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                  <text>Anti-Stigma Campaigns (2009-2020)</text>
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              <text>This is an abridged transcript from the &lt;a href="https://youtu.be/8LFMXPHrtE8" target="_blank" rel="noopener"&gt;&lt;strong&gt;&lt;em&gt;Reducing&lt;/em&gt;&lt;em&gt; Stigma&lt;/em&gt;&lt;/strong&gt;&lt;/a&gt; video.&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Tracey Morrison&lt;/strong&gt;, &lt;em&gt;President of Western Aboriginal Harm Reduction Services&lt;/em&gt;&lt;br /&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I would say I have these whammies against me, right? Like being a drug user and alcoholic, um… I live in the Downtown Eastside, I’m Aboriginal, I’m a woman, I’m a welfare bum, you know? And I don’t think of those as negatives. I think of them as- they’re what strengthen me.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;span style="font-weight: 400;"&gt;When I meet people, people don’t know- a lot of people don’t know that about me. And I’m like, “Well did you know these things about me?” And they’re like, “No…” And I’m like, “Wow.” I said, “See? That’s dropping stigma.”&lt;/span&gt;&lt;br /&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;So many people are like, “Why do you tell people everything about your life?” I said, “Because I want people to know that we’re not bad people. We’re good people.” You know? We have families. I’m somebody’s sister. I’m somebody’s auntie. You know? It’s those kind of questions, those things, you know, everybody is here for a reason. The Creator put us here.&lt;/span&gt;&lt;/p&gt;</text>
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              <text>&lt;a href="https://www.asiayoungman.com/" target="_blank" rel="noopener"&gt;Asia Youngman&lt;/a&gt;, "an award-winning Indigenous director and screenwriter"</text>
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                <text>"Taking Care of Each Other": Indigenous Harm Reduction Video Series</text>
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                <text>Harm Reduction</text>
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                <text>&lt;strong&gt;YouTube Playlist&lt;/strong&gt;:&lt;br /&gt;&lt;iframe width="560" height="315" src="https://www.youtube.com/embed/videoseries?list=PLDKOxTJMuk__d-sfu6VcralfrIxZy4Fkj" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"&gt;&lt;/iframe&gt;&lt;br /&gt;&lt;br /&gt;Accompanying PDF Teaching Guide for this video series:&amp;nbsp;&lt;br /&gt;&lt;br /&gt;&lt;a href="https://www.fnha.ca/Documents/FNHA-VCH-Taking-Care-of-Each-Other-Harm-Reduction-Video-Guide.pdf"&gt;https://www.fnha.ca/Documents/FNHA-VCH-Taking-Care-of-Each-Other-Harm-Reduction-Video-Guide.pdf&lt;/a&gt;</text>
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                <text>2018-06-27</text>
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                <text>"&lt;a href="https://youtube.com/playlist?list=PLDKOxTJMuk__d-sfu6VcralfrIxZy4Fkj" target="_blank" rel="noopener"&gt;'Taking Care of Each Other': Indigenous Harm Reduction Video Series&lt;/a&gt;" by &lt;a href="https://www.fnha.ca/" target="_blank" rel="noopener"&gt;FNHA&lt;/a&gt; and &lt;a href="http://www.vch.ca/" target="_blank" rel="noopener"&gt;VCH&lt;/a&gt; is licensed under &lt;a href="https://creativecommons.org/licenses/by-nc/4.0/" target="_blank" rel="noopener"&gt;CC-BY-NC&lt;/a&gt;.</text>
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                <text>A collaboration between First Nations Health Authority and Vancouver Coastal Health, this campaign is a four-part video series covering the following topics:&lt;br /&gt;&#13;
&lt;ol&gt;&#13;
&lt;li&gt;Harm Reduction&lt;/li&gt;&#13;
&lt;li&gt;Indigenizing Harm Reduction&lt;/li&gt;&#13;
&lt;li&gt;Resisting (Reducing) Stigma&lt;/li&gt;&#13;
&lt;li&gt;Hopes for the Future&lt;/li&gt;&#13;
&lt;/ol&gt;&#13;
Accompanying the video series is a teaching guide (see attached PDF) with discussion questions. Many of the participants in the videos identify as people with lived experience, either in recovery or active use, but they are represented as experts. While no one explicitly mentions the intersection between substance use stigma and racism - likely because the intended audience is Indigenous communities - several folks link addiction to intergenerational trauma from land theft, forced removal of children, and colonization.</text>
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              <text>&lt;strong&gt;Dr. Nel Wieman&lt;/strong&gt;:&lt;br /&gt;&lt;br /&gt;Here in BC, in four or five months, because of the declaration of a public health emergency related to the COVID-19 pandemic, we managed to flatten the curve and it's because COVID-19 is an infectious illness.&lt;br /&gt;&lt;br /&gt;But when you talk about people who use substances, particularly opioids, [it's treated differently]. We have now been in a public health emergency [for overdose] for over four years and yet we haven't flattened that curve, so to speak. We're on our way up to even higher levels. So it speaks to the stigma that surrounds substance use versus an infectious illness. For those of us who work in the area of substance use, this is extremely saddening and frustrating.&lt;br /&gt;&lt;br /&gt;Harm reduction is all about meeting people where they're at with kindness and with respect. With COVID-19 the slogan essentially became 'we're all in this together.' When it comes to people who use substances, the thinking is 'I'm glad it's you and not me'.&lt;br /&gt;&lt;br /&gt;We need to change that with compassion. To say, we are all in this together with the opioid crisis. These are our family members, our friends. We need to fight that stigma and reduce the suffering and the losses that are related to the opioid crisis.</text>
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                <text>Protect Lives. Prevent Overdose.</text>
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                <text>&lt;strong&gt;"Harm Reduction Video Shorts" YouTube Playlist&lt;/strong&gt;:&lt;br /&gt;&lt;iframe width="560" height="315" src="https://www.youtube.com/embed/videoseries?list=PLDKOxTJMuk_8IZW6oiod82Cp-VfznW2pY" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"&gt;&lt;/iframe&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;"&lt;a href="https://www.fnha.ca/about/news-and-events/news/using-compassion-to-tackle-the-stigma-of-addiction"&gt;Using Compassion to Tackle the Stigma of Addiction&lt;/a&gt;" Blog Post&lt;/strong&gt;&lt;br /&gt;The blog post links to this video of Dr. Nel Wieman on how COVID-19 has affected people who use substances:&lt;br /&gt;&lt;br /&gt;&lt;iframe width="560" height="315" src="https://www.youtube.com/embed/79G2QKCfOmg" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"&gt;&lt;/iframe&gt;</text>
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                <text>&lt;div class="element-text"&gt;"&lt;a href="https://youtube.com/playlist?list=PLDKOxTJMuk_8IZW6oiod82Cp-VfznW2pY" target="_blank" rel="noopener"&gt;Harm Reduction Video Shorts&lt;/a&gt;" by &lt;a href="https://www.fnha.ca/" target="_blank" rel="noopener"&gt;FNHA&lt;/a&gt; is licensed under &lt;a href="https://creativecommons.org/licenses/by-nc/4.0/" target="_blank" rel="noopener"&gt;CC-BY-NC&lt;/a&gt;.&lt;/div&gt;</text>
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                <text>This campaign is a reboot of FNHA's 2018 campaign, "Taking Care of Each Other". FNHA recycled the 2018 footage into these nine video shorts, featuring "the voices of Indigenous individuals", including Kim Calder, Dede Nelson, Andrea Medley, Tracey Morrison, and Len Pierre. Each video short contains just one individual.</text>
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                <text>Born out of the "dual public health emergencies" of the overdose crisis and the COVID-19 pandemic, the FNHA released this "extensive, province-wide overdose prevention campaign" related to harm reduction, comparing the provincial response to both crises. Through the campaign, the FNHA argues that the response to COVID-19 has led to "unintended consequences" - exacerbating overdose deaths, especially among Indigenous peoples, due to the lockdown and "entrenched stigma" of substance use.</text>
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                <text>&lt;strong&gt;Campaign website:&lt;/strong&gt;&lt;br /&gt;&lt;a href="https://harmreduction.fnha.ca/" target="_blank" rel="noopener"&gt;https://harmreduction.fnha.ca/&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Campaign posters:&lt;/strong&gt;&lt;br /&gt;&lt;a href="https://www.fnha.ca/Documents/FNHA-Harm-Reduction-2021-Posters.pdf" target="_blank" rel="noopener"&gt;https://www.fnha.ca/Documents/FNHA-Harm-Reduction-2021-Posters.pdf&lt;/a&gt;</text>
