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 www.nvopioidcoe.org. I'm your host with the NOCE, Bianca D. McCall, going behind the front lines with professionals and community members alike who support the opioid response programming in Nevada State. And we are gathered here today to debrief after the latest NOCE sponsored webinar exploring the role of community health workers in behavioral health, specifically referencing medically assisted treatment, also known as MAT, and medications for opioid use disorder, also known as MOUD. So today we're joined by the facilitator of said webinar, Alisa Howard. And Alisa is a Las Vegas native and owner of Minority Health Consultants, MHC in the House. And MHC is a boutique public health, social impact and wellness firm focused on health disparities and connecting marginalized communities with vital resources, advocacy and prevention services. Now, with over 12 years of experience, Alisa serves on several local and national health boards, including the Nevada Certification Board and the national association of Community Health Workers Policy Committee. she is known to be a passionate advocate for health education, increasing access to, to quality care and resources and empowering policy. Lisa is a trainer, a prominent voice on Public Health radio, believing firmly that public health must be shaped by the people it serves and driven by the principle that true progress begins by involving the community in every aspect of the continuum of care. Now, Alisa, I attended and enjoyed your discussion around the role of community health workers and I'm excited. I'm, I'm honored in fact, to welcome you to the NOCE dose. How are you feeling today? Elisa? Thank you for joining us.

Alisa Howard: Thank you for having me. And first of all, let me just say that I need you to do all my intros. That was amazing. I was like, who is this person?

Bianca McCall: Done. Done.

Alisa Howard: No, thank you so much for having me. And I'm m grateful to be here with you all and having to done that, that webinar yesterday. There's been so many people asking us questions about CHWs and the BEH health space. So that was just perfect timing for us to work together as partners. So thank you for having me.

Bianca McCall: Absolutely. And I, And I love starting conversations. I think that's the, the most beautiful thing about the no. platform and as well as our, our listening sessions, our webinars and, and, and the podcast platforms, is that we get to start these conversations and then keep these conversations going on platforms like this. We now, Alisa, you gave such a strong foundation for what? Community health workers. And I'm gonna start referring to them as CHWs moving forward.

Alisa Howard: Yes. It's a little long.

Bianca McCall: Right? you gave such a strong foundation for CHWs and what they do, especially in behavioral health. Can you share with us how CHWs are uniquely positioned to reduce the stigma around receiving treatment for opioid use disorder, and particularly when it comes to moud and mat services? Absolutely.

Alisa Howard: So I'm a huge advocate of community health workers. I don't only train them, but I mentor them and then I hire them sometimes as well when I need work done. from an outreach perspective, I believe in the work that community health workers do. I didn't even know that I was one, for so long in the space of public health, until I started hiring them and I was like, hey, I do this too. Let me just preference that. But also, community health workers are amazing individuals and human beings, right? They are already. They already have the heart for people. They are already those people that we look at in our communities and we're like, wow, they're just so generous. They're so amazing. Right? They're always helping someone. They're, you know, holding the door for a senior person. And they are the ones that we look for when we're looking forward to train people. Right? Because we know that those are the people that already have it innately in them to give back. So community health workers are the frontline public health workers that we all need in every single space, behavioral health space, health clinic spaces. But particularly how they can be utilized in this space that we're speaking of today is that they can be peer support specialists. we already know that that is a certification as well. So they also can be co trained and, and. And get that training as well, and that certificate as well. But before they even do that, they already help in a peer support way because they have living experience. Most likely. Most likely, if they go into the behavioral health space, they have a passion for it. They have, either lived experience with it. Right. or their peer supports already for Someone in their families, someone in their community, and they're already doing the work. So that brings a unique, I would say a unique space for them and unique, opportunity for them versus us as professionals. We have gone and become educated, but sometimes that. That numbs us, right? sometimes getting more education and clinical education and things of that nature and all these certificates and degrees kind of numbs us to being human. And that's what community health workers never. They never miss that, and they never leave that behind because that's exactly who they are. So they're just helping from a. From a different space and heart than what we are. We all are helpers, right? But they're helping from a space of, no, I see you, I feel you, I know you, and I've been there possibly before, right? And so that's a different. That's just a different realm altogether, you want to say.

