harm reduction Archives

Episode 82: Drug War Activism and the Future of Harm Reduction with Louise Vincent

April 20, 2023 Narcotica 01:12:18 0 Comments

The Drug War is more brutal than ever. Overdose deaths are still shattering records, there’s talk of war with the cartels, increased penalties are just making things worse, there’s little money for harm reduction programs or addiction treatment, yet plenty of cash for prisons, cops and the DEA, weird new drugs are appearing that no one knows how to handle and on and on. Meanwhile, the harm reduction movement is going through some massive changes, some good, some bad. But what we know for sure is that it’s critical for people to come together, stand up and demand a stop to the destructive force that is prohibition.

On this episode, the crew interviews Louise Vincent, director of the NC Survivors Union in North Carolina and on the leadership team of the National Drug User Union, an organization of former and active drug users who have come together to provide services for a community that is under-represented and underserved. Narcotica’s Chris Moraff, Zach Siegel and Troy Farah talk with Louise about xylazine, drug testing, using portable oxygen tanks to reverse cocaine overdoses (yes, really!), methadone access, the importance of drug user unions, why drug sellers are a community service, what it was like being on Last Week Tonight and so much more.

We’ve been trying to get Louise on for over a year and are really excited to share this episode with everyone. Thanks for listening. Expect more new episodes from us soon.

Learn more about NC Survivors Union at http://ncurbansurvivorunion.org/

Learn more about Louise’s story here: https://drugpolicy.org/drugsellers/louise

If you liked this episode, here are others you might enjoy:
Episode 62: Policing Pleasure — The Intersection of Sex Work and Drug Use with Tamika Spellman and Caty Simon
Episode 56: Drug Use During Disaster with Aaron Ferguson
Episode 67: Methadone in the Time of Covid with Danielle Russell

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com 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!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson
Music: Glass Boy / Nomad1
Image: Vocal NY via Flickr // edit: Troy Farah
Intro voice: Jenny Schaye

Episode 80: A Messy History of Methadone with Dr. Zoe Adams

December 31, 2022 Narcotica 01:16:58 0 Comments

At Narcotica, we’ve often talked about how methadone is one of the most over-regulated substances on the planet. It’s not a perfect drug — nothing is — but it helps a lot of people. So why is it so hard to access?

On this episode, the crew (Zachary Siegel, Chris Moraff and Troy Farah) speak with Dr. Zoe Adams, an internal medicine resident at Massachusetts General Hospital, whose thesis was a narrative history of methadone. It’s a long, strange chronicle, from its development in Germany, to becoming a mainstay in Nixon’s War on Drugs, but what’s most surprising is how little has changed. Learn about why this drug is so scrutinized, stigmatized and what people are doing to make it more available.

Follow Zoe on Twitter at: @zoe_m_adams

Read Zoe’s thesis here: https://elischolar.library.yale.edu/ymtdl/4049/

If you liked this episode, here are others you might enjoy:

Episode 73: Oh No! Not Naltrexone! with Nancy Curran

Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar

Episode 67: Methadone in the Time of Covid with Danielle Russell

Episode 48: Moms And Methadone with Elizabeth Brico

Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson

Music: Glass Boy / Nomad1

Intro voice: Jenny Schaye

Episode 79: Is California Really Progressive on Drugs? with Dr. Isaac Jackson

December 19, 2022 Narcotica 01:12:41 0 Comments

People have this conception that San Francisco’s streets are just overflowing with human shit and people injecting drugs in the open. Stereotypes about California being overrun with homeless encampments and open-air drug markets abound, as if these things don’t exist in other states, while politicians in Arkansas and Oklahoma, for example, warn against so-called progressive policies infecting the midwest. But how true is all this?

San Francisco in particular is associated with progressive policy, especially when it comes to drugs. From the chill vibes of Haight-Ashbury and Hippie Hill to opening Prevention Point in 1988, the Golden Gate city has long been a leader on certain drug issues. But not always.

