In the evolving landscape of health policy, an emerging focus on the intricate relationship between naming conventions and the management of perinatal substance use and mental health is beginning to attract attention. Recent findings by Shahram, Knox, Black, and colleagues reveal that the language we use in policy formulation and discourse can have profound implications for both the perception and treatment of affected populations. Their scoping review sheds light on the substantial impact of what they term “naming equity,” advocating that the terms applied to these issues can either stigmatize or empower individuals navigating the complexities of substance use during pregnancy.
Policy dialogue on perinatal health has often been overshadowed by stigmatized labels that influence public and healthcare provider attitudes. The authors elucidate how terminology such as “addiction,” “substance abuse,” and other descriptors can inadvertently reinforce negative stereotypes. This not only affects societal perceptions but also ramifications for families who are caught in the nexus of policy and stigma. The research emphasizes that adopting more equitable naming practices could foster a more compassionate approach toward individuals facing these challenges, thereby enhancing their access to required services and support.
In the scoping review, Shahram et al. analyze a multitude of studies to frame their arguments about the importance of linguistic choices in health policy. Their comprehensive methodology reveals patterns that suggest a direct correlation between the type of nomenclature used in policies and the overall well-being of affected individuals. The review extensively catalogs instances where inclusive and non-stigmatizing language has significantly improved stakeholder engagement and outcomes in mental health and substance use initiatives.
A core tenet of the review is the recognition of the intersectionality inherent in perinatal substance use. The authors argue that naming conventions must account for the diverse experiences of women throughout their perinatal journey. Factors such as socio-economic status, cultural background, and historical trauma play crucial roles in shaping these experiences. By understanding and addressing these complexities through appropriate language, policymakers can create a more effective framework that genuinely caters to the needs of vulnerable populations.
Moreover, the review underscores the need for a paradigm shift—a call to action for policymakers to reconsider outdated terminologies and embrace a more refined vocabulary that reflects empathy and understanding. For instance, shifting from terms that invoke criminality or moral failure to those that emphasize health and recovery could reduce stigma while promoting a supportive environment. Such an evolution in language not only influences public perception but also aligns with contemporary research that supports recovery-oriented practice in healthcare settings.
Shahram et al. also explore global practices, highlighting successful case studies from various countries where the adoption of equitable naming conventions has positively transformed health outcomes. For example, policies in certain regions have begun to incorporate language that recognizes individuals as experiencing “substance use disorders” rather than labeling them as “substance abusers.” This not only diminishes stigma but also aligns treatment with principles of dignity and respect.
The systematic examination of existing policies underscores a crucial reality: terms that resonate with affected populations can bridge gaps in healthcare access and utilization. The authors present evidence suggesting that when individuals feel represented in policy language, their likelihood of seeking help and remaining in treatment increases. Consequently, they urge health policymakers to actively involve individuals with lived experiences in the dialogue surrounding health policy nomenclature, ensuring that their voices are influential in shaping the language that impacts them.
A significant theme throughout the article is the role of community engagement in re-framing the narrative around perinatal substance use. The authors provide a framework for engaging stakeholders across various sectors, including healthcare providers, public health officials, and community organizations. By creating collaborative platforms that center the voices of those affected by substance use and mental health challenges, policies can evolve to reflect a more holistic understanding of the issues at hand.
The review emphasizes ongoing education and training for health professionals regarding the implications of language. By fostering awareness of the stigmatizing effects of certain terms, healthcare providers can promote a more inclusive framework that champions recovery and resilience among perinatal individuals. This shift in training not only benefits professionals but can, in turn, create a more compassionate healthcare environment that is attuned to the needs of its patients.
Furthermore, Shahram et al. highlight the potential for digital platforms and social media to influence naming conventions. As stigmas continue to be dismantled in conversations surrounding perinatal health online, the authors suggest that trends emanating from these platforms could be invaluable in informing policy changes. As such, they argue that policymakers should monitor public discourse on social media to identify shifts in language that could provide key insights into the perspectives and experiences of affected populations.
The implications of this research extend beyond immediate policy suggestions; it is a clarion call for an ongoing dialogue about language and health equity. Shahram et al. envision a future where language serves as a tool for empowerment rather than oppression, strongly advocating for the integration of linguistic equity into the roots of health policy development. This vision aligns with growing movements aimed at de-stigmatizing mental health issues on a broader scale, ultimately contributing to a more equitable society for all.
In conclusion, as society continues to grapple with the issues of perinatal substance use and mental health, the insights from this scoping review remind us of the transformative power of language. By embracing equitable naming practices within policy frameworks, we stand to not only change the conversation but also significantly improve health outcomes for affected individuals and their families. The work done by Shahram, Knox, Black, and their colleagues opens up a new avenue for advocacy within health policy, highlighting the crucial intersection of language and equity—a conversation that is more relevant than ever in creating a more inclusive health system.
Subject of Research: Perinatal Substance Use and Mental Health Policy
Article Title: Examining the impact of naming equity within perinatal substance use and mental health policy: a scoping review
Article References:
Shahram, S., Knox, L., Black, M. et al. Examining the impact of naming equity within perinatal substance use and mental health policy: a scoping review. Health Res Policy Sys (2025). https://doi.org/10.1186/s12961-025-01427-4
Image Credits: AI Generated
DOI: 10.1186/s12961-025-01427-4
Keywords: Naming Equity, Perinatal Health, Substance Use, Mental Health Policy, Stigma
