A- A A+

A Community-Based Investigation of Stigma Toward Individuals Receiving Methadone Maintenance Treatment in China: A Randomized Case Vignette Study. 

Deng Q, Hu M, Yu F, Liu Q, Hao W, Wu Q, Luo T. 

Front Psychiatry. 2020 Nov 25;11:601266. doi: 10.3389/fpsyt.2020.601266. PMID: 33324264; PMCID: PMC7723969.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7723969/

Creating an ethical culture to support recovery from substance use disorders. 

Williamson L. 

J Med Ethics. 2020 Nov 11:medethics-2020-106661. doi: 10.1136/medethics-2020-106661. Epub ahead of print. PMID: 33177147.

https://jme.bmj.com/content/early/2020/11/10/medethics-2020-106661.long

Proposal of a scale for COVID-19 stigma-discrimination toward health workers. 

Campo-Arias A, Álvarez-Solorza I, Tirado-Otálvaro AF, Cassiani-Miranda CA. 

J Investig Med. 2020 Nov 26:jim-2020-001647. doi: 10.1136/jim-2020-001647. Epub ahead of print. PMID: 33243823; PMCID: PMC7692020.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7692020/

Prevalence and Associated Factors of Posttraumatic Stress Symptoms and Stigma among Health Care Workers in Contact with COVID-19 Patients. 

Zandifar A, Badrfam R, Mohammadian Khonsari N, Mohammadi MR, Asayesh H, Qorbani M. 

Iran J Psychiatry. 2020 Oct;15(4):340-350. doi: 10.18502/ijps.v15i4.4303. PMID: 33240384; PMCID: PMC7610075.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7610075/

Stress and Stigmatization in Health-Care Workers during the COVID-19 Pandemic.

GV, Makarevich OV, Neznanov NG, Morozov PV, Lutova NB, Mazo GE.  

Indian J Psychiatry. 2020 Sep;62(Suppl 3):S445-S453. doi: 10.4103/psychiatry.IndianJPsychiatry_870_20. Epub 2020 Sep 28. PMID: 33227056; PMCID: PMC7659791.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7659791/

Social Stigmatization of Drug Abusers in a Developing Country: A Cross-Sectional Study. 

Khalid F, Jaan A, Aslam MMS, Ahmed Z, Raheem A, Bodla ZH, Basit A, Hussain B, Iftikhar A, Tayyeb M, Khalid A, Rehman U. 

Cureus. 2020 Sep 26;12(9):e10661. doi: 10.7759/cureus.10661. PMID: 33133831; PMCID: PMC7586416.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586416/

“You Are Now Entering a Guilt-free Zone”

D. Robin Taylor, M.D., D.Sc.

N Engl J Med 2020; 383:2103-2105, DOI: 10.1056/NEJMp2003459

https://www.nejm.org/doi/full/10.1056/NEJMp2003459

Ukraine. Targets (Video)

The film ‘Targets’ is a story about the women in Ukraine who are branded as “drug addicts” and who are being destroyed by the state today. These women are targets, and a real war is being waged against them. The film is an attempt to understand why this is happening and what needs to be done to stop these deaths.

On the one hand, the state finances a program of substitution maintenance therapy (SMT), which is a method of treating drug addiction with proven effectiveness. Many women in Ukraine receive this therapy. This gives them the opportunity to restore health and social ties, find work, devote time to family and children, etc.

However, on the other hand, as soon as a woman begins to receive this treatment, she is immediately diagnosed with drug addiction. At this moment, as a result of being given this status, she loses all her rights. In practice, this is very often used by social services, which can take children from such women and deprive them of parental rights. Such mothers are forcibly separated from their children. Babies who could live with a loving mother end up in shelters. Social and other services act in such cases based on discriminatory and outdated norms of Ukrainian legislation. (Drug Reporter, Ungarn, 28:45, engl. UT)

https://www.youtube.com/watch?v=0hIqWwpVyeE&feature=emb_logo

USA. Stop the Stigma. Tackling the Stigma of Addiction through Education - a disease not a moral failing.

Stigma refers to when individuals are discriminated against, devalued, rejected or excluded as a result of belonging to a particular group. Addiction-related stigma prevents people who are struggling from reaching out for help and isolates families affected by addiction who fear being judged by their communities.  In 2018, 16 percent of individuals with a SUD did not seek treatment because they worried that it would have a negative impact on their employment; and approximately 15 percent felt it would impact their community’s view of them.

