I. Understanding
Stigma & Bias

Videos and resources on the impact of implicit bias and its effect on patient care.

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​Explore this section to gain a deeper understanding of your own implicit biases.
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​II. Cultural Humility​
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​Resources discussing the importance of cultural humility and recognizing a patient’s cultural experience.​

​Explore this section to learn about cultural humility and strategies to promote it in your work.
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III. Communication Strategies

Resources and publications on communication strategies and their implications.

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​Learn more about approaches and terms to use when talking about various clinical topics.
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IV. NaRCAD Resources
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Compilation of resources on stigma in healthcare settings.


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​Explore materials and learn from peers about different approaches to address stigma when detailing.
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​I. The first STep: Understanding stigma & Bias

• Test/Questionnaire: Harvard Implicit Association Test | Project Implicit, Harvard University​
• Video (~2 min. 30 sec.): How does implicit bias affect health care? | Institute for Healthcare Improvement (July 2017)
• Video (~5 min.): What is bias, and what can medical professionals do to address it? | Institute for Healthcare Improvement (June 2017)
• Article: How to Reduce Implicit Bias | Institute for Healthcare Improvement (Sept. 2017)
• Article: How does implicit bias by physicians affect patients’ health care? | Tori DeAngelis, American Psychological Association (March 2019)
• Article: Cultural Humility vs. Cultural Competence – and Why Providers Need Both | Shamaila Khan, PhD, Health City (March 2021)
• Resource: Brave Empathetic Accountable Contextualized Humble (BEACH) Statement Intentions | Maternal, Child, Adolescent Health (MCAH) San Francisco Department of Public Health
• Publication: The Impact of Unconscious Bias in Healthcare: How to Recognize and Mitigate It | Jasmine R. Marcelin, MD, et al., The Journal of Infectious Diseases (Aug. 2019) 
• Publication: Stigma in health facilities: why it matters and how we can change it | Laura Nyblade, PhD, et al., BMC Medicine (Feb. 2019)
• In-Depth Exploration: Implicit Bias in Healthcare Professionals: A Systematic Review | Chloë FitzGerald and Samia Hurst, BMC Medical Ethics (March 2017)
• In-Depth Exploration: Examining the Presence, Consequences, and Reduction of Implicit Bias in Health Care: A Narrative Review | Colin A. Zestcott, PhD, et al., Group Process & Intergroup Relations (July 2016)
• Toolkit: Stigma and Discrimination Research Toolkit | National Institute of Mental Health
• Toolkit: Race to Justice | Race to Justice - NYC Department of Health and Mental Hygiene

II. Cultural Humility: Recognizing  Different Cultural Experiences

• Article: Practicing Cultural Humility to Transform Health Care | Jennifer McGee-Avila, PhD, MPH, Robert Wood Johnson Foundation (June 2018)​
• Article: Cultural Humility vs. Cultural Competence – and Why Providers Need Both | Shamaila Khan, PhD, Health City​
• Publication: Not Missing the Opportunity: Strategies to Promote Cultural Humility among Future Nursing Faculty | Vickie Hughes, DNS, MSN, RN, et al., Elsevier Incorporated (Feb. 2020)
• In-Depth Exploration: Cultural Competence and Cultural Humility: A Literature Review for Understanding and Action | Michael Wheeler, Central Florida Diversity Learning Series (March 2018)
• Video (2 min. 30 sec.): What is Cultural Humility? | Psych Hub  (Oct. 2020)

III. Communication Strategies: Using the right words

• Scripting Tool: How to Respond to Bias | NaRCAD
• Downloadable Posters: People Matter, Words Matter | American Hospital Association
• Publication: Stigma and Health/Risk Communication | Rachel A. Smith, PhD, et al., Oxford University Press (June 2016)
• Article: Words Matter - Terms to Use and Avoid When Talking About Addiction | National Institute on Drug Abuse (Nov. 2021)

• Article: Words Matter: Preferred Language for Talking About Addiction | National Institute on Drug Abuse (June 2021)

• Article: Words Matter: How Language Choice Can Reduce Stigma | Prevention Solutions at Education Development Center (Nov. 2017)
• Language Guide: A Guide to Talking About HIV | Centers for Disease Control and Prevention
• Resource: Language Matters (sexual health, substance use STBBIs, and intersecting sources of stigma) | Canadian Public Health Association
• Resource: Fact Sheets & Documents | Denver Prevention Training Center 

• Publication: Communication Strategies to Counter Stigma and Improve Mental Health and Substance Use Disorder Policy | Emma McGinty, PhD, et al., Psychiatric Services (Feb. 2018)​​

IV. NaRCAD Resources: Details blog, Conference presentations, & more

• Resource: The DETAILS Blogs - Stigma | NaRCAD
  • Creating a Space to Address Stigma through 1:1 Dialogue with Clinicians | NaRCAD
  • Using AD to Reduce Stigma Associated with Opioid Use Disorder | Trish Rawn, BScPhm, PharmD, Centre for Effective Practice
  • Integrating Data into Action: Addressing Cocaine Use Through Public Health Detailing | Carla Foster, MPH, New York City Department of Health and Mental Hygiene
  • Closing Health Inequities Together: The Detailing Approach to Clinician Stigma | Megan DeNubila and Jessica Alward, MS, New Hampshire Division of Public Health Services
  • Leading the Way to Sustainability Through Strong Detailers and Valuable Partnerships | Sarah Ball, PharmD and Megan Pruitt, PharmD, Medical University of South Carolina
  • More Than Meets the Eye: Insights on Provider Stigma | Elisabeth Fowlie Mock, MD, MPH, Maine Independent Clinical Information Service
  • Diverse Approaches to Clinician Education in Louisiana | Brandon Mizroch, MD, MBBS, Louisiana Department of Health
  • Approaching New Horizons: AD on Cannabinoids in Canada | Zack Dumont, BSP, ACPR, MS, RxFiles Academic Detailing Service
  • Optimism for the Opioid Crisis: Addressing Stigma and Disseminating Evidence to Clinicians | Don Teater, MD, MPH, Teater Health Solutions
  • Academic Detailing for Social Justice: HIV Prevention via Provider Education | Mary Nagy, MPH, RN/BSN, Michigan Department of Health and Human Services
  • Exercising Empathy, Planting Seeds: An Interview with the Manchester, NH Academic Detailing Team | Carol Furlong, LCMHC, MAC, MBA, Elliot Hospital, Jill MacGregor, APRN, Catholic Medical Center, and Katie Sawyer, LICSW, MLADC, Network4Health/Mental Health Center of Greater Manchester
• PowerPoint Presentation: Participant Perspectives: How Does Stigma Show up in AD? | NaRCAD Annual Conference 2021
• Expert Panel Video (presentation begins at 29 min.): Exploring and Addressing Clinician Stigma to Encourage Accountability |NaRCAD Annual Conference 2021
• Webinar: Opioid Use Disorder: Understanding Clinician Stigma to Encourage Behavior Change | Don Teater, MD, MPH, Teater Health Solutions and Nadejda Razi-Robertson, PhD, LCSW, Synergy Health Consulting
  • PowerPoint Presentation: Opioid Use Disorder: Understanding Clinician Stigma to Encourage Behavior Change
• Roundtable: Breaking Down Silos: Clinicians as Part of a Care Network | NaRCAD

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Clinical Topic-Specific Resources

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