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                <text>Presents short interviews with 11 Indigenous people with lived experience, this campaign includes individual talks discussing the overdose crisis, recovery from addiction and substance use-related stigma. Special attention is paid to the uniquely Indigenous experience of drug addiction (e.g., as a consequence of intergenerational trauma), as well as the need for harm reduction and "&lt;em&gt;land-based healing" &lt;/em&gt;(a recovery approach via attuning to indigenous culture). Additionally, the campaign website includes information on the overdose crisis during the COVID-19 pandemic, educational and community support resources for addiction, and promotional campaign posters.</text>
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                <text>Campaign posters and ads pushed traffic to the website above which also includes an updated version of the campaign poster that differs slightly from the file above (the initial version of the poster launched in 2020). Slight differences include:&lt;br /&gt;&#13;
&lt;ul&gt;&#13;
&lt;li&gt;Altered sub tag line from "Anyone is at risk of an overdose" to "If you or someone you know uses opioids"&lt;/li&gt;&#13;
&lt;li&gt;Adjustments in harm reduction tips language&lt;/li&gt;&#13;
&lt;li&gt;Inclusion of National Overdose Response System (NORS) phone numeber in newer version&lt;/li&gt;&#13;
&lt;li&gt;Replacement of one darker haired woman stock image from the photo banner with a lighter haired woman stock image&lt;/li&gt;&#13;
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&lt;p class="p1"&gt;(i) Campaign goals- To reduce opioid-related deaths in Saskatchewan, promote treatment services (including the take home naloxone kit program and addictions services), build awareness of the Good Samaritan Act, and reduce stigma.&lt;/p&gt;&#13;
&lt;p class="p1"&gt;&lt;span class="s1"&gt;(ii) Target audiences- &lt;/span&gt;Adults, ages 19-59; family and friends of people who misuse opioids, and health care providers.&lt;/p&gt;&#13;
&lt;p class="p1"&gt;&lt;span class="s1"&gt;(iii) Mediums – R&lt;/span&gt;esto-bar posters, Facebook and Instagram video ads, YouTube video ads, Google ads, and cinema ads. &lt;br /&gt;Opioid information as well as campaign poster can be viewed here:&lt;/p&gt;&#13;
&lt;p class="p2"&gt;www.saskatchewan.ca/opioids&lt;/p&gt;</text>
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              <text>&lt;strong&gt;Episode 1: Charlotte&lt;/strong&gt;, &lt;em&gt;abridged&lt;br /&gt;*see full transcripts of all 8 episodes at &lt;a href="https://www.canada.ca/en/health-canada/services/opioids/toolkit/in-plain-sight.html" target="_blank" rel="noopener"&gt;Health Canada&lt;/a&gt;'s "Audio series on opioids: In Plain Sight"&lt;br /&gt;&lt;br /&gt;&lt;/em&gt;&#13;
&lt;p&gt;&lt;b&gt;Charlotte:&lt;/b&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Hi my name is Charlotte Smith. I guess my problems really started when I was about uh – I was almost 13 and my biological mother came to England, because she is British but she had moved to Canada and had gotten married, and uh, she but had never been in my life. I was adopted out when I was six months old.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;When I was about 13 she wanted to find me and re-adopt me and take me back into her custody so she did. And she paid for my immigration to Canada. Sponsored me in. And, it was a pretty devastating transition for me. I was very homesick. I was ok for almost year and we were in our honeymoon phase, but after that, everything went downhill.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I started cutting my arm and avoiding my biological mother. I stayed out a lot with friends. I didn’t want to go home. I didn’t feel like I was wanted there.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I had found some recordings that my mother had done of her self-therapy and she was just sobbing into the recording saying how I wasn’t really like her daughter, and how I didn’t speak like her and I didn’t have the same values as her and she was clearly devastated by that.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;As my mental health declined, her behaviour towards me also declined. She became very emotionally abusive.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Eventually, she dropped me off outside of a foster home where I had babysat. This was a few weeks before Christmas, when I was 15. I cried for about three days straight. After about a week of being in this foster home, where I wasn’t a ward of CAS (The Children's Aid Society), but my mother was paying rent to the parents to keep me there, which had been cleared by CAS.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I was so scared of being alone, you know. I didn’t have any family in Canada besides my biological mother and I thought if things don’t work out at this foster home, I’m just going to be completely alone in a country where I really don’t feel I belong.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;So their marriage dissolved. The foster home was completely destroyed by that. I ended up living on my own on and off with that man and in and out of horse farms that I had also volunteered at when I was 13 and 14, since coming to Canada.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;So horses, and that experience, really provided great opportunity for me for housing – because I had the experience mucking stalls – when I came back to these places I was a 16-year-old homeless girl. They would take me in and let me work there for a room. But I also started using a lot of ecstasy. I had never done any drugs before being kicked out of my house.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;But after that, everything just seemed even more hopeless than it was before. It was just a way to cope. It was a way to cope with being homesick from England, and then it was a way to cope with the loss of my newly found biological mother.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;b&gt;Narrator:&lt;/b&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;So at just 18 years old, Charlotte left Canada and returned to England – with no life skills or experience living on her own.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;But the ties she had to Canada began to tighten and she soon found herself leaving England to return to the only life she really knew.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;b&gt;Charlotte:&lt;/b&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Then things went further downhill because I had failed at going back to my home. I had come back to Canada and now the farms were out of reach for me.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;So I just started doing more drugs. I met some people who were prescribed OxyContin and I started to take that. And, at first I thought this was great, because it allowed me greater strength capacity. I got a job in construction, and I was able to keep up with the men. I was able to lift the drywall sheets – everything – and keep that energy going all day because of these pills. I didn’t realize that I was addicted to them.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;They also gave me a lot confidence and I moved in with a woman who was addicted to OxyContin, and her son. And I taught her how to crush them up and snort them because that’s what I had always done with ecstasy. I didn’t realize that that would make her addiction – which I still, I didn’t realize that even she was addicted, but it took her addiction to prescription pills to the next level because she started going through them so fast because the high is more intense but it’s shorter. And of course you build up resistance too. So, then we started having to go through all of her pills and finding ways to buy more. And when I didn’t have them, I would be very sick and the whole world would be gray. Like, apart from the physical sickness.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;And the woman I was living with ended up going to detox because of that. And I felt very responsible. She ended up losing her child as well, for a period. But when she came out of detox, she came out with a boyfriend who used crack cocaine and I then fell into smoking crack with her and her boyfriend. And it was fairly easy because it wasn’t my first time seeing crack.