Brenda Foster, RN talks about her journey and how her attitudes toward substance use disorder have evolved.
These are people. They’re not dogs. They’re not animals. They’re people.
Your job as a health provider is to take care of people.Brenda Foster, RN
Fostering a Culture of Care and Compassion
The treatment of patients with substance use disorder demands an understanding of the complexities of addiction, coupled with a compassionate and non-judgmental approach. Health professionals must recognize that substance use disorder is a chronic medical condition, not a moral failing. Stigma is often perpetuated by societal misconceptions and outdated stereotypes that hinder the recovery process and perpetuate a cycle of isolation and despair. By fostering a culture of compassion and care, healthcare providers can empower individuals with substance use disorder to seek help, engage in treatment, and ultimately reclaim their lives.
Stigma is rooted in fear and misunderstanding that can have far-reaching consequences for individuals struggling with substance use disorder. It can lead to discrimination, social exclusion, and denial of healthcare services. When health professionals harbor stigmatizing attitudes, they may unintentionally reinforce negative stereotypes and create a hostile environment that discourages individuals from seeking help. This can delay diagnosis, impede treatment adherence, and increase the risk of relapse. Furthermore, stigma can erode self-esteem and self-worth, making it even more difficult for individuals to overcome the challenges of addiction.
Fundamental Ethical Principles
One of the fundamental principles of healthcare is the obligation to care for all patients, regardless of their circumstances or diagnoses. This principle extends to individuals with substance use disorder, who deserve the same level of compassion, respect, and evidence-based treatment as any other patient. By treating individuals with substance use disorder with dignity and empathy, healthcare providers can foster a therapeutic alliance, build trust, and create a safe space for open communication. This supportive environment is the cornerstone of effective treatment and recovery.
Compassionate care for individuals with substance use disorder involves a multifaceted approach that addresses the biological, psychological, and social factors contributing to addiction. This may include medication for addiction treatment, counseling, behavioral therapies, and support groups. Healthcare providers must also be mindful that trauma and adverse childhood experiences are risk factors for developing a substance use disorder. By integrating trauma-informed care principles, healthcare providers can create a healing environment that promotes resilience and recovery.
Health professionals have a responsibility to educate themselves and the public.
Health professionals, regardless of practice setting, play a critical role in combating stigma and promoting compassionate care for substance use disorder. By challenging stereotypes, educating the public, and providing evidence-based treatment, healthcare providers can help to reduce stigma, improve access to care, and enhance the overall well-being of individuals, families, and communities affected by addiction. Ultimately, our goal is to create a society where people with substance use disorders are treated with dignity, respect, and compassion and empowered to lead fulfilling and productive lives.
References
Van Boekel L, Brouwers E, Van Weeghel J, Garretsen H. Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review. Drug Alcohol Dependence 2014; 131 (1) : 23-35.
Roberts L, Dunn L. Ethical considerations in caring for women with substance use disorders. Obst Gynecol Clinics N America 2003; 30 (3): 559-582.
Pack JN. Leaving Past Judgments Behind: Decreasing stigmatization within mental health professionals and students toward individuals with substance use disorder. Thesis Dissertation, Notre Dame de Namur University, Department of Marriage and Family Therapy, Spring 2016.