On this episode of Narcotica, Troy Farah speaks with Dr. Isaac Jackson, a community organizer who has over a decade of experience working with drug users. He has been instrumental in starting two drug user organizations (San Francisco Drug Users Union in 2010 and the San Francisco branch of the Urban Survivors Union in 2013). As leader of the Urban Survivors Union in San Francisco, Jackson has spearheaded a crack pipe distribution program and so much more, he has a lot of interesting history to share. The conversation meanders all over the place and doesn’t really stick on California too much, but that’s the main throughline in discussing Jackson’s unique history and connection to this beautiful region of America.

If you liked this episode, here are others you might enjoy:

Episode 69: The Promise and Peril of the Psychedelic Mainstream with Shelby Hartman and Madison Margolin

Episode 64: LSD And Psilocybin For Physical Pain? with Greg McKee and Dr. Johannes Ramaekers

Episode 44: Reimagining Public Health and Racial Justice with Dr. Ricky Bluthenthal

Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson

Music: Glass Boy / Nomad1

Intro voice: Jenny Schaye

Image: The Noun Project // edit: Troy Farah

Episode 67: Methadone in the Time of Covid with Danielle Russell

February 8, 2022 Narcotica 00:58:10 0 Comments

Harm reduction programs like syringe access, supervised consumption or even just handing out condoms on the street, can be some of the only access to healthcare some people encounter. Definitely not all, but some people who use drugs routinely shun going to the doctor—not because they don’t care about their health, but because our for-profit healthcare system treats almost everyone who uses an illicit substance like complete shit. And people who use drugs have been treated like pariahs long before the covid pandemic, but things got way worse once the virus came to town.

Previously on Narcotica, co-host Chris Moraff did an episode all about how doctors need to work harder to rebuild the patient-trust relationship. And many medical professionals are doing that work, which makes such a huge difference. It’s hard to understate how valuable it can be to receive nonjudgmental medical care that doesn’t hinge on absolute abstinence.

That episode, number 65, which we encourage you to listen to after this one, came from the perspective of two amazing doctors, Ashish Thakrar and Ben Cocchiario. However, on this episode, we want to talk to someone from the other side of the aisle to get a different viewpoint from someone with lived experience in this area.

Why would you go to a healthcare provider for an infection or injury if you’re going to be lectured about your drug use, even if it has nothing to do with why you’re there? Or you might be forced to hand over your urine or have your possessions rifled through by a nurse. Even for people that don’t use illegal substances, our healthcare system is a nightmare to try and navigate. It only gets worse if you happen to self-medicate or enjoy chemicals that aren’t sanctioned by the FDA.

Narcotica co-host Troy Farah speaks with Danielle Russell of Phoenix, Arizona, who is currently a justice and social inquiry PhD student at Arizona State University. She studies how the criminalization of substances used for personal pleasure has become a key issue and tool for social control, contributing to the ongoing legacy of racialized criminalization and mass incarceration in the U.S. Having personally experienced many of the harms that impact people who use illicit drugs, she is passionate about mutual aid and working to change the structures that impose harms on the bodies of drug users. Her research interests are oriented towards community-based participatory research.

Follow Danielle on Twitter @DopefiendPhD and you can read the study she co-authored here:
https://pubmed.ncbi.nlm.nih.gov/33461838/

If you liked this episode, here are others you might enjoy:
Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar
Episode 48: Moms And Methadone with Elizabeth Brico
Episode 56: Drug Use During Disaster with Aaron Ferguson

Follow Narcotica on Instagram, Facebook, Twitter, 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!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah / Troy Farah
Music: Glass Boy / Holly Mangler
Intro voice: Jenny Schaye
Image: Noun Project // edit: Troy Farah

Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar

November 19, 2021 Narcotica 01:05:20 0 Comments

Over the past two decades, as fatal drug overdoses have risen precipitously, few professions have been hit harder by the crisis than the medical community. Physicians in particular have found themselves in the no-win position of being both blamed for the overdose crisis, which claimed more than 100,000 American lives in the past 12 months, while being tasked with containing it.

According to one dominant narrative, it was cavalier doctors who sparked the crisis in the first place, by overprescribing habit forming narcotic painkillers to millions of Americans after being softened up at lavish dinners and then duped by nefarious pharmaceutical reps using fudged data.

But that’s overly simplistic. For starters, it ignores the fact that the greatest spike in drug deaths came when doctors reigned in opioid prescribing after authorities started targeting so-called pill mills. This left tens of thousands of pain patients stranded and paved the way for the introduction of illicitly made fentanyl into the U.S. to fill unmet demands.