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I used to use online dating sites to secure drives places to pick up these ecstasy pills. So I would tell guys that I was going to sleep with them if they would give me a drive so that I could go get my pills. And one time, the gentleman who was driving me around had offered me crack and I spent, I think 4 or 5 days in his apartment, just high out of my mind. Just not fun, paranoid, scared but lighting that pipe and taking the next hit, and the next hit and the next hit. Even though I was shaking and sweating and &lt;/span&gt;&lt;i&gt;&lt;span style="font-weight: 400;"&gt;sketched out&lt;/span&gt;&lt;/i&gt;&lt;span style="font-weight: 400;"&gt;.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;And I got out of that apartment and I thought, “wow.” And it took me a few days to recover. I thought, “I’m never going to ever do that again and I hope I never see it again,” and I didn’t think I would. But by the time when I saw crack again, when I was 19 now, things had gone so far downhill I really felt like that I had left nothing to lose. I had no family. I had no real future prospects. I had dropped out of high school. There was no hope of returning to my family in England.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I felt like I was a complete failure. So I smoked the crack for the next three years every day. The only times when I didn’t was if I was in jail or when I was working to try to get more drugs – which was through shoplifting or sex work. And of course during this time I also kept doing OxyContin but I also started injecting OxyContin and morphine and cocaine as well, which was a very terrifying experience actually.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Even though I did it, it’s not that it didn’t scare me. I would go into these houses where I would see people searching for veins for hours – just poking needles into their arms, just trying to find that hit. And having abscesses, and having seizures, and just using dirty needles, sharing needles, and as shocking as that was, I honestly just felt as if I was finished – that my life was never gonna be what it could been if perhaps, I hadn’t come to Canada or if my mother hadn’t kicked me out.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;So I followed suit, and I and I used dirty needles, and I shared them and I did all of those things. And, uh, really the only reason that I got out of drug use was through pure luck. And that’s what’s so frustrating about the system as it is right now, is that there is no standardized state-sponsored help for people to get out of addiction or homelessness. There is no reliable solution.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Everybody, sort of, is left to find their own way, which I was lucky enough to do. Because one of the last times that I went to jail, I knew that if I got out of jail and I went back, picked up the pipe or the needle, that I was going to end up with AIDS or HIV. A lot of my friends at the time had one of those diseases or the other.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;So I called a friend, and he agreed that when I got out of jail, that I could move in with him. So, I went out there and I didn’t come back into the city at all for probably almost a year. And in that time, somebody helped me get a job at a horse farm. And every day that I walked into that farm, I saw the horses and I knew that if I were to pick up a pipe, if I were to go in to Ottawa and to go downtown, I would lose everything. All the trust that I built up with these people and all the privileges I was given to take care of these animals. So I was able to stay clean.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Then I did a year of college. Which now I’m starting my masters in September. I’ve got – had many opportunities to conduct research on populations that I used to be part of – like sex workers, drug addicts and homeless youth.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;So, finally I can sort of see a future for myself. And it’s a future where I believe that I’ll, hopefully, be able to help some of those people that I’ve left behind. Cause I definitely do have survivors guilt, PTSD from, uh, the experiences of being homeless and being addicted to hard drugs. So that’s something that I still struggle with. I have a lot of nightmares, where somebody will be overdosing and I can’t save them. And those happen all the time, and that’s something I have to continue to try to put behind me.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I also still struggle with active addiction. So, I’ve been sort of some what on the straight and narrow for 5 years. Addiction is very powerful and I seem to not be able to escape it – and I wish that something could take it from my mind. But so far I haven’t found a way to do that. And there are so many memories that I have of using in Ottawa – that wherever I go, it’s just constantly in my face.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;And I know that addiction and drug use is invisible to a lot of people that have not experienced it. But when you have experienced it, it’s unavoidable. And wherever you go there’s reminders of it and there are triggers that cause you to have urges to use and they can be very hard to deal with and there’s not necessarily a lot of help for that beyond, you know, weekly meetings with counselors or group sessions with other former users like, NA (Narcotics Anonymous).&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;But really it’s something that’s always there inside you. And even I’ve watched my friends die and people are dying every day in Ottawa from opioid use. And as painful as that is for me to see those people dying, it’s still not enough of a deterrent for me to not use when… when that urge strikes me. And that makes me feel disgusted at myself. And I don’t know what the solution is.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;b&gt;Narrator:&lt;/b&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Fifteen minutes. That’s all it took for Charlotte to take us on a life journey.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;She then shared reflections on her life, how the world came to treat and perceive her – how she began to see herself differently too.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;b&gt;Charlotte:&lt;/b&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;One thing I noticed when I was using crack and heroin and OxyContin and morphine on the streets, was that you are no longer treated like a young girl. You become seen as responsible for yourself, as an adult who is making – conscious of their decisions – and just simply choosing the wrong path. Which I very much felt like I was not an adult and that I still had the mentality of when I was 15.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;So to be treated like an adult was difficult, because when you go, say to your social worker for a welfare cheque and they are very unsympathetic that you’ve been using or that you can’t find a place to live it’s very damaging. And… it’s awful because you so badly want people to see that you are a 19-year-old or 20-year-old girl, and that you need help.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;But they tend to view you like just the way they see any other street user and that it’s your fault for the position that you’re in. And it’s very uncomfortable to ask for help because you don’t feel like you deserve it, because you start to think that, “I am the cause of my own demise here and I did do this to myself.” Which is to a point true, but there were also a lot of other complicated issues that played into me taking that choice to use drugs.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;And I think that that barrier that comes up between you as a young drug user and the rest of society – it causes you to look for belonging in other ways outside of the mainstream. So you become very close to the older people on the street the older addicts who are around you and you forge some sort of community with them. But it’s certainly not a healthy community and that’s not because of the individuals themselves. They may be very nice people and they’ve also come from so many different backgrounds, but the lifestyle associated with drug use on the street is very toxic.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;So I met people who were actively engaged in sex work and who were not honest about that when I first came on the scene. So they would set me up on dates with men who I honestly, naively, stupidly thought were, maybe wanted to date me. And they were not. They were paying the people I knew to have sex with me and I had just had no idea, and that’s what I mean by that I was a child even though people were treating me like I was an adult.