PODCAST · health
Addiction Practice Pod
by BC Centre on Substance Use
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.
Episodes
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Virtual Substance Use Care, Part 2: Considerations for Rural & Remote Virtual Care
In this episode, host David P. Ball and Dr. Alison Hamilton are back to talk to returning Season 2 guests, research scientist Dr. Geoff Bardwell, and nurse practitioner Kate Hodgson. Listeners may remember Geoff and Kate from Episode 1 - Substance use care in rural and remote contexts, of Season…
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Virtual Substance Use Care, Part 1: OAT Telehealth & Virtual Substance Use Care Delivery
In the first episode of Season 7, host David P. Ball is joined by Dr. Alison Hamilton to highlight the work done by clinicians as part of the Provincial Opioid Treatment Access Line (POTAL) to increase access to opioid use disorder treatment across BC. Alison is family and addiction medicine...
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Inquiring about alcohol use in clinical practice
In this episode, host David P. Ball explores how clinicians can more effectively identify and inquire about alcohol use in primary care. He’s joined by Tom Stere, a Tofino district councillor who shares how his lived experience of alcohol use disorder influences his advocacy work, and Dr. Olivia...
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Managing benzodiazepines in primary care
In this episode, host David P. Ball dives into the topic of managing benzodiazepine use in primary care. He’s joined by Bill Nelles, a former AIDS nurse and counsellor with lived experience of benzodiazepine use, and Dr. Megan Hill, a family physician with over 10 years of experience in addiction...
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Connection and collaboration for substance use care
In this episode, host David P. Ball speaks with Peer Addictions Worker, Heather Edward, and Registered Social Worker, Chelsea Tetrault, who share insights about the role of interdisciplinary teams in a person’s substance use care journey. With a focus on harm reduction and creative…
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Respectful engagement in substance use care
In this episode, David P. Ball speaks with Peer Support Specialist Chad Ellsworth and primary care addictions physician Dr. Jacob Sussman about what respectful, person-centred engagement looks like in substance use care. Drawing from lived experience and clinical practice, the guests share how...
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Initiating and stabilizing clients on treatment for opioid use disorder
In this episode, host David P. Ball speaks with Marjory Ditmars, a nurse practitioner with over a decade of experience in low-barrier addiction care, and Dominik, who shares lived experience of initiating and stabilizing on opioid agonist treatment (OAT). The guests share insight into the…
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Speaking to youth about cannabis use
In this episode, host David P. Ball speaks with guests Apollo Collin-Gray and Dr. Anees Bahji about how clinicians can engage youth in meaningful, non-judgmental conversations about cannabis in a post-legalization context. They explore why youth use cannabis, how stigma and barriers to health…
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Indigenous cultural humility in substance use care
In this episode, journalist David P. Ball and outreach primary care physician Dr. Terri Aldred discuss the importance of culturally safe and trauma informed substance use care for Indigenous communities. Dr. Aldred shares how her lived experience informs her medical practice, caring for…
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Gender affirming substance use care for trans and gender diverse youth
In this episode, journalist David P. Ball is joined by Dr. Marcus Greatheart, a family physician, registered social worker, and author. Together, they explore how clinicians can create safe and affirming spaces for trans and gender-diverse youth in substance use care by addressing systemic...
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Culturally tailored care for South Asian people who use substances
In this episode of the Addiction Practice Pod, journalist David Ball and addiction medicine physician, Dr. Nitasha Puri, discuss the importance of culturally tailored care, drawing on Dr. Puri’s research and experiences from working at Roshni Clinic, which provides care for South Asian adults in...
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Rural and remote substance use care and innovation
In this episode, journalist David P. Ball and rural generalist physician and current addiction medicine fellow, Dr. Alison Hamilton, discuss the most challenging and rewarding aspects of working in rural and remote communities. They also speak with Charlene Burmeister, former guest from Season 1,...
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Person-centred perinatal substance use care
In this episode of the Addiction Practice Pod, journalist David P. Ball and perinatal addiction medicine specialist Dr. Eric Cattoni discuss the unique challenges facing people who are pregnant and use substances and the importance of building therapeutic rapport and trust. David and Dr. Cattoni...
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Navigating substance use care for construction workers
In this episode of the Addiction Practice Pod, journalist David P. Ball and occupational addiction medicine physician and supreme court expert Dr. Deborah Kason discuss how to navigate substance use care for people working in construction and other safety-sensitive jobs. This type of work…
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Understanding and challenging stigma related to alcohol use and Indigenous people
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...
