Stigma
Stigma surrounding substance use disorders (SUDs) significantly hampers individuals’ ability to seek and receive help, perpetuating a cycle of shame and isolation. This stigma often arises from misconceptions that SUDs are moral failings rather than chronic, treatable medical conditions. As a result, those affected may face social exclusion, discrimination, and internalized guilt, which can exacerbate their condition and deter recovery efforts. Combatting this stigma requires comprehensive public education, empathetic healthcare approaches, and supportive policies that recognize SUDs as health issues deserving of compassion and evidence-based treatment.
See the Person, Not the Use
This art show features work created by artists from local recovery centers and syringe service programs. Each piece helps humanize the experience of living with the impacts of the opioid crisis while encouraging understanding, reducing stigma, and strengthening community connection.
This program is supported by Maine’s Project to Prevent Prescription Drug/Opioid Overdose-Related Deaths grant.
Select the tab for each topic area.
Shatterproof
Shatterproof website includes resources on different types of stigma, how stigma impacts OUD treatment and outcomes, and ways individuals and organizations can help. Shatterproof and The Hartford co-developed the Shatterproof Addiction Stigma Index (SASI) – a first-of-its-kind measurement tool designed to assess attitudes about substance use and people who use substances from the public. Supported by Ipsos alongside Dr. Brea Perry and Dr. Anne Krendl from Indiana University, the SASI also measures the perceptions of those with a SUD, including the degree in which they have internalized this exclusion.
SAMSHA Overcoming Stigma Ending & Discrimination Resource Guide:
A Resource Guides from SAMSHA that includes a variety of resources with the intention of “Overcoming Stigma, Ending Discrimination.”
Institute for Development of Human Arts
The Institute for Development of Human Arts organizers compiled a library of essential resources (books, essay collections, films, poetry, and art) to deepen our collective understanding of Transformative Mental Health and stigma.
Recovery Research Institute
A collection of research articles pertaining to stigma from the Recovery Research Institute.
Recovery Center of Excellence
A resource from the University of Rochester School of Medicine. These resources work to prevent and reduce the impact of substance use and substance use disorders (SUD) in rural areas nationwide by building and sharing an array of evidence-based practices that meet the needs of rural communities.
Assessment of Substance Use Disorder Stigma and Strategies for Addressing Stigma in Rural Areas
This presentation shares results from the National Report on Rural Substance Use Disorder Stigma and Treatment Needs and discuss strategies for addressing stigma in rural areas.
Reducing Stigma in Rural Eds and Other Care Settings
Community Conversations OUD Workshop
The introductory workshop from the University of Rochester School of Medicine explores a conversation for participants to explore stigma, how we support people with SUD and their families, and how we work together in our communities to reduce stigma.
A Campaign to Reduce Stigma
A resource from the University of Rochester School of Medicine that includes the stigma individuals with SUD experience, through portraiture, to explore how they see themselves.
Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change by the Committee on the Science of Changing Behavioral Health and Social Norms
National Research Council and Institute of Medicine’s study of the science of stigma change.
Calling In and Calling Out Guide
A resource from Havard’s Department of Diversity Inclusion & Belonging that explores the concepts of “calling in” and “calling out” and when each methodology is an appropriate to harm experienced by individuals and groups with marginalized identities.
Interrupting Bias: Calling Out vs. Calling In
A practical resource guide of different language and phrasing to use when “calling out” or “calling in”.
What We Do Matters: Addressing Stigma in Health Care Toward People Who Use Substances
This is a documentary-style video examining manifestations and impact of stigma toward people with substance use disorders when they seek healthcare. It includes viewpoints of patients and professionals, and is aimed at all levels of health care staff. The video is ideally viewed by a group with a brief follow up discussion, but can be viewed individually if there is not an option to do so in a larger context.
Recovery Research Institute | The Addictionary (R) from the Recovery Research Institute
NIH | National Institute on Drug Abuse: Words Matter- Terms to Use and Avoid When Talking about Addiction
Findings from key Informant interviews in Maine | The impact of Stigma on People with Opiod Use Disorder including discussions of Stigma toward Youth engaging in Substance Use
Recording or live stream transmissions of these webinars without the express written consent of the ME SUD Learning Community is prohibited.
