Exploring Unconscious Bias
Unconscious Bias, Social Stereotypes, Identity Groups, Diversity Awareness, Categorization
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Presentation Transcript
Exploring Unconscious Bias Social stereotypes about certain groups of people that individuals form outside their own conscious awareness Everyone holds unconscious beliefs about various social and identity groups, and these biases stem from one s tendency to organize social worlds by categorizing USCF, Office of Diversity and Outreach
Using Living Experience to Identify Personal Biases At times in my life, I have not known where my next meal would come from. I have been homeless. Someone in my family is addicted to drugs or alcohol. Someone in my family has a mental illness. I have never used a drug that was not prescribed by my doctor.
Stigma, Bias, and Substance Use Substance use disorder is among the most stigmatized conditions in the US and around the world. People do not want to work with, be related to, or even see people with a substance use disorder in public. Further, many believe that people with a substance use disorder can or should be denied housing, employment, social services, and health care. Health care providers treat patients who have substance use disorders differently. Clinicians have lower expectations for health outcomes for patients with substance use disorders; this in turn can affect whether the provider believes the patient is deserving of treatment. Some health care providers, falsely believing that substance use disorders are within a person s control, cite feelings of frustration and resentment when treating patients with substance use disorders. People with a substance use disorder who expect or experience stigma have poorer outcomes. People who experience stigma are less likely to seek out treatment services and access those services. When they do, people who experience stigma are more likely to drop out of care earlier. Both of these factors compound and lead to worse outcomes overall. (SAMHSA, 2017)
Exploring Your Own Bias about Substance Use: Brief Self Assessment Please take a few minutes to complete the brief self- assessment (see handout). If you are comfortable doing so, process your responses with a neighbor. Additional bias assessments can be found at: https://implicit.harvard.edu/imp licit/selectatest.html
Motivational Interviewing - Overview Motivation is the key to change Associated with successful referrals to recovery support services Encourages behavior change by helping person explore and resolve uncertainty about their substance use behavior and ability to address it
Five Basic Motivational Interviewing Skills Five Basic Motivational Interviewing Skills Ask Open Ended Questions Practice Reflective Listening Encourage Self- Motivational Statements Summarize Statements Affirm It sounds like you are concerned about .because it is.. Its clear that you are trying to Tell me a bit about You showed a lot of strength by . It sounds like What do you know about . It sounds like you have made real progress in You mentioned a number of things about your current lifestyle It seems as if . You demonstrated a lot of courage by What happens when What I hear you saying Your coming back today reflects . By sharing, it appears that you are ready to You spoke of .
Motivational Interviewing Resources Enhancing Motivation for Change in Substance Abuse Treatment, SAMHSA (last revised 2013) https://store.samhsa.gov/shin/content//SMA13-4212/SMA13-4212.pdf Motivational Techniques and Skills for Health and Mental Health Coaching/Counseling https://www.nova.edu/gsc/forms/mi-techniques-skills.pdf SAMHSA recommended resources https://www.integration.samhsa.gov/clinical-practice/motivational- interviewing
Implementing a Referral Pathway Implementing a Referral Pathway You mentioned during our time together today that you ve been taking _________. How does this (medication, substance) make you feel? Build additional rapport to discuss the issue Based on responses to some of the screening questions, I am concerned about you and your health. For example, you shared _______ Show authentic concern Has anyone else among your family or friends expressed a similar concern?
Implementing a Referral Pathway Implementing a Referral Pathway If you are concerned about your (medication, substance use) I am here to help connect you to supportive resources. Reassure Support If you do not have any concerns about your (medication or substance use), perhaps we can connect you to a resource to discuss ways to lesson the possible future impact of use on your health. Provide Resources or connect directly (e.g., warm hand-off) We do no need to get into any additional specifics today. May I provide you with a list of resources that will help you determine the best next steps for you?
Examples When I compare your screening answers to other people who have completed this screen, it lets me know that there is cause for concern .. The results of this screening is cause for concern. I am concerned about what this screening may indicate. I care about your health, and this screening indicates you may have a problem.
People-Friendly Language Deficit-Based Language Addict Alcoholic Drug addict Substance abuser Drugs and alcohol Opiate/opioid addict Problem Recovering addict Recovering alcoholic Relapse Strengths-Based Language Alternatives Person experiencing challenges with alcohol or other drug use Person experiencing substance use challenges Alcohol and other drugs (AOD) Person experiencing challenges with opiates/opioids Challenge Person with lived experience Intermittent success Returned to use Resumed use Working through the cycles/stages of recovery Resistant to treatment Treatment resistant Substance abuse Not ready to engage Chooses not to have or has opted out of treatment Substance use Substance misuse