Bianca McCall: So so much. So much comes to mind. you know, I'm thinking, yes, it's the year of the dragon, but is it the year of the dragon or is it the year of the community health worker? And when we're saying chw, I'm like, is H for health or is H for human? I love that. The human the heart piece and the year of lived experience, which is such an important kind of space to be in. I know when we're talking about healthcare, behavioral healthcare, there's almost like this, us versus them when it comes to those with lived experiences. And especially during this season. We're currently, in the season of the legislative session, right? When we're talking about, laws to action, and we're talking about the importance of advocacy and lobbying and having your voice be heard. And so when you said, community health workers stand for. Stand behind, and stand in representation of being seen, being heard, being understood, being known, being cared for, supported, advocated, for. You know, these are all incredibly important in this. Not only day and age, but in this season. So thank you so much for. For, your response to that and helping us to clearly see, you know, how, the role of CHWs, how important it is in just humanizing, you know, some of these services, right? Humanizing the need for some of these services.

Alisa Howard: And I would like to add that they reduce stigma because of that. They reduce stigma, which is such a hard thing for substance misuse. Right? They're, being stigmatized by the world, right? By the community, by their families, by their maybe former friends that are no longer their friends because of what has happened in their lives. And so community health workers help reduce that stigma also. So not only do they humanize, what someone may be going through, but they also help in that humanization, reduce the stigma just from being from the community, looking like the community, and speaking the same language of that community and being able to say, hey, I am you, you are me. That means so much to people.

Bianca McCall: Yeah, yeah. And gosh, so what. What you bring up there too, and previously, when you're talking about the relationship, between. And a lot of the alignment and parallels between chws, and that certification and the peer certification, and what you're bringing up in terms of stigma, it just. What comes to mind is that, you know, CHWs, people with lived experiences, right. CHWs or peers, people with lived experiences, they experience stigma not only from the professional world in the workforce, Right. But they're experiencing stigma from a, culture or community that they previously identified with. Because when you said former friends, I'm thinking that people that are, engaged in opioid use treatment, opioid use disorder treatment, or substance use disorder treatment, they are saying, I've got to let go of. And they're losing the relationships, you know, however, you know, whatever function it served, but they're losing those relationships with their, you know, their people who are using drugs communities. Right. People who once accepted them. And I hear so much from, people that have had dangerous relationships with substances and opioids, specifically in the past. I've heard so much that there's this isolation, Right. There's this not knowing how to, to live, to engage, you know, with other people while being sober. And so when you're experiencing stigma from both sides, you know, it. It. Who can relate to that, who can empathize with that, you know, who can present with. With compassion and humanity. And, And to hear from you that chws. Can I can. You can. the folks that we train and we get together in this process can. So why are we not, using them? And to the earlier introduction of all that you stand for, why are they not integrated and a part of every aspect of our continuum of care?

Alisa Howard: Absolutely, absolutely. I absolutely agree with that. And like I said, I think CHW should be utilized in every space. I come from the infectious disease world, right. HIV, STIs, Covid flu, you know, all the things. Right. And even in those spaces, there's so much stigma. And you have people, even with COVID you have people that are just, you know, didn't go around their family, They m. Had Covid. I'M not going over there, you know, or they look at you a certain way. Oh, my gosh, I can't believe you're so irresponsible to get Covid. So we also have to look at people that have infectious diseases are just like people who have substance misuse disorder. they are being stigmatized, they're being labeled, they're being judged, by something that simply happened to them. Right. And that's where community health workers can help fill that gap and reframe the conversation and what that looks like, like, no, mom, you're talking about me. Remember, I'm your daughter, I'm your child, and you're talking about someone that you care about and you love. So why are you now talking about that person across the street? Right. They can help with that because they see it and they know it and they know what it feels like.

