Understanding the Stigma Surrounding Native Americans and Substance Abuse

Stigma indicatesa negative and/or stereotypicalbelief or attitude regarding a particular individual, group, or institution. Stigma is often based on certain characteristics, like race, gender, sexuality, religion, or health status. Stigma is a social phenomenon and oftenprecedes unequal treatment in the form of prejudice, discrimination, or marginalization.

Stigmaoccurs both internally and externally.  That is, individuals who are stigmatized may internalize the negative views and attitudes directed towards them, as well as have those views reinforced through society’s messages (i.e. – media, policies, and social interactions).

When it comes to substance abuse and mental health treatment, stigma can prevent individuals from seeking help and support, leading to worsening addiction and overall wellbeing.  Unfortunately, stigma affects many, many populations, including Native Americans.

The stigma surrounding Native Americans and substance abuse manifests in several ways today, including:

• Social Exclusion: The stigma surrounding substance abuse in Native American communities can lead to social exclusion and ostracism. This can make it difficult for those struggling with addiction to access support and can contribute to feelings of isolation and hopelessness.
• Internalized Shame: Native Americans may feel ashamed or embarrassed about their substance use due to the negative stereotypes and stigma associated with addiction. This can prevent them from seeking help and support.
• Limited Access to Treatment: The stigma surrounding substance abuse in Native American communities can lead to a lack of resources and limited access to treatment options. This can prevent individuals from receiving the care they need to overcome addiction and can contribute to higher rates of relapse.
• Cultural Mistrust: Historical trauma and the ongoing effects of colonization and discrimination can contribute to a mistrust of Western medicine and treatment approaches. This can make it difficult for Native Americans to seek help for substance abuse and can contribute to a sense of disconnection from mainstream society.

Overall, the stigma surrounding Native Americans and substance abuse can have a significant impact on the ability of individuals to access treatment and support. By raising awareness of these issues and promoting culturally sensitive treatment options, we can work to break down the stigma and provide better support and care for those struggling with addiction in Native American communities.

Breaking the Stigma

To begin to break down the stigma surrounding Native Americans and substance abuse, several things need to happen.

• The importance of raising awareness and devoting energy towards education to begin to challenge the misconceptions, misinformation, and stereotypes.
• Honest, open, and authentic conversations about substance use and addiction in Native American communities need to be promoted and encouraged.
• Shifting focus toward advocating for culturally sensitive treatment approaches that respect the values and traditions of Native Americans.