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Breaking the Silos: Rethinking Care for Concurrent Disorders

Breaking the Silos: Rethinking Care for Concurrent Disorders

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In this episode of Inside the Wellness Hive Unplugged, Gabriella sits down with Kate Scott — a Social Worker with over 15 years of experience and a fierce advocate for people living with both mental health and substance use challenges. Kate’s work spans frontline support, harm reduction advocacy, and groundbreaking PhD research at the University of Windsor, where she explores how systemic barriers keep people from getting the care they need.


Together, we unpack the ways our mental health and addiction systems operate in silos — and how this separation creates devastating gaps for people with concurrent disorders. Kate shares her thoughts on the current debates around involuntary treatment and the push to close harm reduction sites, highlighting the real-life impact these decisions have on communities.


From the disconnect between research and practice, to why integrated treatment is still so rare despite decades of evidence, to powerful stories from the field, Kate reminds us that the heart of recovery is compassion, dignity, and meeting people where they’re at. Because, as she says, “dead people don’t recover.”

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