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Mistrust & stigma: why services go unused

How historic and present-day harms shape help-seeking, and what systems can do differently.

Key takeaways

  • Mistrust is often rational, rooted in lived experience and historic harm.
  • Stigma is shaped by culture, safety, and consequences, not just education.
  • Systems can reduce harm by changing intake, language, matching, and accountability pathways.

What to ask a system

  • How do you handle harm reports and repair?
  • What choice do people have in provider matching and modality?
  • How do you protect privacy and reduce fear of consequences?

Turn this into action

We can deliver a training for your team and provide a companion toolkit for implementation.