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Let's Talk Rural Mental Health

Rural Adversity Mental Health Program

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Each year, one in five of us will experience a mental health problem. Mental health problems are common but they are also treatable. Yet, if you live in the city, you are more likely to access help that if you live in a rural area of NSW. Welcome to ‘Let’s Talk’, a podcast series is hosted by journalist Kia Handley all about mental health in rural and regional Australia. Hear from people who have battled with their mental health, who have been through tragedy and have come out of the other s ...
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In this episode, award-winning journalist David P. Ball and First Nations Health Authority’s Medical Officer, Mental Health and Wellness, Dr. Nolan Hop Wo discuss the impact of stereotypes related to Indigenous people and alcohol use. Together, they speak with Beryl Parke, a Traditional Wellness Worker at First Nations Health Authority. Beryl is fr…
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In this episode, award-winning journalist David P. Ball and award-winning family physician Dr. Robert Fox speak with Kali Sedgemore, the president of the Coalition of Peers Dismantling the Drug War and a skilled harm reductionist with a focus on supporting youth. Kali is from 'Namgis First Nation, a small remote island off of Vancouver Island North…
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In this episode, award-winning journalist David P. Ball and family physician Dr. Esther Tailfeathers speak with Maura Gowans, a counselling consultant for Indigenous people, about the role that connection to culture can play in healing and wellness. Together, they discuss the importance of bringing together traditional Indigenous approaches and Wes…
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Addressing the health needs of individuals in remote and rural Indigenous communities, as well as Indigenous people living in urban areas, requires a shift from Western-centric solutions. To emphasize the diversity of Indigenous Peoples, tailored and culturally-relevant approaches are crucial. This can include mobilizing peer and family support, re…
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Navigating abstinence-based perspectives in substance use care can be complex. Within Indigenous communities, these complexities also intersect with the impacts of colonialism. Abstinence-based perspectives may arise or align with Indigenous teachings, they may stem from imposed colonial values, or both may be true. It is important to recognize tha…
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The ongoing impacts of colonization continue to affect the health and wellness of Indigenous Peoples, evident in the disproportionate rates of toxic drug poisonings and deaths experienced by Indigenous people as compared to non-Indigenous people. Addressing the harms related to substance use in these communities involves acknowledging and reducing …
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Families, including chosen families, can be an extremely important source of support in a person’s substances use care journey, but are often overlooked in substance use care planning. In this episode of the Addiction Practice Pod, co-hosts David Ball and Christina Chant discuss the complexities and strengths of involving families in substance use …
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Prescribed safer supply aims to provide access to a legal and regulated supply of drugs, in order to reduce the risk of harms and death associated with using the increasingly toxic unregulated drug supply. In this episode of the Addiction Practice Pod, Dr. Marcus Greatheart and journalist David Ball discuss prescribed safer supply with guests who h…
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Through providing small doses of alcohol to clients regularly, managed alcohol programs reduce the risks associated with heavy drinking and non-beverage alcohol consumption without requiring abstinence. In this episode of the Addiction Practice Pod, Dr. Marcus Greatheart and David Ball talk with public health researcher and executive director of th…
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Urine drug testing (UDT) is an important part of providing care to individuals with substance use disorders, from confirming baseline substance use to evaluating treatment outcomes. However, many individuals have had negative experiences with UDT. When UDT procedures feel punitive, it can impact whether an individual will continue to access care. I…
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Individuals and communities in BC are facing an increased risk of stimulant-related harms. Stimulant use can cause significant harms on its own, including negative cardiac and mental health outcomes. In the context of the unregulated drug supply, toxic drug poisonings can occur due to contamination of stimulants with opioids and other substances. I…
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Alcohol withdrawal management is an important part of the continuum of care for alcohol use disorder. While some individuals at low risk of complications can safely undergo alcohol withdrawal at home, others may require inpatient withdrawal management services to prevent life-threatening complications. In this episode of Addiction Practice Pod, Dr.…
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In Canada and around the world, colonial histories continue to influence people's access to determinants of good health. Our society continues to advantage White people, and addiction medicine is no exception. In this episode, Dr. Robert Fox, David Ball, and their guests discuss the intersections of race, ethnicity, and substance use. How can we ma…
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Evidence-based treatments often focus on a specific type of substance, like opioids or stimulants. However, many people have more than one substance that they use frequently. In this episode, Dr. Lindsay Mackay, David Ball and their guests talk about co-occurring substance use and its implications in clinical care. In particular, they discuss co-oc…
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When it comes to treatment for substance use disorders, there’s no silver bullet. Medications can be important to support people with their recovery goals, but psychosocial treatments can provide a different kind of support and ensure medications provide the most benefit possible. In this episode, Christina Chant and David Ball talk with guests abo…
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Co-occurring chronic pain is common among people with substance use disorders, particularly opioid use disorder (OUD). Studies suggest that between 36 and 68% of people on opioid agonist treatment for OUD also have chronic pain. In this episode, Dr. Rita McCracken and David Ball talk with guests about chronic pain and OUD. How can we respond to new…
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Alcohol use is highly prevalent, but there is still a lot of stigma associated with alcohol use disorder. In this episode of the Addiction Practice Pod, Dr. Roland Engelbrecht and David Ball talk with guests about alcohol harm reduction, treatment, and the impacts of alcohol use disorder on family and loved ones. We’d love to hear your feedback aft…
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You have spent more time online in 2020 than ever before. COVID-19 left you home-schooling, connecting with friends using video chat and even working from your loungeroom when that's never really felt possible before. Social media became a lifeline to connect with others, but happens when social media can start feeling overwhelming and negative? Ch…
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Nearly five British Columbians are dying every day of an overdose, but Indigneous peoples in our region face disproportionate harms: If you’re Indigenous, you are four times more likely to die of an overdose than the rest of the population In this episode, family physician and addiction medicine specialist Dr. Robert Fox and journalist David Ball d…
