Month: July 2021

Episode 61: Undoing Drugs—Harm Reduction’s Early History with Maia Szalavitz

We’re truly living through a disaster. Drug overdose deaths rose nearly 30 percent in 2020 to a record high 93,000. This is no longer an “opioid” crisis. What I mean is, 2020 overdose deaths linked to stimulants, especially methamphetamine, also broke records. The other key development here is the further entrenchment of illicit fentanyl in the drug supply, it’s a contamination at mass-scale. At this point, we’re in a poisoning crisis driven by one thing: prohibition.

But harm reduction is the movement that continues to push back against draconian drug policy, even when the odds seem against us. Longterm listeners of this show will be familiar with how harm reduction saves lives, but how did this movement get started in the first place?

To learn more, all three Narcotica co-hosts —Zachary Siegel, Troy Farah and Chris Moraff—speak with author Maia Szalavitz, whose new book Undoing Drugs—The Untold Story of Harm Reduction and the Future of Addiction—is available now. We discuss the struggles of syringe access in the early days to the present, the challenges of being a functioning drug user, and how harm reduction can help address policy changes beyond drugs.

Follow Maia on Twitter @maiasz

Follow Narcotica on FacebookTwitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

If you liked this episode, here are others you might enjoy:
Episode 22: Changing the Narrative with Maia Szalavitz and Leo Beletsky
Episode 51: The Joy of Drug Use with Dr. Carl Hart
Episode 20: The Pitfalls of Mainstream Harm Reduction with Eliza Wheeler

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy / Aaron Ferguson
Intro voice: Jenny Schaye
Image: Piqsels edit: Troy Farah

Episode 60: Perinatal Panic—Drugs, Pregnancy and Stigma with Ria Tsinas, Joelle Puccio and Erika Goyer

One area where drug stigma especially persists, even among harm reduction advocates, is the prejudice against mothers and pregnant people who use drugs. Even some people in syringe exchange or who work in drug policy are against the idea of people with the capacity for pregnancy, (i.e. anyone with a uterus), using pretty much any drugs for any purpose.

It’s not clear why the principles of harm reduction that we extend to almost everyone else suddenly stop when it involves a fetus or a uterus. But the lives of pregnant people are no less important than anyone else who uses drugs, and the same attitudes of stigma, abstinence-only and surveillance don’t work here either—they just make the situation worse.

Narcotica co-host Troy Farah speaks with not one, but three guests from the Academy of Perinatal Harm Reduction, a non-profit that focuses on people with the capacity for pregnancy, who also happen to use drugs. They are:

Ria Tsinas, based in Portland, Oregon, who works at Outside In as a syringe exchange specialist and community health worker. She is also the mother of a wonderful kid.

Erika Goyer, based in Austin, Texas, Advocate at National Perinatal Association and co-founder at Academy of Perinatal Harm Reduction. She is also a parent.

And Joelle Puccio, a travel nurse who is sometimes based in Seattle, Washington and works as a voard of directors at The People’s Harm Reduction Alliance.

Learn more at perinatalharmreduction.org/

Follow Joelle on Instagram @joellepuccio
Follow Ria on Instagram @gtsinas
Follow Erika on LinkedIn

Follow Narcotica on FacebookTwitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us!

If you liked this episode, here are others you might enjoy:
Episode 48: Moms And Methadone with Elizabeth Brico
Episode 30: Getting Wrecked with Dr. Kim Sue
Episode 24: How To Get Abortion Pills Feat. Lynn Paltrow and Francine Coeytaux

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / done with fish
Intro voice: Jenny Schaye
Image: Pixabay edit: Troy Farah

 

Episode 59: Psychedelic Extinction—How Poaching Endangers Some Psychoactive Plants with Dr. Anya Ermakova

Psychedelic drugs are well beyond the quote ‘renaissance’ stage and relatively recently entered a ‘gold rush’ as dozens of companies maneuver themselves to make this nascent industry as profitable as possible for themselves. At least that’s part of their motivation. It’s a bit of a double-edged sword for folks that want to see an end to the drug war, but also don’t want access to these substances available only through doctors and therapists.

While Big Pharma slowly ambles onward to transform psychedelics into the next blockbuster pharmaceutical, the plant medicine decriminalization movement is steadily growing in the United States and more and more people are taking plant-based psychedelics for spiritual, medicinal and yes, even recreational purposes. No judgment here.

The thriving popularity of naturally-occuring entheogens has sparked a lot of concern from some in the psychedelics community, who warn that overuse of these plants for any purpose could drive them to virtual extinction. Imagine if ayahuasca became like Silphium, the ancient contraceptive used by the Greeks and Romans that was consumed to such excess that it is now believed to have vanished from the earth. Could the same happen to psychedelic plants?

Narcotica co-host Troy Farah speaks with Dr. Anya Ermakova, a researcher based in London with a very extensive background in conservation, ethnobotany, neuroscience, psychiatry and more, almost all of which relates back to psychedelics in some way. She has a master’s in Conservation Science from Imperial College London, a PhD in Psychiatry from the University of Cambridge and a bachelor’s degree in Biological Sciences from the University of Edinburgh. She’s worked as a science officer at the Beckley Foundation, and has provided psychedelic welfare and harm reduction services with PsycareUK and Zendo and so much more.

You can read Dr. Anya Ermakova’s research on ResearchGate.

Follow Narcotica on FacebookTwitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Some psychedelic plant organizations you can support include The Cactus Conservation Institute and Blessings of the Forest.

That paper on the jaguar trade and ayahuasca is here:
https://doi.org/10.1111/csp2.126

If you liked this episode, here are others you might enjoy:
Episode 49: Salvia: Psychedelic Oddity with Ivan Casselman (Plus, Canada’s Emerging Psilocybin Scene)
Episode 35: Holding Space — The Values of Trip Sitting with Michelle Janikian
Episode 57: Autism, Acid and the Altered Brain with Aaron Orsini and Justine Lee


Producers: 
Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson / Troy Farah
Music: Glass Boy / Kesta “Rekindle”
Intro voice: Jenny Schaye
Image: Flickr edit: Troy Farah
(**Note: At one point Troy says that Indigenous people are afraid of losing the ‘privilege’ of having access to peyote, when it is more accurately described as a ‘right.’ A non-trivial distinction! We considered rerecording this question, but decided to leave it as is.)