The Nose Dose Opioid Crisis Unplugged is a podcast

>> Bianca McCall: CASAT Podcast Network. Welcome to the NOCE Dose Opioid Crisis Unplugged. The NOCE Dose Opioid Crisis Unplugged is a concise and insightful podcast offering a deeper dive into the realities faced by professionals combating the opioid epidemic. Join us as we reconnect with expert panelists from our listening sessions, providing a behind the scenes look at their work and insights into the pressing issues of prevention and diversion, harm reduction, opioid use, treatment, recovery and reoccurrence prevention. Welcome to the NOCE Dose, brought to you by the Nevada Opioid Center of excellence at nvopioidcoe.org I am your host with the NOCE, Bianca D. McCall, and we're going behind the front lines with paraprofessionals and community members alike who support the opioid response programming in Nevada State. And we're gathered here today to debrief after the latest. No. Sponsored listening session. We had a packed virtual room. The responsiveness was incredible. I saw claps, hearts and celebration emojis and all were pretty consistent throughout the event. And our listeners are very much looking forward to continuing the conversation with our subject matter experts, our panelists unplugged. So today's special guest is Bethany Wilkins. Bethany is the education and advocacy committee chair with the Northern Nevada Harm Reduction Alliance And now Bethany, you founded Nevada County's first syringe Service program in 2020 and have spent over a decade practicing in spaces of harm reduction and street based outreach and public health. But what seemed to really resonate with the audience was your combined professional and personal lived experiences and a very grounded approach to building relationships and partnerships and bridging the gaps between urban and rural Nevada. So we're going to jump right into it.


Bethany: What stuck with me from listening session was community effort

And Bethany, I'm going to ask you what's the most profound thing that came to you from the listening session and what, what has stuck with you since?

>> Bethany Wilkins: Yeah, thanks for, thanks for having me. I'm so excited to be back and talking about this. yeah, so I think that what, what really stuck with me that I've been, you know, pondering for the past couple, of days is the effort that people, you know, people like Donald are putting forth in this community. Right. We have naloxone boxes and parks and we have like, education happening in schools that are, alternatives to dare, as he said. Right. And as a, as a student of D.A.R.E, and a living testament to it not really working. you know, it's just, it's really inspiring to see, to enter A community of newer Torino and to see these amazing efforts that are, that are taking place and, and being led by people with lived and living experience and people that, you know, have, have been there in some capacity, or the next. So that was really inspiring for me and, and just I'm excited to keep amplifying the work that's existing here and hopefully add to it.

>> Bianca McCall: Yeah, no, absolutely. And so, so, ah, just timely that you said with lived and living experience. Right. And having personal lived experience, it could be such a powerful tool in the processes of mutual validation and perhaps healing, those existential concerns of life and death and meaning and purpose and freedom. Right. And when we say personal lived experience, it almost sounds like, oh, what a life. Right? But while we're living, to your point, while we're living through these experiences, you know, there's, there's nothing we can do but, but honor that. There's, there's pain and there's grief and there's losses that impact our own perspectives and our energy and our thoughts and our feelings and certainly our abilities as helpers and healers to go out and help others and heal others. Right.


Bethany: When we talk about live versus living, there are two experiences

And so, Bethany, if it's okay, I'd like to take some time and talk about, some things that have been going on in your life recently. You know, things that, that you didn't expect, didn't prepare for, but, but have carried with you into this discussion about harm reduction, both for the listening session and for today. You, know with the podcast.

>> Bethany Wilkins: Yeah, yeah. yeah, there, you know, when we talk about like living experience, something I just thought of when you said that is when I think of live versus living, I think of lived being. I lived in the experience of a drug user. Whether that's, you know, I identified as an intravenous drug user for, you know, and now I am just a smoking drug user or whatever. and then there's living, which is I'm actively like within this, identity, within this, these choices in my life and my drug use and But when I also think of live versus living, I think of the living experience of working in harm reduction, you know, because even though I am no longer an IV drug user, I'm m still losing friends and losing people and living in that experience of you know, the aftermath of criminalization and war on drugs and all these different aspects that have taken people that I love and that we love from us. So yeah, I think that like navigating lived and living as someone that identifies more with lived. But then also, I am living in, in, kind of in the grief that can come up within this work and within that loss.