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I was very naïve and people wouldn’t believe me when I said I didn’t know they were &lt;/span&gt;&lt;i&gt;&lt;span style="font-weight: 400;"&gt;pimping&lt;/span&gt;&lt;/i&gt;&lt;span style="font-weight: 400;"&gt; me out. They would just think that oh you’re a slut. But no, I really didn’t know and I when I did realize, I tried to kill myself.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;The girl that I was staying with, who was an IV drug user, she ended up being all I had. I felt safe with her and then when I realized that she was selling me to men and that she really didn’t care or that she did care about me, but her need for drugs was so powerful that she was willing to risk my life or my safety to get those drugs, I was devastated and I stabbed my arm multiple times with a carving knife and she had to call an ambulance. And because of that, she wouldn’t let me go back to her place. Because I was a &lt;/span&gt;&lt;i&gt;&lt;span style="font-weight: 400;"&gt;heat bag&lt;/span&gt;&lt;/i&gt;&lt;span style="font-weight: 400;"&gt; then.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Because of me she had to call 9-1-1. Which is a serious offense in this subculture of drug use and homelessness and sex work because police are pretty awful to drug users, in my experience. And it’s very hard, even if you’re watching your friend overdose, you do not want to call 9-1-1, because you don’t want to get in trouble. You also don’t want to call 9-1-1 because you know that the person laying on the ground does not want to wake up and see the police in their face and be taken to jail because of their addiction. And that is a call I have had to make. And I tell you that I did leave my friend on the floor until her lips were blue before I called 9-1-1 because I was scared of the police.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;And the time that I tried to kill myself when I was first realizing that I’m in this subculture, where people can only care up until they get their next hit.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;When I was released from the hospital in Quebec, I was covered in blood. This is another example of how you’re not treated like a young girl – when they took me in, they were basically laughing at me. They weren’t taking it seriously that I had tried to kill myself and they told me that I just, you know, I was just in drugged-induced psychosis, basically and that I was &lt;/span&gt;&lt;i&gt;&lt;span style="font-weight: 400;"&gt;jonesing&lt;/span&gt;&lt;/i&gt;&lt;span style="font-weight: 400;"&gt; and that I just needed another hit, and that’s why I was acting out.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;They didn’t give me even any bus fare. They let me – they released me to a place where, you know, outside of the hospital where I had no idea where I was and I had to find my own way back to this girl’s house… not knowing that she would also reject me from there. But just the lack of compassion… I know to them, I was wasting their time because they had real people with, what is considered real health issues – that aren’t addiction – to deal with. But I really did need their help. And if an adult, I feel like would have treated me like I was a young girl who needed help, things could have been different. But they didn’t even try. And that all contributed to me just giving up more and more.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I was worthless. I, uh, walked all through the streets of Ottawa in those bloody clothes and nobody offered me any help. Except a bus driver let me on for free eventually. And the only places that I could go were crack houses… and I call them crack houses but these are houses where there is a lot of prescription drug use. It's not all crack. It’s all kind of drugs, a lot of opioid use, a lot of needles… and those are the people that ended up taking care of me and letting me sleep on their couches with their bed bugs until I was healed enough to get my stitches out and carry on about my business.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;And by then there was no other options outside of sex work because – I was too awful looking to get away with shoplifting. So, when you go into shops when you’re looking clean and tidy, they don’t notice you and you can get away with a lot more than when you walk in in dirty clothes and scabs all over your face and arms. You get noticed very quickly. So sex work becomes one of the only options because men, and not all men, but a lot of men don’t seem to mind if you are dirty and if you have scabs and if you are sick.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Every other part of your identity beyond drugs and prostitute and homeless are erased and that’s what people see. They see an addict and they can justify many actions against you by that. They can justify throwing you in jail, or kicking you out or having sex with you when you clearly are in no shape to be doing that because you’re just an addict – and you’re no longer a young woman who was scared, who needs help, who was a new comer to Canada. You’re just seen as disposable.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I don’t think that people treat young girls who are not homeless addicts the way that they treat homeless young addicted girls and I wish that is something that could be changed. I know a lot of men that have done terrible things to me, have daughters at home that they would kill somebody for doing the same thing to. But because I made the choice to put a needle in my arm I lost all the privileges that many humans in Canada do get. The rights over their own body – to not be touched while they are sleeping.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;And just because I made the choice to sell my body or because I made that choice – because it was the only choice that was left to me…doesn’t mean that I can’t be raped. Because I did get raped and there are a lot of other girls who are out there getting raped too. There’s just no respect for addicts.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;b&gt;Narrator:&lt;/b&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;As far as she has progressed in life, sobriety is still a source of shame for Charlotte and she is always aware what the world expects and what is realistically possible.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;b&gt;Charlotte:&lt;/b&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;People do tend to think that when you stop being an addict, you’re supposed to at least stop doing all drugs and I think that’s taught in a lot of these recovery practices. But for me, that’s not the case and I think it is a dangerous misconception.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Because if you tell me that I can’t smoke pot or drink alcohol for the rest of my life, I’m going to be very anxious and panicky just the thought of that to not have that kind of safety net of more socially acceptable drugs.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;When I first got off the streets, marijuana really helped me stay away from going back to the hard stuff. It also helped me sleep at night. I find that I have less nightmares. I find that I have less reoccurring traumatic thoughts about my past when I’m smoking marijuana. And I’m ashamed of that pot use to a certain extent because… while it is legalized and there is a lot less social stigma around it, I think or I feel like in professional worlds, that it might delegitimize me in the field of research because I use it so often. I feel like people may think that I am not a serious professional or they might worry that I’m conducting research stoned. I don’t use it for the day to day activities. I use it as a crutch at night.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;What I hope to do is transform the research process into one that can be actually part of prevention and intervention for youth homelessness and addiction. So by helping to facilitate positive, meaningful youth engagement with youth who are at risk of homelessness and addiction, or who are experiencing those things. And trying to send the message that when we’re in places of privilege, like I am now, like, each interaction that I have with a youth who is experiencing hard times, can be a positive one.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;It can be more than just a simple interview where I’m siphoning knowledge from them about their experience, to publish towards my own career. I can try to offer them resources, I can try to offer them hope, and at the very least, I can ensure that I’m giving them cash dollars for their participation in my studies, rather than gift cards, which are not a form of harm reduction, the way that I see cash is.