I. Understanding
Stigma & Bias

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

II. Best Practices from Our AD Community

Blogs, presentations, and webinars on stigma and inclusivity.

III. Communication Strategies

Scripting tools and guides on terms to use when talking about various clinical topics.

IV. Inclusivity
Articles & Publications​​

Research articles on clinical topics, understanding stigma, and communications. ​​​​

 

​I. UNDERSTANDING STIGMA & BIAS

• ​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
• Self Test: 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)
• Video Playlist: Health Equity | CDC​​
• Resource: Brave Empathetic Accountable Contextualized Humble (BEACH) Statement Intentions | Maternal, Child, Adolescent Health (MCAH) San Francisco Department of Public Health​
• 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)
• Cultural Humility:
  • 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)

II. BEST PRACTICES FROM OUR AD COMMUNITY

• Blog Articles: 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, NYC 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
• Presentation (begins at  17 minutes): Beyond the Binary: Innovating Academic Detailing for Gender Expansive Care | Ryan Anderson, DISH-AZ, Arizona Department of Health Services
  • Resources: 
    • ​Gender Affirming Care Materials & Resources
    • Gender Unicorn Form Example
• Presentation (begins at 2 hours and 21 minutes): Cutting Through Stigma and Getting to ‘Yes’! | Brandon Mizroch, MD, Utah AIDS Education and Training Center
• Presentation (begins at 7 minutes): Affirming Care for Transgender & Nonbinary People | Sophia Kass & Jessica Bloome, MD, MPH, San Francisco Department of Public Health​​
• Presentation (begins at 32 minutes): Adventures in Academic Detailing: Patient Informed Communication on Sex Positivity in HIV Prevention | Rocko Cook, DISH-AZ, Arizona Department of Health Services
• 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

III. COMMUNICATION STRATEGIES

• Scripting Tool: How to Respond to Bias | NaRCAD
• Downloadable Posters: People Matter, Words Matter | American Hospital Association​
• 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 | CDC
• Resource: Language Matters (sexual health, substance use STBBIs, and intersecting sources of stigma) | Canadian Public Health Association
• Resource: Fact Sheets & Documents on Gender-Affirming Care | Denver Prevention Training Center​

IV. INCLUSIVITY ARTICLES & PUBLICATIONS

Understanding Stigma & Bias: 

• Publication: Acknowledging and Assessing Implicit Bias Among Healthcare Professionals: A Randomized Controlled Trial | Brianna M. McQuade, PharmD, MHPE, Alan Schwartz, Jennie B. Jarrett, PhD, PharmD, MS, Journal of Interprofessional Education & Practice (July 2021)
• 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)​​
• Article: How does implicit bias by physicians affect patients’ health care? | Tori DeAngelis, American Psychological Association (March 2019)
• Article: Eight Tactics to Identify and Reduce Your Implicit Bias | FMP Journal (August 2019)
• Article: Cultural Humility vs. Cultural Competence – and Why Providers Need Both | Shamaila Khan, PhD, Health City (March 2021)​

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