Stigma and Substance Use Prevention, Part 1: The Impacts of Stigma (Webinar Recording)

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Stigma and Substance Use Prevention
Part 1: The Impacts of Stigma
Josh Esrick, MPP, and Demetrie Garner

May 4, 2022, 1:00pm-2:30pm EST


This webinar will provide a broad overview of stigma and the importance of addressing it through what the research tells us and what is known through lived experience. The webinar will define stigma and explain how it can manifest in various substance use prevention settings and on the road to recovery. It will address the similarities and differences between public-, self-, and institutional-stigma and the role of both intentional and inadvertent stigma. The webinar will also discuss how stigma impacts substance use prevention outcomes and our ability to recovery. Additionally, it will explain why prevention professionals, other stakeholders, and the community-at-large need to address stigma.


  • Define stigma conceptually and from a recovered person’s perspective
  • Review the various forms of stigma and their effects on our ability to recover
  • Discuss the impact of stigma on prevention outcomes
  • Explain stigma’s ongoing impact on the road to recovery


Josh Esrick, MPPJosh Esrick, MPP is a Senior Policy Analyst with Carnevale Associates. Josh has extensive experience in substance use prevention; researching, writing, and presenting on best practice and knowledge development publications, briefs, and reference guides; and developing and providing T/TA to numerous organizations. He developed numerous SAMHSA Center for the Application of Prevention Technologies’ (CAPT) products on strategies to prevent opioid misuse and overdose, risk and protective factors for substance use, youth substance use prevention strategies, youth substance use trends, emerging substance use trends, the potential regulations surrounding marijuana legalization, as well as numerous other topics.
Demetrie GarnerDemetrie Garner, is a Peer Recovery Specialist at the Emergency Department. This has given him the vantage point to encounter minority disparities. A lack of health communication targeted to African-Americans, and other minorities help further this disparity. As a Peer Recovery Specialist, the visible cracks of systemic inadequacies in health care and its access garners attention and policy changes in patients with substance use disorders. The experience in active addiction abusing opiates, cocaine, and alcohol for 26 years with countless relapses fostered the expertise needed to help others in active addiction. Finding recovery over the last 2 and 1/2 years while working in the recovery field has given Demetrie a unique perspective on recidivism and retention throughout the process of recovery. With the help of the God of his understanding (Jesus Christ), Narcotics Anonymous, and healthy relationships, the pathway of a daily reprieve from active addiction is now possible. Continuous work through pastoral licensed counseling has unlocked the acceptance of childhood molestation and recovery from trauma. Demetrie is currently a Pre-McNair Scholar with ambitions to attend the UMBC School of Public Policy M.P.P Program in spring of 2022 after obtaining his Bachelor’s degree in Public Health.


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