Section: Module 2: Lesson 1: Policies and Legislation | Substance Use Disorders in Primary Care | NextGenU.org

  • Learning Objectives:

    Upon completion of the first lesson of Module 2, students should be able to:

    • Describe stigma and its potential impact, as well as the practical strategies to address it.
    • Describe how physician/clinician attitudes toward patients with substance use disorders can impact recognition, diagnosis, and treatment of patients.
    • Illustrate care that is free from discrimination on the basis of race, color, sex, language, religion, political or other opinion, nationality, ethnicity, indigenous or social origin, property, birth, age, or other status.
    • Discuss how to provide care in a way that respects the dignity of the person and is culturally sensitive and appropriate.
    • Discuss how to minimize stigma, marginalization, and discrimination, and promote the social inclusion of people with mental, neurological, and substance use disorders by fostering strong links with the employment, educational, social (including housing), and other relevant sectors.
    Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour.

    Click here to start this lesson


    • Required Learning Resources and Activities
    • Read "Chapter 1: Background" (pp. 7 to 14) in the "Anti-Stigma Toolkit."

    • Read Section 1 (Defining the Issues, pages 12-16), Section 2 (Current Approaches, pages 17-20), and Section 3 (Key Trends, Themes and Emergent Practice, pages 25-28) to learn more about stigma, marginalization, and discrimination and the interventions that can minimize it..

    • Instructions:

      This activity will help you reflect on the ethical and appropriate delivery of mental health care, which includes delivery of services for those who suffer from alcohol or other substance use disorders. This exercise uses the Scottish model of delivery, but can be very appropriately applied to similar difficulties with stigma and discrimination in most other countries. This activity includes answering questions that are meant to trigger reflections about your own practice and how you can contribute to improve the care of those with mental health or substance use disorders through the application of patient-centered, ethical, and human rights principles of care.

      Please perform the following activities outlined inthis document from NHS Education for Scotland. Because you will be posting four key learning from these activities, you will have to take your own notes and record your reflections in a way that you will be able to access them later. Some of the suggestions to obtain information are specific to the UK and their National Health System (NHS). Resources on policies, strategies, laws, and service standards in many countries are available through the WHO MiNDbank (http://www.mindbank.info/).

      Begin reading at page 1, Introduction to the learning resource, and continue until the end of page 3. After that, read Module 1 and perform activities 1.1 to 1.17 (pp. 9-35) by taking notes, answering the questions within the document, or just thinking about them – but remember that you will need to write a brief reflection about your responses.

      Share your learning with your peers by posting four key points you have learned through performing those activities. Describe each key point and the importance of learning that point (in a few sentences for each point).

      To submit, click on the button at the bottom of the screen labeled 'Add a new topic’.  You should comment on at least one other posting in the discussion forumby clicking the reply button and discussing your thoughts as they relate to that posting in a respectful and professional manner. If a peer comments on your posting, please reply back by clicking on the particular discussion and then clicking on reply. Please feel free to ask questions or provide alternative resources that you feel are helpful to support any of the capabilities touched on in the NHS document.

    • To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

    • Additional Learning Options
    • In the document from the NHS Education for Scotland, read and complete the various learning activities outlined in "Module 4: Equality and diversity: respecting the difference" (pp. 75-106). You will have to take your own notes and record your reflections in a way that you will be able to share with your mentor later. Some of the listed resources are specific to the UK and their National Health System (NHS). You can discuss with your mentor how to find locally relevant information, and use your own experience as a source of knowledge on the situation. Be careful if you only use your own experience, as it might not be fully representative of the situation in your community.

    • You will need to be using either Internet Explorer or Mozilla Firefox in order for this resource to work correctly.Go through the presentation. When you see an icon (such as "Story" or "Myth Check", please click on it. Another pop-up window will appear, containing essential information for the module,which you should read. At the end of the presentation, you can click on the tab titled "content" where you can access a quiz. This quiz is optional to complete, as it might not work well in your browser. However, if it works, we encourage you to take it to test your understanding.