Addiction Practice Pod is a podcast series on addiction and substance use care for health care providers, offering practical tips and guidance to improve addiction care.
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Previously, this podcast featured interviews with bereaved people in smaller communities in B.C. and Alberta who have lost loved ones to fatal opioid overdose. The project was facilitated by Aaron Goodman, Ph.D., faculty member at Kwantlen Polytechnic University in Surrey, B.C., and student researchers, Jenna Keeble and Ashley Pocrnich. In this phase, we’re sharing interviews with seven harm reduction workers, also known as peers, in different parts of B.C. The B.C. Centre for Disease Contro ...
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Ryan Nielsen: Episode 4: Death & Trauma (Continued)
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In this interview, you'll hear Ryan Nielson talk to Samantha Tsang about experiencing death and trauma as a result of the opioid crisis. Ryan shares a personal story about the passing of his best friend and the psychological and emotional effects that loss had on him. Ryan also discusses experiencing the loss of several people he underwent treatmen…
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In this interview, you'll hear Ryan Nielson talk to Thomas Chunyungco and Samantha Tsang about plans to bring in someone to train himself and the peers he works with about how to deal with trauma. He talks about how exposure to trauma in his past and through his work has changed him. Ryan also speaks about the challenges of working with familiar co…
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In this episode, you'll hear Ryan Nielson talk to Samantha Tsang about how essential it is to have stable housing and how maintaining his housing allowed him to have a safe space throughout his substance use. Ryan discusses his experience of being kicked out of his home when he was 18, the stress that comes with moving or losing housing due to rent…
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In this episode, you'll hear Thomas Chunyungco and Samantha Tsang interview Ryan Nielson for the first time. Ryan introduces himself and talks about his personal experiences with substance use and how this lived experience motivates him in his peer work. He also speaks about how he was able to hide his substance use from his employers and the psych…
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Taija McLuckie: Episode 10: Decriminalization
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In this episode, Caitlin Burritt interviews Taija McLuckie for the last time. Taija discusses the recent decriminalisation of drugs in BC, which exempts adults carrying 2.5 grammes or less of illicit drugs from being subject to arrest or criminal charges, and or, having the drug seized. She discusses the limitations of the three year pilot programm…
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Taija McLuckie: Episode 9: Death, Grief & Thoughts on Project
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In this episode, Taija McLuckie talks to Caitlin Burritt about death and grief. Taija shares about the passing of her friend and her own approach to dealing with grief. She also speaks about the challenges that the holiday season presents for people who use drugs and how her lived experience helps her connect with the people in her community. Gloss…
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Taija McLuckie: Episode 8: RCMP Encounter & Triggers
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In this episode, Taija McLuckie tells Caitlin Burritt and Ashley White about a recent interaction with an RCMP officer. She discusses the way the experience made her feel triggered and the support she received from our coworkers. Taija also explains the way policing effects access to local peer-led services and the repercussions that talking with p…
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Taija McLuckie: Episode 7: Stigma & Treatment
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In this episode, Taija McLuckie tells Caitlin Burritt about her experience in treatment centres and problems within the treatment system. She also discusses the role that stigma plays in recovery, the importance of including peers in the recovery process, and her early work as a peer worker. Glossary: Brave COOP: The cooperative of people responsib…
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Taija McLuckie: Episode 6: Housing Insecurity & Support at Work
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In this episode, Taija Mcluckie talks with Caitlin Burritt about housing insecurity and the amount of work she has to do outside of her main job to support herself. Taija also speaks about how supportive the organisation she works for is towards peer workers and how feeling valued at work makes her feel motivated. Glossary: Brave COOP: The cooperat…
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Taija McLuckie: Episode 5: Exposure to Death & Trauma Continued
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40:46
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In this episode, you'll hear Tajia McLuckie tell Caitlin Burritt and Ashley White about the recent passing of a friend due to a fatal overdose. She received the news the morning she was supposed to give a presentation about harm reduction to Island Health. Taija describes how supportive her current work environment is and how important it is that p…
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Taija McLuckie: Episode 4: Exposure to Death & Trauma
