Additionally, people who use drugs, particularly Black, Indigenous, and People of Color (BIPOC), are disproportionately impacted by systemic oppression (e.g., racism, sexism, classism, homophobia, transphobia), poverty, houselessness, and food insecurities. These social determinants of health (SDOH) can influence whether an individual is more (or less) likely to die from an overdose.
- Providers can train to become principled providers, as this emphasizes patient autonomy, harm reduction, shared decision-making, and informed consent, ultimately addressing major gaps within individual levels of care as well as dismantling and redesigning our broken healthcare system.
**Feature photo obtained with standard license on Shutterstock.
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Ashley Shukait, MPH, CHES, is a Public Health Consultant and Harm Reduction Program Manager for Unified HIV Health and Beyond in Southeast Michigan. She is dedicated to integrating collective action by applying a trauma-healing racial justice lens to center the voices of people with lived and living experiences of substance use, sex work, and those harmed by racialized drug policies and systems.
Glyceria Tsinas, QMHA, is the Director of Development for the Academy of Perinatal Harm Reduction in Portland, Oregon, and she works tirelessly to push back on antiquated narratives about drug use and parenting. Her dynamic and unique blend of equal parts harm reduction professional and drug war survivor posit her to create grounded yet innovative solutions to complex problems.