Bianca McCall: Right, Right. You know, something that happened to them, something that, you know, a way it's serving some type of function. I've also heard, from people who use drugs communities that. That, you know, the substances that. That they're using or that they develop this relationship with at one point, at some point. Excuse me, at some point has, has saved them in a sense, it served some sort of purpose or function. Right. But the thing that is now killing them, you know, and so there's. There's this grief process that goes along with that. Right. And so stigma, the role of stigma, to me, just with. With kind of painting that picture is directly tied to a forgiveness. Right. Forgiving yourself for what you've said, what you've done while you were trying to survive, forgiving yourself for relying on. On a substance or, or on this community that, during a time when you're trying to survive. So a part of eliminating stigma. And this is just something that, you have, illustrated for us so beautifully throughout the webinar. And then today, is that, you know, yeah, there's forgiveness that's a part of that stigma. And simply, inviting, you know, people with lived experiences to every aspect, you know, whether it's infectious disease, in the clinical space or community health services, got to. That's almost setting the tone, setting the stage of we are forgiving community. Right? You come to our agency, and our agency is about forgiveness, about healing. It's recovery friendly. Right. Without all the judgment. And I wonder how much dollars and cents are tied to our willingness as professionals to offer or to foster that forgiving, environment. Right? Because we had a lot of, comments and questions. Right. We heard a lot of interest from providers who want to bring CHWs into their practices, but many are concerned about sustainability. Right. And so my question to you, Elise, is what should providers know about perhaps the billing guidelines and how CHWs bring both functional and financial value, to their clinical teams?

Alisa Howard: Absolutely. And I know that, a lot of people had questions about that yesterday. And as we talk about financial structures and being, in a space right now where we're all worried about how we're going to, keep, our company, keep our business alive. Right. Keep our, our people, safe and paid every two weeks, whatever that looks like for everyone. Right. I think it's on a broader perspective, not just for community health workers, but the good news is that behavioral health organizations can get reimbursed for, community health workers. And I think that's how we should look at, not just them because they're Medicaid reimbursed, but even when we look at putting them on grants, they can be put on grants just like our people, our staff, just like clinical professionals. They can be put into grants that are health disparity grants, that are outreach grants, so they can be utilized in different ways for sustainability purposes. There's other ways. You don't always have to rely on Medicaid reimbursement. So I just want to start with that and preference that, from a billing perspective, a growing number of states are basically allowing CHW services to be reimbursed, which is important. Nevada is one of those leading states. There's. Every state is not doing it, and every state is not even certified chw. So I like to give a shout out to the state of Nevada for that. but, yeah, but through Medicaid, especially when the work supports, a provider's care plan M and focuses on prevention, then they can use provider code 89, to bill for community health workers. and what I've helped, Denisha Mingo for Mingo Health Solutions mhc. I've helped. Or mhs. I've helped. Yeah, I get that mixed up with mine all the time. It's so funny. but I've helped her integrate, chws into her practice. She's a behavioral health company. Mental health and behavioral health. And I see her chws do amazing work in the community. They're doing outreach, they're helping with, case plans, they're helping with the clinicians that the clinicians, you know, then do their work. So everybody has a space in this. And then you can Go back and bill for that community health worker space using provider code 89.

Bianca McCall: I love it. I love it. And I love that you gave us a success story of actually where this is working. because I think that's another thing. You brought up some use cases, in your webinar yesterday. And I think that that's what everybody is wanting to know. Right. The inquiring minds are wanting to know, where has this worked? how can I, how can I model after that? Right. None of us are when we're so focused on sustainability. To your point, it's very, it's, it's, it's very difficult to also be focused on reinventing certain wheels. Right. and so without having to reinvent the wheel to maintain focus on how do I sustain the success of having CHWs, integrated into our practice. I think it's so important to have these examples of success stories like a Mingo, health services, mhs, mhc, respect, Stuster, if you caught it, all the letters, all the words, that's so important, to see it represented in our communities. Yeah.

Alisa Howard: And I'd like to add that it's important for us to look at community health workers as also as we talk about social determinants of health and public health, behavioral health, mental health all the time, that's what CHWs do. And we can build for those things. So the housing, the transportation, the food access, all of those things to help someone stay in treatment, their whole social determinants of health, their whole eight dimensions of wellness need to be intact. And I always preach about eight dimensions of wellness. So when we think about a holistic person and a person having all eight dimensions satisfied, those are the things that CHWs can, can be billed for everything that they help with in the social determinants realm. And the eight dimensions realm can be billable services.

