What is it about?
We know that stigma is a barrier to treatment for opioid use disorder, but we don't always know the impact of stigma across systemic support systems, from the individual to their families to their communities. Rural communities are particularly vulnerable to stigma at the macro level as often health departments and treatment agencies who seek to provide medication for opioid use disorder (MOUD) must often navigate political landscapes. This study sought to understand the role of stigma as a systemic barrier for treatment provision and efficacy impacting clients in MOUD treatment, particularly those in rural settings.
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Why is it important?
Stigma is a significant barrier to accessing MOUD and can result in a lack of community support, particularly related to harm reduction efforts. By knowing the systemic barriers that stigma can present, providers can help mitigate their clients' hardships related to accessing MOUD treatment. If barriers are not mitigated, clients may continue opioid misuse which compromises family, work, and justice system involvement obligations. Recognizing and addressing stigma as a systemic barrier supports the client’s harm reduction, treatment, and recovery needs to better position clients for successful outcomes.
Perspectives
This research helps inform our efforts to treat opioid addiction, particularly in rural communities where mortality rates have been comparable to urban areas. Working with these emerging behavioral health professionals, to identify and address the impact of stigma, is meaningful for not only the individuals seeking treatment, but also their families and communities.
Kalea Benner
Indiana University
Read the Original
This page is a summary of: Stigma as a barrier to medication for opioid use disorders in rural communities., Rural Mental Health, August 2025, American Psychological Association (APA),
DOI: 10.1037/rmh0000315.
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