This page provides information about drug stigma including how you can help tackle it, resources, further reading and learning.
The information on this website may affect some readers. Please take care when reading. If you feel affected by what you have read, support is available.
If you, or someone you know are in distress and need an immediate response call the emergency services on 999 or NHS24 on 111.
What is Drug Stigma?
People who use drugs, people in recovery from drug use, families and communities can experience stigma.
Stigma is the social process of devaluing a person beginning with marking or labelling someone’s differences then attributing negative values to those differences. Stigma is closely linked to prejudice, stereotyping and discrimination. Stigma intersects with other ways people are disempowered and marginalised (ethnicity, gender and sexual identity among others) often increasing risk and harm.
Tackling stigma and understanding how it connects to other ways people are disadvantaged, is vital to addressing drug related harm, including deaths.
Tackling drug stigma at all levels is essential to fostering an inclusive and supportive environment for people who use drugs and helps people feel a greater connection to society, more included and more likely to access treatment and support for recovery.
How can you get involved?
Recognising stigma is the first step to tackling it. When you witness stigmatising behaviour, you have a choice about the action you take. Taking action shows that stigmatising behaviour is not acceptable. We don’t all need to be experts, but we all have a role in tackling drug stigma. Understanding stigma and approaching interactions with kindness and compassion is the key.
Greater Glasgow and Clyde (GGC) Drug Stigma Action Group
The GGC Drug Stigma Action Group is a multi-agency partnership, established in 2023, bringing together statutory and third sector organisations to deliver a coordinated approach to tackling drug related stigma across Greater Glasgow and Clyde. Group membership includes:
East Dunbartonshire Alcohol and Drug Recovery Services
East Dunbartonshire Alcohol and Drug Partnership
Family Addiction Support Service
Glasgow Alcohol and Drug Partnership
Glasgow City Alcohol and Drug Recovery Services
Glasgow City Health Improvement Team
Inverclyde Alcohol and Drug Partnership
NHSGGC Alcohol and Drug Health Improvement Team
NHSGGC Prison Health Improvement Team
Police Scotland
Renfrewshire Alcohol and Drug Partnership
Scottish Drugs Forum
Scottish Families Affected by Alcohol and Drugs
Scottish Prison Service
Scottish Recovery Consortium
Simon Community Scotland
West Dunbartonshire Alcohol and Drug Partnership
With You
The group works alongside local Alcohol and Drug Partnerships (ADPs) and has links to the National Stigma Action Plan. Its work is guided by people with lived and living experience, strengthening collective action to reduce drug stigma, promote social inclusion and social justice for people who are affected by drugs.
If you are interested in joining the GGC Drug Stigma Action Group please contact ggc.mhead@nhs.scot*.
*Please note that this is a generic admin inbox and not monitored immediately. If you, or someone you know are in distress and need an immediate response call the emergency services on 999 or NHS24 on 111.
‘Tackling Drug Stigma is Everyone’s Business’ Toolkit
The Drug Stigma Toolkit has been designed by the GGC Drug Stigma Action Group as a cascading and capacity building resource that aims to support partners, groups and organisations to tackle drug stigma.
Everyone who uses the toolkit is encouraged to reflect on their own attitudes and language and use this resource to start meaningful conversations within teams, services, across communities and to tackle drug stigma wherever it is encountered. By taking action together, we can help create a more compassionate and supportive response to drug harm.
The evaluation questions will help identify who is using the “Tackling Drug Stigma is Everyone’s Business” toolkit and in what settings it is being used. This will help us assess its reach, highlight any gaps, and identify which groups or settings may benefit from additional support or engagement. By collecting this feedback, we can continue to learn, improve the resources, and ensure the toolkit remains relevant, accessible, and effective in tackling drug stigma.
Thank you for taking the time to share your views.
Evaluation responses are reviewed periodically at set points throughout the year. If you have any additional feedback on the toolkit or wish to discuss anything further, please contact ggc.mhead@nhs.scot*.
*Please note that this is a generic admin inbox and not monitored immediately. If you, or someone you know are in distress and need an immediate response call the emergency services on 999 or NHS24 on 111.