Bianca McCall: Yeah, yeah. And I, and I love too. Yesterday, during the webinar, you talked about the resourcefulness of CHWs that is largely undervalued in our healthcare, behavioral healthcare communities is that, they provide great connectiveness and connectedness, to community resources. Things that may be off of our radars because we are as providers and professionals, we're super concerned with, the cost for services and we're where, you know, we're operating under these provisions and regulations and we're, it kind of ties us to a certain pool of resources or types of resources. But the unique needs of our individuals who are engaged in opioid use, disorder treatment in moud and mat services. The unique needs sometimes cannot be met by this standardized kind of process of linking to resources. But rather, the CHWs are, you know, the kids are saying that they got the bag. I, I hope that's okay to say here on. On, on the podcast, but I.

Alisa Howard: Think we're too old. I think we're too old.

Bianca McCall: You know what I'm gonna keep say? I'm gonna keep saying things like, what's the other one? Riz. The short for charisma. although I had this conversation with a young person. I'm like, oh, like charisma? And they're like, no, like Riz. And I'm like, I'm pretty sure it's charisma. But anyhow, I'm going to keep using the language that the community, that the population, that's listening, that they also hear. But anyhow, I think that that's sorely undervalued. A, sorely undervalued skill of our community health workers and others with lived experiences is that they have just such a unique connectedness to resources because they've lived it. Right. They've been through circumstances where it's like when I was about to lose this, or when I, you know, was with. Was going without this. This is the, the one person. Right. We hear a lot about that. That one person, that one resource that offers that belief, that support, that advocacy and can change the trajectory of somebody's recovery journey.

Alisa Howard: Yeah. If they haven't lived it, they've seen it. Right. Because they're in the community. They know their neighbors, they know their community members, and they. They've seen it. They. They either probably even helped with it. So they are. So they're very resourceful because of that lived experience of, you know, coming from different populations, coming from different socioeconomic, statuses. Right. one thing I would like to offer as well is that community health workers offer that social, emotional support that sometimes we don't give as organizational leads. Right. Because we're too worried about how am I going to build this. Right. Or how am I going to keep and sustain all of my staff? Or we're too worried about the overhead of business. Right. So we have to let those community health workers come in and free up the clinical staff by handling those social, and emotional support needs for the clients, to help them stay in treatment. Everything is in direct, contact or context, I should say, with helping a person stay in treatment, get in treatment, and medication adherence.

Bianca McCall: Yeah, yeah. And I, I love that you're very specific about, you know, some of these spaces that CHW can operate in and offer clear benefit to, the clients first. Right. Client centered. And then also the agency and support to. In a compliment to clinical staff. because you also mentioned this during the webinar, which is so true, is that CHWs and people with lived experiences often get assigned to the task that nobody else wants to do. You know, I think you referred to it as like the grunt work of, of, this business and industry. And that is so unfair to undervalue, again, the skill sets and the assets that CHWs bring into the practice. to me that's just a reflection of them being undervalued. And I know I'm going to. I probably said that so much, without meaning, to be redundant, but that's just kind of what comes to mind.

Alisa Howard: I talk about that often because I don't want them to be undervalued. That's why I lift them up and advocate for them so much because I've seen them be used as grunt workers just to get Medicaid reimbursement. But best believe, if you're using them in the wrong way and you're billing for their services in the wrong way, Medicaid will come after you. So I think it's really important to know how to utilize a CHW in the correct way, but also bring value to your clients, bring value to your business, to your organization. They are your mouthpiece. I said this in the webinar yesterday. They are going out and doing outreach not only for your business, but, but to bring in more clients for you to know that, to let other people know how amazing it is to work at your organization so that clients want to go there, so they're utilized in so many different great ways that you do not have to use them and undervalue them in a, in bad ways, I should say.

Bianca McCall: Right, right. Yeah. Just looking at it from more of a, of a team approach. Right. I come from, you know, systems, with my professional work and education work and then with my personal lived experience as an athlete. Teamwork, makes the dream work. Have you ever. Teamwork makes the dream work. speaking of coming together as a team, as a community, as a coalition, you talked before about the importance of community and connection among CHWs. And so I have the question for you of, why is it so important to have a CHW coalition or association? And, and how can it support having a, coalition? How can that Support both current CHWs and people who are just beginning their certification journey.

