ORN Training – Substance/Opioid Use Disorder 101 & Harm Reduction-Recording

Video Transcription

Video Summary

In the presentation organized by the Opioid Response Network, Emily Mossberg introduced Stephen Samra, who discussed substance use disorders and harm reduction. Stephen reemphasized the importance of understanding substance use disorder, including its common substances and effects on individuals. He highlighted the concept of polysubstance use and explained the significance of recognizing signs of overdose, emphasizing the need for Naloxone (Narcan) to reverse opioid overdoses. Stephen's discussion extended to cultural aspects of addiction, incarceration, and homelessness, noting the importance of understanding these aspects to address the problem effectively.<br /><br />Stephen underscored the power of stigma and language when addressing substance use, presenting research that shows how different terminologies influence perceptions among clinicians. He also detailed the philosophy of harm reduction, which is rooted in social justice, contrasting it with recovery-focused approaches, while acknowledging the potential for coordinated efforts between the two.<br /><br />Furthermore, Stephen elaborated on the neurobiology of addiction, particularly the dopamine pathways that enhance compulsive drug use. He discussed medication-assisted treatment (MAT), explaining how it helps manage substance use disorders, with methadone highlighted as the gold standard. He also debunked myths surrounding MAT, advocating for its effectiveness over abstinence-only interventions.<br /><br />Finally, Stephen touched on the importance of shifting from a medical model to a whole-person care approach that is compassionate and inclusive, driven by culturally competent support systems. The session concluded with a call for completing a survey critical for the Opioid Response Network's continued funding and operation.

Keywords

Opioid Response Network

substance use disorder

harm reduction

polysubstance use

Naloxone

overdose prevention

stigma and language

neurobiology of addiction

medication-assisted treatment

whole-person care

cultural competence

social justice