Support staff across all sectors to frame conversations about drugs and stigma
Support staff to reflect on their own practice, knowledge and attitudes
Provide practical tools to manage difficult conversations and challenge stigma
Provide education and raise public awareness of the impact of drug stigma
Workshop
The workshop is not training but is designed to raise awareness of drug stigma, the impact it can have, and what action can be taken to tackle this.
The workshop can be delivered by anyone who has an interest in tackling drug stigma. No prior experience or qualifications are required to deliver the workshop, although facilitators are encouraged to review the “Tackling Drug Stigma Is Everyone’s Business” Framing Document before delivery.
The workshop is best delivered in person but can be delivered online, if required. For those who are looking to deliver the workshop online, using a virtual learning space such as Microsoft Teams or Zoom, please ensure you follow your own organisational guidance for online delivery.
The films below have been created by people with lived and living experience across Greater Glasgow and Clyde, sharing personal perspectives on drug stigma and its impact on individuals affected by drugs.
All language and views expressed within the videos are participants own views.
‘Stigma Kills’ – This film shares how drug stigma affects both men and women, explores its impact, and highlights actions that can tackle it.
‘Stigma is a Barrier to Good Health and Quality of Life’ – This film shares how drug stigma affects women, explores its impact on women and highlights actions that can tackle it.
‘Everyone Knows Someone’ – This film shares how drug stigma affects families when a loved one uses drugs, the impact on their lives, and highlights actions that can tackle it.
‘It’s Everyone’s Business to Tackle Stigma’ – This film highlights why tackling drug stigma is essential to support people affected by drugs to access services, including actions that can tackle drug stigma in practice.
‘Words Matter’ – This film shares how drug stigma can affect people living in prison, explores its impact and highlights actions that can tac
Conversation Cards
The Conversation Cards have been designed as a tool encourage conversations about drug stigma, challenge assumptions and reflect in a safe and respectful way.
Each Conversation Card links to the Framing Document, where you can explore more information to help inform your discussions – Drug Stigma Conversation Cards.
Communication Pack
Thank you for supporting the ‘Tackling Drug Stigma Is Everyone’s Business’ Toolkit. Please use our communications pack, social media assets and suggested posts to spread the word across your channels.
Charter of Rights for People Affected by Substance Use in Scotland | WithYou: In December 2024 The National Collaborative published a Charter of Rights for People Affected by Substance Use contributing to Scotland’s National Mission to reduce deaths and improve the lives of those impacted by substances.
National Mission on Drug Deaths: The aim of the National Mission is to reduce drug deaths and improve the lives of those impacted by drugs. This document shows how this will be done.
National Stigma Action Plan: Cross government response to the Drug Deaths Taskforce report, Changing Lives. It contains a cross government action plan, response to Taskforce recommendations and a stigma action plan.
National Trauma Transformation Programme – This website provides access to evidence-based training, tools and guidance to support trauma-informed and responsive systems, organisations and workforces in Scotland
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This page contains information on funding opportunities and access to live alcohol and drug related consultations for comment.
These will be removed when the funding application or consultation period ends.
Scottish Government Alcohol and Drugs Fund
Here are the links to the web pages for each fund. All funds are live.
These pages include eligibility checkers and embedded criteria documents. An information session held on 10th June has also been recorded and upload to these pages and the link to this has been included below:
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Alcohol and Drug Partnerships (ADPs) bring together local partners including health boards, local authorities, police and voluntary agencies. Based on an assessment of local needs the ADPs are responsible for commissioning and developing local strategies to reduce the use of and harm from alcohol and drugs alongside promoting recovery.
Across Greater Glasgow and Clyde there are 6 ADPs, East Dunbartonshire, East Renfrewshire, Glasgow City, Inverclyde, Renfrewshire and West Dunbartonshire.
Know the Score – A website that provides information and support on drugs including a free helpline and webchat.
NHS Inform – Support for people affected by drugs.
The Thistle – Glasgow’s Safer Drug Consumption Facility is a supervised healthcare setting where you can consume your own drugs, obtained elsewhere, under the supervision of trained health and social care professionals, in clean, hygienic and safe environments reducing the risk of overdose.
With You – Provide free and confidential support to adults and young people facing challenges with alcohol, drugs and mental health.