| Title | Summary | Presenter/Author | Subject Area | Type | hf:doc_tags | hf:doc_author |
|---|---|---|---|---|---|---|
| Mi’kmaq Nation Naloxone Vending Machine | Join the ME SUD Learning Community for the June 10, 2026, presentation “Mi’kmaq Nation Naloxone … | Erik Lamoreau RRCP LADC CCS | Opioid Use Disorders, Stigma, Wellness | slides, video, webinar | slides video webinar | erik-lamoreau |
| Strategies to Take Action Against Stigma | Opening Remarks and Panel Discussion on Stigma | Stigma Training Day 2026 | May 29, 2026 | Stigma Training Day Brought to you by the Maine Substance Use … | Lisa Letourneau MD MPH FACP | Stigma | video | video | lisa-letourneau |
| Actionable Steps Against Stigma | Stigma Training Day 2026 | May 29, 2026 | Stigma Training Day Brought to you by the Maine Substance Use Disorder Learning Community, funded by Maine DHHS. Coordinated by CCSME. Presented by Liz Scharnetzki … | Liz Scharnetzki PhD | Stigma | slides, video | slides video | liz-scharnetzki |
| AI and Stigma | Stigma Training Day 2026 | May 29, 2026 | Stigma Training Day Brought to you by the Maine Substance Use Disorder Learning Community, funded by Maine DHHS. Coordinated by CCSME. Presented by Annika Schoene, PhD … | Annika Schoene PhD | Stigma | slides, video | slides video | annika-schoene-phd |
| Addressing Stigma in the Pharmacy Setting | Stigma Training Day 2026 | May 29, 2026 | Stigma Training Day Brought to you by the Maine Substance Use Disorder Learning Community, funded by Maine DHHS. Coordinated by CCSME. Presented by Nicolette Centanni, PharmD, BCPS, BCGP, BCPP PowerPoint … | Nicolette Centanni Pharm D BCPS BCGP BCPP | Stigma | slides, video | slides video | nicolette-centanni-pharm-d-bcps-bcgp-bcpp |
| Building a Culture of Safety: Trauma-Informed Systems, Stigma Reduction, and Workforce Sustainability | Join the ME SUD Learning Community for the May 26, 2026, presentation “Building a Culture … | Cara Zimmerman MD MBA | Stigma | podcast, slides, video | podcast slides video | cara-zimmerman |
| Best Practices When Working with Medical Interpreters | Join the ME SUD Learning Community for the December 8, 2025, presentation “Best Practices When … | Demetri Blanas MD, Ketson Dubuisson, Laura Ochoa | Stigma | podcast, slides, video | podcast slides video | demetri-blanas-md ketson-dubuisson laura-ochoa |
| Addressing the Impact of Substance Use Stigma in Maine | Join the ME SUD Learning Community for the December 4, 2025, presentation “Addressing the Impact … | Patricia Hart MS CPH | Opioid Use Disorders, Stigma | podcast, video | podcast video | patricia-hart-ms-cph |
| Beyond Awareness: Evidence-Based Strategies for Reducing Stigma in Clinical Practice | Join the ME SUD Learning Community for the November 19, 2025, presentation “Beyond Awareness: Evidence-Based … | Liz Scharnetzki PhD | Stigma | podcast, slides, video | podcast slides video | liz-scharnetzki |
| Portland Public Health’s Overdose Data to Action: LOCAL Community Needs Assessment | Join the ME SUD Learning Community for the October 1, 2025, presentation “Portland Public Health’s … | Arielle Gross, Mary Lindsey Smith PhD MSW | Opioid Use Disorders, Stigma, Wellness | podcast, slides, video | podcast slides video | arielle-gross mary-lindsey-smith |
| Older Adult ECHO: Responsive Care for Aging Adults with SUD | End of Life Care with SUD | Join the ME SUD Learning Community for the September 12, 2025, presentation End of Life … | Amelia Hersey PA-C | Alcohol Use Disorder, Geriatric, Opioid Use Disorders, Project ECHO, Stigma | podcast, slides, video | podcast slides video | amelia-hersey |
| CONNECT Outreach Van: Mobile Psychiatry and Substance Use Disorder Treatment for People Experiencing Homelessness | Join the ME SUD Learning Community for the September 3, 2025 presentation “CONNECT Outreach Van: … | Malia Haddock MS PMHNP | Co-Occurring, Stigma, Wellness | podcast, slides, video | podcast slides video | malia-haddock |
| Integration of Traditional Cultural Practices in Behavioral Health Services | Join the ME SUD Learning Community for the August 20, 2025, presentation “Integration of Traditional … | Erik Lamoreau RRCP LADC CCS | Stigma, Wellness | podcast, slides, video | podcast slides video | erik-lamoreau |
| Caring for Affected Others: The Secondary Impact of the Opioid Crisis | Join the ME SUD Learning Community for the July 18, 2025, presentation “Caring for Affected … | Clifford "Mike" Gray | Adolescence / Youth, Stigma | podcast, slides, video | podcast slides video | clifford-mike-gray |