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Indigenous perspectives on supporting young people who use substances
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…
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Indigenous culture as medicine
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…
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Strengths-based approaches to healing and wellness in rural and remote Indigenous communities
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.…
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Addressing the complexities of abstinence-based perspectives within Indigenous communities by emphasizing cultural strengths
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…
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Culture-centred Indigenous harm reduction: Mitigating the impacts of colonialism
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...
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The role of families in substance use care
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...
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Prescribed safer supply
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...
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What's it all about?
Introducing the Addiction Practice Pod
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Alcohol harm reduction and managed alcohol programs
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...
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Incorporating patient-centred care in urine drug testing
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...
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Treatment and care for stimulant use disorder
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…
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Considerations for alcohol withdrawal management
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...
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Improving care for racialized people who use drugs
In Canada and around the world, colonial histories continue to influence people's access to determinants of good health. Our society continues to advantage White people, and addiction medicine is no exception. In this episode, Dr. Robert Fox, David Ball, and their guests discuss the intersections...
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Treatment considerations for co-occurring substance use disorders
Evidence-based treatments often focus on a specific type of substance, like opioids or stimulants. However, many people have more than one substance that they use frequently. In this episode, Dr. Lindsay Mackay, David Ball and their guests talk about co-occurring substance use and its…
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Psychosocial treatment approaches for substance use disorders
When it comes to treatment for substance use disorders, there’s no silver bullet. Medications can be important to support people with their recovery goals, but psychosocial treatments can provide a different kind of support and ensure medications provide the most benefit possible. In this…
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Treatment considerations for co-occurring chronic pain and opioid use disorder
Co-occurring chronic pain is common among people with substance use disorders, particularly opioid use disorder (OUD). Studies suggest that between 36 and 68% of people on opioid agonist treatment for OUD also have chronic pain. In this episode, Dr. Rita McCracken and David Ball talk with guests...
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Treatment and care for alcohol use disorder
Alcohol use is highly prevalent, but there is still a lot of stigma associated with alcohol use disorder. In this episode of the Addiction Practice Pod, Dr. Roland Engelbrecht and David Ball talk with guests about alcohol harm reduction, treatment, and the impacts of alcohol use disorder on…
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Substance use care in rural and remote contexts
The overdose crisis is affecting all parts of the country, but the majority of research has focused on major cities, and the majority of services are located there too. In this episode of Addiction Practice Pod, Dr. Robert Fox talks with guests about substance use care in rural and remote contexts.
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Addiction Practice Pod, Episode 6: Indigenous perspectives on health and wellness, substance use, and harm reduction
Nearly five British Columbians are dying every day of an overdose, but Indigneous peoples in our region face disproportionate harms: If you’re Indigenous, you are four times more likely to die of an overdose than the rest of the population In this episode, family physician and addiction medicine...
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Addiction Practice Pod, Episode 5: The Harms of Criminalizing Substance Use
The criminalization of substance use causes demonstrable harms: it isolates people who use drugs, pushes them to use in riskier ways, and deters them from seeking help when they need it. Even so, the possession of illicit street drugs for personal consumption is still criminalized in British...
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Addiction Practice Pod, Episode 4: Providing compassionate care to young people who use substances
Young people are the fastest-growing age demographic for hospitalizations due to opioid poisoning in Canada. In British Columbia, more than 1000 youth between the ages of 10 and 29 have died of overdose since a public health emergency was declared in 2016. This episode of Addiction Practice Pod...
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Addiction Practice Pod, Episode 3: Substance use disorders and trauma- and violence-informed care
Research shows that people with substance use disorders are more likely to have a history of trauma and violence than the general population. This can include negative experiences with police and with medical professionals. On this episode of Addiction Practice Pod, addiction physician Dr.…
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Addiction Practice Pod, Episode 2: Bringing substance use care into your primary care practice
Want to bring treatment for substance use disorder into your practice, but not sure where to start? In this episode of Addiction Practice Pod, addiction physician Dr. Christy Sutherland, journalist David P. Ball and their guests talk about the nuts and bolts of integrating treatment for opioid…
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Addiction Practice Pod, Episode 1: Supporting patients to achieve their recovery goals
What does it take for people struggling with opioid use disorder to achieve recovery? And what does “recovery” mean to each person? In this episode of Addiction Practice Pod, addiction physician Dr. Christy Sutherland, journalist David Ball and their guests talk about the different ways in which...
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