Fear and misunderstanding often lead to prejudice against people with substance use disorders, even among healthcare providers. It's also one of the main reasons people don't consider addiction a real health issue. These prejudices and biases leads to feelings of shame in those struggling and creates serious barriers to diagnosis and treatment.

https://www.stopstigma.org/

Announcing the Lancet Commission on stigma and discrimination in mental health 

Graham Thornicroft, Charlene Sunkel 

The Lancet, Volume 0, Issue 0

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)32203-0/fulltext

The Role of Stigma in the Nursing Care of Families Impacted by Neonatal Abstinence Syndrome. 

Recto P, McGlothen-Bell K, McGrath J, Brownell E, Cleveland LM. 

Adv Neonatal Care. 2020 Oct;20(5):354-363. doi: 10.1097/ANC.0000000000000778. PMID: 32868585; PMCID: PMC7467149.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7467149/

Some notes on the use, concept and socio-political framing of 'stigma' focusing on an opioid-related public health crisis.

Fischer B.

Subst Abuse Treat Prev Policy. 2020 Aug 3;15(1):54. doi: 10.1186/s13011-020-00294-2. PMID: 32746871; PMCID: PMC7396940.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7396940/

Stigma of Opioid Use Disorder and Its Indirect Effects on Student Pharmacists' Perceptions and Attitudes. 

Hall EA, Cernasev A, Nasritdinova U, Veve MP, Hohmeier KC. 

Pharmacy (Basel). 2020 Aug 14;8(3):144. doi: 10.3390/pharmacy8030144. PMID: 32823836; PMCID: PMC7559077.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559077/

Malaysia. Malaysian man has death sentence quashed as judgment in Singapore makes judicial history

On Monday, judicial history was made in Singapore when the death sentence imposed on Malaysian national, Gobi a/l Avedian, for importing class A drugs was overturned.  He is the first person in known history to have had a death sentence overturned on a review by the Singapore Court of Appeal after exhausting all the usual avenue of appeals.

Gobi had initially been acquitted of the capital charge at trial in June 2017 when the trial judge accepted that he did not know at the time that the drug he was importing was heroin. However, the Attorney General’s Chambers appealed, and Gobi was convicted and sentenced to death by the Court of Appeal in October 2018. (The Death Penalty Project, UK, 23.10.2020)

https://www.deathpenaltyproject.org/malaysian-man-has-death-sentence-quashed-as-judgment-in-singapore-makes-judicial-history/

Schottland. Stigma matters.

Themenseite des SDF – Scottish Drugs Forum, September 2020

http://www.sdf.org.uk/policy/stigma-and-substance-use/

Schottland. Relationship between language, power and stigma explored in new resource

SDF have published a glossary of contested terms that describes the issues around some language and key concepts that often cause contention and some that evolve from or perpetuate stigma and the prejudice it fosters.

Moving Beyond People First Language – A glossary of contested terms in drug use

SDF – Scottish Drugs Forum, Oktober 2020

http://www.sdf.org.uk/wp-content/uploads/2020/10/Moving-Beyond-People-First-Language.pdf

Schottland. Moving Beyond ‘People First Language’ – a glossary of contested terms in substance use 

The Glossary supports a consensus on some key concepts and terms in substance use by defining and explaining the cause and nature of contention and suggesting better practice in terms of the language choices we make.  The central aim is to improve understanding and address the stigma betrayed in some common terms and concepts current within the field. (Scottish Drugs Forum, Oktober 2020) 

http://www.sdf.org.uk/wp-content/uploads/2020/10/Moving-Beyond-People-First-Language.pdf

USA. a disease not a moral failing.

Stigma refers to when individuals are discriminated against, devalued, rejected or excluded as a result of belonging to a particular group. Addiction-related stigma prevents people who are struggling from reaching out for help and isolates families affected by addiction who fear being judged by their communities.  In 2018, 16 percent of individuals with a SUD did not seek treatment because they worried that it would have a negative impact on their employment; and approximately 15 percent felt it would impact their community’s view of them. (stopstigma.org, USA, Oktober 2020)

https://www.stopstigma.org/

From race-based to race-conscious medicine: how anti-racist uprisings call us to act

Cerdeña, Jessica P et al.

