Closed Captioning Transcript

Total Page:16

File Type:pdf, Size:1020Kb

Closed Captioning Transcript TRANSCRIPT PROVIDED BY CAPTION ACCESS LLC [email protected] WWW.CAPTIONACCESS.COM ***** THIS TRANSCRIPT IS BEING PROVIDED IN A ROUGH-DRAFT FORMAT. COMMUNICATION ACCESS REALTIME TRANSLATION (CART) IS PROVIDED IN ORDER TO FACILITATE COMMUNICATION ACCESSIBILITY AND MAY NOT BE A TOTALLY VERBATIM RECORD OF THE PROCEEDINGS. ***** NAADAC PRACTICAL HARM RECUTION DECEMBER 2, 2020 2:00 P.M. CST CAPTIONING PROVIDED BY CAPTION ACCESS LLC [email protected] WWW.CAPTIONACCESS.COM >> Hello, and welcome to today's webinar on harm reduction for the clinical setting presented by Kimberly May. It's great you can join us today. I'm Samson Teklemariam, the director for NAADAC. I'll be the organizer for your training today. In an effort to continue the clinical, professional, and business development for the addiction profession, NAADAC is really fortunate to sponsor webinar sponsors. As our field continues to grow and our responsibilities evolve, it's important to remain informed of best practices and resources supporting our work. Especially in times like these where we are all quickly realizing the importance of how technology connects us all. This webinar is sponsored by Halcyon Health, who provides addiction recovery support that adapts to your life by combining a proprietary software driven integrated care platform and personalized support from an expert team of providers, care coordinators, and certified peer recovery coaches. Halcyon is there for you with every step of your journey towards lasting recovery. Stay tuned for instructions on how to access your CE quiz towards the end of the webinar immediately after a brief demo from our sponsor. Make sure to bookmark this home page so you can stay up-to-date in addiction. Closed captioning is provided by Caption Access. Please check your most recent confirmation email or our Q & A and chat box for the link to use closed captioning. As you can see, we're using Go To Webinar. You'll notice that the control panel that accident /HRAO like the one on my slide here. You can use that orange arrow any time to minimize or maximize the control panel. If you have any questions for the presenter, just type them into the questions box. We'll gather those questions and give them to our presenter during a designated live Q & A towards the end of this webinar. Any questions we don't get to will be posted on our website at a later date. Lastly, under the questions tab, you'll see a Tabitha says handouts. You can download the PowerPoint slides from that hand-out tab and a user-friendly instructional guide on how to access our CE quiz and immediately earn your CE certificate. There's also an additional handout from our sponsor Halcyon Health. Please make sure before going into take your quiz that you use that instructional guide. If this is your first time with our CE process. And now I'm so excited to welcome our webinar presenter today, Kimberly May, who is the founder of substance use therapy in Austin, Texas. She worked for many years of harm reduction you providing counseling services to those receiving medicated assisted treatment. She also -- Kim also worked for the local mental health authority managing programs in the division of intellectual and developmental disabilities. In this role Kim established crisis programs and developed and implemented training for law enforcement about how to better serve the IDD population. At Substance Use Therapy Kim works with couples, families, whose lives have been impacted by drugs and alcohol. She works with harm reduction model to meet people wherever people identify themselves on the continuum care use. Kim, whenever you are ready, you can turn your web cam on, unmute yourself, and I will hand this over to you. >> KIMBERLY: Hello. I think I've successfully done it. Can you verify you can hear me? >> SAMSON: I can hear and see you. It's all yours. >> KIMBERLY: Perfect. I navigated the whole part of this whole training. It's cake from here on out. Well, first of all, welcome. I'm really excited to do this presentation. I'm really grateful for NAADAC for the opportunity for inviting me to present. I absolutely love harm reduction. I love talking about it. I could talk about it all day long, so we should probably get to it. I am clicking and my slide isn't moving, so I'll give that just a second to catch up. All right. Samson, the slide is not clicking. >> SAMSON: Just grab your mouse and click on the green E screen again, and then it will give you back control. >> KIMBERLY: Okay. Let's see. And I'm clicking. >> SAMSON: Go ahead and hover your house over the slide like where your name and your image is, and let's make sure I can see your mouse. One second. I'm going to step in for you. Here we go. You see the mouse here. Go ahead and move that for me, and that way we can make sure. Then click on that slide. One more time. We're on your first slide. If you can just go ahead and click right there. Don't move the mouse. Just grab it and click there. I think what's happening is it's moving off of the screen. Once you click, if you can see your mouse around your name, just make sure to move it around your name. I'm looking to see when it will allow you to take over. >> KIMBERLY: