Episode 13: Somebody Else’s Problem

Conservatives say we need recovery not harm reduction. In some places, the right is fighting to stop safe injection sites from opening – or trying to close down existing ones. But what do they really mean by recovery? We followed one woman’s journey through four recovery homes. She had lots of family support. And these places were not the worst, most notorious ones. Still, all we found was a bureaucratic, broken patchwork of a system.

This episode discusses suicide and self harm. If you are struggling with thoughts of suicide or know someone who is, you can reach out for help at crisisservicescanada.ca 

A full transcript of this episode is available here.

Screenshot from Westminster House self-referral form
Screenshot from Westminster House website
Screenshots from Westminster House Primary Care Guidelines

Recommended Reading

BCCSU Safety Bulletin. “Avoid the use of withdrawal management as a standalone treatment for opioid use disorder

Ferri  M, Amato  L, Davoli M. Alcoholics Anonymous and other 12‐step programmes for alcohol dependence.” Cochrane Database of Systematic Reviews 2006, Issue 3. Art. No.: CD005032.

MacArthur GJ, Minozzi S, Martin N, et al. “Opiate substitution treatment and HIV transmission in people who inject drugs: systematic review and meta-analysis. BMJ 2012;345:e5945.

Medola A, Gibson R. “Addiction, 12-Step Programs, and Evidentiary Standards for Ethically and Clinically Sound Treatment Recommendations: What Should Clinicians Do?” AMA J Ethics. 2016;18(6):646-655.

 Strang J, McCambridge J, Best D, et al. “Loss of tolerance and overdose mortality after inpatient opiate detoxification: follow up study.” BMJ 2003;326:959-60


Crackdown is produced on the territories of the Musqueam, Squamish and Tsleil-Waututh Nations.

You can support us at Patreon.com/crackdownpod.

Our Editorial Board is:
Samona Marsh
Shelda Kastor
Greg Fess
Jeff Louden
Dean Wilson
Dave Murray
Al Fowler
Laura Shaver
And Chereece Keewatin. It’s been just over a year since we lost you. RiP Chereece. 

Crackdown’s senior producer is Sam Fenn. Our producers are Lisa Hale and Alexander Kim. This month we had production help from Alex de Boer and Polly Leger.

Our science advisor is Ryan McNeil. Assistant Professor & Director of Harm Reduction Research in the Yale School of Medicine.

Garth Mullins is Crackdown’s host, writer and executive producer. You can follow him on twitter @garthmullins.

Original score written and performed by Sam Fenn, James Ash and Garth Mullins. Our theme song was written by Garth and Sam with accompaniment from Dave Gens and Ben Appenheimer.

We make this podcast with funds from the Canadian Institutes of Health Research and the Social Sciences and Humanities Research Council of Canada. And from our Patreon supporters



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