Harm Reduction lost a really amazing person last week

last. Last week. Gosh, was it last week? Yeah. So last week, you know, Harm Reduction lost a really amazing person. their name was M. is M M. Their name is M M. And also go by Scout. And they lived in Asheville, which is where I'm from, North Carolina. And they were one of the most fierce, advocates, for harm reduction. And then I've, that I've ever met. So, I've learned so much from them over the years. And met them in a harm reduction conference and they just blew my mind around talking about data within harm reduction. Right. And, and they were such an advocate for humanizing data and pushing back against funders around, you know, what are we requiring? Why are we requiring it? Is this invasive? Is this necessary to be asking this to people? Are we asking things in a trauma informed way? Are we causing harm in the ways that we're asking questions? Why, you know, if we don't have to, then why are we asking it? How are we storing it? How are we defining success as programs versus what funders define as success? And how can we push back against some of those, you know, funding, funding requirements of we want you to report on X, Y and Z. And it's like, oh, that's really intrusive or that's a really traumatic way to ask that. Or you know, and realizing that harm reduction groups and the people on the ground, we have more power, than we think and we can, we can advocate for the people that we're serving, even in the ways that we're asking questions. So yeah, they, that was a little bit of a ramp, but they taught me so much in terms of that that I will just carry with me for the rest of my time here. And yeah, it's, it's. It's really hard to, it's hard to. It's hard to lose people you love. You know, it's just hard to lose people so unnecessarily.

>> Bianca McCall: Gosh, thank you so much for, you know, taking the time in the space to be vulnerable, and giving that to us and giving that to, you know, our listeners.


Last week, I lost two people within 24 hours of each other

and again, when you talk about living experience and you're describing something that is so common, right, Being human and adapting to, the traumas of life and living and adapting to, the grief and the losses that impact us all every day, it defines the human condition. Right. The human experiences is from the moment we're born, we start to depreciate in terms of, of experiencing losses. as a helper, as a healer, as somebody who was scheduled to go on and panel, on a listening session, days after experiencing the significant loss. what does caring for yourself, what does allowing yourself the time and space to experience, to feel, you know, the pain and the grief and the loss. What does that look like ahead of again, being in a position to help so many.

>> Bethany Wilkins: Yeah. That's a question that I've grappled with for years doing this work, because it's so hard to, For me I'll just speak to my experience with it. But it's been really hard to process grief because sometimes it's so heavy because like every overdose death for me feels tied to another and another and another. And so when you lose someone to overdose like this, this last week, you're also thinking of the other friends that you've lost and just that, that familiar grief. And I think that for myself and others in this work that I work with, we have a tendency to be like, okay, who I'm going to feel this for a minute and then we've got to keep going. We have to do outreach, you know, And I think that it's really easy to kind of let that grief calcify in ways that we don't recognize until we have a breakdown or we wake up one day and we're like, I can't really do this work anymore. And so I think sustainability within this work looks a lot like boundaries. And I'm figuring that out right now. I, after last week, I lost two people within 24 hours of each other. And so it was one was not an overdose related death, but a death all the same. And I knew this panel was coming up and I actually had already scheduled a silent meditation retreat for myself months ago. So for me, it looks like carving out time to process. And that really doesn't work for everyone. Sitting in silence for four days with immense grief is sometimes torture. So for me it really works because otherwise I don't slow down, and allow myself to honor them and feel that pain. I think that at the beginning of this week, gosh, it's been a long week, at the beginning of this week I woke up kind of feeling like I don't know how much more I can do this work in a way that's healthy. For me, just the loss accumulates. And, I took some space on Monday and I, you know, have my practices and I, you know, met with my therapist and I realized that, in order to keep doing the work, I have to take care of myself and I have to, fill my cup. And it sounds so simple, but it's so hard when you have deadlines and grant reports and outreach to do and grant applications. but it's. I was at that threshold and it scared me because I haven't really been there before much in this work, but I was like, yeah, I can't really do this anymore. I think I'm going to pivot. And I was a grief in that. And then talking to someone made me realize, oh, like, I feel a lot better right now because we just practiced like, some, some somatic boundaries, right, and, and cord cutting and all these things that in the past I've kind of rolled my eyes at. But, I left the session being like, okay, I got this, and then the panel the next day. You know, you do it for the people you've lost. And as much as, like, you want to, like, you want to quit because you're so angry at the systems and angry at that loss, it's also like, I just kept telling myself last week. Sorry. I kept telling myself last week that, like, it would be such a disservice to the people we've lost to quit because we need to keep pushing forward so that more people don't die unnecessarily or alone or, from a supply that they don't, they don't know what's in it. And they, So it's like this kind of. It's like you do it for them. You know, you do it, you do it in their honor. And to do it right for me, I have to have boundaries. I have to go away for a bit. I have to clock out early. Some days I have to say, hey, I can't work today. I have to leave a meeting and go cry for a second, you know, so that's a really long way of answering that. But that's what, that's like my process, I guess, within that.