Narcotica co-host Christopher Moraff delves into this topic, asking how the medical community can work to restore trust from their patients who are justifiably suspicious of the U.S. healthcare system, speaking with doctors Ashish Thakrar and Ben Cocchiario, who both work for the University of Pennsylvania medical system in Philadelphia, a focal point of the overdose crisis. They cover everything from methadone prescribing to overfunding the DEA, all of it underlining the importance of patient autonomy.

Follow Ben Cocchiaro at UPenn
Follow Ashish Thakrar on Twitter @especially_APT

If you liked this episode, here are others you might enjoy:
Episode 46: Behind The Pharmacists’ Counter with Jessica Moreno
Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective
Episode 30: Getting Wrecked with Dr. Kim Sue

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: Stockvault // edit: Troy Farah

Episode 62: Policing Pleasure — The Intersection of Sex Work and Drug Use with Tamika Spellman and Caty Simon

September 14, 2021 Narcotica 01:25:07 1 Comment

Sex work is work, just like coal mining, professional sports and literally any job that involves physical labor. So why is a show about drugs interested in sex work? For starters, there’s a lot of overlap in terms of harm reduction services that help people who use drugs and sex workers. Unfortunately, these services can be criminalized and weaponized against both communities.

One analogy is condoms and syringes: Syringes can be, and sadly often are, considered paraphernalia and evidence of illegal drug use. Believe it or not, police can, and do, consider condoms as evidence of engaging in sex work. Policing actively counteracts harm reduction services. Thus, there’s real reasons for solidarity among sex workers and drug users. And, as this episode will spell out, there are amazing activists who have bridged these communities together.

Narcotica co-hosts Zachary Siegel, Troy Farah and Chris Moraff speak with Tamika Spellman and Caty Simon. Tamika is the Policy and Community Engagement Manager of HIPS, Honoring Individual Power and Strength, a Washington D.C. based organization advocating for the rights and health of people impacted by drug use and sex work since 1993.

Caty is a leadership team member and sex worker liaison for Urban Survivors Union, the American national drug users union, founding-co-organizer/executive director of Whose Corner Is It Anyway, a harm reduction, mutual aid, political education, and organizing group by and for low-income, street, and survival sex workers who use opioids and/or stimulants and/or experience housing insecurity.

Follow Caty on Instagram @marginalutilite and Tamika on Twitter @tamikahs66

If you liked this episode, here are others you might enjoy:
Episode 26: Housing As Harm Reduction
Episode 42: Supervised Consumption is an Essential Service
Episode 20: The Pitfalls of Mainstream Harm Reduction with Eliza Wheeler

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

Episode 56: Drug Use During Disaster with Aaron Ferguson

May 1, 2021 Narcotica 00:56:22 0 Comments

Our planet is in crisis, plagued by an increase in wildfires, floods, hurricanes, freak storms and outbreaks of disease. As a result, we’re seeing more and more people isolated, left to fend for themselves, as the cracks in public infrastructure only seem to widen.

To use one prominent example, the state of Texas has been slapped with recurrent cataclysms and catastrophes of late, most recently the February winter storm that crushed the power grid, leading to food and water shortages, which left at least 111 people dead.

At Narcotica, we always wonder about what happens to people who use drugs whenever ecological disaster strikes. Co-hosts Zachary Siegel and Troy Farah talk with Aaron Ferguson, who works as an outreach provider in Austin, Texas and is also on the leadership team of the National Drug Users Union. (Aaron was also a our co-producer on the show for about 20 episodes and volunteered to help with sound editing this one as well!)

We discuss everything from the evolving drug trade in Texas to the cult-like mentality that can sometimes manifest in the addiction recovery community and much more.

You can follow Aaron Ferguson on Twitter: @sciencenotheism and watch The Methadone Manifesto, a recent webinar hosted by the Urban Survivors Union. Aaron also co-authored a piece in the National Academy of Medicine discussing some of the public health challenges addiction treatment services faced during the recent Texas storm.

