The Words Matter Pledge

Illustration of a diverse group of people standing together and hugging

I understand that the language I use relating to addiction is important. I believe that words matter and that using the right language helps decrease stigma. I will choose language that leads to more effective treatment and compassionate support in families and communities for those with substance use disorders.

I pledge to:

Treat all people with a substance use disorder with dignity and respect.
Talk about substance use disorder as a chronic illness, not a moral failing.
Be a leader in reducing stigma and promoting recovery from this disease.

Sign the pledge

Words to Use and Not Use

Instead of these stigmatizing words and phrases...	Try these preferred alternatives
Substance abuse/drug abuse	Substance use disorder
Drug habit	Addiction
Abuser Substance abuser Drug abuser Addict Alcoholic Drunk Junkie User	Person with a substance use disorder
Addicted baby	Babies exposed to opioids
Problem	Risky, unhealthy or heavy use
Clean (person)	In recovery
Clean (or dirty) toxicology results	Negative (or positive) toxicology results
Substitution therapy Replacement therapy Medication-assisted treatment	Medication for opioid or alcohol use disorder

The Johns Hopkins Words Matter Pledge is adapted from a similar campaign at Boston Medical Center led by the Grayken Center for Addiction.

Masks Strongly Recommended but Not Required in Maryland, Starting Immediately

Reducing the Stigma of Addiction

The Words Matter Pledge

Words to Use and Not Use