| Supporting Parents and Guardians with Alcohol Use Disorder: Strategies to Promote Recovery and Family Well-Being | Join the ME SUD Learning Community for the July 11, 2025, presentation “Supporting Parents and … | Jesse Higgins RN MSN PMHNP | Adolescence / Youth, Alcohol Use Disorder, Geriatric, Pregnancy / Postpartum, Stigma, Withdrawal Management | podcast, slides, video | podcast slides video | jesse-higgins |
| A Discussion about the Special Report by the Maine Accidental Drug Overdose Death Review Panel of Adolescent Cases | Join the ME SUD Learning Community for the June 27, 2025 presentation “A Discussion about … | Adrienne Carmack, Gordon Smith | Adolescence / Youth, Screening, Stigma, Wellness | podcast, slides, video | podcast slides video | adrienne-carmack gordon-smith |
| Indigenous ECHO: Strengthening Indigenous Responsiveness | Culturally Respectful Care for Substance Use Disorders | Join the ME SUD Learning Community for the June 17, 2025, presentation, Culturally Respectful Care … | Kylee Francis-Fowler | Peer Support / Recovery Coaching, Project ECHO, Stigma, Wellness | podcast, slides, video | podcast slides video | kylee-francis-fowler |
| Wabanaki Public Health & Wellness: The Road to Creating Substance Use Disorder Programming | Join the ME SUD Learning Community for the June 10, 2025, presentation “Wabanaki Public Health … | Lisa Sockabasin RN | Adolescence / Youth, Alcohol Use Disorder, Opioid Use Disorders, Project ECHO, Stigma, Wellness | podcast, slides, video | podcast slides video | lisa-sockabasin |
| Addressing the Specific Needs of Women with Substance Use Disorder | Join the ME SUD Learning Community for the June 5, 2025, presentation “Addressing the Specific … | Smita R Prasad MD MBA MPH FASAM | Cannabis, Opioid Use Disorders, Other SUD, Stigma, Stimulant Use | podcast, slides, video | podcast slides video | smita-r-prasad |
| Understanding and Reducing Health Stigma | Join the ME SUD Learning Community for the May 22, 2025, presentation “Understanding and Reducing … | Liz Scharnetzki PhD | Stigma | podcast, video | podcast video | liz-scharnetzki |
| Care for Alcohol Use Disorder: Using the Right Tools for the Job | Join the ME SUD Learning Community for the May 6, 2025, presentation “Care for Alcohol … | Stephen Martin MD | Alcohol Use Disorder, Screening, Stigma | podcast, slides, video | podcast slides video | stephen-martin |
| Identifying and Closing Gaps in Care for Mainers with Opioid Use Disorder (OUD) | Join the ME SUD Learning Community for the April 30, 2025 presentation “Identifying and Closing … | Christy McGlynn MBA | Opioid Use Disorders, Primary Care, Stigma, Wellness | podcast, slides, video | podcast slides video | christy-mcglynn |
| Navigating HIV Stigma in Patient Care | Join the ME SUD Learning Community for the April 17, 2025, presentation “Navigating HIV Stigma … | Christina DeMatteo MD | Infectious Diseases, Primary Care, Stigma | slides, video | slides video | christina-dematteo-md |
| Buprenorphine During Pregnancy and Postpartum | Join the ME SUD Learning Community for the March 18, 2025 presentation “Buprenorphine During Pregnancy … | Alane O’Connor DNP | Buprenorphine, Opioid Use Disorders, Pregnancy / Postpartum, Stigma | podcast, slides, video | podcast slides video | alane-oconnor |
| Welcoming Spaces: Trauma Informed Care for People with SUD | Join the ME SUD Learning Community for the October 18, 2024 presentation “Welcoming Spaces: Trauma … | Jesse Higgins RN MSN PMHNP | Stigma, Wellness | video, webinar | video webinar | jesse-higgins |
| How to respond proactively to patient behavior in MOUD and chronic pain environments | Recorded on February 1, 2023 for the ME SUD Learning Community. Presented by Eric Haram, … | Stigma | video, webinar | video webinar | ||
| Identifying and Supporting People Impacted by Intimate Partner Violence and Substance Use | Join the ME SUD Learning Community for the July 18, 2024 presentation “Identifying and Supporting … | Screening, Stigma | video, webinar | video webinar | ||
| Turning Healthcare into Housing: Solutions for Homelessness | Rachel Solotaroff, MD, MCR, FACP; Amy West, FNP-C, CARN-AP; Cullen Ryan Presented March 28, … | Stigma, Wellness | video, webinar | video webinar |