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

If you liked this episode, here are others you might enjoy:
Episode 51: The Joy of Drug Use with Dr. Carl Hart
Episode 18: Drug User Unions – The Rebirth of Harm Reduction with Jess Tilley and Albie Park
Episode 42: Supervised Consumption is an Essential Service

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

Episode 54: West Virginia, America’s Worst Overdose and HIV Hotspot with Lauren Peace

March 21, 2021 Narcotica 01:03:50 0 Comments

There’s a “twindemic” raging across the state of West Virginia: Covid-19 has collided with an outbreak of HIV and hepatitis C. If that’s not bad enough, West Virginia has the highest overdose death rate in the nation. The CDC recently called the HIV outbreak in Kanawha County, West Virginia the “most concerning” in the country. Make no mistake, this outbreak is preventable, and is largely driven by the failure of local governments to provide syringe service programs to people who use drugs.

Even worse, West Virginia lawmakers are actively trying to pass legislation to further restrict harm reduction programs across the state. Covering this disaster of health and reactionary politics is Lauren Peace, a local investigative reporter at the nonprofit news outlet Mountain State Spotlight. Lauren has been providing vital on the ground coverage of embattled harm reduction programs—programs like Solutions Oriented Addiction Response (SOAR) that are working against a toxic backlash to prevent more HIV cases from spreading and save lives.

This episode is a one-on-one conversation with co-host Zachary Siegel and Lauren, who discusses what it’s like on the ground in West Virginia and the endless battle to put out science-based information in the face of stigma and misguided narratives about harm reduction. Plus, a bit of news at the top of the show about Biden’s pick for ONDCP director (read Zach’s piece in Filter) and Senate Bill 334, a piece of harmful legislation moving through West Virginia’s legislature.

You can follow Lauren on Twitter: @LaurenMPeace and read her work at Mountain State Spotlight.

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

If you liked this episode, here are others you might enjoy:
Episode 37: Covering Culture and Drugs with Substance with Kate Knibbs
Episode 19: Debunking Bupe Diversion Myths with Molly Doernberg
Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective with Ryan Marino

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Lasers
Intro voice: Jenny Schaye
Image: Bill Dickinson via Flickr // edit: Troy Farah

Episode 47: Can Harm Reduction and Cops Coexist?

September 3, 2020 Narcotica 00:56:05 2 Comments

Something that never gets said enough is that the drug war is racist. This is not an opinion any more than it is an opinion that the American Civil War was fought over slavery. Both were crafted by racists to serve racist agendas of controlling people based on their skin color. It is why it is more urgent than ever that we dismantle this system of oppression, the so-called war on drugs, which would be perhaps better described as simply a war on people.

In many ways, prohibition is far more harmful to people than the drugs that are banned. Harm reduction is a philosophy and a practice that aims to fill in the gaps—if we can’t have a safe, regulated drug supply for heroin or meth like we do with alcohol or tobacco, sometimes even cannabis, then maybe we can make drug use more safe in other ways. Here’s some sterile syringes, here’s some naloxone, here’s a phone number you can call if you want to get counseling, etc…

Narcotica hosts Zachary Siegel and Troy Farah talk with Haley Coles from Sonoran Prevention Works, a grassroots harm reduction non-profit in Phoenix, Arizona that works against some of the structural issues surrounding communities impacted by drug use in Arizona. The infrastructure of harm reduction in the Grand Canyon State is scarce compared to a lot of states—syringe access is still illegal, for example—so there’s a lot of room for growth. We discuss racial justice in the field of harm reduction, where the movement has fallen short, and how things can get better.

Follow Sonoran Prevention Works on Twitter @spw_az

You can read SPW’s BLM statement here: https://mailchi.mp/spwaz/black-lives-matter

If you liked this episode, here are others you might enjoy:
Episode 44: Reimagining Public Health and Racial Justice
Episode 42: Supervised Consumption is an Essential Service
Hot Spots 1 – 3 Arizona, Iowa and Nova Scotia

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

Producers: Christopher Moraff, Troy Farah, Zachary Siegel

Co-producer: Garrett Farah

Music: Glass Boy

Image: PXhere // edit: Troy Farah

Episode 44: Reimagining Public Health and Racial Justice with Dr. Ricky Bluthenthal

June 26, 2020 Narcotica 00:55:56 1 Comment

There are several health crises occurring around the U.S. and the world right now: overdose deaths, a pandemic, police brutality and violence… While these crises may all feel distinct one from one another, they are actually deeply entwined and can be understood through a lens of racial justice. Overdose deaths disparately impact people of color, as does Covid-19. People of color, especially Black men, find themselves on the blunt end of police brutality and excessive use of force.

