Lesson 7

Question 1

Three Waves of Opioid Overdose Deaths

Answer 1

Wave 1: oxycodone and some newer opioids prescribed; doctors misinformed and told they were not addictive; culture of marketing in pharmaceuticals; pressure to treat pain w/o knowledge of addiction

Wave 2: prescription opioids became restricted, pts turned to sources like heroin

Wave 3: fentanyl flooded the market, pts exposed w/o knowledge due to inclusion in other opioids illicitly

Question 2

SBIRT

Answer 2

Screening, Brief Intervention, Referral to Treatment

Looking for people at risk but not yet diagnosed, most likely to develop SUD in the future

Question 3

Public Stigma

Answer 3

Society’s negative attitudes towards a group of people

Question 4

Structural Stigma

Answer 4

Systems-level discrimination such as cultural norms, institutional practices, healthcare policies etc.

Question 5

Self-Stigma

Answer 5

Individuals internalize and accept negative stereotypes

Question 6

Stigma against medications

Answer 6

FDA approved medications are thought to be “trading one addiction for another” despite effectiveness

Question 7

Stigma by association

Answer 7

Family, friends and others distance themselves from stigmatized individual to avoid judgement or devaluation