Medication Assisted Treatment

Evidence Ranking: Proven

In this featured collection, we put a spotlight on medication assisted treatment (MAT) for opioid use disorder (OUD). Research has proven that MAT is an evidence-based strategy for treating individuals with OUD; individuals who use MAT as part of their treatment and recovery plan are more likely to be retained in treatment and to have fewer adverse events such as opioid overdose and opioid overdose mortality.

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Policymakers & Community Leaders
Patients & Caregivers

Spotlight: Recovery Reinvented

Evidence Ranking: Potential

Source: Addiction Policy Forum

First Lady of North Dakota Kathryn Helgaas Burgum created Recovery Reinvented to end the shame and stigma that often accompanies people in recovery from addiction. As a person in long term recovery herself, she saw the need to empower people to seek help by openly talking about addiction and reality of recovery. Recovery Reinvented holds events in North Dakota with the goal of ending shame and stigma and creating recovery supportive communities. This report is part of the Addiction Policy Forum’s Spotlight series which highlights innovative programs to address the opioid crisis.


Reducing Stigma Surrounding Substance Use Disorders

Our August collection addresses one of the most significant issues surrounding the opioid crisis: the sigma faced by people who suffer from addictions. The National Academies of Science, Engineering, and Medicine defines stigma as a range of negative attitudes, beliefs and behaviors that are associated with certain conditions such as addiction.

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Reducing Stigma Surrounding Substance Use Disorders: Creating a Community-based Anti-Stigma Initiative

Reducing the stigma surrounding substance use disorders requires changing people’s attitudes and behaviors, a challenging task many state and local government and community organizations have undertaken. In this collection, we provide guidance on creating your own community anti-stigma campaigns and examples of programs currently in operation across the country. This collection includes: A 2016 report from the National Academies of Science, Engineering, and Medicine that reviews the evidence for effective strategies for stigma reduction and provide recommendations for creating successful anti-stigma campaigns A tool-kit for creating an anti-stigma campaign from the Central East Addiction Technology and Transfer Center and the Danya Institute A link to the Distorted Perceptions website that includes educational information and materials individuals and organizations can use in creating anti-stigma campaigns A link to the website of the Northeastern University School of Law’s Changing the Narrative project that works to reduce stigma in media representations, provides evidence-based information to counter common myths about drug use and addiction, and connects people with experts willing to speak on anti-stigma topics Reports about and links to websites for community based anti-stigma initiatives that may serve as a model including: Recovery Reinvented, an initiative led by First Lady of North Dakota…
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Reducing Stigma Surrounding Substance Use Disorders: Videos

As part of CLOUD’s collection dedicated to reducing the stigma surrounding substance use disorder, we provide several videos that may be used in education or public information campaigns. 1. A 6-minute video from Boston Medical Center’s Grayken Center for Addiction that provides guidance for clinicians on how to improve their communication skills and reduce stigma in their interactions with patients 2. A series of videos from the Commonwealth of Massachusetts “State Without StigMA” campaign – Six 1-minute videos tell the stories of people whose experience of stigma toward their drug use made seeking help more difficult. The series also includes a 30-second public service advertisement that demonstrates the importance of rethinking attitudes and actions towards individuals with addiction to encourage their ability to achieve recovery. Anthony’s story Sue’s story Stephanie’s story Mike’s story Cotto’s story (English) Cotto’s story (Spanish) State Without StigMA public service advertisement 3. Videos previously highlighted in our collection on Substance Use Disorder Treatment for Pregnant and Parenting Women that explain how stigma impedes engaging these women in treatment and their achievement of recovery: A 10-minute video that features a woman who successfully treated her SUD while pregnant and includes clinicians discussing the harmful effects of stigma on effective…
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Reducing Stigma Surrounding Substance Use Disorders: Harm Reduction Coalition Training Program

The Harm Reduction Coalition (HRC) created the Understanding Drug Related Stigma training program in partnership with the New York State Department of Health’s AIDS Institute. According to HRC, the training objectives include: Understanding the meaning of stigma, discrimination, and related concepts Identifying the various ways drug users experience stigma Exploring key sources of preexisting stigma and discrimination including stereotypes and labels placed on drug users Identifying consequences of drug-related stigma on drug users’ willingness to access services Considering ways to address stigma at individual and agency levels Gaining conceptual and practical tools toward promoting attitudes that challenge stigma and support drug users’ needs This collection includes the training program’s: Training manual Participant workbook Slide-set presentation Webpage where individuals can request a training for their organization or community  

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Reducing Stigma Surrounding Substance Use Disorders: The Importance of Language

One of the most important steps we can take to counter stigma surrounding substance use and addiction is to be careful about the language we use. Multiple studies have shown that how we talk about substance use and people who use substances can affect people’s engagement in treatment and achievement of recovery.This collection contains resources that explain the importance of carefully choosing words and provides examples of stigma-free language: A plain language summary of a study that looked at the effects of language on people’s attitudes towards people who use substances from the Recovery Research Institute A link to the Recovery Research Institute’s Addictionary that lists language patients, providers, and policymakers can use that is non-stigmatizing and creates a supportive treatment environment for substance use disorders Two one-page infographics that list non-stigmatizing language options when speaking about substance use disorders From the North Carolina Department Department of Health and Human Services From Addiction Policy Forum A 2017 memorandum from the White House Office of Drug Control Policy directing federal agency staff to use non-stigmatizing language when talking about substance use disorders A 2-page guide to non-stigmatizing language from the National Judicial Opioid Task Force

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Medication Assisted Treatment – Stigma and Negative Stereotypes

Despite the overwhelming evidence that medications such as methadone, buprenorphine, and naltrexone are effective at treating opioid use disorder, objections to medication assisted treatment (MAT) are still common. The resources in this collection are intended to help dispell the myths and negative stereotypes about MAT.

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Substance Use Disorder Treatment in Pregnant and Parenting Women

Providing effective treatment for substance use disorder (SUD) in pregnant and parenting women is a priority for many policymakers, community leaders and clinicians. Untreated SUD can lead to harms for both mothers and their children,while providing effective treatment and recovery supports can change the trajectory for the entire family. In this collection, we place a spotlight on effective models for treating SUD in pregnant and parenting women.

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