Okay. Moving it. >> SAMSON: I'm going to take it away and give it back. Sometimes that works. There we go. Sorry about that, Kim. Everyone, this is on us. We'll get this straightened out there. Kim, go ahead and grab that mouse and click right there. Yes. I see it. You're moving it. You've got control. Perfect. At this point you can use your arrows and go backward. Perfect. Yep. >> KIMBERLY: All right. That's out of the way. We always know there's going to be some kind of technical issue. Always good to get it out of the way early. Kind of first thing is first. What is harm reduction? So harm reduction really originated around the '80s in Europe, and it was largely a response to the HIV and hepatitis crisis that was happening amongst IV drug users. Harm reduction is a set of practical strategies and ideas aimed at reducing the negative consequences associated with drug use. So rather than the focus solely being on eliminating or minimizing the drug use, the initial focus is really on the consequences or the risks. I think most of us in working with this population understand that this tends to be a population that's often marginalized, really stigmatized. They don't always have a voice in their treatment. They don't always have a way to advocate for themselves. >> It's done amazing things in terms of saving people's lives. It's still not incredibly widely accepted. There's still some things about it that feel a little controversial. Some things about it make people feel a little squishy, which I can certainly understand. Something I think a lot of us don't realize is that we actually all of us live with examples of harm reduction every day. Let's look at some of those. One of the things I talk about is the designated drivers. The designated driving campaign is really unique. It doesn't assume that people won't drink. Have someone drive you home after you do your thing. The target is not on the active drinking. It's on the act of driving after drinking.. Another example that is really important in saving lives is nicotine replacement therapy. This would talk about nicotine gum, the nicotine patch or lozenges. For people who are addicted to cigarettes or tobacco or snuff it's the nicotine they're addicted to, but it's the delivery method that poses such great health risks. Nicotine replacement therapy gives people the drug, nick team, that they want, but eliminating that delivery mechanism, like the actual cigarette or the actual tobacco. So many diet books and nutrition box, you know, have this much protein every day and this many carbs and that really ideal eating that I don't know, maybe we aspire to, but isn't always realistic. Despite our best intentions, we will still find ourselves sitting in the drive-through lane. We will find ourselves sitting at the cheesecake factory with one of those book size menus, and when we do, we can make better choices. If that's where we're at, there's a better choice within that we can make. Naturally, we should stop and talk about meat. I am in Texas, after all. My dad was in a hospital. He had a heart thing. He was fine. It's not a sad story. As he was kind of getting ready for discharge, gearing up for that, the doctor came in, and he said, sir, we should talk about meat. He knew meat was a conversation he needed have. What he told my dad when it came to meat, you can have meat that comes from animals with four legs rarely. You can have meat that comes from animals with two legs sometimes. You can have meat that comes from animals with no legs as often as you want. It's short and easy to remember, and kind of funny. Really importantly, it doesn't have the word no.
Recommended publications
  • Methamphetamine & Opioid Response Initiative
    Billings Metro VISTA Project Methamphetamine & Opioid Response Initiative: A Community Assessment July 2019 AmeriCorps VISTAs: Nick Fonte and Amy Trad Table of Contents EXECUTIVE SUMMARY ......................................................................................................................................... 3 INTRODUCTION ....................................................................................................................................................... 4 Section 1: Area of Study ............................................................................................................................................ 4 Section 2: Methamphetamine vs. Opioids ................................................................................................................. 5 KEY STAKEHOLDERS ............................................................................................................................................ 6 Section 1: Community Organizations/Non-profits .................................................................................................... 6 Section 2: Statewide and Local Initiatives ................................................................................................................ 9 RELEVANT DATA ................................................................................................................................................... 11 Section 1: Methamphetamine and Opioids in the News .........................................................................................
