Destination Change: A Journey of Recovery

Stigma

Stigma
Relapse
Addiction
Fear of Treatment/Recovery
Stigma

Recovery
Stigma
Patient
Broker

Thoughts/Emotions ce
Care N
“I don’t have a problem.” Thoughts/Emotions

avig
stan
“I can stop whenever I want to.” “I think I have a problem.” ati
“I don’t really see why I should stop using.” “Will I be happier if I stop using?”
on Assi
“I’m perfectly happy where I am.” “Maybe I should stop. But how do I stop?”
Inability to recognize substance use is harmful. “I want to quit but not right now.”
Harm Reduction “I don’t have the time to get help, I need to work.”
Safe consumption sites and naloxone
distribution ensures the safety of individuals
Stigma
Delays action even when the individual
Thoughts/Emotions
using. Reminds them the community cares for “I want to change and I am going to change.”
has acknowledged the existence of the “What do I need to do to change?”
Thoughts/Emotions Thoughts/Emotions
their safety and creates opportunities for illness. “What will people think if they find
exposure to the ideas of recovery and treat- Preparing to change by making active efforts to get
out?” “Will I lose my job?” “I’m scared some- into recovery housing or treatment.
ment through staff and resources on site. “I am building happy, healthy routines supported by “I continue my routines that help me stay happy and
one will find out.” “I can’t go to treatment.
Intervention There is too much going on.” Hard to Navigate Entry to Treatment/ a strong community and network.” healthy.”
Recovery “I am not using any more.” “I support and serve others in recovery.”
This may include professional, self, or Fear of Treatment/Recovery “I ask for help when I need it” “I find and practice healthy coping mechanisms for
legal intervention. Professional intervention “What do all these options mean? What is
may involve a medical health professional
“I don’t know what will happen to me if I covered by my insurance? How do I get a Evaluation of Recovery Capital managing stress.”
go into treatment or recovery housing.”
recognizing, during routine screenings or referral? Is this program legitimate? Is this “What are the things I have (physically/emo- Cravings that Override Logic
“What if I withdraw?” “I won’t be able to program right for me?” tionally) that support recovery? What else do I
the course of emergency treatment, that there Unmet needs (mental health, housing, health
call my friends or family.” Finding treatment can often be confusing. need to continue in recovery?”
may be a substance use issue and refers the care, employment) affect your recovery.
patient to treatment or an outpatient recovery Meeting People in Recovery Care Navigation Assistance Stigma Lack of Connection to Continuum of Care
service. Self-intervention may mean simply “They seem to be happy and healthy. Assistance, including self-governed assistance, “I’m done with treatment, now what?”
“MAT/MAR is just substituting one drug for
participating in opportunities to gain educa- Maybe I can be too if I also quit.” Meeting substance use navigators in ERs, or “There are no methadone clinics in my area.”
another.”
tion on substance use disorder regardless of people in recovery who have been where resource lists that help demystify the process
whether the individual thinks they have an they are makes the idea of recovery and of entering care, can be a great resources to Mismatched Level of Care Due to Lack of Lack of Services that Account for
issue. Legal intervention may mean being treatment less scary and daunting. those prepared to take action but unclear Availabilities, Coordination, & Poor Cultural Competency
offered help rather than incarceration.
Educational Campaigns about exactly how to do so. Programs “I don’t feel like they understand me.”
Stigma Demystifying aspects of treatment and “I’m so glad you are here to help.” “Oh no we can’t take you. Come back next “I don’t feel comfortable here.”
recovery so that individuals become “This makes so much more sense.” month maybe we will have a bed then.”
Stigma surrounding substance use disorder Coordinating Continuing Care & Continu-
informed about treatment and recovery. Patient Brokers “We are at full capacity so we may have to put ously Evaluating Recovery Capital Needs
perpetuates the cycle of use as it causes many
“This person is going to help me.” you in this level of care instead.”
people, including health professionals, to “What are some things I need to maintain my
“They said they know just where I can go to “We are going to discharge you early because
practice bias behaviors that causes distrust in recovery?” “Have I used the resources available
get help and they lied!” we need this bed.”
the health care system that should be helping to me to help me continue in recovery?”
“As long as we don’t see it you won’t get in
individuals with an illness.
trouble.” Building Recovery Capital
Participation in peer support, recovery
Good Programs recreation opportunities.
Key Evidence-based practices, accredited “I am making good progress and am generally
Paths programs. Person centered & individualized

t
Stigma happy with my life.” ”I get emotional support

n
Stigma treatment, appropriately qualified staff, I need from other people.”

e
Pre-contemplation
trauma informed & culturally sensitive.
De-stigmatization
Contemplation

a t m Stigma “MAT/MAR is a gold standard of treatment.

SUD is an illness like any other chronic illness.

Tre
We will provide you with the best evidence-
Preparation based care available” Multiple Avenues for Practicing Recovery
Action u nit y “We are referring you to ___ in order to Peer-based, family, technology-based recovery...
m
Maintenance Com ns address your co-occurring disorders.” ”This works for me and helps me feel support-

ve r y z at i o “According to your progress we will now be ed.“ “MAT is an evidence-based form of care.”
o i stepping you down in care.”
Encouragements/Supports Rec Organ Stigma
Need to Return to Work ”Oh, you were a drug addict?”
”I have bills to pay. I need to get out and “MAT is just another drug so you’re still
N using.”

Deterrents (Barriers/Unmet Needs) M edic get back to work.” “I already did this much,
at
Recioonv Assiste
it should be fine .”

er y d
Stigm
a ? W E

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Pre- Contemplation Contemplation Preparation Action Maintenance

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