How does self care affect your identity in harm reduction

>> Bianca McCall: Well, and so many, so many things. first, you know, even beyond the I'm sorry for your loss and your losses, which I am. I, you know, everything in me is. It wants to also say, you know, I'm. I'm supportive of your process through these losses, right? In hoping, excuse me, hoping that, you know, co creating these safe Spaces like this podcast platform and hoping that, being an active and assertive listener, in these conversations, you know, the hope there is that I can better, support you through your processes of, and of experiencing these losses, you know, and so I wanted to be very clear on the language, you know, with that, to, like I said, go beyond the I'm sorry for your loss, of course, of course. And I also, I appreciate the length and the depth, that you, that you went into to talk about what is that? What does that process of self care look like? And you said so many things that resonate with me and I hope, resonates with the listeners as well. things like boundaries, right? and I have these conversations often where it's finding your voice, reclaiming your power. it starts with boundaries and sometimes it starts with saying no, right? And, respectfully declining to add more to our plates, right? As helpers, as healers, as professionals in the space. and to me this is a perfect model of harm reduction because what you described in your own process is, how to address and deal with the grief, of primary losses and the secondary losses, right? Because primary losses, of course you talk about the physical loss of relationships and things, right? Of experiences of people, places and things that you can engage with, right? There's a primary loss of that, right? Death. It's a primary loss of a person in a relationship. But that secondary loss which you helped, us to understand is, is that loss of identity, right? and I wonder, as you're talking to us about your self care and setting boundaries and saying, how much longer can I do this work and do I need to pivot and shift in the ways that I do this work, right? In my approaches, how does that affect your identity? Right? Because before I be quiet and let you answer this very long question, I'll share too. Is as a professional in this space, my sense of identity is that I have to be on, I have to be m. Available. I have to be supportive and ready to rock and roll and save the world. I have to wear this cape, because, you know, for myself it's. If I'm not wearing the cape, then the closest identity that I can relate to is maybe when I've been the one that's been struggling, right? And challenged with these living experiences. And so, gosh, just for the conversation and going back to the question of is, how does that impact or affect your identity? moving into the space where you are setting boundaries, you are pivoting you are prioritizing the filling of your cup.

>> Bethany Wilkins: Yeah. God, that's such a good question. And it's within this work I feel. I was talking to a friend that works in harm reduction the other day about this and this work can be really unglamorous and can kind of chew you up and spit you out in terms of not only the grief and the loss and the advocacy and the yelling and the yelling for people to be able to exist and all of those aspects, but also just the interpersonal dissolving of ego and white saviorism and so many aspects of This work is checking yourself personally. And for me I started this work doing street based outreach, you know, and that was started with a mutual aid group and we would go out and give out food to people. and then we were seeing fentanyl hit our community really really hard, all of a sudden. And so we started coupling that with naloxone distribution and lo and behold it turned into Yuba Harm Reduction which was the syringe program I started in, in Grass Valley, California with some friends. And going. I did street based outreach predominantly and I just, I loved it. I was like, these are my people. These are. I feel so much more accepted and comfortable with, with with drug users than I, than I do in these meetings with suits as I call them. And and so it really filled me up but then it also burnt me out really hard because you know, you start seeing people die, you know, every week or two weeks and direct service is really taxing and my identity shift from going to this organization is getting bigger and my, I need to take more of like a director role back end that's like handling grant management and hiring and making that shift was really hard on my identity, because I am like a doer. And it's really hard to feel like you're doing much from behind a screen. you don't see the direct result as much. Right. and so I think that within the boundaries, like even currently having to have boundaries with the work, having to have boundaries with what I'm committing to, the level of outreach I can do with Northern Nevada Harm Reduction alliance, you know, having to say like ah, you know, I, I don't think I can do that. It's hard for someone that has a, a overachiever, perfectionist, neurotic, doer. So I think that so much of this work is re identifying who we are constantly, like what is our relation to the work as an Individual. What is our tie to it and who we think it makes us? who are we without the title of director or outreach worker or, you know, person who use drugs even, you know. so I think it's like I'm currently in it where I'm like, oh, am I going to shift more towards. I have a desire to shift. I've been doing, like, education, ah. Like trainings through public health for the past few years. And, I love that. I love, I love that aspect of this work. And I think that I'm ready to shift more into that instead of direct service and, you know, running organizations. and that's, that's like this weird ego death in itself of like, oh, okay, like an educator and trainer versus, like a harm reduction coordinator. you know, so it's interesting. I'm still trying to figure it out, but I think that if you can't check yourself in this work and check that ego and check those, those titles and check your power and check your desire for certain titles, and you can't check those things, then you probably, you know, this work isn't for everyone. It's, it's, it's deeply rooted in social justice and deeply rooted in organizing work, which I think asks those same questions. And it's, it's. A lot of. It is personal development. you know, as well as. Not so much professional development, but like personal, you know. Yeah, yeah, I hope that kind of answers.