    [Show full text]
  • Understanding the Neuroscience of Addiction to Provide Effective Treatment PDH Academy Course #9641 (6 CE HOURS)
    CONTINUING EDUCATION for Social Workers Understanding the Neuroscience of Addiction to Provide Effective Treatment PDH Academy Course #9641 (6 CE HOURS) Biographical Summary Jessica Holton, MSW, LCSW, LCAS has nearly two decades of experience and is a private practitioner specializing in treating Trauma & Stress Related Disorders, Anxiety Disorders, and Addictions. She earned her Master of Social Work and became certified in Social Work Practice with the Deaf and Hard of Hearing from East Carolina University. Jessica is active in leadership roles with the National Association of Social Workers (NASW) at the local, state, and national levels (Co-Chair of NASW-NC’s Greenville’s Local Program Unit from 2005-2012; Elected as NASW-NC’s President Elect (2011-2012) and NASW-NC’s President (2012-2014); Appointed to NASW’s Alcohol, Tobacco and Other Drug (ATOD) Specialty Section Committee as a committee member in 2008, then appointed as the Chair in 2010 to 2016, and recently returned to a committee member. Jessica is involved with Addiction Professionals of North Carolina, as well, in which she was elected as a Member At Large for a three year term (2017 to 2020). Jessica has written many professional newsletter articles, several peer-reviewed journal articles, and has presented nationwide at numerous conferences. She is passionate about learning, sharing her knowledge and elevating her profession. She also received the East Carolina University School of Social Work Rising Star Alumni Award in 2012, selected as The Daily Reflector’s Mixer Magazines30 under 30 in 2007, Wilson Resource Center for the Deaf and Hard of Hearing Community Service Award in 2005 and the National Association for the Advancement of Educational Research Annual Conference Award for Service to the Profession 2002 Outstanding Researcher.
    [Show full text]
  • Rat Park the Radical Addiction Experiment
    7 Rat Park THE RADICAL ADDICTION EXPERIMENT In the 1960s and 1970s scientists conducted research into the nature of addiction. With animal models, they tried to create and quantify crav- ing, tolerance, and withdrawal. Some of the more bizarre experiments involved injecting an elephant with LSD using a dart gun, and pump- ing barbiturates directly into the stomachs of cats via an inserted catheter. With cocaine alone, overfive hundred experiments are still per- formed every year, some on monkeys strapped into restraining chairs, others on rats, whose nervous system so closely resembles ours that they make, ostensibly, reasonable subjects for the study of addiction. Almost all animal addiction experiments have focused on, and concluded with, the notion that certain substances are irresistible, the proof being the animal's choice to self-administer the neurotoxin to the point of death. However, Bruce Alexander and coinvestigators Robert Coambs and Patricia Hadaway, in 1981, decided to challenge the central premise of addiction as illustrated by classic animal experiments. Their hypothesis: strapping a monkey into a seat for days on end, and giving it a button to push for relief, says nothing about the power of drugs and everything about the power of restraints—social, physical, and psychological. Their idea was to test the animals in a truly benevolent environment, and to see whether addiction was still the inevitable result. If it was, then drugs deserved to be demonized. If it wasn't, then perhaps, the researchers suggested, the problem was not as much chemical as cultural. know a junkie. Emma is her name.
    [Show full text]
  • This Report Was Written by Dr. Adela D. Torchia When She Was a Community Sabbatical Fellow at the Centre for Studies in Religion and Society (CSRS) in 2018
    This report was written by Dr. Adela D. Torchia when she was a Community Sabbatical Fellow at the Centre for Studies in Religion and Society (CSRS) in 2018. The views, information, and opinions expressed in the report belong solely to the author, and are not necessarily representative of the views of the CSRS or the University of Victoria. Spirituality and the BC Opioid Crisis: a Grandmother’s Journey A Community Sabaticant Research Fellowship for the Centre for Studies in Religion and Society (CSRS) at the University of Victoria -- May 2018 by Adela D. Torchia PhD Disclaimer: The views, information, and opinions expressed in the report belong solely to the author, and are not necessarily representative of the views of the Centre for Studies in Religion and Society or the University of Victoria. 2 Table of Contents 1. Introduction 3 2. Sacred Circles, Sacred Fires 9 3. Homelessness, Simple Living & Being Outsiders 13 4. Life Support in Vancouver 22 5. The Opposite of Addiction is Connection 30 6. From Indra’s Net to Ghandi’s Khadi spirit 34 7. Aboriginal Connections and Disenfranchised Youth 38 8. The Last Supper at Dairy Queen in Nanaimo 46 9. All Saints Day and the Bardo 56 10. The Love Song of a Fentanyl Grandma 64 11. Connecting the DOTS 77 12. Epilogue 83 Appendices: I. Facebook Post from his former girlfriend 89 II. On the Death of the Beloved 92 III. Literature Review of Bruce Alexander 2017 lectures 94 IV. Contact Cement 103 V. Christmas Without Gordon 105 3 Introduction Why do a research fellowship on this topic at the CSRS? In the basic CSRS leaflet on the first inside page under the title: “At the Intersection of Religion and Public Life” we are told that CSRS research projects deal with key issues facing our broader society, including public health challenges, and in the next paragraph, addiction is mentioned as one of those public policy issues.
