Take Things Case by Case

Not all situations are the same. A one-size-fits-all approach doesn’t work when it comes to stigma. Case-by-case means taking the time to understand the unique picture in front of you. What stigma looks like for one person may not be the same for someone else. For example, one person might be struggling with internalized shame, while another is facing structural barriers like being denied services. Asking, listening, and co-creating a plan ensures that support feels personal and respectful.

Why it matters – This practice ensures that people are seen and treated as individuals. It also increases the chance of stigma being reduced because the picture of stigma and a course of action is catered to individuals.

How to do it

Each person EXPERIENCING OR ENACTING STIGMA is unique and therefore requires a tailored solution for reducing the negative impacts of stigma. You might encounter both types of people in delivering harm reduction care. How you approach the conversation or take action completely depends on the situation and assessing in the moment.

Here are some suggested steps in how you might approach reducing stigma case by case:

STEP 1 – Gauge whether a person is open to exploring stigma. Have a dialogue with active listening about the person’s perspective or experience.

STEP 2 – Ask specific questions to gain a clear picture of what types of stigma, drivers, and influences are at play for the person.

STEP 3 – Offer constructive suggestions of what action could be taken to reduce the impacts of stigma and co-create a plan if mutually desired.

STEP 4 – Stay connected regarding the person’s stigma reduction plan and  journey. Gauge progress and modify the practice or the co-created plan if necessary.


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