Young People
Glasgow City Youth Health Service – NHSGGC – The Glasgow City YHS offers support for young people across nine locations in Glasgow. The Multiple Risk programme, which is a 12-week programme will address individual risks, including drugs and alcohol.
Routes – SFAD – Routes is a youth work programme delivered in East and West Dunbartonshire by Scottish Families Affected by Alcohol and Drugs (SFAD). The service supports young people aged 12 – 26 years affected by alcohol and drugs within their family.
With You – Provides brief interventions, advice and emotional support via a Webchat service. Webchat is an accessible, free and anonymous service for anyone over the age of 13 who is in need of drug, alcohol or mental health support.
Families
Family Addiction Support Service (FASS) – FASS offers free confidential support, advice and information to family members across Glasgow who have been affected by a loved one’s drug or alcohol use.
LGBT Health and Wellbeing – Scotland’s health and wellbeing charity for LGBTQ+ adults. Working to improve the physical, social, and mental health and wellbeing of LGBTQ+ adults (16+) in Scotland.
LGBT Youth Scotland – Youth Scotland support young people aged 13 – 25 years in all aspects of their lives through the provision of amazing youth work, and we support them to use their voice to create change in equality and human rights.
Kinder Stronger Better – A website developed for and by members of the Glasgow LGBTQ+ community and professionals to provide information and advice to LGBTQ+ people about alcohol and drugs, as well as where to get help and support in Glasgow (and beyond).
Justice
Families Outside – Help, Information and support for families affected by imprisonment.
Sacro – Sacro is a Scottish community justice organisation which works to deliver life-changing services that empower people, give hope and protection, and help to build safe communities.
The Croft – Providing practical and emotional support, information and advice to the families impacted by a loved one’s imprisonment at HMP Barlinnie.
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Alcohol and Drug Snapshot
Our team produces and circulates a monthly Alcohol and Drug Snapshot that provides a range of information including resources, research articles, reports, events, learning and funding opportunities.
If you would like to sign up to receive our Snapshot, please contact ggc.mhead@nhs.scot*.
*Please note that this is a generic admin inbox and not monitored immediately. If you, or someone you know are in distress and need an immediate response call the emergency services on 999or NHS24 on 111.
The NHSGGC Alcohol and Drugs Health Improvement Team are a Greater Glasgow and Clyde wide team who support our colleagues and partners across the six Alcohol and Drug Partnerships to promote alcohol and drug public health and equalities across the six Integrated Health and Social Care partnerships in Greater Glasgow and Clyde – East Dunbartonshire, East Renfrewshire, Glasgow City, Inverclyde, Renfrewshire, and West Dunbartonshire.
We share updates about the work we are undertaking with partners across key priority areas, share useful resources, research and policy information to help you deliver on the alcohol and drug harms agenda. We are part of the wider Mental Health, Alcohol and Drugs Health Improvement Team.
Contact the NHSGGC Alcohol & Drugs Health Improvement Team
Trevor Lakey, Health Improvement and Inequalities Manager – Mental Health, Alcohol and Drugs
Jo McManus, Health Improvement Lead, Drug Prevention and Harm Reduction
Graeme Mathew, Health Improvement Senior, Alcohol Brief Intervention
Please note that these inboxes are not monitored immediately. If you, or someone you know are in distress and need an immediate response call the emergency services on 999 or NHS24 on 111.
Address
Glasgow City Health and Social Care Partnership Headquarters – Commonwealth House, 32 Albion Street, Glasgow, G1 1LH
Get in touch
If you have any questions about our team or our work, please get in touch with us by emailing ggc.mhead@nhs.scot*.
*Please note that this is a generic admin inbox and not monitored immediately. If you, or someone you know are in distress and need an immediate response call the emergency services on 999or NHS24 on 111.
Description: The “Jenny and the Bear” story book and Name the Teddy competition, are part of a co-ordinated programme which aims to increase awareness of the effects of secondhand smoke on children and what parents/carers can do to ensure their children are not exposed to its harmful effects.
The programme consists of a story being read to pupils by their class teacher, followed by a classroom activity to agree a name for the bear in the story. The teddy bear names are then entered into a competition and the winners will be awarded a teddy mascot for their class (1 class from each local authority area in GG&C). Letters are sent out to all primary schools in GG&C at the start of the school year with information on how to register for the programme.
