The National Institute on Drug Abuse defines substance use stigma as a set of negative attitudes and stereotypes that can create barriers to treatment and make conditions worse. Although substance use disorders are chronic, treatable medical conditions, studies show people who have them often face stigma and discrimination in part because others do not understand these disorders or how they can be effectively treated.

There are several forms of stigma, but the three most well-known forms are:

• Public Stigma: When the public endorses negative stereotypes and prejudice, resulting in discrimination against people with substance use or mental health conditions.
• Healthcare/Professional: Judgemental attitudes and actions of healthcare and social service providers towards clients
• Intersectionality: Stigmas experiened as an individual of other marginalized groups.
• Label Avoidance: When an individual decides not to pursue substance use or mental health treatment to avoid being assigned a stigmatizing label.

For more information on different forms of stigma visit:

 Forms of Stigma and Definitions

Stigmatizing language can discourage people with substance use disorders from seeking treatment. Changing the way we talk about addiction can reduce stigma and may even improve treatment outcomes.

Here are some tips to help:

• Start with language that prioritizes a person ahead of their diagnosis
  • "I am a person with substance use disorder, not an addict."
• Let them choose how they want to be described. If you’re not sure what words to use, just ask! 
• It’s OK to ask questions, but please respect their privacy.
• Be open-minded and ready to learn.

Change the words, Change the outcomes.

OASAS NY Using Person First Language

Change the words, Change the Outcomes Anti-Stigma Video

Community Action Coalition Committed to Uprooting Stigma (C.A.C.T.U.S.)

Stigma can be one of the biggest barriers to treatment options and support for individuals who are experiencing a substance use disorder. Community Action Coalition Committed to Uprooting Stigma (C.A.C.T.U.S.) was created to address and educate communities on the existing causes and harmful effects of stigma in effort to eliminate stigma surrounding substance use disorders.  Our mission is to dismantle the harmful stereotypes and discriminatory practices that perpetuate stigma surrounding substance use and co-occurring concerns. We want to empower our communities through education, resources, support, and compassion.