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Because if I’m giving cash to my participants, then and they need drugs, then it’s my line of thinking that they’ll have to do one less awful thing to get those drugs because they have that $20. And I think that there is a perception, that when you’re giving addicts money, you’re enabling them. I think you need to respect people’s wishes too. If somebody is asking you for money, it’s because they need money. And it’s not up to you what they do with that money. And I think that you can provide some semblance of safety by giving them that money, rather than a gift card – which will not help them get the drugs they need... in which will mean that they will still have to go walking down the streets trying to catch the eyes of drivers who will stop and ask them if they want a date.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I hope that in all the research that I do I can engage meaningfully with youth, I can get them excited about the possibility of returning to school or following dreams outside of school that are off of the streets and away from drugs.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;And I think from the youth that I have worked with so far, they do appreciate that I come from a background similar to their own and they do seem to be more willing to talk to me about more intimate details of their experience because of that. And they’ve told me that. And they seem also to be excited that I’m doing so well, and I think it gives them a sense of hope that, well maybe, you know, the future doesn’t have to look homeless and addicted.&lt;/span&gt;&lt;/p&gt;</text>
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              <text>&lt;strong&gt;&lt;strong&gt;&lt;br /&gt;Episode 3: &lt;b&gt;Mélissa&lt;/b&gt;&lt;br /&gt;&lt;b&gt;&lt;/b&gt;&lt;/strong&gt;&lt;/strong&gt;&#13;
&lt;p&gt;&lt;b&gt;Mélissa:&lt;/b&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I had a good job as a client care attendant for people, uh ... who had terminal bone cancer. I had a great condo, a nice new car, a sports car, Tiburon, manual. My family didn’t think I’d get it, but I got it. It was a point of pride for me. I had lots of good friends, and I used coke occasionally. And my family relationships were going really well.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;When I was 14, in high school, I hung out with some guys from Ottawa, and we did speed. When I was 18 I met a guy, a serious relationship that lasted 7 years. We broke up because of cheating, and then I started to work as an escort because it paid well. I started putting ads in the newspaper. I did some porn, and that led me to organized crime. I felt safe with them: if ever anything happened to me, I just had to call them and they’d take care of it.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;That’s when one of them moved in with me. I wanted to help him out—little did I know what that would involve. After he OD’d, I saved his life. And by way of thanking me, he paid my rent and introduced me to heroin, which he bought for me. I was 24 years old at that time.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I realized things weren’t right when I was 28. I was doing heroin, crack, speed, oxys and fentanyl. It all fell apart when I lost everything: my boyfriend, my apartment, my friends, my furniture, my clothes and my personal hygiene. I was ashamed of myself. It got to the point where I was squatting in abandoned houses with no heat and no running water. I owed money to the drug dealers and the government.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I defrauded the banks by putting empty envelopes in the ATMs. I had about 20 different credit cards, with limits from $100 to $5,000. I lost my driver’s licence. I now have a criminal record, and as everyone knows, when you have a criminal record you’re stuck with minimum wage jobs for the rest of your life. My car was repossessed by the company because I couldn’t make the payments anymore. I was 28 years old, I went bankrupt, and I was on probation for the next three years.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;So here I was at 28, on the street, no housing, tons of debt, no car, tons of family problems. I didn’t know what to do. My instinct went into survival mode. Rule number 1 was using. Every hour, every minute, and every second of the day, I had to get my fix. I’d stay with one person, then another for a few days at a time. Sometimes I had no place to sleep, so I’d sleep on a park bench, in any old park.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I had no hygiene, and I weighed 80 pounds. I’m 5’ 6”, so technically I should weigh 125 pounds. I was literally skin and bones. When I had no money for drugs, I turned to prostitution, or easier yet, I slept with the dealers in exchange for drugs.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Using is truly a demon that thinks for you, acts for you, and controls you in an incredibly cruel way. It literally tears you apart. I used with several people. And people will steal from you, they’ll manipulate you to get your stash. When you live on the street, your life is in constant danger. I got into even more trouble with the law—another probation, for one thing—and had even more family problems.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I lived on the street for three years. After three years, I was literally exhausted, both physically and mentally. In January 2018, I started therapy for the first time in my life at the CRDO [Centre de réadaptation en dépendance de l’Outaouais]. I stayed for two weeks, because I thought I’d be cured when I finished therapy. Therapy is really hard when you’re using. You’re scared, you don’t know what to expect. It’s change, and sometimes you’re not ready to change.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I had relapse after relapse—you always return to your old patterns of consumption. In May 2018, I went back into therapy and successfully completed a 38-day program. You’re safe in therapy. I succeeded and I’m proud of it. You learn a lot of things in therapy, but the most important thing when you come out is how people react when they see you: you’re healthy, you’ve gained weight, you don’t have dark circles under your eyes, it’s all wonderful. I’m fine now, but I relapsed on the 75th day. Why? Because I fell back into my old patterns of consumption.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;What I’ve learned about myself is that I’m beautiful, that I can be happy without drugs. I have to think of myself before others. It’s important to talk to someone when things start to go wrong. I got my independence back. Now, at 32, I have my own apartment, I cook for myself, I’m important, and it’s true that sleeping on something often brings a solution. I weigh 115 pounds. I haven’t used in 2 months and 2 days. It’s hard work, but it’s worth it. Being happy and not using is the best gift I could have given myself.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;Another thing I learned is that when I was using, I had lots of friends, and now my old friends think I’m boring—and that’s normal, I’m not using anymore. I’ve built a new circle of friends, I have confidence in myself and that’s the important thing. To society, since I have a criminal record, I’m labelled a criminal. People are too quick to judge: when you’re using, people call you all kinds of names—slut, cow, junkie, bitch, etc. Now that I’m sober, people see me as a good person who knows what she’s doing, and also, importantly, a responsible citizen. I also belong to L’Addict, an association for current and former drug users.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;I’m leaving on December 30, 2018, for a three-month therapy program in Ottawa, and I’m proud of it. This will be my challenge for 2019. I’d like to say that yes, it’s hard, and no, it’s not easy, but take the time, it’s worth it. I’m doing really well and I want things to get even better. After my three months are up, I’d like to get my driving licence back, finish paying off my debts, and be very happy and especially smiling. Don’t be afraid to ask for help—it’s worth it. Good luck, everyone. My name is Mélissa C.&lt;/span&gt;&lt;/p&gt;</text>
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              <text>&lt;strong&gt;&lt;strong&gt;&lt;br /&gt;Episode 7: &lt;b&gt;Donna&lt;br /&gt;&lt;/b&gt;&lt;/strong&gt;&lt;/strong&gt;&#13;