    [Show full text]
  • “Drugs Cause Addiction.” This Was the Conclusion Drawn from Repeated Rat Experiments in Numerous University Research Centres in the 1950S and 60S
    “Drugs cause addiction.” This was the conclusion drawn from repeated rat experiments in numerous university research centres in the 1950s and 60s. These studies had involved the use of tiny cages with contraptions that allowed isolated animals to drink drug-laced sugar water or inject drugs by pressing a lever. The rats consumed large amounts of heroin, morphine, amphetamine, cocaine, and other drugs, sometimes not eating and dying through neglect. This led scientists to conclude that the drugs had innate powers that made them irresistible, to rats and humans alike. In the late 1970s, Professor Bruce Alexander and his colleagues at Simon Fraser University set out to test this theory. They wanted to know if it was true that drugs themselves caused addiction or if environmental factors might be involved. For their experiment they had to create a better environment. This required building a great big plywood box on the floor of our laboratory, filling it with things that rats like, such as platforms for climbing, tin cans for hiding in, wood chips for strewing around, and running wheels for exercise. Naturally we included lots of rats of both sexes, and naturally the place soon was teeming with babies. The rats loved it and we loved it too, so we called it ‘Rat Park’.1 Alexander’s team observed that the rats living in Rat Park acted differently than rats kept in isolation. “In some experiments, we forced the rats in both groups to consume morphine for weeks before allowing them to choose, so that there could be no doubt that they had consumed enough morphine to be addicted according to the official view.
    [Show full text]
  • Center for Humane Technology | Your Undivided Attention Podcast
    Center for Humane Technology | Your Undivided Attention Podcast Episode 8: The Opposite of Addiction Johann Hari: If you'd asked me, when I started doing this research, what causes heroin addiction? I would've said, "Well dummy, the clue's in the name, right? Obviously heroin causes heroin addiction." Tristan Harris: That's Johann Hari, a British journalist who traveled some 30,000 miles to answer this deceptively simple question. Johann Hari: I would have thought, if we had randomly snatched 20 non-addicted people off the streets of San Francisco, and like a villain in a Saw movie, we injected them all with heroin every day for a month. At the end of that month, they all be heroin addicts and indeed I thought that's what addiction is, it's the desperate physical craving for the drug. Tristan Harris: If you give 20 injections, you'll get 20 addicts, case closed. Aza Raskin: That is until Johan encountered a group of people who had in fact been pulled off the street, and injected with a drug as potent as heroin and their story blew everything he thought he knew about addiction wide open. Johann Hari: In Britain, where I'm from as you can tell from my weird Downton Abbey accent, if you step out into the street and you get hit by a truck, you'll be taken to hospital and you'll be given a lot of drug called Diamorphine. Diamorphine is heroin, right? It's much better than the contaminated shit you buy here on the street because it's medically pure heroin.
    [Show full text]
  • VICE Studios Presents the New Canadian Documentary, RAT PARK
    VICE Studios Presents the New Canadian Documentary, RAT PARK ● The Crave Original Documentary will have a special one-night screening at Hot Docs Ted ● Rogers Cinema in Toronto on Nov. 1, followed by a world broadcast premiere on Crave, Nov.4 ● From director Shawney Cohen, RAT PARK explores opioid addiction and a forgotten experiment by a Canadian psychologist from the 1970s involving rats and heroin every day for decades (Pictured) Tiago Praca, a celebrated pottery and ceramics artist in Lisbon who has been using heroin and crack Toronto (October 8, 2019) – Could the secret to solving the world’s drug crisis lie in a forgotten Canadian psychology experiment from the 1970’s involving rats and heroin? Following three stories on opposite ends of the world, Vice Studios’ RAT PARK, a new Crave Original Documentary from director Shawney Cohen, examines the complex issue of drug laws and addiction, exploring why the problem may not be about the drugs themselves, but the environments we live in. The film will have its world premiere at the Hot Docs Ted Rogers Cinema in Toronto on Friday, November 1 at 6:30 p.m. ET, followed by a world streaming premiere on Crave, Monday November 4. For more information on tickets to the Hot Docs screening, click HERE. The ‘Rat Park’ experiment of the late ‘70s was considered radical at the time. The study by psychologist Bruce Alexander of B.C.’s Simon Fraser University gave lab rats a choice between water or liquid morphine in two different environments – the first was a solitary existence in a conventional cage, the second was an elaborate habitat with activities and a community of other rats.
