Abstract
The medical community has worse attitudes toward individuals with substance use disorders (SUDs), whom they frequently treat, than toward individuals with other medical or psychiatric conditions. This is concerning, as when clinicians have negative attitudes toward these patients, quality of care declines substantially. There are many reasons for these negative attitudes toward individuals with SUDs, including clinicians’ lack of exposure to individuals in recovery, lack of time and resources to adequately care for patients with SUDs, poor role models and mentorship, and perception of substance misuse as a moral failing. There are a number of potential strategies to improve this stigma. Efforts should be made to increase awareness of negative attitudes, provide forums to discuss common attitudes, continue to increase and improve addiction treatment options, and intervene at all levels of professional development.
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References
Anderson DJ. The hidden curriculum. Am J Roent. 1992;159:21–2.
Avery J, Barnhill J. Co-occurring mental illness and substance use disorders: a guide to diagnosis and treatment. Arlington, VA: American Psychiatric Publishing; 2017.
Avery J, Dixon L, Adler D, et al. Psychiatrists’ attitudes toward individuals with substance use disorders and serious mental illness. J Dual Diagn. 2013;9(4):322–6.
Avery J, Han BH, Zerbo E, et al. Changes in psychiatry residents’ attitudes towards individuals with substance use disorders over the course of residency training. Am J Addict. 2017;26(1):75–9.
Avery J, Zerbo E, Ross S. Improving psychiatrists’ attitudes towards individuals with psychotic disorders and co-occurring substance use disorders. Acad Psychiatry. 2016;40(3):520–2.
Avery J, Zerbo E. Improving psychiatry residents’ attitudes toward individuals diagnosed with substance use disorders. Harv Rev Psychiatry. 2015;23(4):296–300.
Ballon BC, Skinner W. “Attitude is a little thing that makes a big difference”: reflection techniques for addiction psychiatry training. Acad Psychiatry. 2008;32(3):218–24.
Buchsbaum DG, Buchanan RG, Poses RM, et al. Physician detection of drinking problems in patients attending a general medicine practice. J Gen Intern Med. 1992;7:517–21.
Capurso NA, Shorter DI. Changing attitudes in graduate medical education: a commentary on attitudes towards substance use and Schizophrenia by Avery et al. Am J Addict. 2017;26(1):83–6.
Center for Behavioral Health Statistics and Quality. Key substance use and mental health indicators in the United States: Results from the 2015 national survey on drug use and health. No. SMA 16-4984, NSDUH Ser H-51. 2016;7(1):877–726.
D’Onofrio GD, Nadel E, Degutis L, et al. Improving emergency medicine residents’ approach to patients with alcohol problems: a controlled educational trial. Annals of Emergency Medicine. 2002;40(1):50–62.
Friedman PD, McCullough D, Saitz R. Screening and intervention for illicit drug abuse: a national survey of primary care physicians and psychiatrists. Arch Intern Med. 2001;161:248–51.
Geller G, Levine DM, Mamon JA, et al. Knowledge, attitudes, and reported practices of medical students and house staff regarding the diagnosis and treatment of alcoholism. JAMA. 1989;262(21):3115–20.
Gilchrist G, Moskalewicz J, Slezakova S, et al. Staff regard towards working with substance users: a European multi-centre study. Addiction. 2011;106:1114–25.
Gopalan R, Santora P, Stokes E, et al. Evaluation of a model curriculum on substance abuse at the Johns Hopkins University School of Medicine. Acad Med. 1992;67(4):260–6.
Gryczynski J, Schwartz RP, O’Grady KE, et al. Understanding patterns of high-cost health care use across different substance user groups. Health Aff (Millwood). 2016;35(1):12–9.
Hafferty FW. Beyond curriculum reform: confronting medicine’s hidden curriculum. Academic Medicine. 1998;73(4):403–7.
Humphreys K. Avoiding globalisation of the prescription opioid epidemic. Lancet. 2017;390:437–9.
Ianucci R, Sanders K, Greenfield S. A 4-year curriculum on substance use disorders for psychiatry residents. Academic Psychiatry. 2009;33(1):60–6.
Koob GF, Vokow ND. Neurocircuitry of addiction. Neuropsychopharmacology. 2010;35:217–38.
Lindberg M, Vergara C, Wild-Wesley R, et al. Physicians-in-training attitudes toward caring for and working with patients with alcohol and drug abuse diagnoses. Southern Medical Journal. 2006;99(1):28–35.
Maher KH, Nereberg L, Bower KJ. Modifying residents’ professional attitudes about substance abuse treatment and training. The American Journal on Addictions. 2001;10(1):40–5.
Miller NS, Sheppard LM, Colenda CC, et al. Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders. Acad Med. 2001;76:410–8.
Polydorou S, Gunderson EW, Levin FR. Training physicians to treat substance use disorders. Curr Psychiatry Rep. 2008;10(5):399–404.
Van Boekel LC, Brouwers EPM, Van Weeghel J, et al. Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review. Drug Alcohol Depend. 2013;131(1-3):23–35.
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Avery, J.D. (2019). The Stigma of Addiction in the Medical Community. In: Avery, J., Avery, J. (eds) The Stigma of Addiction. Springer, Cham. https://doi.org/10.1007/978-3-030-02580-9_6
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DOI: https://doi.org/10.1007/978-3-030-02580-9_6
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