This study explores how people with complex health and social needs—like substance use, mental illness, and poverty—often face discrimination and stigma when trying to access care. The researchers looked at how integrated care models, which bring different services together in one place or team, can better support people who experience these challenges. Importantly, it also highlights how systems can unintentionally push people away when care isn’t welcoming, coordinated, or trauma-informed.
Reflection for FASD Prevention Conversation Facilitators
This research reinforces what we already know: connection and trust are key. As facilitators, we engage with professionals who work with people facing many of the same structural barriers described in this study. The findings remind us that:
- Systems can stigmatize even when they’re trying to help. Our prevention work must always push back against stigma.
- Integrated, relationship-focused care makes a difference, so we should continue to promote collaboration between services like housing, mental health, and addiction supports.
- The stories we share in trainings can help professionals understand the layered realities of people’s lives, and why simple solutions are rarely enough.
- It’s not just about talking to people, it’s about listening with empathy and adjusting services so people don’t have to fight to be heard.