Alisa Howard: Yeah. Let me set the groundwork. it's. It's in every other state, just like what we're talking about as far as Medicaid reimbursement, and certification in general. Every state chooses whether they want to have a coalition or association. Those are usually the front people who are talking on behalf of, community health workers. Here in our state, it kind of happened backwards. there was a CHW association, and then, the state asked for the Nevada Certification Board to come on. And so we both play the association, and the, certification Board plays a role in the advocacy part for CHWs. So we're always advocating for them, making sure we're involved in legislation on that behalf for advocacy. But also, there's not a space particularly for them to come and gather. Right. And that's where I just want to say I started this, folk coalition. It's. It's really not, you know, a full business yet. Unless people, you know, come and they want to be involved, then I will do what I need to do to make it that. But right now I just wanted something where, chws can come and have a collective voice, when it comes to policy training, workplace, workplace things that are going on, because when I train them and they go off, for me, it's like, you know, kind of like mother bear. I want to make sure that you're okay. I want to make sure that you got into a good agency and they're treating you well and that you're not doing the grunt work, taking out trash and things that we've heard from a national level. But you're actually doing the work that you enjoy, because those are the people who will stay in this field for long term, which brings more value to the state of Nevada in general, because CHWs reduce costs. But we don't know that if we don't let them have a voice and a space to have that voice in. So that's what my coalition is about. It's, on Facebook under the Community Health Worker Coalition, of Nevada. It's just a Facebook page. It is a private. I will have to go in and approve people to, come in, just because, again, I want it to be a safe space for people to be able to vent, to be able to post their events or things that they're doing for their agencies or ask for a job or, hey, does anyone know of this resource for this particular client without there being any type of judgment or anything of that nature. So I am very particular of who I let into the coalition space on Facebook.

Bianca McCall: Yeah. No, and that, that's a great segue into, you know, your Facebook page. A great segue into how we can get in touch with you, how we can engage, the services of mhc, how we can begin the process. I mean, for those that are, that are just starting their certification journey or just starting to think about, hey, am I a chw actually? Can I get certified? Should I get certified? Yeah, where do we go for that information? How do we get in touch with you? How do we engage mhc?

Alisa Howard: So what I would like to say for all community health workers out there, if you've been trained at either Truckee Meadows College, of Southern Nevada, the CHW association, or ACR A heck, if you're looking to be certified, go to the Nevada Certification Board website. There's clear instructions on there. It says chw, and there's doulas. And just click the CHW one and it'll take you to, certain me. Sodomy is our, our website, our system that we use. basically you start an application and it's so simple. It really just asks you your name, your address, things of that nature. So all data, right? But then it goes into, where did you get your certification? Are you willing to sign this Ethical, that you're going to be ethical in your field. You say, yes, make sure that you really mean it, and then you pay your. You pay your fee, and that's how you become certified as a one to be a certification two. It's going to ask you more questions. Have you taken these type of classes, these training, these type of webinars. And so you'll have to decide what level you're on. If you are already working in the field, most likely you're a two and you just don't know it. so, I would say just go right to the two application because it doesn't make sense to have a certification one and a certification two because you're paying two separate fees. And a two trumps a one. And then as far as, I'm sorry, what was the other question, Bianca?

Bianca McCall: just as far as getting a hold of you engaging MHC. Yeah, yeah.

Alisa Howard: So MHC, we can be contacted@infoinorityhealthconsultants.com that's our email. Our website is also minorityhealthconsultants.com but the email is probably going to be your best bet if you Want to get in contact with us, the certification board. If you are looking to get certified, you have certification questions, I would go directly to them. there's an amazing, new director there. and she's amazing and she's willing to help and she's willing to get on a zoom with you and walk you through the certification process if needed. just the whole team over there, is really helpful for people. People have told me all the time, yeah, such a. Natalie used to be there, Natalie Powell used to be there and she used to just jump on calls with people. So I would say go to the certification board, ask them questions for certification. If you're looking as an organization to get in contact with me on how to help you bring community health workers. Infoinorityhealthconsultants.com I love it.