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In this episode, you'll hear Tajia McLuckie talk with Caitlin Burritt and Ashley White about facing exposure to death and trauma in her work. She tells the story of the first time she responded to an opioid overdose and the effect it had on her. Glossary: Brave COOP: The cooperative of people responsible for creating the Brave Sensor Brave Sensor: …
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Taija McLuckie: Episode 3: Financial Insecurity, Tokenization & Work Expectations
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In this episode, you'll hear Tajia McLuckie talk to Caitlin Burritt and Ashley White about financial insecurity and the lack of standard payment practices for peer workers. Tajia discusses the differences between how peers are compensated on projects compared to other experts in other fields. She also talks about how she feels lucky to do work she …
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Taija McLuckie: Episode 2: Resources & Bureaucracy
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In this episode, you'll hear Tajia McLuckie tell Caitlin Burritt and Ashley White about a presentation she's preparing for Island Health and her work on the Brave Sensor Pilot Project, which aims to prevent overdose deaths through the use of a reverse motion sensor system installed in public washrooms. She also discusses the challenges of trying to…
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In this episode, you'll hear Caitlin Burritt and Ashley White interview Tajia McLuckie for the first time. Tajia introduces herself and talks about her role as a harm reduction support worker, what motivates her in her work, and the disconnect between the decisions made by policy makers and the needs of people who use drugs. Glossary: Brave COOP: T…
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Lenae Silva: Episode 9: Respect & Recognition at Work
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In this episode, Lucas Akai and Esther Cheung interview Lenae Silva for the final time. Lenae discusses the challenges of creating and maintaining boundaries as a peer worker, she also describes feeling like cannon fodder, because of the expectation that peers be on the frontlines of harm reduction work. Glossary: BCCDC: The BC Centre for Disease C…
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Lenae Silva: Episode 8: Exposure to Death & Trauma
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51:13
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In this episode, you'll hear Lenae Silva talk to Lucas Akai and Esther Cheung about exposure to trauma. Lenae talks about a recent experience where she saw a child receiving Methadone treatment and how it made her reflect on her past. Lucas, Esther and Lenae begin to review the stressors and Lenae discusses how her financial situation has gotten wo…
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Lenae Silva: Episode 7: Exposure to Death, Trauma & Stress
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In this episode, you’ll hear Lenae Silva talk to Lucas Akai and Esther Cheung about the impact of death and trauma on peer workers. Lenae discusses the amount of loss and trauma faced by her community and how this stress has resulted in PTSD and impacted her substance use. Glossary: BCCDC: The BC Centre for Disease Control CAI: Community Action Ini…
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In this episode, you’ll hear Lucas Akai and Esther Cheung interview Lenae about her precarious housing situation and its impact on her career as a peer worker. She explains how housing instability, combined with insufficient pay, creates fear and anxiety for her on a daily basis. Glossary: BCCDC: The BC Centre for Disease Control CAI: Community Act…
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In this episode, you’ll hear Lenae Silva talk to Lucas Akai and Esther Cheung about her new trajectory in peer work, as she is feeling burned out and unfulfilled. Lenae discusses the stigma she experiences as someone who uses substances, and how she feels this leads to lack of respect in the workplace. Glossary: BCCDC: The BC Centre for Disease Con…
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Lenae Silva: Episode 4: Financial Compensation, Work & Stress
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In this episode, you’ll hear Lenae Silva talk to Lucas Akai and Esther Cheung about the lack of standardized financial compensation for paying peer workers. Lenae discusses the importance of fair payment and the need for flexible scheduling and work environments for people who use substances. Lenae also explores the lack of clear job descriptions f…
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In this episode, you'll hear Lenae Silva talk to Lucas Akai and Esther Cheung about her personal substance use and how it affects her daily life. Lenae discusses how personal stressors can create burnout as a peer worker, and how she manages that burnout to continue her work. Glossary: BCCDC: The BC Centre for Disease Control CAI: Community Action …
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Lenae Silva: Episode 2: Tokenization & Burnout
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In this episode, you'll hear Lenae Silva talk to Lucas Akai and Esther Cheung about tokenism and representation as a peer worker. Lenae talks about the continued focus on peer workers trauma, which does not provide a wider view of their lives and careers. They discuss how this leads to burnout and a lack of upward trajectory for peer workers in the…