&lt;p&gt;&lt;b&gt;Donna:&lt;/b&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;She suffered from, from symptoms of anxiety and mental illness for years before she was finally diagnosed. She self-medicated with OxyContin that she was prescribed. And she was very honest about it, she was, “This works, this works with my social anxiety.” And in my naivety I said that’s great, you know, let’s have you stay on that, and you’re functioning! You’re functioning well, you’re perfect, you’re easy to get along with. And then the doctor cut her off of course when she said to him, you know, “this is what I’m using it for”, and he said, “well I won’t prescribe it for that”, and actually fired her from his practice. And then she turned to the street drugs and that was the downward spiral to the point where she lost everything. Her children, her home, her relationship, everything, and ended up living on the streets, and becoming your stereotypical substance user, you know, the one that you want to cross the street to avoid.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;You know, and my experience with her was to just practice tough love, and that just pulled her down ever further. By the time I realized how dangerous what she was doing was, it was already too late, and I couldn’t get to her to try to turn anything around. And then like I said, it was a matter of, you know, getting the phone call from the hospital saying you better come, we don’t know if she’s going to get up off the operating table. We’re going to amputate her legs to stop the necrotizing fasciitis. And, and by the time I got there, they had finished the surgery itself and said, you know, there’s nothing that we can do to stop the infection. It had already gone into her internal organs, and she was going to lose her life from it. And then it was just a matter of her saying to me, you know, you really need to know what addiction is really all about. And, for the remainder of her days that’s what she did with me, is she talked to me about what her issues were, the underlying causes of her needing to take drugs.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;And, it was an eye-opener. When she first died, I, you know, her wish was for me to go out and to be able to help other moms and dads to understand what their children are really using drugs for. And it’s not for pleasure and it’s not for fun, it’s not for, you know, just – keeping up with your peers. Once, once you get started on something it’s very difficult to turn away from it especially when it comes to opiates, and the differences that it makes in a person’s body. That’s been my biggest challenge, is to let parents know that it’s not just a willful behavior, and something that they can stop. We really need to work hard to unders&lt;/span&gt;&lt;/p&gt;&#13;
&lt;strong&gt;&lt;b&gt;&lt;br /&gt;&lt;/b&gt;&lt;/strong&gt;</text>
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                <text>Between May and August of 2019, Health Canada released an 8-episode podcast series on Apple Podcasts, Google Podcasts, and their own website that "explores the personal stories of people affected by the opioid crisis"; a crisis that is happening "in plain sight". Included in this series were people in recovery (Charlotte, Darryl, Mélissa, Kirk, Stéphane), a service provider (Elsa), and a family of overdose decedents (Amy, Donna). Three episodes (Mélissa, Elsa, and Stéphane) contain French audio with English transcripts.</text>
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                <text>&lt;a href="https://www.canada.ca/en/health-canada/services/opioids/toolkit/in-plain-sight.html" target="_blank" rel="noopener"&gt;https://www.canada.ca/en/health-canada/services/opioids/toolkit/in-plain-sight.html&lt;/a&gt;</text>
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                <text>"&lt;a href="https://www.canada.ca/en/health-canada/services/opioids/toolkit/in-plain-sight.html" target="_blank" rel="noopener"&gt;In Plain Sight&lt;/a&gt;" by &lt;a href="https://www.canada.ca/en/services/health.html" target="_blank" rel="noopener"&gt;Health Canada&lt;/a&gt; is licensed under &lt;a href="https://creativecommons.org/licenses/by-nc-nd/4.0/" target="_blank" rel="noopener"&gt;CC BY-NC-ND&lt;/a&gt;.</text>
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        <name>Mostly younger individuals</name>
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              <text>&lt;p&gt;&lt;strong&gt;Voice 1&lt;/strong&gt;: (female 30-39) "I never thought drugs would impact someone close to me…"&lt;br /&gt;[A woman sits on a couch, next to a basket of laundry. She holds a hardhat.]&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;Voice 2&lt;/strong&gt;: (male 50-60) "That people would judge and make her feel invisible…"&lt;br /&gt;[A man and a woman stand in a kitchen, not looking at each other.]&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;Voice 3&lt;/strong&gt;: (male young 20s) "That he'd be ashamed to talk about his opioid use."&lt;br /&gt;[A young basketball player sits on a bench in a locker room.]&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;Voice 1&lt;/strong&gt;: (female 30-39) "He felt like he couldn't ask for help, even though he was my husband."&lt;br /&gt;[The woman on the couch stares out the window.]&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;Voice 4&lt;/strong&gt;: (female 50-60) "Our daughter."&lt;br /&gt;[In the kitchen, close-up of a photo of a young woman on the fridge.]&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;Voice 3&lt;/strong&gt;: (male young 20s) "My best friend…"&lt;br /&gt;[The basketball player looks into the camera.]&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;Narrator&lt;/strong&gt;: "Canadians are dying of overdoses every day. Stigma is making it harder for people to get help. Addiction is a treatable medical condition - not a choice."&lt;br /&gt;[Wearing protective masks, a man sits on a bench in a hallway, his head bowed, rubbing his hands together anxiously. A health care professional comes out of an office and greets him. She joins him on the bench.]&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;Narrator&lt;/strong&gt;: "Help end the stigma."&lt;br /&gt;[Words on the screen: Get the facts at Canada.ca/Opioids]&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;Narrator&lt;/strong&gt;: "A message from the Government of Canada."&lt;br /&gt;["Canada" wordmark]&lt;/p&gt;</text>
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                <text>&lt;iframe width="560" height="315" src="https://www.youtube.com/embed/inDI06DXVjg" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"&gt;&lt;/iframe&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;'Stigma' landing page&lt;/strong&gt;: &lt;a href="https://www.canada.ca/en/health-canada/services/opioids/stigma.html" target="_blank" rel="noopener"&gt;https://www.canada.ca/en/health-canada/services/opioids/stigma.html&lt;/a&gt;</text>
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                <text>In February 2021, Health Canada uploaded a video entitled "End the stigma" (linked here) that appears to be a continuation of this 2019 campaign (a second rollout), as it features the same stock footage actors. This ad was likely more widely distributed.</text>
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                <text>By emphasizing their relationships, friends and family (actors) of overdose decedents convey the message, "I never thought drugs would impact someone close to me" (their daughter, husband, friend). As they grieve the loss of this person, they reflect on the stigma and shame associated with substance use. In the first rollout of this campaign, Health Canada produced 4 posters with the concluding tagline, "This story could be yours."</text>
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                <text>"&lt;a href="https://www.canada.ca/en/health-canada/services/video/end-stigma-campaign.html"&gt;End Stigma&lt;/a&gt;" by &lt;a href="https://www.canada.ca/en/services/health.html" target="_blank" rel="noopener"&gt;Health Canada&lt;/a&gt; is licensed under &lt;a href="https://creativecommons.org/licenses/by-nc-nd/4.0/" target="_blank" rel="noopener"&gt;CC BY-NC-ND&lt;/a&gt;.</text>
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        <name>2 to 5 total individuals featured</name>
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                <text>&lt;strong&gt;Campaign Website:&lt;/strong&gt;&lt;br /&gt;&lt;a href="https://knowmoreopioids.ca/" target="_blank" rel="noopener"&gt;https://knowmoreopioids.ca/&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;Health Canada enlisted the help of experiential marketing agency Proof Experiences: &lt;a href="https://www.proofexperiences.com/work/health-canada/" target="_blank" rel="noopener"&gt;https://www.proofexperiences.com/work/health-canada/&lt;/a&gt;</text>
