Stop the Stigma: Breaking the Stigma of Methadone Maintenance Treatment
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Transcript of Stop the Stigma: Breaking the Stigma of Methadone Maintenance Treatment
Stop Stigma Now:BREAKING THE STIGMA OF
METHADONE TREATMENT
Breaking the Stigma of Methadone
Treatment
Chesie Roberts, MS, ALC, ADC
Northwest Alabama Treatment Center
Bessemer, Alabama
Supervised by Patrick A. Brindley, M. ED, LPC Brindley Group, LLC
Why am I here today?
“You have your way. I have my way. As for the right
way, the correct way, and the
only way, it does not exist.”
-Friedrich Nietzsche
Why are you here?
A. I don’t know anything about methadone
treatment?
B. I have had bad experiences with methadone
patients?
C. I know about methadone and want to learn how to
stop the stigma?
“Finding Normal”
Overview of Presentation
History of Methadone – Myths & Misconceptions
Defining Stigma – Types, Experiences, Impact
How to Reduce Stigma
History of
Methadone
Treatment
Post WWII Heroin
Epidemic
Decreasing dose vs.
Maintaining dose
Methadone Treatment Effectiveness
“ The scientific evidence and knowledge about methadone being an effective and proven method
is not the reason that more people don’t seek treatment it’s the stigma of the treatment….”
Myths and
Misconceptions
Opiate addiction is a
Behavioral problem
Myths and
Misconceptions
Methadone is
Addicting
Myths and
Misconceptions
Methadone is a legal
way to get high
“patients come to
treatment
looking for the
maximum dose
of methadone….”
Myths and
Misconceptions
Once your on
methadone you
can’t get off
“Anti-medication
culture”
Myths and
Misconceptions
Methadone is
Deadly
Myths and
Misconceptions
Methadone hurts your health
-Rots your bones
Myths and
Misconceptions
Methadone causes
drowsiness
Myths and
Misconceptions
Methadone is
dangerous for
pregnant
addicted women
Myths and
Misconceptions
Methadone Clinics
are not monitored
or closely regulated
Myths and
Misconceptions
Methadone is
Recovery
“Magic Bullet”
Stigma
Stigma is the experience of being “Deeply Discredited” due to one’s
“Undesired Differences”.
To be stigmatized is to be held in contempt, shunned, or rendered socially invisible
because of a socially disapproved status. This includes labeling, stereotyping, social
rejection and exclusion.
“Robbie” story
Stigma
Felt/Self Stigma – Personal Feelings of Shame
Enacted Stigma – Direct Experience of Unfair Treatment by Others
“Elvis” story
Stigma
Perceived Stigma – The perception of being Stigmatized
The Stigma varies depending on the level of stigma a patient experiences
Courtesy Stigma – Stigma experienced by family members of patients
“Christine’s” story
“Wendy’s” story
Stigma
Personal strategies to deal with Stigma
Secrecy/Concealment – “Kevin/Tricia”
Social Withdrawal – disconnected, inability to be authentic
Stigma
Personal strategies to deal with Stigma
Selective Disclosure
Preventative Disclosure
Strategic Interpretation
Stigma and Recovery
Medication Acceptance – Addiction and hedonism
“Melissa’s” story
Perception of Addiction – patient? sinner? criminal?
Stigma and Recovery
Stigma Related to Choice of Treatment
AA vs. MMT
Natural Recovery vs. Professional Recovery Inpatient vs. Outpatient
Stigma and Recovery
Stigma related to the intensity of the problem – Alcohol, Tobacco, THC
Cocaine, Crack, Meth, Heroin
Good drug vs. Bad drug
Stigma and Recovery
Stigma related to choice of treatment
Natural Recovery vs. Professional Recovery
AA/NA vs. MMT
Alcohol vs. Heroin
Inpatient vs. Outpatient
Medication vs. Non-medication
“Terry”
Types of Stigma
You tube video NBC News Methadone clip
Types of Stigma Words – Language –
Visual Images
Addict vs. Person in addict addiction
Abuse vs. Misuse
Clean/Dirty vs. Negative/Positive
Habit vs. Active addiction
Replacement/Substitution vs. Treatment
User vs. Misuse
Types of Stigma
“Words are important. If you want to care for something you call it a flower, if you
want to kill something you call it a weed.” – Don Coyhis
Impact of Stigma
Denial of Employment impacts the greatest number of patients
Childcare providers, Nurses, Commercial drivers
Impact of Stigma
Lack of insurance coverage – Greatest impact on those in treatment
Barriers to treatment due to income
Not universally covered by Medicaid
Average cost to patient is $5k/year
Impact of Stigma
Discrimination by professionals in critical roles of responsibility
Judges, Social Workers, Doctors, Law Enforcement
Impact of Stigma
“Nicole’s Story”
Impact of Stigma
Stigma by the State and Federal Government
No Methadone Clinics in Mississippi
Stigma – Stigma within the community
Social Stigma
Shame
High Dose
Daily Dose
Loss of Control
Dose and Go
How to Reduce
Stigma
Problems with Social Reform
Campaigns
How to Reduce Stigma
Train and Inform Patients
“Certified Methadone Advocate
Training”
Patient lead Recovery
Groups/Mentors
How to Reduce Stigma
Faces and Voices of Recovery Organization
Trailer of “The Anonymous People”
Positive Images of persons in Treatment
How to Reduce
Stigma
National Education Initiatives
How to Reduce
Stigma
Professional Education
How to Reduce Stigma
Change the Language
Betty Ford
How to Reduce Stigma
Change Treatment Center
Practices
One Size Doesn’t Fit All
.
I'VE MISSED MORE THAN 9000 SHOTS IN MY
CAREER. I'VE LOST ALMOST 300 GAMES. 26 TIMES,
I'VE BEEN TRUSTED TO TAKE THE GAME WINNING
SHOT AND MISSED. I'VE FAILED OVER AND OVER
AND OVER AGAIN IN MY LIFE. AND THAT IS WHY I
SUCCEED.
MICHAEL JORDAN