Section: Module 2: Lesson 1: Policies and Legislation | Screening for Substance Use Disorders in Primary Care | NextGenU.org

  • Learning Objectives:
    Upon completion of this lesson, you will be able to:
    • Discuss international and national standards, legislation, and policies on mental health and human rights.
    • Discuss stigma and its impact, as well as practical strategies to address it.
    • Explain how to prevent stigma, marginalization, and discrimination and promote the social inclusion of people with mental, neurological, and substance use disorders by fostering strong links with employment, education, social (including housing), and other relevant sectors.
    • Identify care provision in a way that respects the dignity of the person, is culturally sensitive and appropriate, and is free from discrimination on the basis of race, color, sex, language, religion, political or other opinion, nationality, ethnicity, indigenous or social origin, property, birth, age, or other status.
    • Recognize matters of confidentiality, as well as the patient's right to privacy.
    • Demonstrate how to ensure a patient understands the proposed treatment and provides free and informed consent for treatment.
    Approximate time required for the readings for this lesson (at 144 words/minute): 12 hours and 40 minutes.

    Click here to start this lesson

    • Required Learning Resources and Activities
    • Read the entire webpage. (14 minutes)

      WHO - 2017

    • Read the entire webpage to familiarize yourself with how stigmas to substance use problems impact the dignity and human rights of affected individuals. (30 minutes)

      Health and Human Rights Journal - 2021

    • Read the content from "Addressing mental health stigma in the LMICs" until " Conclusion." (17 minutes)

      Asian Journal of Psychiatry - 2021

    • Read the content from the " Introduction" until "Enhancing Healthcare Team Outcomes". (39 minutes)

      National Center for Biotechnology Information (NCBI) - 2021

    • Read the entire document to understand the patient's right to privacy and the physician's duty of confidentiality. (14 minutes)

      Canadian Medical Association (CMA) - 2017

    • Read the entire webpage. (16 minutes)

      StatPearls Publishing2021

    • In this activity, you will assume the role of a neuropsychiatrist-radio reporter and present a special report on stigma, marginalization, and discrimination towards people suffering from mental/neurological/substance use disorders commonly experienced in one country.

      Step 1. Research

      Select three countries where stigma, marginalization, and discrimination towards people with mental/neurological/substance use disorders are common. More specifically, for each country, look for the following:

      • Documented cases of stigma, marginalization, and discrimination against people with mental/neurological/substance use disorders
      • Description of the cases
      • Reported reasons why these people are common targets of stigma and discrimination
      • Impact of stigma, marginalization, and discrimination
      • Preventive strategies and interventions done to address these cases

      Step 2.  Respond

      Assume the role of a radio reporter who has a formal background in neurology and psychiatry. You are assigned to present a special report on stigma, marginalization, and discrimination towards people suffering from mental/neurological/substance use disorders that are commonly experienced in three countries. You are expected to audio record a 3-7-minute special report that covers all the key points introduced in Step 1. Additionally, the special report should include the following:

      • Your own recommendations as a radio reporter/neuropsychiatrist to address the documented cases
      • Ways to ensure that a patient understands the proposed treatment for a mental/neurological/substance use disorder by providing free and informed consent for treatment.

      Step 3. Rehearse and Record

      Rehearse the audio report before making an audio recording of your final work. Ensure that all the necessary and required points are covered by your audio report. Refer to the rubric below as your guide.

      Step 4. Share

      To share your audio recording, click on the “Add a New Discussion” button under this post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

      Step 5. Interact

      Evaluate and categorize the work from one of your peers based on items A - E of the rubric below. Provide a rationale for the grade you have provided, as well as comments or suggestions for improvement. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.” You can use the list below as an example:

      Item A is  .…. because….  My suggestions for improvement are….
      Item B is  .…. because….  My suggestions for improvement are….
      Item C is  .…. because….  My suggestions for improvement are….
      Item D is  .…. because….  My suggestions for improvement are….
      Item E is  .…. because….  My suggestions for improvement are….

      OPTIONAL Step 6: Interact (10 minutes)

      If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”

    • quiz icon
      Quiz: Module 2

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 8/10

      Not available unless: The activity Quiz: Module 1 is marked complete
    • Recommended Additional Readings

    • Read the entire document. (30 minutes)

      United For Global Mental Health - 2021

    • Read the entire article to understand stigmas related to mental illness and how it creates barriers to access and quality care. (18 minutes)

      National Center for Biotechnology Information (NCBI) - 2017

    • Read the entire webpage. (6 minutes)

      Utah State University - 2020

    • Read the entire article to better understand strategies to assist in reducing the stigma of mental health. (32 minutes)

      NCBI- 2017

    • Read the content under the headings "Equality and
      Diversity, Inclusion, and Discrimination" until "Information, advice, and support" on pages 1-7. (13 minutes)

      Skills for Care - 2018

    • Read the guide. (60 minutes)

      The Canadian Medical Protective Association - 2021