Top ten of 2021 #4 – Growing older and more stigmatised on methadone

Growing older and more stigmatised on methadone

In a compelling study from Dublin, Paula Mayock and Shane Butler (Trinity College) make the point that little is known about the stigma experienced by individuals attending drug treatment services over prolonged periods.  They explored this through the lived-experience narratives of 25 people prescribed long-term methadone. Their findings ‘reveal the intersection of stigma with age … Continue reading Growing older and more stigmatised on methadone