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                <text>Targeted toward teenagers and young adults, the Know More tour, originally in-person, visited high schools, events, and summer festivals to facilitate interactive activities on problematic opioid use. Along with addressing stigma towards people who use drugs, the tour also covered the following modules:&lt;br /&gt;&#13;
&lt;ul&gt;&#13;
&lt;li&gt;Opioids&lt;/li&gt;&#13;
&lt;li&gt;Fentanyl&lt;/li&gt;&#13;
&lt;li&gt;Signs of an opioid overdose&#13;
&lt;ul&gt;&#13;
&lt;li&gt;Overdose awareness and the overdose crisis in Canada&lt;/li&gt;&#13;
&lt;li&gt;Information about Canada's Good Samaritan Drug Overdose Act&lt;/li&gt;&#13;
&lt;/ul&gt;&#13;
&lt;/li&gt;&#13;
&lt;li&gt;Naloxone&lt;/li&gt;&#13;
&lt;/ul&gt;&#13;
Now offered in an interactive virtual format due to the COVID-19 pandemic, the stigma module defines stigma, identifies the impacts of stigma on people who use drugs, and advocates for reducing stigma through changing language. To do so, video, audio, and text materials from other sources, including other Health Canada campaigns, are embedded into the module.</text>
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                <text>"&lt;a href="https://knowmoreopioids.ca/" target="_blank" rel="noopener"&gt;Know More&lt;/a&gt;&lt;a href="https://www.canada.ca/en/health-canada/services/video/end-stigma-campaign.html"&gt;&lt;/a&gt;" by &lt;a href="https://www.canada.ca/en/services/health.html" target="_blank" rel="noopener"&gt;Health Canada&lt;/a&gt; is licensed under &lt;a href="https://creativecommons.org/licenses/by-nc-nd/4.0/" target="_blank" rel="noopener"&gt;CC BY-NC-ND&lt;/a&gt;.</text>
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                <text>&lt;strong&gt;Campaign webpage&lt;/strong&gt;:&lt;br /&gt;&lt;a href="https://Canada.ca/easetheburden" target="_blank" rel="noopener"&gt;https://www.Canada.ca/easetheburden&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Example Campaign Facebook post:&lt;/strong&gt;&lt;br /&gt;&lt;a href="https://www.facebook.com/photo/?fbid=400920468745388&amp;amp;set=a.254790070025096" target="_blank" rel="noopener"&gt;https://www.facebook.com/photo/?fbid=400920468745388&amp;amp;set=a.254790070025096&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Example Campaign Twitter post&lt;/strong&gt;:&lt;br /&gt;&#13;
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&lt;p lang="en" dir="ltr"&gt;Men in trades are more impacted by substance use and addiction than others. Let’s &lt;a href="https://twitter.com/hashtag/EndStigma?src=hash&amp;amp;ref_src=twsrc%5Etfw"&gt;#EndStigma&lt;/a&gt; and ensure &lt;a href="https://twitter.com/hashtag/MenInTrades?src=hash&amp;amp;ref_src=twsrc%5Etfw"&gt;#MenInTrades&lt;/a&gt; feel safe and supported to reach out for help if they are struggling: &lt;a href="https://t.co/h46gfQl286"&gt;https://t.co/h46gfQl286&lt;/a&gt; &lt;a href="https://twitter.com/hashtag/MensHealthWeek?src=hash&amp;amp;ref_src=twsrc%5Etfw"&gt;#MensHealthWeek&lt;/a&gt; &lt;a href="https://t.co/qwVebRMuFJ"&gt;pic.twitter.com/qwVebRMuFJ&lt;/a&gt;&lt;/p&gt;&#13;
— Health Canada and PHAC (@GovCanHealth) &lt;a href="https://twitter.com/GovCanHealth/status/1538220152109649922?ref_src=twsrc%5Etfw"&gt;June 18, 2022&lt;/a&gt;&lt;/blockquote&gt;&#13;
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                <text>&lt;strong&gt;&lt;br /&gt;Related campaign news article&lt;/strong&gt;:&lt;br /&gt;&lt;a href="https://canada.constructconnect.com/dcn/news/ohs/2021/08/opioid-crisis-prompts-creation-of-toolkit-for-trades" target="_blank" rel="noopener"&gt;https://canada.constructconnect.com/dcn/news/ohs/2021/08/opioid-crisis-prompts-creation-of-toolkit-for-trades&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Related campaign toolkit:&lt;/strong&gt;&lt;br /&gt;&lt;a href="https://www.ccsa.ca/substance-use-and-workplace-supporting-employers-and-employees-trades-toolkit" target="_blank" rel="noopener"&gt;https://www.ccsa.ca/substance-use-and-workplace-supporting-employers-and-employees-trades-toolkit&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Promotional Twitter post for toolkit:&lt;/strong&gt;&lt;br /&gt;&#13;
&lt;blockquote class="twitter-tweet"&gt;&#13;
&lt;p lang="en" dir="ltr"&gt;Work in a trade? CCSA and &lt;a href="https://twitter.com/GovCanHealth?ref_src=twsrc%5Etfw"&gt;@GovCanHealth&lt;/a&gt; have resources to help employers and workers in reduce risks related to substances and substance use disorder. Learn more: &lt;a href="https://t.co/MRlYkBbB8C"&gt;https://t.co/MRlYkBbB8C&lt;/a&gt; &lt;a href="https://t.co/tjEwrxV0r6"&gt;pic.twitter.com/tjEwrxV0r6&lt;/a&gt;&lt;/p&gt;&#13;
— CCSA (@CCSACanada) &lt;a href="https://twitter.com/CCSACanada/status/1425083266604879877?ref_src=twsrc%5Etfw"&gt;August 10, 2021&lt;/a&gt;&lt;/blockquote&gt;&#13;
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                <text>&lt;p&gt;&lt;br /&gt;&lt;strong&gt;"Getting help for addiction takes strength" Campaign YouTube video:&lt;/strong&gt;&lt;iframe width="560" height="315" src="https://www.youtube.com/embed/eWxJD-vVmbc" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"&gt;&lt;/iframe&gt;&lt;/p&gt;</text>
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                <text>Coinciding with #MensHealthWeek in June 2021, Health Canada had created a social media campaign dedicated to to reducing stigma and raising awareness around the opioid epidemic within the trades. Within these campaign social media posts, users were invited to visit the campaign's webpage to learn more and find resources, featuring the following sections:&lt;br /&gt;&#13;
&lt;ul&gt;&#13;
&lt;li&gt;&lt;em&gt;Men in trades and substance use&lt;/em&gt;&lt;/li&gt;&#13;
&lt;li&gt;&lt;em&gt;Find help with substance use&lt;/em&gt;&lt;/li&gt;&#13;
&lt;li&gt;&lt;em&gt;Learn about the harms of stigma&lt;/em&gt;&lt;/li&gt;&#13;
&lt;li&gt;&lt;em&gt;Know the risks of opioids and how to save a life&lt;/em&gt;&lt;/li&gt;&#13;
&lt;li&gt;&lt;em&gt;Chronic pain and substance use&lt;/em&gt;&lt;/li&gt;&#13;
&lt;/ul&gt;&#13;
Two months later, a related resource toolkit for dealing with substance use issues in the workplace titled, "S&lt;em&gt;ubstance Use and the Workplace: Supporting Employers and Employees in the Trades&lt;/em&gt;", was released by the Canadian Centre on Substance Use and Addiction (CCSA). Constructed with the help of Health Canada and the Canadian Centre for Occupational Health and Safety, this toolkit contains information on several topics, including:&lt;br /&gt;&#13;
&lt;ul&gt;&#13;
&lt;li&gt;Explaining stigma&lt;/li&gt;&#13;
&lt;li&gt;Problems with orgnaizational cultures and workplace risk factors&lt;/li&gt;&#13;
&lt;li&gt;Education resources&lt;/li&gt;&#13;
&lt;li&gt;Addressing substance use in the workpalce&lt;/li&gt;&#13;
&lt;li&gt;Policy and procedure guidance&lt;/li&gt;&#13;
&lt;li&gt;Employee resources (including getting help)&lt;/li&gt;&#13;
&lt;li&gt;Lists of related sources or organizations&lt;/li&gt;&#13;
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Finally, a 30-second live-action video ad was released in September 2022 to raise awareness around the stigma of substance use and how it can be a barrier to recovery for men in the trades. Following a construction worker as he lofts around a cinderblock home (representing the stigma of his substance use), the narrator comments that his wife tries to take it away for him but he refuses, drawing parallels to how stigma can be a heavy burden and can create difficulty in asking for help for one's personal issues with addiction. Nonetheless, the narrator emphasises that individuals like him can get better with support, and that it takes strength to reach out for help (countering the idea that "needing help" is a sign of weakness).</text>
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              <text>&lt;strong&gt;Shane's Story&lt;/strong&gt;:&lt;br /&gt;&lt;em&gt;Click &lt;a href="https://news.interiorhealth.ca/news/end-the-stigma-shanes-story/"&gt;here&lt;/a&gt; to read Shane's full story.&lt;/em&gt;&lt;br /&gt;&lt;br /&gt;"Having experienced both substance use issues and homelessness, they know about shame and blame firsthand.&lt;br /&gt;&lt;br /&gt;'Every homeless or drug addicted person I know has been impacted by stigma. If you carry a back-pack, you’re not allowed to use a washroom, even in a business where you eat every day,' Shane says.&lt;br /&gt;&lt;br /&gt;'Stigma is everywhere. We need to get rid of it, for everyone. Not just for the homeless or addicted but as a race.' He pauses. 'Whoa I’m getting deep now, holy cow.' He laughs to lighten the mood, but his words are true.&lt;br /&gt;&lt;br /&gt;It was the impact of stigma that spurred Shane to begin advocating for marginalized people in their community. He is a co-founder of VEPAD – Vernon Entrenched People Against Discrimination – a support group of sorts, that is active in harm reduction efforts, community clean-ups, and education.&lt;br /&gt;&lt;br /&gt;'Don’t paint everybody with the same brush and don’t be so quick to judge. It can happen to anyone. I’m proof of that,' Shane says. 'I come from an upper middle class family. I was always a confident person until 10 years ago.'&lt;br /&gt;&lt;br /&gt;&#13;