The story of the little girl and her teddy offers the opportunity to explore the themes of secondhand smoke, a favourite toy, rewarding positive behaviours and consideration for others. In addition, all children who take part in the programme will be given a booklet version of the story to take home. It is hoped that this will support parents/carers reading to their children and raising awareness of the issues of secondhand smoke within the wider family.
Type: Lesson Plan, Online Resource, Film, Book
Target group: Early
IT/practical requirements: A video version of this story is available as a YouTube link for live streaming
Description: Togther with PACE Theatre, Choices for Life have produced a series of dramas “Someday” which are all interlinked. They tell the story of Liam, Sophie and Scott as they experience peer pressure, smoking, drugs and alcohol for the first time.
Liam’s story is about a young boy and his school ates who try to persuade him to smoke to fit in with the crowd and the consequences that follow (smoking, peer pressure, fitting in). The film lasts approximately 15 minutes and can either be watched on its own or as part of the someday series covering other substance misuse topics.
Type: Online resource, Film
Target group: Second Level
IT/practical requirements: Access to the internet required
Description: The Smokefree 4 Me programme is a health education initiative which aims to prevent smoking uptake and encourage young people to make an informed choice to stay smoke free. The Programme is open to all S1 and S2 classes across Greater Glasgow and Clyde.
Classes can take part in the programme in different ways depending on the interests and needs of the pupils as well as the amount of time available in class to undertake activities. The programme is split into five themes:
Theme 1: Health Effects of Smoking
Theme 2: Peer Influence and Decision Making
Theme 3: Smoking and the Law
Theme 4: The Tobacco Industry, Advertising and Promotion
Theme 5: Tobacco, Poverty and the Environment
Each theme has an accompanying lesson plan with background information on the topic, suggested ideas for lesson development and a topical newsletter.
Type: Lesson Plans, Online Resource, Pack
Target group: Third
IT/practical requirements: All secondary schools in Greater Glasgow and Clyde have previously received a hard copy of the pack but please follow the link below for the most recent version with up to date statistics. Some lessons may require IT access in class depending on activities chosen.
Implications for staff: No training required but CPD sessions may be available in each local authority area via your local CPD calendar.
Cost attached: No.
Resource link: Please note: this resource is currently unavailable. Smokefree 4 Me is under review by NHS GGC. A revised version will be linked here once available.
QA Tool: Please note: this resource is currently unavailable. Smokefree 4 Me is under review by NHS GGC. A revised version will be linked here once available.
Trade Winds
Topic: Tobacco
Description: Trade Winds: Learning about Tobacco is an interdisciplinary resource for primary schools and is targeted at P5-P7 pupils (second level).
The pack covers all curriculum areas and is designed to enable children to extend their learning beyond the health impacts of tobacco to a consideration of broader tobacco issues.
The pack is split into 7 topic areas:
Topic A – Setting the Scene
Topic B – History of Tobacco
Topic C – Health Effects of Smoking
Topic D – Secondhand Smoke
Topic E – Cost of Tobacco (Global and Local)
Topic F – Influences on Smoking (Media and Peer Pressure)
Topic G – Extending Children’s Learning Through the Arts
Type: Lesson Plans, Online Resource, Pack
Target group: Second
IT/practical requirements: All primary schools in Greater Glasgow and Clyde have previously received a hard copy of the pack but please follow the link below for the most recent version with up to date statistics. Some lessons may require IT access in class depending on activities chosen.
Implications for staff: No training required but CPD sessions may be available in each local authority area via your local CPD calendar.
Cost attached: No
Resource link: Please note: this resource is currently unavailable. Trade Winds is under review by NHS GGC. A revised version will be linked here once available.
QA Tool: Please note: this resource is currently unavailable. Trade Winds is under review by NHS GGC. A revised version will be linked here once available.
Tobacco-free Secondary Schools
Topic: Tobacco
Description:
By aspiring to be a smoke-free school, schools can support young people to make confident, responsible, effective decisions about their health and wellbeing. There are many different factors that lead young people to smoke and the extent to which smoking is prominent and accepted in the environment around them plays a crucial part. Consistency between what is experienced in the school environment and reinforcing smoke-free messages in the classroom is key.