To talk about the theme of racial justice across public health, policing, and harm reduction, Zach and Troy were honored to speak with veteran researcher Dr. Ricky Bluthenthal, who has been a harm reduction researcher for decades, writing some of the foundational evaluations of syringe exchange programs. Right now, he’s the associate dean for social justice at University of Southern California’s School of Medicine. We talk about syringe access programs, policing homelessness, “socialism” in public health and so much more.

Follow Ricky Bluthenthal on Twitter @DrPtw
Here is more info on SIF MA: https://sifmanow.org/

Also, here’s the GoFundMe for Aubri Esters: https://www.gofundme.com/f/in-honor-of-aubri-esters

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

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy
Image: Zachary Siegel // edit: Troy Farah

Hot Spots 1 – 3 Arizona, Iowa and Nova Scotia

May 29, 2020 Narcotica 00:55:14 1 Comment

Pretty much everyone on the planet is being impacted by Covid-19 right now. Harm reduction services like syringe access programs or supervised consumption sites are no exception. But for some people, these services are not just their lifeline, they’re the only healthcare they receive, period. And when hospitals and doctor’s offices are already stretched thin, it can lead to a lot of potentially harmful situations.

At Narcotica, we’re introducing a new miniseries called Hot Spots, where we’re going to call up people in harm reduction across the country and ask them how coronavirus has impacted their services and the people they help.

We have three shorter interviews, which equal a full episode. First up, we have a segment from Troy Farah, talking to Thoi at Shot in the Dark in Phoenix about getting creative with syringe access during the pandemic. Then Philly’s Christopher Moraff talks to Matthew Bonn in Dartmouth, Nova Scotia about services offered in Canada and the local drug trade there, and I round out the hour with Sarah Ziegenhorn, the executive director at the Iowa Harm Reduction Coalition, about what happens when services suddenly ghost their clients.

Follow Sarah Ziegenhorn on Twitter @sarah_ziggy, Matthew Bonn @matthew__bonn and Thoi @bjthoi

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

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy
Image: Pixabay / edit: Troy Farah

Episode 42: Supervised Consumption is an Essential Service

May 4, 2020 Narcotica 00:44:00 0 Comments

The covid-19 crisis has exposed many weak spots in our culture and the need for radical change. It has revealed which workers are really essential—hint: it’s not executives keeping this late-stage capitalist economy afloat—and that we need to pay these workers a living wage. It has revealed that yes, healthcare is a human right and that contributing to public health is, shockingly, essential to keep everyone healthy.

And perhaps most relevant to this show, the covid-19 crisis has demonstrated the utmost importance of supervised consumption sites, or places where people can use drugs under medical supervision. We have numerous episodes in the past on this issue, so check out our archives if you aren’t already familiar: Episode 31, Episode 26 and way back on Episode number 4.

We have two guests today: Sterling Johnson, a housing lawyer, who is well known among Philly harm reductionists and has been fighting for a supervised consumption site for years, and Matthew Sheppeck, an organizer with the Philadelphia Tenants Union, a harm reductionist, and addiction outreach specialist that works with homeless drug users in the Kensington region of Philadelphia.

We discuss everything from housing as a human right, whether cops should carry naloxone, representation in harm reduction institutions and the importance of supervised consumption spaces, but why they need to reflect the needs of people who use drugs. We also discuss the coronavirus pandemic that is overshadowing everything and how that is changing so much about harm reduction.

Follow Sterling Johnson on Twitter @LB_Sterling and Matthew Sheppeck on Instagram @Sheppecksees.

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

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Pictures of the Floating World
Image: Wikimedia / edit: Troy Farah
One correction: At the 21:30 mark, Zach incorrectly quoted Gov. Andrew Cuoma. There were 263 positive infections at Rikers, not deaths. We regret the error.