&lt;p&gt;&lt;b&gt;Rachel's Story:&amp;nbsp;&lt;/b&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;00:04 I had a low self-esteem. I felt crappy. I wouldn’t feel that I was worthy. I… wasn’t good enough for myself, or I’m not good enough for my spouse or not good enough to be a sister, a daughter, or a mother. It was hard… And then to be with, um, strangers. I mean, ‘oh she’s a- she’s a druggie. She does drugs. She’s not gonna, um, do with anything [sic] with her life.’ But I mean, I am. I’m… I’m doing more with my life now than-&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;00:46 I’m wanting to get off the drugs and better myself. And then after my… mom passed away, I wasn’t doing drugs at the time. I quit. So I’m happy that my mom got to see that I was trying to… better myself and better my life.&lt;/span&gt;&lt;/p&gt;&#13;
&lt;p&gt;&lt;span style="font-weight: 400;"&gt;01:13 All of us, we are all equal. We all have our own paths to walk. We’re not rude, we’re not mean. We- we want just the same as you, to live life and be happy.&lt;/span&gt;&lt;/p&gt;&#13;
'I’d never used drugs in my life. I didn’t drink much. All of a sudden one night I had a line of cocaine put in front of me, and I fell in love with it right then and there. I couldn’t get enough of it. I lost everything to it.'&lt;br /&gt;&lt;br /&gt;The stigma surrounding homelessness and substance use weighs on you, Shane says, until you are looking down all the time and it feels like nobody cares about you."</text>
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                <text>&lt;strong&gt;Interior Health's "Stigma and Substance Use" Video Playlist&lt;/strong&gt;:&lt;br /&gt;&lt;br /&gt;&lt;iframe width="560" height="315" src="https://www.youtube.com/embed/videoseries?list=PLws0NwJdLuYQrZKOMDE28ZiYVccny95L1" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"&gt;&lt;/iframe&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Interior Health Blog Posts&lt;/strong&gt;:&lt;br /&gt;&lt;br /&gt;&lt;a href="https://www.interiorhealth.ca/stories/stop-the-harm-jills-story"&gt;"End the stigma: Jill's story"&lt;/a&gt;&lt;br /&gt;&lt;a href="https://www.interiorhealth.ca/stories/end-the-stigma-shanes-story"&gt;"End the stigma: Shane's story"&lt;/a&gt;&lt;br /&gt;&lt;a href="https://www.interiorhealth.ca/stories/end-the-stigma-brians-story"&gt;"End the stigma: Brian's story"&lt;/a&gt;&lt;br /&gt;&lt;a href="https://www.interiorhealth.ca/stories/end-the-stigma-rachels-story"&gt;"End the stigma: Rachel's Story"&lt;/a&gt;</text>
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                <text>Notable for including the narrative of a person in active use, "End Stigma" is a "four part series of stories and videos about the stigma faced by those impacted by substance use". Interior Health also cut together a 30-second version of each person's story; each person had an accompanying blog post on Interior Health's &lt;a href="https://news.interiorhealth.ca/"&gt;subdomain for news&lt;/a&gt;.</text>
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                <text>&lt;strong&gt;Campaign Facebook post:&lt;/strong&gt;&lt;br /&gt;&lt;a href="https://www.facebook.com/VanIslandHealth/photos/a.135825909827520/4024989730911099" target="_blank" rel="noopener"&gt;https://www.facebook.com/VanIslandHealth/photos/a.135825909827520/4024989730911099&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Campaign-related web page:&lt;/strong&gt;&lt;br /&gt;&lt;a href="https://www.islandhealth.ca/our-services/mental-health-substance-use-services/overdose-prevention-services" target="_blank" rel="noopener"&gt;https://www.islandhealth.ca/our-services/mental-health-substance-use-services/overdose-prevention-services&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Press release article (for April 2022 iteration):&lt;/strong&gt;&lt;br /&gt;&lt;a href="https://www.islandhealth.ca/news/news-releases/island-health-launches-campaign-support-men-who-use-substances" target="_blank" rel="noopener"&gt;https://www.islandhealth.ca/news/news-releases/island-health-launches-campaign-support-men-who-use-substances&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Example Campaign Twitter post:&lt;/strong&gt;&lt;br /&gt;&lt;a href="https://www.islandhealth.ca/our-services/mental-health-substance-use-services/overdose-prevention-services"&gt;&lt;/a&gt;&#13;
&lt;blockquote class="twitter-tweet"&gt;&#13;
&lt;p lang="en" dir="ltr"&gt;If you use drugs or know someone who does, visit &lt;a href="https://t.co/7eYFd8WHla" target="_blank" rel="noopener"&gt;https://t.co/7eYFd8WHla&lt;/a&gt; to find services available to help prevent overdose and use more safely.&lt;a href="https://twitter.com/hashtag/StopOverdose?src=hash&amp;amp;ref_src=twsrc%5Etfw"&gt;#StopOverdose&lt;/a&gt; &lt;a href="https://t.co/84JnNe3FOh"&gt;pic.twitter.com/84JnNe3FOh&lt;/a&gt;&lt;/p&gt;&#13;
— Island Health (@VanIslandHealth) &lt;a href="https://twitter.com/VanIslandHealth/status/1511056315036147717?ref_src=twsrc%5Etfw"&gt;April 4, 2022&lt;/a&gt;&lt;/blockquote&gt;&#13;
&lt;script async="" src="https://platform.twitter.com/widgets.js" charset="utf-8"&gt;&lt;/script&gt;</text>
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                <text>&lt;strong&gt;Magazine containing campaign-related&lt;/strong&gt; &lt;strong&gt;article &lt;/strong&gt;(pg. 10):&lt;br /&gt;&lt;a href="https://www.islandhealth.ca/sites/default/files/news/documents/island-health-magazine-summer-2021.pdf" target="_blank" rel="noopener"&gt;https://www.islandhealth.ca/sites/default/files/news/documents/island-health-magazine-summer-2021.pdf&lt;/a&gt;</text>
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                <text>Targeting men employed in skilled trades and transport, this Vancouver Island-based campaign sought to raise awareness for drug addiction support services, provide education on overdose prevention and treatment, and encourage the breaking of silence around personal drug use. Having been conducted in 2021 and 2022, this campaign included "[advertisements on] radio, social media, digital channels and display ads in bus shelters" (from press release article). &lt;br /&gt;&lt;br /&gt;Subtly highlighting the other identities of people who use drugs, these advertisements featured images of men in different contexts, including working in a woodshop and playing with a child. Each advertisement also included this tagline: &lt;em&gt;"Too many men have been lost to overdose. We're here for you because we want you to be here too."&lt;/em&gt;</text>
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                <text>Island Health</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>2021-05-01</text>
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            <name>Language</name>
            <description>A language of the resource</description>
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                <text>English</text>
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            <description>The nature or genre of the resource</description>
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                <text>Images and Messages</text>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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                <text>Social Marketing</text>
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            <name>Audience</name>
            <description>A class of entity for whom the resource is intended or useful.</description>
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                <text>General Public</text>
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            <name>Coverage</name>
            <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
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                <text>County/Regional</text>
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        <name>Increases Overdose Risk</name>
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        <name>Men-focused</name>
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        <name>PWUD Are Valuable</name>
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        <name>Societal Silence</name>
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