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Stress is something that's hard to avoid in life. Some stress is easy to get through and other times it can hang around you and start to rub off on other areas of your life. When you're feeling that, how do you make sure you stay mentally well and able to make decisions big and small day by day? Phil Graham is a rural consultant working with farmer…
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The criminalization of substance use causes demonstrable harms: it isolates people who use drugs, pushes them to use in riskier ways, and deters them from seeking help when they need it. Even so, the possession of illicit street drugs for personal consumption is still criminalized in British Columbia and the rest of Canada. In this episode, addicti…
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Your community is full of people who step up to lend a hand when others need it most. But the longer that goes, the harder the job is to keep everyone supported, the more strain those helpers can feel. As we rely on them, how can we make sure we're also helping the helpers stay mentally well.Angela Kane is a champion of her community and Jennie Kei…
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The environment is all around you every day. If you're a farmer you rely on the land to help you grow the best crop and feed your stock, if you live in town and you have a favourite park to sit in with your family or maybe it's just the part of nature from beach and bush that you love to explore whenever you get the chance - the environment is ofte…
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This week is Perinatal Mental Health Week, so what better time to look at this issue affecting so many parents in your life. If you have welcomed a baby into your family you know about the challenges that brings as well as the love and the joy, but if you're feeling like it's all becoming too much.Edwina Sharrock is a midwife who experienced perina…
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Young people are the fastest-growing age demographic for hospitalizations due to opioid poisoning in Canada. In British Columbia, more than 1000 youth between the ages of 10 and 29 have died of overdose since a public health emergency was declared in 2016. This episode of Addiction Practice Pod focuses on caring for youth who use substances. Addict…
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The summer of 2019 and 2020 was a horrific one in Australia. Drought meant the countryside was the direst it had been in decades and that led to a bushfire season that was unprecedented. Just as the rain started and recovery began in regional communities devastated by fire, COVID-19 paused the world. So how does an individual and their community re…
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Research shows that people with substance use disorders are more likely to have a history of trauma and violence than the general population. This can include negative experiences with police and with medical professionals. On this episode of Addiction Practice Pod, addiction physician Dr. Christy Sutherland and journalist David Ball take a deep di…
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Want to bring treatment for substance use disorder into your practice, but not sure where to start? In this episode of Addiction Practice Pod, addiction physician Dr. Christy Sutherland, journalist David P. Ball and their guests talk about the nuts and bolts of integrating treatment for opioid use disorder into a family practice. They also discuss …
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What does it take for people struggling with opioid use disorder to achieve recovery? And what does “recovery” mean to each person? In this episode of Addiction Practice Pod, addiction physician Dr. Christy Sutherland, journalist David Ball and their guests talk about the different ways in which people who use drugs define recovery, and how clinici…
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You've no doubt heard the saying 'unprecedented times' a lot right now. But it's the best way to put it. What you are living through is unlike anything ever experienced. It's scary and stressful. Full of uncertainty and loneliness. And it can put a strain on your mental health. So, what can you do to take back some control and look after yourself a…
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Imagine your life without a safe place to sleep each night. How do you think that would affect your mental health? There is a lot of misconceptions about what homelessness looks like in 2019 and we need to break those down as we talk about mental health and having a place to live. In this episode you'll hear what it's like to live without housing s…
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Your mental health can be impacted by so many things including an addiction to drugs and alcohol, and treatment isn't always straight forward as mental health workers weigh up what to treat first: the addiction or mental health. In a part of our society still so full of stigma and stereotype what do you need to know about substance abuse, mental he…
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You hear a lot about depression and anxiety in conversation about mental health, but where do low prevalent conditions like bipolar and schizophrenia fit into the picture. They may have lower diagnosis rates, but we know they take more complex care plans. We take a look at some programs offering support, treatment and encouragement for people livin…
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Floods, fires, road accidents, storms, community tragedy - our first responders see a lot. They're on the front line whenever disaster strikes. But how good are we at looking after our emergency workers mental well being? In this episode you'll hear from two former first responders, both diagnosed with PTSD now doing what they can to help others an…
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Carers are incredible. Day after day they put their loved ones needs above their own. But what happens when the carer needs to be cared for? What can we do to make sure those who are caring for someone else know where they can go to get support, to meet people in a similar situation to them and where they can have some respite. It's season three an…
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Indigenous Australians have higher rates of mental illness than the rest of the population. So what do we need to do to turn this around? How can we include Indigenous culture in mental health treatment to help break inter generational trauma? We explore this and more in this episode.Af Centre for Rural and Remote Mental Health
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People with lived experiences of mental health are being trained to support others at their lowest moments. They're called peer workers and the popularity of this position in workplaces is growing. So what is it and how can you get involved? We explore this issue in episode six.Af Centre for Rural and Remote Mental Health
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What happens when you make a decisions to move from the big city to life on the land? Whether it's your first time or you're returning to the family farm it can be a huge challenge. So if services and support are limited, how can you make sure you and your family look after your mental health? We explore this issue in episode four.…
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How much time do you spend at work? Have you ever joked with your colleagues that you see them more than you do your family? You're not alone! So given that, what can we do to make our workplaces mentally healthy and create environments were you can be open, honest and supported when it comes to your mental health. We explore this issue in episode …
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Disaster can strike at any time. From car accidents to natural disasters we can find our mental health pushed and tested in many ways. So how did one couple cope with and recover after losing their house in a bushfire? And do you need to know about keeping yourself and those around you mentally well during the hardest of times? We look at disasters…
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