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In this episode, you'll hear Lucas Akai and Esther Cheung interview Lenae Silva for the first time. They discuss the impact of Covid-19 on peer workers’ careers and personal lives, as well as the increased need for harm reduction workers. Lenae also discusses the lack of career development offered to peer workers and how this is a major barrier to …
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Understanding and challenging stigma related to alcohol use and Indigenous people
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In this episode, award-winning journalist David P. Ball and First Nations Health Authority’s Medical Officer, Mental Health and Wellness, Dr. Nolan Hop Wo discuss the impact of stereotypes related to Indigenous people and alcohol use. Together, they speak with Beryl Parke, a Traditional Wellness Worker at First Nations Health Authority. Beryl is fr…
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Indigenous perspectives on supporting young people who use substances
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In this episode, award-winning journalist David P. Ball and award-winning family physician Dr. Robert Fox speak with Kali Sedgemore, the president of the Coalition of Peers Dismantling the Drug War and a skilled harm reductionist with a focus on supporting youth. Kali is from 'Namgis First Nation, a small remote island off of Vancouver Island North…
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In this episode, award-winning journalist David P. Ball and family physician Dr. Esther Tailfeathers speak with Maura Gowans, a counselling consultant for Indigenous people, about the role that connection to culture can play in healing and wellness. Together, they discuss the importance of bringing together traditional Indigenous approaches and Wes…
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Strengths-based approaches to healing and wellness in rural and remote Indigenous communities
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Addressing the health needs of individuals in remote and rural Indigenous communities, as well as Indigenous people living in urban areas, requires a shift from Western-centric solutions. To emphasize the diversity of Indigenous Peoples, tailored and culturally-relevant approaches are crucial. This can include mobilizing peer and family support, re…
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Addressing the complexities of abstinence-based perspectives within Indigenous communities by emphasizing cultural strengths
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Navigating abstinence-based perspectives in substance use care can be complex. Within Indigenous communities, these complexities also intersect with the impacts of colonialism. Abstinence-based perspectives may arise or align with Indigenous teachings, they may stem from imposed colonial values, or both may be true. It is important to recognize tha…
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Culture-centred Indigenous harm reduction: Mitigating the impacts of colonialism
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The ongoing impacts of colonization continue to affect the health and wellness of Indigenous Peoples, evident in the disproportionate rates of toxic drug poisonings and deaths experienced by Indigenous people as compared to non-Indigenous people. Addressing the harms related to substance use in these communities involves acknowledging and reducing …
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The role of families in substance use care
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Families, including chosen families, can be an extremely important source of support in a person’s substances use care journey, but are often overlooked in substance use care planning. In this episode of the Addiction Practice Pod, co-hosts David Ball and Christina Chant discuss the complexities and strengths of involving families in substance use …
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Prescribed safer supply aims to provide access to a legal and regulated supply of drugs, in order to reduce the risk of harms and death associated with using the increasingly toxic unregulated drug supply. In this episode of the Addiction Practice Pod, Dr. Marcus Greatheart and journalist David Ball discuss prescribed safer supply with guests who h…
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Introducing the Addiction Practice PodBy BC Centre on Substance Use
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Alcohol harm reduction and managed alcohol programs
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Through providing small doses of alcohol to clients regularly, managed alcohol programs reduce the risks associated with heavy drinking and non-beverage alcohol consumption without requiring abstinence. In this episode of the Addiction Practice Pod, Dr. Marcus Greatheart and David Ball talk with public health researcher and executive director of th…
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Incorporating patient-centred care in urine drug testing
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Urine drug testing (UDT) is an important part of providing care to individuals with substance use disorders, from confirming baseline substance use to evaluating treatment outcomes. However, many individuals have had negative experiences with UDT. When UDT procedures feel punitive, it can impact whether an individual will continue to access care. I…
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Treatment and care for stimulant use disorder
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Individuals and communities in BC are facing an increased risk of stimulant-related harms. Stimulant use can cause significant harms on its own, including negative cardiac and mental health outcomes. In the context of the unregulated drug supply, toxic drug poisonings can occur due to contamination of stimulants with opioids and other substances. I…
