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C42. It’s not denial, it’s stigma: A case study on the legacy of confrontational treatment approaches to alcohol use disorder

About The Event

  • Cost: Free
  • Total Slot: 0
  • Booked Slot: 0

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Learner category:

  • Beginning Level

Learning objectives:

  • Participants will be able to describe stigma and selfstigma as it relates to alcohol use disorder
  • Participants will be able to discuss the implications of past client experiences with addiction treatment
    systems for future assessment and intervention
  • Participants will be able to synthesize elements of recovery orientation with the role of the addictions
    nurse to promote client engagement


This presentation will utilize a case study format to demonstrate and discuss concepts related to client engagement in recovery. Laura, a 65-year-old female, presents with a worsening of her alcohol use disorder in the setting of a recent retirement, worsening symptoms of major depressive disorder, and the stressors associated with COVID-19 pandemic. She presents for her depression and is reluctant to discuss her alcohol use since she has past experience in a program that utilized a confrontational approach several years ago. Her primary care provider describes her as “in denial”, but this case study will discuss elements including stigma, self-stigma, and the culture of addictions treatment and their impact on recovery. Finally, this presentation will describe how the addictions nurse can leverage a person-centered and recovery-oriented approach to promote engagement and positive problem-solving with the client and the rest of the care team.


Shari Harding
DNP, CARN-AP, PMHNP-BC, CPRP, University of Massachusetts Medical School

Dr. Shari Harding is a psychiatric-mental health nurse practitioner (PMHNP) and CARN-AP with experience providing direct care and consultative services for individuals, programs, and systems. She is an assistant professor at the University of Massachusetts Medical School Graduate School of Nursing. She maintains a clinical practice at Reliant Medical Group, providing behavioral and addictions health care, consultations, and trainings within a primary care setting. Shari is a certified psychiatric rehabilitation practitioner (CPRP) and emphasizes a person-centered approach including outreach and engagement strategies as well as collaboration with other disciplines and key stakeholders.

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Shari Harding
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