
Episode #26
Their addiction treatment isn't working—now what? A family’s guide to harm reduction (with Dr. Sheila Vakharia)
Drug tests. Revolving doors of rehabs. On and off the street. Judges, and parole officers — to families waiting and hoping for something to change. When a loved one’s treatment is dictated by external forces, why doesn’t it “work”, and what does it look like when it does? Dr. Sheila Vakharia — researcher, social worker, and author of The Harm Reduction Gap — has worked inside outpatient treatment centers, drug courts, and needle exchange programs, giving her a rare, ground-level view of what actually helps people survive addiction, what gets in the way, and the power families have. Together we dig into: Why addiction is the only health condition where people are expected to be "cured" before treatment even starts The stigma around methadone and buprenorphine — and why they're not "trading one drug for another" How the criminal legal system can be both a lifeline and a barrier to real care Why courts, insurance gaps, and fear-based messaging keep failing families What families can actually do — from local pharmacy advocacy to sharing your story with lawmakers and media Download our FREE, sibling e-book: 6 actions to help navigate a sibling’s substance use journey Join our FREE and PRIVATE sibling-focused community: Siblings For Love of Recovery Connect with FLOR: Instagram and TikTok Guest speaker: Dr. Sheila Vakharia , author and Deputy Director of the Department of Research and Academic Engagement at the Drug Policy Alliance Episode resources: Sheila’s book: The Harm Reduction Gap: Helping Individuals Left Behind by Conventional Drug Prevention and Abstinence-Only Treatment Read how you can advocate for your loved one: One parent’s story

