‘Four Examples of Expensive Rehabs That Spread Stigma, Not Recovery’ by Tom Horvath

shaming‘Eliminating stigma against people in recovery appears to be a universally supported goal within the recovery community, and for good reason. Recovery is hard enough without this additional burden.

The unspoken assumption is that stigma is the fault of the “outside” world – not of other people in recovery. But the recovery community has failed to provide effective leadership on this issue. And one component of the community—treatment providers—frequently reinforces stigma. How can we expect the world at large to change when we don’t change?

I operate a treatment system with two residential facilities, a sober living home and outpatient services. Because relapse is common, we often see clients who have been to other facilities. Most are frustrated, and often furious, at how they have been treated elsewhere. They generally report that they were viewed by staff as entirely lacking good judgment or a capacity for self-management. Therefore their requests and perspectives were easy to dismiss, even ridicule. They often have not been treated with much hospitality, either.

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