perinatal substance use

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

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

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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