A scoping review on stigma and work life in substance users

Background Substance use disorders (SUDs) pose significant challenges for workforce participation, with stigma identified as a major barrier affecting employment outcomes and recovery processes. Objective This scoping review examines (1) barriers faced by individuals with SUDs in workforce participation, (2) social and psychological effects of workplace stigma, (3) potential benefits of employment for these individuals, and (4) recommendations for improving workplace environments. Methods A scoping review was conducted across CINAHL, Science Direct, Web of Science, and ULAKBIM databases (2015–2025). Fifteen studies meeting eligibility criteria were analyzed using MAXQDA, and methodological quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Results Four themes emerged, namely barriers (stigma, poor working conditions, wage inequality, job search difficulties, discriminatory labor market attitudes), benefits of workforce participation (personal, social, and interactional), facilitators (previous work experience, social support), and workplace improvement recommendations (anti-stigma training, work-life-treatment balance, employment policies). Conclusions Workforce participation plays a pivotal role in breaking the addiction cycle. Addressing stigma through anti-discrimination policies, work-life balance regulations, and targeted employment support is essential for successful integration of individuals with SUDs into the workforce.