The pack includes a range of practical tools and resources and is arranged into 2 parts that can be used independently or together:
Part 1 – Guide to becoming a Tobacco-free School
This guide document is intended to support a school through the steps required in order to become a tobacco free school. It explains the background, why it is important and key issues. This guide replaces the previous “Tobacco-free Schools – Helping You Achieve It” guide by Smokefree Services and Ash Scotland.
The guide breaks down the process into 10 steps – and these are laid out in a very practical way that is easy to follow. There is a suite of templates available to guide the schools through the process – these can be found in Appendix 1 and are fully editable Microsoft Word documents.
Part 2 – Tobacco-free Schools Teaching Pack
Secondary pack aligned to Curriculum for Excellence 3rd and 4th level (S1-S3) although reference is also made in the pack to the importance of continuing activity through Senior Phase, for which this material would be suitable.
There are 23 different activities over 10 topic areas. It is not necessary for all activities or topics to be used – teachers are free to “pick and mix”.
Topics covered include:
introducing tobacco
benefits of being smokefree
smoking and health
dealing with peer pressure and building confidence
e-cigarettes and vaping
smoking and mental health
smoking and physical activity
money money money
towards a Smokefree Scotland
cigarettes, plastic and the environment
Type: Lesson Plan(s), Online Resource
Target group: Third, Fourth, Senior phase
IT/practical requirements:
Quit Your Way Smokefree Schools have 1 printed copy of the resource for every secondary school in Greater Glasgow & Clyde. To request your free copy please email: Quityourway.smokefreeschools@ggc.scot.nhs.uk
For information or advice regarding the content of this toolkit, quality assurance process or amendments to resources please contact the SMT working group at:
If you are concerned that a young person requires support with alcohol or substance issues, please follow your organisation’s own policies and procedures and discuss with senior management.
There may be additional local support services available within your area. Please contact substance misuse working group for more information if you are unaware of these.
If you are concerned that a young person requires support with alcohol or substance issues, you should direct them towards an appropriate service.
It is better to contact services now to clarify their referral criteria and procedures, rather than waiting until a young person urgently needs their help!
The Greater Glasgow and Clyde Substance Misuse Education Working Group consists of NHS and Education staff who have worked together to create the ‘Substance Misuse Toolkit’. This online resource contains quality assured substance misuse education resources to support staff working with young people in both education and community settings. Resources include lesson plans, resource packs and relevant websites.
The Substance Misuse Toolkit aims to reduce harm caused by substance misuse by:
Equipping staff with the knowledge and confidence they require to teach pupils about the effects, risks and consequences of substance use by providing them with a range of materials and methodologies.
Encouraging learners to make informed choices about alcohol, drugs and tobacco.
Supporting an age appropriate and inclusive approach to education in relation to substances within the context of a Curriculum for Excellence.
Identifying evidence based resources and approaches and share good practice with staff across the Greater Glasgow and Clyde area.
Ensuring that resources are up to date and fit for purpose.
Ensuring ongoing quality assurance processes are in place to monitor and further develop the site.
Quality Assurance
The Greater Glasgow and Clyde Substance Misuse Education Working Group meets regularly to ensure that resources included within the Substance Misuse Toolkit are evidence based, up to date and of a high standard. The group consults with key stakeholders regarding the accessibility, content, usefulness and areas for improvement.
The Greater Glasgow and Clyde Substance Misuse Education Working Group has developed a quality assurance tool to assess the content of resources against agreed indicators. The tool is consistent with the principles and values of local and national policy including Curriculum for Excellence, GIRFEC and the Greater Glasgow and Clyde Alcohol and Drug Prevention and Education Model. Resources which meet the standards set by this review process are then incorporated into the Substance Misuse Toolkit.
The Quality Assurance Tool Template can be accessedhere.
Policy Context
The need to support children and young people to make positive choices about alcohol, drugs and tobacco has been highlighted by a number of national and local policy documents. Substance Misuse Education is a priority within the Greater Glasgow and Clyde Alcohol and Drug Prevention & Education Model and is a Health & Wellbeing organiser within Curriculum for Excellence. Getting it Right for Every Child (GIRFEC) ensures that wellbeing is central to all of our work in meeting children and young people’s needs.
Further information on the policy context can be found here.