Episode 33: Party and Play—An Intro to Chemsex with David Stuart

November 23, 2019 Narcotica 00:58:25 0 Comments

Aphrodisiacs are powerfully attractive for a reason. Sex is, after all, crucial to the survival of our species and it feels fucking amazing, so using chemicals that can make sex last longer, feel better or otherwise enhance the act is going to be like candy to a bunch of horny primates.

But the term chemsex—using drugs, or chemical enhancement, to prolong or alter sexual experiences—is actually specific to the gay community, or men who have sex with men. Drugs used have included methamphetamine, Viagra or sildenafil, cocaine, the anesthetic GHB, mephedrone (also known as ‘bath salts,’ although that’s a broad term), ketamine, and amyl nitrates or “poppers.”

Our guest today is David Stuart, who has spent decades as a fixture in London’s gay community. Stuart is an independent social worker and activist who actually coined the term ‘chemsex’ in the 1990’s. Stuart has witnessed the fundamental changes in the gay community as homosexuality has become more acceptable, but fleeting internet-based hook ups became increasingly ubiquitous, and in some cases fraught with potential medical and mental health risks.

You can follow David Stuart on Twitter and learn more about him at https://www.davidstuart.org/

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy / Monplaisir
Photo: Linnaea Mallette / Edit Troy Farah

Episode 26: Housing As Harm Reduction

August 12, 2019 Narcotica 00:49:08 0 Comments

Sarn is a Pathway to Housing participant in Philadelphia via Chris Moraff

The Kensington neighborhood in Philadelphia is often described as “ground zero” in the overdose crisis. The New York Times Magazine gave Kensington’s open air drug market the dubious title, “The Walmart of Heroin.” Of course, if you take a tour of Kensington without a DEA agent nearby, you might meet someone like Sarn, who after years of unstable housing and chaotic drug use, now has his own place to live. Operating from a Housing First model, organizations like Pathways to Housing are fighting the tides of endemic poverty, homelessness, and addiction. On today’s show, the crew interviews Sarn and Matt Tice, of Pathways to Housing, about how “Housing First” is a critical response to Philly’s overdose crisis.

Follow Matt Tice on Twitter and learn more about Pathways on their website.

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

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy, Aaron Ferguson
Image: Christopher Moraff, Troy Farah

Episode 21: Ethically Documenting Drug Use Activism with Nigel Brunsdon

June 13, 2019 Narcotica 00:41:22 0 Comments

Sometimes, you’ll be reading a great piece on the drug overdose crisis that is just ruined by a crappy stock image of a gigantic syringe and a mountain of what is obviously flour or someone nodding out on the sidewalk. On this episode, Narcotica explores what accurate, tactful drug imagery should look like.

The team speaks with Nigel Brunsdon, the official/unofficial photographer of the modern day harm reduction movement, who is joining us via from the UK. He has shadowed the Chicago Recovery Alliance, Harm Reduction International, and many others on the front lines of the so-called drug war. His photos of the workers, advocates, people who use drugs, and the academics are loaded with grief, emotion, hope, and solidarity. He explains balancing privilege, relationships and representation of impacted communities through drug war photojournalism.

Follow Nigel on his website nigelbrunsdon.com and check out harmreductionphilosophy.com for more on how harm reduction works as an ideology.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

We talk a lot about this image that we used from Nigel for Episode 3, memorializing harm reduction activist Dan Bigg. Here it is for reference:

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy and Aaron Ferguson
Image Credit: Nigel Brunsdon / Edit by Troy Farah

Episode 20: The Pitfalls of Mainstream Harm Reduction with Eliza Wheeler

May 31, 2019 Narcotica 0:55:16 0 Comments

In this episode, Chris and Zach sit down with Eliza Wheeler of the Harm Reduction Coalition in San Francisco. Wheeler has been working in harm reduction, distributing syringes and naloxone directly to people who use drugs, for over two decades. She’s seen a lot of progress in her lifetime. But as harm reduction goes mainstream, Wheeler sees how easily the bedrock values and principles of the movement can be compromised and coopted by political forces. Zach, Chris, and Eliza talk about how funds for naloxone get in the wrong hands, how syringe exchanges deal with NIMBYism, and how the heart of her harm reduction philosophy is bodily autonomy.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Follow the DOPE Project ‏and the Harm Reduction Coalition on Twitter.