    [Show full text]
  • Environmental Enrichment and Substance Use Disorders John Ambrose Winona State University
    Winona State University OpenRiver Counselor Education Capstones Counselor Education 5-2-2016 Environmental Enrichment and Substance Use Disorders John Ambrose Winona State University Follow this and additional works at: https://openriver.winona.edu/counseloreducationcapstones Recommended Citation Ambrose, John, "Environmental Enrichment and Substance Use Disorders" (2016). Counselor Education Capstones. 41. https://openriver.winona.edu/counseloreducationcapstones/41 This Capstone Paper is brought to you for free and open access by the Counselor Education at OpenRiver. It has been accepted for inclusion in Counselor Education Capstones by an authorized administrator of OpenRiver. For more information, please contact [email protected]. Running head: ENVIRONMENTAL ENRICHMENT 1 Environmental Enrichment and Substance Use Disorders John Ambrose A Capstone Project submitted in partial fulfillment of the requirements for the Master of Science Degree in Counselor Education at Winona State University Spring, 2016 ENVIRONMENTAL ENRICHMENT 2 Winona State University College of Education Counselor Education Department CERTIFICATE OF APPROVAL __________________________ CAPSTONE PROJECT ___________________ Environmental Enrichment and Substance Use Disorders This is to certify that the Capstone Project of John Ambrose Has been approved by the faculty advisor and the CE 695 – Capstone Project Course Instructor in partial fulfillment of the requirements for the Master of Science Degree in Counselor Education Capstone Project Supervisor: Approval Date: ____05/02/2016____ ENVIRONMENTAL ENRICHMENT 3 Abstract This paper is an investigation into the possibility that Environmental Enrichment (EE) could be a protective factor for people with substance use disorders. The focus of this capstone project will be based on two main sources: “The effect of housing and gender on morphine self- administration in rats” (Alexander, B.
    [Show full text]
  • Have We Reproduced Rat Park? Conceptual but Not Direct Replication of the Protective Effects of Social and Environmental Enrichment in Addiction
    Have we reproduced Rat Park? Conceptual but not direct replication of the protective effects of social and environmental enrichment in addiction Shaun Yon-Seng Khoo Department of Pharmacology and Physiology Faculty of Medicine Université de Montréal Montreal, Quebec, Canada [email protected] https://orcid.org/0000-0002-0972-3788 Abstract The Rat Park studies are classic experiments in addiction neuroscience, yet they have not been successfully replicated directly and several serious methodological criticisms have been raised. However, the conceptual reproducibility of the Rat Park studies is supported by both contemporaneous and subsequent research. Contemporaneous research on social and environmental enrichment frequently found social isolation rendered rats less sensitive to the effects of drugs of abuse. The Rat Park studies therefore confirmed the importance of social and environmental enrichment and extended this literature to suggest that enrichment reduced opioid consumption. Subsequent studies have also demonstrated social and environmental enrichment reduces drug consumption. However, there are also several papers reporting no effects of enrichment (or ‘negative’ results) and caveats from studies that show genes, age, sex and drug of abuse are all important parameters. While the Rat Park studies did not use methods that are reliable by current standards, enrichment has been shown to reliably reduce opioid consumption and this effect can generalise to other drugs of abuse. Keywords: Rat Park, Addiction, Environment, Social, Enrichment, Housing ​ Introduction The Rat Park studies are now considered The key conclusions from these studies were classic experiments in addiction neuroscience that social and environmental factors are (1). In these studies by Alexander and important factors in drug abuse.