Bianca McCall: I love it. And before I, before I let you go today and and this is, this is extremely difficult because having a conversation with you, I could talk to you all day. Alisa thank you much, so, so much. but, but I, I want to talk a little bit more about the work that you do through MHC and, and what you're seeing in terms of what, what's the necessary response from the professional community to support, to better support CHWs, and, and how you're seeing their needs changing. Right? To be able to maintain a recovery, lifestyle, to be able to, maintain these intentional actions, a mindset through what we've seen to be the most challenging times in recent human history. Right? So the question is, what can we do? What's the response, the necessary response from the professional community to better support these chws.

Alisa Howard: What I would start with is if you want to hire community health workers, if you hear what I'm saying, you've listened to the webinar, you've heard, heard about them out in the field. do your due diligence, right, in recruiting them. put out a, you know, a job, ah, post that, that speaks to them into the services that you're really going to utilize them for. so be honest on and transparent on your end, first and foremost, and then you'll receive an honest and transparent community health worker on your end, I believe, I believe in that energy for sure. and so I am really big on being clear in your job posting what you want a community health worker to do. I would be very clear. And if you want a certified, chw, or if you're going to pay for the certification once they do get hired with you, that is one Thing that organizations can help with. When you do hire a community health worker, help them get certified, help them go to Unity, which is the unity, the CHW UNITY National Conference every two years, pay for things like that, pay for them to get trainings because that's when they see that you value them, that they're going to pour more into your business for, for you. so it's really important one for the, for the organization to do right by community health workers. Right. And then you'll get the community health worker that you need for your organization. So I would say training them, certifying them, paying for their certification, paying for them to go to training, making them a part of your multidisciplinary teams is super important to them because they want to help and they know that they have skill sets and sometimes they have opinions and they have actual facts that they can offer to a client. So bring them into the care team. Let them be that, that case manager, that care partner, to the clinician. Of course they can't do clinical, work, but they can do non clinical things. And so I would say add them into your teams, have conversations with them about what they want to do with their, with their career, whether they want to move up from a CHW1 to a CHW2. Maybe they're even interested in going to college. Right. Make a path for them to, to go to UNR and get their bachelor's degree, go and get a nursing ah, degree, whatever that looks like. But support them. They need that support. They need to feel supported by the people that they work for and by the systems itself as we hire them. We don't just want to hire them because Medicaid reimbursement came m. We want to hire them because we actually need them. We understand their value and we want to support them on their journey.

Bianca McCall: Absolutely. You've heard it first from the bonafide certified so functified Lisa Howard. Lisa, thank you so much for joining us today and sharing your powerful insights on the journeys of community health workers. Your insights, including reducing stigma, expanding access and strengthening the workforce, are incredibly valuable and we appreciate the work that you're doing to move this field forward.

Alisa Howard: Thank you so much. I really appreciate being here and I.

Bianca McCall: Want to give you an opportunity if there's any kind of final thoughts that you'd like to share. Anything that we didn't cover in our conversation today that we can't get off the line without you speaking truth into the community now's your time, Melissa.

Alisa Howard: Now's my time. Thanks for putting me on the spot. I would just like to end with this time that we're going through in our country and our world right now. We're going to need each other and we need to not just let it be a pandemic when we show that need, but community needs to be community all the time. So as I talk about community health workers, as we're public health professionals, as we're in our 20th year or whatever, we still need to act like community health workers as well. Act like those liaisons, act like that support system, because we're going to need it. Right now. We're dealing with a lot. Our systems are dealing with a lot, and people are going to need us more than ever.

Bianca McCall: Yes. Yes. Thank you so much. See, even when I put you on the spot, you were able to I, passed the mic for you to drop it. I love it. I love it. Thank you so much again for being here and thank you for tuning into this episode of the NOCE dos. If today's conversation sparked new ideas for you and really gave you something to think about, to talk about, or to be about, be sure to subscribe, leave a review, and share it with your community. Until the next time, keep listening, keep learning, and be well. Thank you for listening to the no 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 please visit our website@nvopioidcoe.org the Noso Dos podcast is brought to you by the Nevada Opioid center of Excellence, or nos. NOCE is dedicated to developing and sharing evidence, informed training, and offering technical assistance to professionals and community members alike. whether you are a care provider or a concerned community member, NOCE provides resources to support those affordable 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 Foreign.

Bianca McCall: This podcast has been brought to you 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 www.casat.org.