Harm Reduction Episodes

Suicide remains one of the most urgent and complex public health challenges in the United States, with more than 49,000 lives lost in 2023 alone. In this episode, ASTHO’s director of state health policy, JoAnne Deehr, breaks down how states are responding with more targeted, data-driven strategies.

Wildfire smoke is no longer a rare emergency; it’s a predictable, climate-driven public health threat. In this episode, Gabriela Goldfarb, environmental public health section manager for the Oregon Health Authority's Public Health Division, tells us why health agencies must begin outreach and coordination long before wildfire season starts. Goldfarb walks through Oregon’s collaborative wildfire smoke response protocol, explaining how state, federal, tribal, and local partners translate complex data into timely public health advisories.

Fatal overdoses are rising among adults 45 and older and stigma often keeps this age group out of the conversation. In this episode, Dr. Philip Chan, consultant medical director at the Rhode Island Department of Health and a practicing primary care physician, discusses Rhode Island’s 'No Matter Why You Use' campaign.

What does it take for states to expand access to substance use disorder treatment and build stronger, more sustainable partnerships between Medicaid and public health?  In Massachusetts, leaders changed policies around provider models to increase access to care for opioid use disorder: Frances McGaffey, manager of the Substance Use Prevention and Treatment Initiative at The Pew Charitable Trusts, explains how pairing providers with dedicated nursing support has helped remove barriers to prescribing buprenorphine, expand the addiction workforce, and dramatically increase access to care. Then, Cory Caldwell, senior policy analyst at the National Association of Medicaid Directors, discusses the new 'Medicaid Leaders Playbook for Building Public Health Partnerships,' developed in collaboration with ASTHO.

As behavioral health and overdose crises continue to strain health systems, states are rethinking how and where care is delivered. In this episode, Dr. Jerome Larkin, the director of the Rhode Island Department of Health and an ASTHO member, explains how youth-focused mobile response and stabilization services provide rapid, in-home crisis care and keep children out of emergency departments and reduce the need for hospitalization. The conversation explores why Rhode Island moved to require insurance coverage for these services and how states can sustain them amid funding uncertainty. Later, ASTHO Senior Director of Overdose Prevention, Richa Ranade, discusses the evolving policy landscape around naloxone, including efforts to expand access in schools, libraries, and other public spaces to prevent overdose deaths.

New research out of New York shows that naloxone didn’t just save more than 6,500 lives in two years—it delivered one of the most dramatic returns on investment in public health. In this episode, Dr. James McDonald, ASTHO member and commissioner of the New York State Department of Health, breaks down the first statewide health-economic evaluation of naloxone administration.

Dr. Susan Kansagra, chief medical officer at ASTHO, discusses some of the downstream implications of CDC’s adoption of recommendations from the Advisory Committee on Immunization Practices earlier this week; Dr. Holly Wilcox, founder and director of the Center for Suicide Prevention and professor at Johns Hopkins Bloomberg School of Public Health, shares...

Dr. Edward Simmer, ASTHO member and interim director of the South Carolina Department of Public Health, celebrates the department’s one-year anniversary with a recap of their achievements, including the highest health ranking in the state’s history; Dr. Bryant Thomas Karras, the Washington State Department of Health’s chief medical informatics officer,...

Dr. Sameer Vohra, ASTHO member and director of the Illinois Department of Public Health, discusses the op-ed he co-authored in the Chicago Tribune on the progress his state has made in treating HIV; Brandon Kufalk, STI unit supervisor for the Wisconsin Department of Health Services, explains...

Dr. Kayla Anderson, senior advisor for mental health and adverse childhood experiences in the National Center for Injury Prevention and Control, shares how the CDC’s new Mental Health Data Channel streamlines access to essential data and resources that often become siloed by different sources; Dr. Scott Rivkees, dean of education at the School of Public Health at Brown University...

Dr. Natasha Bagdasarian, ASTHO member and chief medical executive for the State of Michigan, explains how Michigan’s multifaceted approach has reduced overdose deaths across the state; Heidi Westermann, director of public health data modernization and informatics at ASTHO...

Dr. Katelyn Jetelina, epidemiologist and CEO of Your Local Epidemiologist, addresses the intersection between health and politics and provides words of encouragement to her fellow colleagues in public health; Grace Lee, senior analyst for infectious disease infrastructure and policy at ASTHO...

Kelly Dougherty, deputy commissioner at the Vermont Department of Health, shares how drug testing has helped reduce the state’s opioid overdose deaths; Jeffrey Ekoma, ASTHO’s senior director for government affairs, breaks down this week’s View From Washington, D.C. report on public health news from Capitol Hill; Dr. Ralph Alvarado, commissioner of the Tennessee Department of Health, shares how he works with legislators to improve public health

Dr. Joseph Kanter, ASTHO CEO; Dr. Scott Harris, ASTHO president; Dr. Susan Kansagra, ASTHO chief medical officer; Dr. Lindsay Weaver of Indiana; Dr. James McDonald of New York; and Dr. Ralph Alvarado of Tennessee, share more from Tuesday’s deskside briefing on the Impact of Nutrition on Chronic Disease Prevention; Kelly Dougherty, deputy commissioner at the Vermont Department of Health, explains...

Dr. Kaitlan Baston, ASTHO alum and the former New Jersey commissioner of health, reflects on her time in the role as she steps down; Dr. Hang Lu, assistant professor in the department of communication and media at the University of Michigan, discusses an...

Dr. Kaitlan Baston, former commissioner of health for the New Jersey Department of Health and ASTHO alumni, outlines what New Jersey has been doing to address opioids; Kate Murray, program supervisor for Long COVID and post-COVID conditions at the...

Dr. Sameer Vohra, director of the Illinois Department of Public Health and an ASTHO Member, tells us how Illinois worked to successfully reduce opioid overdoses; and Beth Giambrone, ASTHO senior analyst of state health policy, recaps some of the...

Allison Wheeler, wastewater surveillance unit manager at the Colorado Department of Public Health and Environment, and co-director of the Wastewater Center of Excellence in Colorado, tells us about a recently published ASTHO report on ethical considerations in public health wastewater surveillance; Dawn...

Dr. Yngvild Olsen, director of the Center for Substance Abuse Treatment at SAMHSA, tells us about the importance of the first-ever Substance Use Disorder Treatment Month; Dr. Beverly Kingston, director of the Center for the Study and Prevention of...

Corey Davis, director of the Harm Reduction Legal Project at the Network for Public Health Law,  discusses the challenges of improving naloxone distribution; Carolyn Mullen, ASTHO senior vice president of government affairs and public relations,...

Dr. Manisha Juthani, commissioner of the Connecticut Department of Public Health, spent her week in Washington, D.C., discussing the importance of the Public Health Infrastructure Grant to her state; Arthur San Agustin, special assistant for health to...

Dr. Kaitlan Baston, ASTHO Member and acting commissioner of the New Jersey Department of Health, discusses a new law in New Jersey that decriminalizes many harm reduction supplies; Andra Samoa, a Department of Health consultant and liaison, wants...

Dr. Ashwin Vasan, New York City health commissioner, discusses New York City’s decision to declare social media a public health hazard; Anya Nystrom, Colorado Department of Public Health and Environment director of Culture, Strategy, Equity, and...

Dr. Tomás Aragón, ASTHO Member and Director and State Public Health Officer of the California Department of Public Health discusses a new website to give people the information they need to understand and deal with the opioid crisis; Dr. Elizabeth...