Contents
Welcome: Stigma-Free Organisations
Understanding Stigma: What It Is and Why It Matters
Evidence‑Based Ways to Reduce Stigma (Overview)
Social Contact: The “Why” and the “How”
Education: Building Understanding Without Oversimplifying
Training: Turning Values Into Behaviour and Practice
Structural Interventions: Changing the game, not just the players
Multicomponent Approaches: Combining Actions for Greater Impact
The Implementation Pathway: Co‑Producing and Delivering Change
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Welcome: Stigma-Free Organisations
Understanding Stigma: What It Is and Why It Matters
Evidence‑Based Ways to Reduce Stigma (Overview)
Social Contact: The “Why” and the “How”
Education: Building Understanding Without Oversimplifying
Training: Turning Values Into Behaviour and Practice
Structural Interventions: Changing the game, not just the players
Multicomponent Approaches: Combining Actions for Greater Impact
The Implementation Pathway: Co‑Producing and Delivering Change
Training: Turning Values Into Behaviour and Practice
Training reduces stigma by changing what people do, not just what they know. It focuses on skills and behaviours that make care and support more respectful, effective and equitable - especially under pressure. Training often includes education, but goes further by enabling practice, feedback and reinforcement.
What training is
Training is structured, practice‑based learning designed to build confidence and competence in destigmatising behaviours - for example:
Communication skills and reflective practice
Skills for discussing substance use without judgement
Skills for addressing bias and stigma in teams
Role plays, simulations, or observed practice
It’s particularly helpful where staff feel uncertain, emotionally stretched, or worried about “getting it wrong” - conditions that can unintentionally increase stigmatising responses.
Three features of effective training
Define clear, role‑specific behaviours
High‑quality training spells out what “good” looks like in daily work. For example:
Use respectful, person‑first language in your everyday interactions
Actively listen and ask open questions to the people you work with/support
Seek to understand context and background of people’s lives, avoid the tendency to attribute observed behaviours to “character”
Challenge stereotypes when they show up in team talk – create an awareness that challenge is expected and valued.
Build capability, opportunity and motivation
Training is stronger when it:
Explains why behaviours matter (capability)
Reduces barriers to doing them (opportunity)
Helps staff experience them as worthwhile and doable (motivation)
This includes practical strategies like demonstration by facilitators, structured rehearsal, and discussion of real constraints (time, caseloads, thresholds).
Reinforce learning over time
Training sticks when it is reinforced through:
Supervision and mentorship
Reflective practice sessions
Feedback loops and peer learning
Visible leadership modelling destigmatising norms
A practical training session format (60–90 minutes)
Start: One short lived experience story (or scenario)
Skill: A single skill focus (e.g. language and framing, open questions, trauma‑informed responses)
Practice: Role play or simulation (brief and supported)
Reflect: “What did you notice in yourself?”
Commit: One behaviour to trial in the next week
Support: Name how it will be reinforced (supervision, team check‑in)
Quick reflection
What is one behaviour you would like to see more consistently in your organisation - and what stops it happening today?