The Lancet, Volume 396, Issue 10257, 1125 - 1128 

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)32076-6/fulltext

Singapur. Singapore Should Rehabilitate, Not Execute, Drug Users

Halt Imminent Execution of Syed Suhail Bin Syed Zin; Abolish Death Penalty. (Human Rights Watch, 15.09.2020)

https://www.hrw.org/news/2020/09/15/singapore-should-rehabilitate-not-execute-drug-users

Philippinen. OPEN LETTER: UN HUMAN RIGHTS COUNCIL SHOULD URGENTLY LAUNCH AN INTERNATIONAL INVESTIGATIVE MECHANISM ON THE PHILIPPINES

Given the failure of the Philippine authorities to stop or effectively investigate crimes under international law and punish those responsible, this letter urges governments to work towards the adoption of a resolution on the Philippines to ensure that the country remains on the agenda of the UN Human Rights Council and to create an independent, impartial, and effective investigation into violations that have occurred since 2016. The creation of such a mechanism is the only credible next step that the HRC can take to address the ongoing human rights crisis in the Philippines. (Amesty International, Index number: IOR 40/2941/2020, 27.08.2020)

https://www.amnesty.org/en/documents/ior40/2941/2020/en/

The real stigma of substance use disorders

Does it matter how we talk about people with substance use disorder? Research finds powerful experimental evidence that exposure to certain terms at random actually induces systematic cognitive biases that may affect clinical judgements and quality of care. (Recovery Research Institute, USA, September 2020)

https://www.recoveryanswers.org/research-post/the-real-stigma-of-substance-use-disorders/

PLHIV Stigma Index - HIV Stigma Index 2.0

Stigma remains one of the biggest barriers preventing people living with HIV from accessing healthcare. The People Living with HIV Stigma Index was first launched in 2008. Ten years on, it was replaced by an updated and strengthened Stigma Index 2.0. (GLOBAL NETWORK OF PEOPLE LIVING WITH HIV (GNP+))

https://www.stigmaindex.org

Human Rights, Stigma, and Substance Use. 

Wogen J, Restrepo MT. 

Health Hum Rights. 2020;22(1):51-60. 

Human Rights, Stigma, and Substance Use. 

Stigma: how it affects the substance use disorder patient. 

Zwick J, Appleseth H, Arndt S. 

Subst Abuse Treat Prev Policy. 2020;15(1):50. Published 2020 Jul 27. doi:10.1186/s13011-020-00288-0

Stigma: how it affects the substance use disorder patient. 

Words Matter! Language Statement & Reference Guide

ANPUD and INPUD underscore the links between language and stigma, offering guidance on respectful alternatives. (Asian Network of People who Use Drugs (ANPUD) and International Network of People Who Use Drugs (INPUD), Juli 2020)

Words Matter! Language Statement & Reference Guide

Philippinen. Death Penalty Danger in the Philippines - Reinstating Capital Punishment Risks International Condemnation, Sanctions. 

The plummeting human rights situation in the Philippines got even worse this week as the government began considering bills to reinstate the death penalty. The move by the House Committee on Justice came a week after President Rodrigo Duterte used his State of the Nation Address to call for capital punishment by lethal injection for drug offenders.

(Human Rights Watch, USA, 05.08.2020)

Philippinen. Death Penalty Danger in the Philippines - Reinstating Capital Punishment Risks International Condemnation, Sanctions. 

Infectious Disease Outbreak Related Stigma and Discrimination during the COVID-19 Pandemic: Drivers, Facilitators, Manifestations, and Outcomes across the World 

Ransing R, Ramalho R, de Filippis R, et al. 

[published online ahead of print, 2020 Jul 27]. Brain Behav Immun. 2020;S0889-1591(20)31693-7. doi:10.1016/j.bbi.2020.07.033

Infectious Disease Outbreak Related Stigma and Discrimination during the COVID-19 Pandemic: Drivers, Facilitators, Manifestations, and Outcomes across the World 

“They look at us like junkies”: influences of drug use stigma on the healthcare engagement of people who inject drugs in New York City. 

Muncan, B., Walters, S.M., Ezell, J. et al.

Harm Reduct J 17, 53 (2020). doi.org/10.1186/s12954-020-00399-8

“They look at us like junkies”: influences of drug use stigma on the healthcare engagement of people who inject drugs in New York City. 

China. China sentences Canadian to death on drugs charge

A Chinese court has sentenced a Canadian citizen to death on charges of producing the drug ketamine. (BBC, 06.08.2020)

www.bbc.co.uk/news/world-asia-china-53521589