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Harm reduction refers to policies, programmes, interventions and practices that aim to minimise the negative health, social and legal impacts associated with drug and/or alcohol use.
Harm reduction focuses on positive change and working with people without judgement, coercion, discrimination, or requiring that people stop using drugs or alcohol as a precondition of support.
Alcohol
Alcohol Change UK Charity – Alcohol Change UK is a leading UK alcohol charity, formed from the merger of Alcohol Concern and Alcohol Research UK. Alcohol Change UK works for a society that is free from the harm caused by alcohol. Alcohol Change UK creates evidence-driven change by working towards five key changes: improved knowledge, better policies and regulation, shifted cultural norms, improved drinking behaviours, and more and better support and treatment.
Alcohol Focus Scotland | Working to Reduce Alcohol Harm – Alcohol Focus Scotland (AFS) are the national alcohol charity working to reduce harm caused by alcohol, this is done by promoting evidence-based, cost-effective policy measures
Alcohol | NHS inform Information on drinking sensibly, knowing your limits and getting support for alcohol abuse
SAFER Initiative – The World Health Organisation (WHO), in collaboration with international partners, launched the SAFER Initiative in 2018 alongside the United Nations third high-level meeting on prevention and control of noncommunicable diseases (NCDs). SAFER was developed to deliver health and development gains in order to meet global, regional and country health and development goals and targets and to reduce human suffering and pain caused by the harmful use of alcohol.
World Health Organisation (WHO) – European Region – The European framework for action on alcohol 2022 – 2025 draws on the latest evidence on alcohol attributable harm and the best evidence to reduce such harm. It reflects the context that Member States find themselves in, including dealing with the impacts of the COVID-19 pandemic, and highlights priority areas for action.
Drugs
Cocaine Toolkit – This toolkit provides guidance primarily for staff working with individuals currently in treatment with Opiate Substitution Therapy (OST) for opiate dependence and using cocaine but may also be relevant to individuals presenting with primary cocaine use.
European Union Drug Agency (EUDA) – The EUDA mission focuses on contributing to EU preparedness on drugs through four main actions: anticipate, alert, respond and EUDA. The EUDA is a source of drug-related expertise in Europe sharing independent, scientifically validated knowledge, alerts and recommendations.
GGC ADRS OST Prescribing Guideline – This guidance is aimed at all independent prescribers, doctors and staff involved in the community care of individuals who use opioid drugs and in particular new and inexperienced prescribers.
Harm Reduction International (HRI) – The HRI use data and advocacy to promote harm reduction and drug policy reform. Rights-based, evidence-informed responses to drugs contribute to healthier, safer societies.
Naloxone – Naloxone is a drug that can reverse the effects of opioid drugs like heroin, methadone, opium, codeine, morphine and buprenorphine. Naloxone is only effective for opioid overdoses and won’t work with on other drugs, however as most drug related deaths in Scotland involve more than one drug the use of naloxone is advised and may help keep the person someone alive until medical help arrives. Naloxone is available in two different forms, Prenoxad, which is a pre-filled syringe or Nyxoid, which is a nasal spray. Naloxone kits are available to anyone who may be supporting someone at risk or likely to witness an overdose. Scottish Families provide a ‘Click & Deliver’ take-home naloxone service to anyone living in Scotland who is over the age of 16 (for injection kit) and 14 (for nasal kit). Scottish Drugs Forum have also developed a short e-learning course that will show you how to respond to an overdose and administer Naloxone. Every pharmacy in Scotland also has Naloxone available for use in an emergency either within the premises or for anyone overdosing near the premises. The pharmacy can administer the Naloxone or provide the kit to a member of the public who has had training in Naloxone and allow them to administer.
Nitazenes – The Scottish Drugs Forum (SDF) has published an updated resource on nitazenes, a group of synthetic opioids that have been increasingly detected in Scotland’s drug supply and are linked to rising numbers of overdoses, hospitalisations and deaths.
WEDINOS – Welsh Emerging Drugs & Identification of Novel Substances Project – The Welsh Drug Checking Service WEDINOS provides a robust mechanism for the collection and testing of unknown / unidentified or new psychoactive substances and combinations of substances, and the production and dissemination of pragmatic harm reduction advice.
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