This report provides a brief overview of the progress made in the first two years of a project focusing on structural stigma in health-care settings. Research has consistently identified the health-care system as a significant contributor to stigma for people with lived and living experience of mental health problems and illnesses and/or substance use. Such structural stigma occurs when laws, policies, and practices produce inequitable access or a lower quality of care. Over the first two years, the goals were to investigate structural stigma in health-care settings in order to develop a conceptual framework, training tools, and audit measures that could be used there to identify and eliminate its sources.