#6: Lori Regenstreif - Navigating Addictions and Vulnerabilities

In this episode, we delve into the complexities of addiction, treatment, and the balance between agency and intervention with Dr. Regenstreif, a family physician and national expert on addiction medicine. Dr. Regenstreif shares her experiences from working in inner-city Hamilton to the Northwest Territories, discussing the history and impact of opioid prescribing, the rise of fentanyl, and effective harm reduction strategies like naloxone distribution and supervised injection sites. The discussion also touches on the broader social issues intertwined with addiction, such as poverty and mental illness, and explores the contentious topic of decriminalizing drugs. Join us for an in-depth conversation on how to support vulnerable individuals while navigating the intricate landscape of addiction treatment.

00:00 Introduction: Balancing Autonomy and Support for Vulnerable Individuals

00:22 Concerns About Government Intervention in Vulnerabilities

00:40 Introducing Dr. Regenstreif: Expert in Addiction Medicine

01:20 The Evolution of Safe Supply in Addiction Medicine

01:41 The Impact of Purdue Pharma and OxyContin on Addiction

03:13 The Rise of Methadone Clinics and Business Models

04:17 The Emergence of Fentanyl and Its Consequences

07:00 Harm Reduction Strategies: Naloxone and Supervised Injection Sites

10:02 Trials and Evidence for Safe Injection Sites

17:36 The Shift in Homeless Population and Substance Use Disorders

22:15 The Role of Prescription Opioids in Addiction

23:57 Revisiting the Opioid Crisis

24:47 The Shift to Heroin and Fentanyl

26:09 Challenges in Pain Management

27:27 Harm Reduction and Decriminalization

28:58 Patient Autonomy and Tough Love

36:20 Legalization and Its Impacts

39:34 The Future of Addiction Treatment

42:46 Concluding Thoughts on Addiction Policy

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