    [Show full text]
  • Treating Addiction in the Clinic, Not the Courtroom: Using Neuroscience and Genetics to Abandon the Failed War on Drugs
    TREATING ADDICTION IN THE CLINIC, NOT THE COURTROOM: USING NEUROSCIENCE AND GENETICS TO ABANDON THE FAILED WAR ON DRUGS TENEILLE R. BROWN* ABSTRACT The opioid addiction epidemic has been one of the most overwhelming public health crises our country has faced. It has also created a legal crisis, as its aftermath spills over into the criminal, civil, and family courts. One estimate puts its cost to the U.S. economy at over $500 billion in 2015.1 More than a hundred people die every day from an opioid overdose,2 with that number likely increasing during the COVID-19 pandemic. The pressure on law enforcement, emergency responders, behavioral health services, and jails is crippling our cities and counties. This Article is an attempt to relieve some of that pressure by doing something we should have done a long time ago: change the way we think about and treat addiction. At least 2.3 million people in the United States have opioid use disorder (OUD), yet over 60% do not have access to evidence-based treatment.3 Of the over 14,000 drug treatment programs in the country, most are not staffed with a single licensed medical practitioner.4 Close your eyes and try to imagine 60% of people with lung cancer not having access to chemotherapy or radiation, or sending your mother to a cancer clinic that was not staffed with * Teneille R. Brown, J.D., is a Professor of Law at the University of Utah, S.J. Quinney College of Law, and an adjunct Professor in the Department of General Internal Medicine.
    [Show full text]
  • Meaning in Life and Psychological Well-Being in Addiction, Cancer, and University Students
    Meaning in life and psychological well-being in addiction, cancer, and university students Sentido en la vida y bienestar psicológico en adicción, cáncer y estudiantes universitarios Tesis doctoral Autor: David Fernández Carreño Directores: José Manuel García Montes Nikolett Eisenbeck Una tesis presentada para obtener el título de Doctor en el programa de Salud, Psicología y Psiquiatría Universidad de Almería, España ii iii A mi abuelo José Carreño, por inculcarme el valor académico como vía de contribución a la sociedad. iv v Agradecimientos El doctorado es un arduo camino. Desde el inicio y la mayor parte del recorrido no ves el final. Y cuando te acercas al final, te encuentras con una vertiginosa pendiente la cual no sabes ni cómo has podido subir. Todo empezó con mi abuelo José cuando yo tenía unos ocho años. Recuerdo la primera vez que me enseñó la tesis doctoral en biología de mi tío Juan. Ver en sus ojos el orgullo que sentía hacia ese logro académico me marcó para siempre. Abuelo, tu entusiasmo hacia la academia y la contribución a la sociedad es lo que me ha llevado hasta aquí. Sé que desde dentro de nuestros corazones puedes disfrutar de mis logros. Son mayormente tuyos. A mis padres María Rosario y Paco por todo el esfuerzo que han invertido en mi educación personal y académica. Siempre he sentido vuestra incondicionalidad y orgullo por ser como soy. Con especial mención a mi pareja y al mismo tiempo codirectora Nikolett por su inmensa contribución en esta tesis. Tu constancia y fe en mi desarrollo profesional han sido mis pilares fundamentales durante estos años.
    [Show full text]
  • Language Develops That Excludes Some Stakeholders
    Foreword Committed engagement from stakeholders across the drugs field means that the field remains one in which discussion and debate has flourished. This discourse exists within the public realm and reflects the values and instincts of the public as well as those of professionals and academics and, crucially, the opinions and experiences of people who use drugs. One of the issues in such a complex discourse with so many stakeholders is that language develops that excludes some stakeholders. Some professional and academic discourse is unintelligible to people whose specialist knowledge and perspective lies outwith the professional or the academic world. Likewise, there is a rich language amongst people who use drugs to describe their experiences and communicate with each other. Some of this, given the illegal and sometimes clandestine nature of drug use is deliberately exclusive of others. A glossary of all the terms used would be a huge undertaking. This project sought to identify terms that are contested or commonly misunderstood. The aim has been to explain the nature of contention and, where terms may be misunderstood, account for this. Where appropriate, SDF’s own preferred use of language is given and explained. The drugs field contains a lot of language that is offensive to some people. This is because drug use is a stigmatised activity. People who use drugs; people who have a drug problem; people in treatment and people who may be regarded as being in recovery all suffer stigma as do their families and communities. Self-stigma means that people may use stigmatising terms to describe themselves and their situation.
    [Show full text]