>> Bianca McCall: No, absolutely. And, you know, you're actually, you're speaking my language. I'm over here giddy. You can't see the bottom half of me. but I'm, I'm, I'm really giddy. I'm doing the Flintstone thing below the screen. Just because you're, you're, you're speaking my language. It starts with self. Right? everything that you just said, it, it relates back to. Well, just that, you know, that's the root word of it, right? It's relationships. It comes down to relationships and the relationship with self. Right? The compassion that we, that we show ourselves. when. If and when. It's. It's not so much. It's okay when you're not okay, but it's okay if I need to pivot, if I need to reshape my identity. It's okay to let the ego go, as you describe as ego death. Right? It's okay to, surrender to the fact that maybe I can't save everybody. Right? That maybe the most pressing challenge that's meant for me right now is saving Myself.


Relationships come down to the relationship with self, obviously being a priority

Putting your own, mask on. Everybody I think is pretty familiar with the airplane analogy. we've got to put our mask on first. and even when, you know, we're talking about there's a child next to us or where there's somebody who's vulnerable, who's also hurt, who we see ourselves reflected in, we still have to, to you know, save ourselves. And it's okay to be at that point where we need a little bit of help, we need a little bit of saving, we need a little bit of space. Right? so everything coming down to relationships and, and the relationship with self, obviously being, being a priority, especially when we are experiencing challenging living experiences, building relationships with others. You know, I think that there's. We can be presumptuous and say that once we master kind of that relationship with ourselves, then we tend to get a little bit better with relationships with others.


Bethany: How can we build relationships between urban and rural Nevada

And I want to, I want to shift the conversation a little bit to something that you brought up in the listening session with regards to building relationships and specifically, in rural areas, rural communities. Right. Bridging those gaps between urban and rural Nevada. and for me, and for my own experience as well, I understand that there's a dance. This is like a dance, right? it's not something where it sounds good. Let's rush into it. let's rush into the rules and say we have the answers to be able to help everybody. Right? And with regards to harm reduction, you know, especially. Right. And so if you can, will you share with our listeners? and this is taken from the listening session as well. But how can providers and professionals. Right. In harm reduction, how can we, those of us that are in urban areas, how can we best present and initiate those relationships, that relationship build in rural areas? And will you, Bethany, answer the question? this is very direct, right? but will you answer this question? Do the rules want us there? In terms of urban. Being urban professionals and providers, do they really want us there?