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Considerations for alcohol withdrawal management
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Alcohol withdrawal management is an important part of the continuum of care for alcohol use disorder. While some individuals at low risk of complications can safely undergo alcohol withdrawal at home, others may require inpatient withdrawal management services to prevent life-threatening complications. In this episode of Addiction Practice Pod, Dr.…
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Episode 29: Cameron Gauthier in Cranbrook, B.C. Remembers his Uncle
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In this episode, you will hear Cameron Westcott interviewing Cameron Gauthier in Cranbrook B.C. about Gauthier's uncle who experienced a fatal opioid overdose.By Unsilencing Stories
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Episode 27: Joseph Unterschute in Cranbrook, B.C. Remembers his Cousin Travis
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In this episode, you will hear Peter Eugene speaking with Joseph Unterschute in Cranbrook, B.C. about Joseph’s cousin Travis Paxton who experienced a fatal overdose.By Unsilencing Stories
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Episode 28: Peter Eugene in Cranbrook, B.C. Discusses his own Non-Fatal Opioid Overdose
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In this episode, you will hear Joseph Unterschute and Peter Eugene speaking in Cranbrook, B.C. about Peter’s experience with his own non-fatal opioid overdose.By Unsilencing Stories
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Episode 30: Shane Matthis Remembers his Friend Scotty
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In this episode, you’ll hear Colin Goddard interviewing Shane Mathis in Cranbrook, B.C. about Matthis' friend Scotty from Windermere, B.C., who died of liver disease related to alcoholism.By Unsilencing Stories
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Episode 26: Myles Toddington in Cranbrook, B.C. Remembers his Friend Steve
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In this episode, you will hear Bowe McDonald speaking with Myles Toddington in Cranbrook, B.C. about Myle’s friend Steve who experienced a fatal opioid overdose.By Unsilencing Stories
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Episode 25: Bowe McDonald in Cranbrook, B.C. Remembers his Friend John
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In this episode, you will hear Myles Toddington and Bowe McDonald speaking in Cranbrook, B.C. about Bowe’s friend John who experienced a fatal opioid overdose at age 22.By Unsilencing Stories
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Episode 24: Sydnee Traska in Cranbrook, B.C. Remembers her Uncle
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In this episode, you will hear Clinton Gravelle interviewing Sydnee Traska in Cranbrook, B.C. about her uncle who experienced a fatal overdose.By Unsilencing Stories
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Episode 23: Clinton Gravelle in Cranbrook, B.C. Remembers his Cousin
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In this episode, you will hear Sydnee Trasca interviewing Clinton Gravelle in Cranbrook, B.C. about his cousin who died from an opioid overdose.By Unsilencing Stories
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Episode 22: Jaime Berg in Cranbrook, B.C. Remembers her Ex-Partner Timothy
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In this episode, you will hear Cory Hirt interviewing Jaime Berg in Cranbrook, B.C. about her ex-partner Timothy Atkinson who died from an opioid overdose in Edmonton, Alberta.By Unsilencing Stories
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Episode 18: Roland Soobotin Remembers his Friend Frank
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In this episode you will hear Santana Jones speaking with Roland Soobotin in Cranbrook B.C. about his childhood friend, Frank, who died of alcoholism at age 49.By Unsilencing Stories
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Episode 21: Colin Goddard in Cranbrook, B.C. Remembers a Friend
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In this episode, you will hear Shane Mathis interviewing Colin Goddard in Cranbrook, B.C. about his friend who died from an opioid overdose or drug-related accident.By Unsilencing Stories
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Episode 17: Stacey Andrew in Cranbrook, B.C. Remembers her Ex-Boyfriend
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In this episode you will hear Rihanna Lopez speaking with Stacey Andrew in Cranbrook B.C. about Stacey's ex-boyfriend who experienced a fatal overdose.By Unsilencing Stories
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Episode 16: Amy Goodon in Cranbrook, B.C. Remembers her friend Brendan
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In this episode, you will hear Ben Vanloon speaking with Amy Goodon in Cranbrook, B.C. about her friend Brendan who experienced a fatal opioid overdose.By Unsilencing Stories
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Episode 20: Marianne Ryan in Cranbrook, B.C. Remembers her Friend Jarred
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In this episode, you will hear Jerome Desmarchais-Vogt speaking with Marianne Ryan in Cranbrook B.C. about her friend Jarred who both died from an opioid overdose.By Unsilencing Stories
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