Learning objectives:

1. Discuss the three levels of stigma (intrapersonal, interpersonal, and structural) that create barriers for clients and families needing access to quality health services for addiction and/or mental health issues.
2. Explore interventions that can mitigate stigma in healthcare at both the individual and structural/organizational levels.
3.  

Abstract:

Addiction and mental illness stigma is a complex public health issue that creates barriers for clients needing access to quality health services. Most research focuses on interpersonal stigma with emerging research examining intrapersonal and structural stigma in the healthcare setting. This research commentary focuses on how to address the gaps in the existing research to elicit greater organizational/structural change in healthcare systems and positive health outcomes. It describes key components of a five-year multiphase study that aims to explore and address multiple levels of stigma holistically among stakeholders including physicians, nurses, protective services staff, and patients/families in an emergency department setting. Unique to this study is the inclusion of a patient research partner who is positioned as a co-designer and research partner throughout the project. The goal of this study is to explore, address, understand, and evaluate interventions that mitigate stigma in healthcare at both the individual and structural/organizational levels.