Stigma in Substance Use Disorder
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Substance use disorder is a highly stigmatized epidemic that has been growing at a disturbing rate throughout the United States. This stigma and bias affect how individuals with substance use disorders are perceived, treated, and access healthcare. The purpose of this single-cohort, quasi-experimental evidence-based quality improvement project is to explore how provider education on patients with substance use disorders impacts professionals' known and unknown stigma and bias and its effect on compassionate care within this population. This project's primary outcome is to decrease stigma and bias in patients with substance use disorder through provider education, with a secondary outcome of enhancing compassionate care. The project occurred within primary care clinics in a local healthcare organization in Wisconsin. Seventeen primary care providers participated in self-reported surveys using the Difference, Disdain, and Blame Scale and Drug to Drug Problem Perception Questionnaires and educational content, and 15 participants completed the 3-month post-survey. There was a reduction in total stigma, M=0.127, from the pre- to 3-month survey, which was not statistically significant, and 66.7% of participants noted an improvement in compassionate care. The healthcare system and society can be further impacted if professionals apply the knowledge they have learned to other stigmatized populations and diseases.
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Open Access (fully available)