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy and Aaron Ferguson
Image Credit: Chris Moraff / Edit by Troy Farah

Episode 18: Drug User Unions – The Rebirth of Harm Reduction with Jess Tilley and Albie Park

May 7, 2019 Narcotica 01:03:30 0 Comments

In this episode, Zach and Troy interview two veteran harm reduction activists: Jess Tilley and Albie Park. Jess and Albie have organized on behalf of drug users for decades, building community to ensure that no one has to die a preventable overdose death. You’ll learn about how they met, how they work, and what policies and ideas they are currently prioritizing. You’ll also hear about what they envision for the future of harm reduction in the midst of, in Jess’s words, an “overdose apocalypse.” Zach and Troy mostly let them do the talking. Enjoy.

Harm Reduction Hedgehogs /@HRH413/Media Toolkit

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

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy
Image: edit: Troy Farah

Episode 15: Accurate, Compassionate Drug Journalism with Filter Magazine

April 3, 2019 Narcotica 0:54:12 0 Comments

Mainstream media doesn’t really ‘get’ drugs, but there’s one place that has consistently gotten it right: Filter Magazine. Narcotica hosts Christopher Moraff, Zachary Siegel and Troy Farah talk with Filter’s co-founder and editor-in-chief Will Godfrey. This conversation covers a lot of ground on media literacy and compassionate reporting on drug use.

Full disclosure: all three of us at Narcotica have worked with Godfrey in some way. But we completely support the work that Filter is doing, which is what we hope Narcotica accomplishes: responsible, scientific, and compassionate reporting on drugs.

Learn more about Filter Magazine on their website and follow Will Godfrey on Twitter.

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Producer: Christopher Moraff / Troy Farah
Image credit: Eduardo Verdugo
Music: KieLoKaz, Glass Boy and Aaron Ferguson
Co-Producer: Aaron Ferguson — https://soundcloud.com/knowmad1

Episode 4: Supervised Consumption Breaks Rod Rosenstein’s Brain

September 16, 2018 Narcotica 00:39:21 0 Comments

In response to Deputy Attorney General Rod Rosenstein’s outrageous supervised consumption op-ed in the New York Times, the Narcotica team speaks with Laura Thomas, of the Drug Policy Alliance, who broke down the obstacles harm reduction workers face in opening a site in the United States. Thomas, who is deputy state director at DPA, has been championing supervised consumption sites for over a decade, because she knows what the data says: SCS save lives.

But how long until we see a facility in the U.S.? We discuss the status of many projects in Washington, New York, and California, and what kind of fight we can expect from the Department of Justice.

You can follow Laura on Twitter @LThomas and learn more about the Drug Policy Alliance at drugpolicy.org.

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Music: Glass Boy
Intro voice: Jenny Schaye
Image: Composite by Troy Farah

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harm reduction

Episode 82: Drug War Activism and the Future of Harm Reduction with Louise Vincent

Episode 80: A Messy History of Methadone with Dr. Zoe Adams

Episode 79: Is California Really Progressive on Drugs? with Dr. Isaac Jackson

Episode 67: Methadone in the Time of Covid with Danielle Russell

Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar

Episode 62: Policing Pleasure — The Intersection of Sex Work and Drug Use with Tamika Spellman and Caty Simon

Episode 56: Drug Use During Disaster with Aaron Ferguson

Episode 54: West Virginia, America’s Worst Overdose and HIV Hotspot with Lauren Peace

Episode 47: Can Harm Reduction and Cops Coexist?

Episode 44: Reimagining Public Health and Racial Justice with Dr. Ricky Bluthenthal

Hot Spots 1 – 3 Arizona, Iowa and Nova Scotia

Episode 42: Supervised Consumption is an Essential Service

Episode 33: Party and Play—An Intro to Chemsex with David Stuart

Episode 26: Housing As Harm Reduction

Episode 21: Ethically Documenting Drug Use Activism with Nigel Brunsdon

Episode 20: The Pitfalls of Mainstream Harm Reduction with Eliza Wheeler

Episode 18: Drug User Unions – The Rebirth of Harm Reduction with Jess Tilley and Albie Park

Episode 15: Accurate, Compassionate Drug Journalism with Filter Magazine

Episode 4: Supervised Consumption Breaks Rod Rosenstein’s Brain

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