“In their mind, they always felt less than”: The role of peers in shifting stigma as a barrier to opioid use disorder treatment retention

Original research
by
Anvari, Morgan S. et al

Release Date

2022

Geography

USA

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

One known barrier to MOUD retention is stigma, particularly within ethno-racial minority communities. Peer recovery specialists (PRSs), individuals with shared experience in substance use and recovery, may be particularly well suited to support patients in MOUD treatment, and may have capacity to play a key role in decreasing stigma-related barriers to MOUD retention.

Findings/Key points

Peer recovery specialists (PRSs) may be suited to shift stigma-related barriers. Participants described internalized and experienced MOUD and substance use stigma. Feedback supported a PRS model to shift stigma barriers for patients in MOUD care.

Design/methods

Study staff conducted semi-structured qualitative interviews and focus groups (N = 32) with staff and patients receiving MT at an opioid treatment program as well as PRSs in Baltimore.

Keywords

About PWUD
Barriers and enablers
Substitution/OAT
Peer/PWLLE program involvement
Stigma