>> Bethany Wilkins: Yeah. so a little background. I was raised in a very small, very small community and very rural Appalachia. back and forth, South Carolina and North Carolina through most of my, young years. very poverty stricken, rural Appalachia, poverty stricken America. it was an area that was really hit hard by oxycontin in the first wave of the opioid crisis. And so it's kind of in my blood is small town rural, you, know, access to services, access or being seen even and acknowledged as people that are in need of resources or deserving of resources. So working in harm reduction in a really rural mountain town in Northern California, you know, I think that we know rural people, people living out in, you know, out in the sticks and mountain folk as I call us, like a lot of us, we know how to take care of ourselves, right? We know, we know what we need pretty well. Not to say that people living in cities don't, but I think there's a level of self governance, self reliance and really deep community bonds. You know, when you live far out, your neighbor can be a lifeline. Right. so it's, I think that there's a little bit different of like levels of reliance just within a rural community as far as interpersonal and you know, day to day needs and basic living needs. so I think that when people from larger areas come into rural settings, let's say like, you know, we're going to start a treatment Center or we're going to start a drop in Center or we're going to build a giant harm reduction clinic and we're from the bay and we're coming to Grass Valley to do this in this tiny town. I think humility is just, everything is just. And I would do the same if I was going to an urban area, like, hey, I don't know this, like what has worked for y'all? What do you need? how can we funnel resources? Because larger organizations in cities, they get the grants, they get the resources, they. We're seeing a little bit more of a pivot towards funding for harm reduction programs specifically in under resourced and you know, rural areas, which is amazing. But we still kind of get the short end of the stick in many ways. And I think that what would be so helpful is just more of that collaboration mindset which was brought up in the panel a lot, right. Is how can we kind of funnel some resources? Which I see harm reduction as in general is I used to, you know, when I was doing outreach it was like, hey, I'm just someone that like can spend my time getting these resources and these tools and these supplies and I'm just a funnel. Like I'm just going to bring it down to y'all, bring it over to y'all. I, you know, I'm just in a position to where I can get those easier. So that's, that's what we are. And I think that if there was a similar mindset with, okay, there's this little program that has a thousand dollar budget for supplies in, in a year and, and we have a million dollar budget. Like let's reach out and collaborate with them and see if there's a way we can write them in as a subcontractor for X, Y and Z or you know, coming in and supporting those rural, rural efforts I think is just so important because you know, it's, it's, it's hard out there.

>> Bianca McCall: Yeah, yeah, yeah. And I just wonder too, you know, as you're, as you're describing this, the experience of living in rules, I'm, I'm thinking of almost ah, like a tourist destination, right, where you have tourists that come in and it's very temporary, you know, so they come in and they, they over promise on what they can deliver and the resources that they can provide. And then in a few weeks time, a few months time or as soon as a box is checked, what have you, then all of a sudden we're seeing the disappearance of those resources and of those organizations. And so I almost get this, you know, like the rural, our rural communities are not spectacles, you know, in the space of harm reduction. And I wouldn't, I would assume that it's not welcomed to you know, fly in, you know, the day by night, you know, just, hey, I'm going to come in and I'm going to save this, this town and do all of these things and then I'm disappearing in the next moment. Right. And so how important is that, in, and I would say the motivation for the work that you do, how important is honoring, that, that responsibility taking, I think in the relationship.


Bethany: There's a responsibility to, to um, for sustainability

Right, boundaries. Yes, but also there's, there's a responsibility to, to for sustainability. Right. there's a responsibility to, to ensure that you have the capacity to be able to fulfill your role in that relationship. Right. And so how much of that motivates the work that you do? Bethany?

>> Bethany Wilkins: I think sustainability is something it, you know, and I'll speak more to Yuba Harm Reduction because that's where I've spent the last, you know, almost five years now. and I'm newer to Nevada and Northern Nevada Harm Reduction alliance, but with Yuba Harm Reduction, I mean that was the pause with everything before we collaborated, before we accepted things, before we, you know, even had meetings. You know, it was like a, is this aligned with like our ethos, our visions, our values? We you know, in our bylaws, we don't, we've written in, we don't collaborate in any form with law enforcement. You know, it's like, is the entity we're about to meet associated with them? So not only do we pause and look at those things, but we would pause and look at sustainability. Okay, there's this, this, this new group in town and they want to give us a bunch of socks, right? This has happened, right? They have thousands of bomba socks and, they want to give us some of those. and it's like, okay, this is great. Is it sustainable? Or, you know, is the money they want to give us to start a new day for outreach and food, is that going to be sustainable? Not only with the monetary and the physical resources of food or the money to buy it, but also is it sustainable for our staff? Is it sustainable for them to take something on for a year, even if it's funded already through someone else, even if it's. The resources are provided? Are harm reductionists on the ground, really sacrificing more of their mental health and bandwidth to check a grant deliverable for another organization? And I think that that's another level of it too, where you're seeing harm reduction be more adopted and you're also seeing grants that are like, really focused on, partnering with harm reduction organizations. Right? And, I, in my experience, the people that have reached out to us have been really, with an integrity and really realistic, and a lot of them are like, we just want to be able to funnel this towards you. How can we support you? But you do get some to where it's like, oh, okay, that's, that's not sustainable for, for our bandwidth. and then you're kind of the bad guy because you're saying, we're not, we're the one harm reduction group. We're the one in two counties surrounding us, three counties surrounding us. And we're not going to do this because it doesn't feel right. You know, it doesn't feel sustainable. So I think that's a, that's a really big aspect. And, it's hard when you're a rural group as well, and you're like, we need the money. But sometimes it's really, you got to say no. you got to say no to things that are going to pull you away from why you started doing it. and that can be really hard. But I'm a firm believer that the right things will come, and they always have with us. So, saying no can open the door to bigger yeses in my experience. And I think living in A scarcity mindset within the work as a rural harm reductionist, can be, really, can be challenging in that. But it's having discernment and circling back to like is this what we really want to do? I kind of strayed a little bit.


