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The remaining two structural stigma interventions targeted attitudes of police officers using a Crisis Intervention Team program [ 58 Mfntal and substance use counselors using Acceptance and Commitment Training and multi-cultural training [ 61 ].

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The methodological quality of the studies was moderately strong. All but one study indicated their interventions produced positive effects on at least one stigma outcome measure. None of the interventions have been evaluated datiny different settings or populations.

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The limited evidence indicates that self-stigma can be reduced through therapeutic interventions such as group-based acceptance and commitment therapy.

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Effective strategies for addressing social stigma include motivational interviewing and communicating positive stories of people with substance use disorders. For changing stigma at a structural level, contact-based training and education programs targeting medical students and professionals e.

Increasingly, governments and professional organizations are mobilizing resources towards preventing and managing health-related stigma.

This coincides with a rapid expansion of research on stigma [ 1 ] which, until recently, has concentrated on documenting the magnitude of the problem and understanding its pernicious effects [ 2 — 4 ].]Health-related stigma describes a socio-cultural process in which social groups. and content-relevant websites selected in consultation with experts in the field No restrictions were made on the publication date or methodological Mebtal.

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