In season 2 of the NOCE Dose we examine how Opioid Use Disorder (OUD) impacts specific population groups that experience distinctive health vulnerabilities, including youth, older adults, individuals with disabilities and neurodivergence, birthing women and Tribal Nations. Anchored in evidence-based frameworks for trauma-informed care, developmental risk, and structural competency, the season prioritizes the integration of firsthand narratives with the data on service gaps. Listeners will engage in structured dialogue to better understand how variations in age, ability, neurodevelopment, and community context influence OUD risk trajectories and access to care. This season supports a broader objective of informing service models that are integrity-based, developmentally appropriate, and community-informed, consistent with national public health guidance for behavioral health fairness.

In this deeply meaningful episode of The NOCE Dose, host Bianca D. McCall is joined by Dr. Crystal Lee, a public health expert and advocate for Indigenous communities, for a powerful discussion on Indigenous health, identity, and healing. Together, they explore how acknowledging historical truths, embracing cultural worldviews, and reclaiming Indigenous languages are essential steps toward collective wellness and self-love.

Dr. Lee unpacks the importance of community support in addressing mental health and substance use disorder within Native populations, while also highlighting the impact of misclassification and systemic barriers. The conversation delves into the role of culturally responsive care, spiritual connection to land, and how sports, especially basketball, can be a meaningful bridge for Indigenous youth.

Listeners will be reminded that healing happens in discomfort, that “land is our church,” and that unity is not just a concept, but a practice rooted in cultural and spiritual strength. This episode serves as a call to action to support Indigenous healing efforts, honor ancestral truths, and center community in all wellness work.

Funding for this activity was made possible in whole or in part by the Nevada Department of Health and Human Services (DHHS) Director’s Office through the Fund for a Resilient Nevada, established in Nevada Revised Statutes 433.712 through 433.744. The opinions, findings, conclusions, and recommendations expressed in this podcast are those of the author(s) and do not necessarily represent the official views of the Nevada Opioid Center of Excellence or its funders.

In this enlightening episode of The NOCE Dose, host Bianca D. McCall sits down with Alisa Howard to explore the vital role of Community Health Workers (CHWs) in behavioral health, with a particular focus on addressing opioid use disorder. With compassion and clarity, Alisa underscores the power of lived experience in reducing stigma, building trust, and humanizing the healthcare system.
Together, they delve into how CHWs act as a bridge between clinical care and the communities they serve, offering peer support, cultural understanding, and a voice for those often left unheard. Alisa reflects on how “the thing that once saved me is now killing me,” highlighting the complexities of recovery and the importance of empathy in healing work.
The conversation also touches on the financial sustainability of CHW roles, the need for formal integration into healthcare settings, and the professional development of CHWs. Through themes of forgiveness, sustainability, and the 8 Dimensions of Wellness, this episode challenges healthcare systems to rethink how they define support and healing.
As Alisa says, “Community needs to be community all of the time,” and this episode is a reminder that true health must also include humanity.

Funding for this activity was made possible in whole or in part by the Nevada Department of Health and Human Services (DHHS) Director’s Office through the Fund for a Resilient Nevada, established in Nevada Revised Statutes 433.712 through 433.744. The opinions, findings, conclusions, and recommendations expressed in this podcast are those of the author(s) and do not necessarily represent the official views of the Nevada Opioid Center of Excellence or its funders.