Northern Nevada Harm Reduction Alliance just got their first grant award

>> Bianca McCall: From your question, but no, I think you hit the question and everything around as you're saying we, us, in the work that you do, can you please share with our listeners who are the we? Who is the U.S. how do we get in touch with you? Bethany and for any of the listeners that are interested in exploring ways to contribute, to collaborate, exploring ways to increase their capacity and programming towards sustainability so that they can position themselves to be a better support to our rural areas. How do we get in touch with you? How do we find all of that out?

>> Bethany Wilkins: Bethany yeah, so, I am with Northern Nevada Harm Reduction alliance, and nvhra.org that is, the group that I'm currently on the board with and working with here in Nevada. So yeah, you can reach out through that website or my direct. My email through them is educationnvhra.org so that's me directly. if you're listening and you know, interested in Yubaharm reduction or know someone in the Nevada county area that is just yubaharm reduction um.com yubaharm reduction collective.com I think. and yeah they they're doing great work over there. Northern Nevada Harm Reduction Lions. we just got our first grant, our first big grant. So you're about to see a lot of action and a lot of things coming from that. We're going to be starting a, you know, complete. This is an organization that is completely drug user lab. This is going to. Everything we're doing is going through an advisory council. I'm so, so excited about that. and we're going to be hiring and we're going to be growing and we're going to hopefully have a, you know, brick and mortar in year two or you know, so those, those are big things coming and if you want to get involved we really, really could use the people on committees and volunteers. There's something for everyone. If direct service isn't your thing, we have a thousand other things you could do that would just be so impactful and helpful.

>> Bianca McCall: So I love that. And congratulations, congratulations on the grant award. congratulations on just being able to see this vision to fruition. Right. To pull together an advisory board, to empower people who use drugs I love it. Congratulations. This sounds amazing. Amazing.


Well, Bethany, thank you so much for spending some time with us

Well, Bethany, thank you so much for spending some time with me today to continue the conversation. What, an excellent conversation that we've had, coming from the listening session, and then for you to be vulnerable and to share, your personal living experiences and, also some insights on how we can come, together. Right. Because it's all about, dissolving the silos. It's all about building those relationships. and so thank you so much for sharing that insight on how we can initiate and nurture the relationships not just between urban and rural areas, but starting with the relationship with ourselves. I loved everything that you shared with us with regards to self care, self love, compassion, and and being willing, to, to fearlessly, engage in the, the reshaping of our identities, the reshaping of ourselves. So thank you so much for your time today. Bethany.

>> Bethany Wilkins: Thank you so much. This has been, this has been great. I really, really appreciate it.


The Nose Dose podcast is brought to you by the Nevada Opioid center

>> Bianca McCall: Thank you for listening to the NOCE Dose, the Opioid Epidemic Unplugged. We hope that you found this episode compelling and informative, and we ask that you please share this episode with your friends and your colleagues. And if you want to learn more, please visit our website at nvopioidcoe.org the NOCE Dose podcast is brought to you by the Nevada Opioid Center of Excellence, or NOCE. NOCE is dedicated to developing and sharing evidence, informed training, and offering technical assistance to professionals and community members alike. Now, whether you are a care provider or a concerned community member, NOCE provides resources to support those affected by opioid use. Funding for this activity was made possible in whole or in part by the Nevada Department of Health and Human Services, DHHS Director's Office, through the Fund for Resilient Nevada CASAT Podcast Network.

>> Bethany Wilkins: This podcast has been brought to you.

>> Bianca McCall: By the CASAT Podcast Network, located within the Center for the Application of Substance Abuse Technologies, a part of the School of Public Health at the University of Nevada, Reno. For more podcast information and resources, visit casat.org.