Part of the debate – in the Scottish Parliament am ar 12 Ionawr 2023.
Any life lost as a result of drug harm is a tragedy, and the Scottish Government is absolutely committed to implementing approaches that we know work to save lives and reduce harm. The Scottish Drug Deaths Taskforce’s report, “Changing Lives”, contained 20 recommendations and 139 detailed actions for the Scottish Government to consider. The report represented almost three years’ work, with contributions from a broad range of people with expertise in the area, including those with living and lived experience—I know that the minister is focused on listening to examples from those people.
One of the areas that I have a particular interest in is tackling drug-related stigma, which requires action from all levels of government and, indeed, the wider population. The “Changing Lives” report states that “Stigma kills people”. The report focuses a lot on tackling stigma and discrimination. Stigma is not only damaging to individuals’ mental health and sense of self-worth; it discourages people from coming forward to seek the help that they need.
Stigma is particularly harmful in rural areas, in which communities are often very tight knit—Alex Cole-Hamilton has just mentioned that—and in which it can be harder to seek treatment because of the fear of prejudice and discrimination.
Section 3 of the “Changing Lives” report states:
“Primary care settings offer a key environment in which direct care and treatment can be offered to people” who are affected by harmful drug use. Treatment services that are offered by, for example, GPs, dentists, community nurses, pharmacists and pharmacy technicians can also help to address issues around access to drug treatment services in rural areas and, therefore, reduce stigma.
I picked up the issue of stigma with NHS Education for Scotland and asked whether mandatory education could be created and delivered, perhaps in an online module, for all health and social care staff, including pharmacists and allied health professionals, as opposed to stigma education being provided just for those working in alcohol and drug services.