►
Description
Two licenced therapists, Dr. Noreal Armstrong, Buncombe County Chief Equity and Human Rights Officer and Tiffany Iheanacho, Justice Service Director will discuss the current opioid crisis within our community and the increase of overdoses in the black populations. Learn about what is an opioid and how it impacts the body. Learn about risk factors, mental health, as well as signs of addiction.
We also discuss how to access some resources for family and individuals dealing with substance abuse.
A
You're,
listening
to
Tapped
in
Buncombe
County's
half
hour
to
empower
on
wres
100.7
FM
in
Asheville,
listen
up
and
get
tapped
into
local
important
resources.
Information
and
topics
learn
more
about
the
topics
of
today's
show
at
buncombecounty.org.
Okay,
it's
time
to
get
tapped
in
hello,
hello,
hello
and
greetings
to
all
that
are
listening
to
my
voice.
You.
C
C
Would
like
to
introduce
our
two
special
guests,
two
licensed
therapists
and
a
addiction
specialist
here
in
Brooklyn
County
Dr,
noriel
Armstrong,
who
happens
to
be
at
broncom,
County's,
Chief
equity
and
human
rights
officer,
as
well
as
Tiffany
yeah
Honda
job
with
Justice
Service
Direct
director.
Today,
we
will
dive
into
our
current
into
the
current
opioid
crisis
and
substance
use
disorder
within
our
community,
especially
the
increase
of
overdoses
in
the
black
population.
D
B
Grandparents,
great
grandparents,
but
I
grew
up
in
Brooklyn
New
York
again
my
name
is
Tiffany
Hannah
Joe
I
am
a
licensed
therapist
and
addiction
specialists
as
well.
I've
worked
in
detox
and
patient
hospitalizations,
which
we'll
talk
about
I've,
worked
in
the
emergency
room
and
most
recently
working
in
Buncombe
County
in
the
role
of
Justice.
A
Services
director
awesome.
Thank
you
so
much
it's.
So
it's
just
so
good
to
have
you
all
here
with
us
today
and
so
we're
going
to
give
a
low
back
history
to
where
we're
going
to
go
today.
So
in
2020,
they're
overdose,
death
rates
and
this
number
of
drug
overdoses
per
100
000
people
increase
44
for
black
people
and
39
for
American
Indian
and
Alaska
Alaska
native
people
compared
with
2019.
A
According
to
the
new
CBC
Vital
Signs
Report,
with
drug
overdose,
data
from
25
States
and
the
District
of
Columbia,
the
2020
in
2020,
the
overdose
Death
Race
among
black
males,
65
and
older
was
nearly
seven
times
that
of
white
mailed
65
and
older
and
people
15
to
24
years
old
experience,
the
largest
rate
increase,
which
is
86
percent
paired,
with
the
changes
seen
other
than
racial
racial
groups
from
2019
to
2022..
So
before
we
start
I
want
to
plug.
In
that.
A
As
we
know,
there
is
the
growing
rate
of
fentanyl
usage
and
mixing
and
mixing
it
in
many
straight
drugs.
We
also
understand
that
many
of
these
individuals
have
experienced
a
great
deal
of
trauma,
which
is
so
wonderful
that
you
both
have
a
background
and
there
being
substance
abuse
treatment
where
the
Epic,
physical
or
emotional.
We
understand
that
it
has
led
them
to
this
place
in
their
life.
Even
though
we
are
in
a
substance
use
epidemic.
We
are
still
involved
with
people.
D
Great
question
so
I'm
going
to
kind
of
talk
through
it
from
technical
term
and
then
break
it
down.
So
opioids
are
common
types.
They
are
like
oxycodone,
Oxycontin
hydrocodone,
which
you
call
Vicodin
morphine
and
methadone
different
from
a
normal
generated.
Opioid
is
fentanyl.
Fentanyl
is
a
synthetic
opioid
considered
as
a
pain,
reliever,
and
most
of
these
medicines
are
given
out
to
patients
who
come
in
with
high
levels
of
pain
for
pain,
tolerance.
D
A
A
B
A
D
D
School
all
over
my
school
kids
in
there,
where
it's
like
go
raid,
your
parents
cabinets
your
grandparents
purses,
bring
whatever
and
just
dump
it
all
into
this
big
bowl.
And
then
you
just
go
to
the
party
and
there's
other
alcohol
and
maybe
marijuana
there
and
then
you're
just
picking.
But
you
have
no
idea
what
you're
taking
out
of
that
bowl
and,
if
you're
on
other
medications,
for
maybe
asthma
or
allergies,
or
you
have
other
health
conditions,
mixing
that
plus
the
pills
and
the
I
don't
know.
Bowl
plus
the
alcohol
is
a
disaster
waiting
to
happen.
D
So
we
see
a
lot
of
that.
We
see
a
lot
of
peer
pressure
which
has
been
around,
but
just
you
know,
wanting
to
try
and
experiment
like
you
said
getting
out
and
live
and
do
something
new,
but
these
children
teens
children,
really
don't
know
what
they
are
getting
into.
So
please
put
up
your
medicines,
lock
them
up
high,
put
them
away,
keep
the
labels
on
them.
If
you
don't
need
them
anymore,
find
out
where
you
can
discard
them.
D
A
A
A
B
B
The
first
instance
was
drugs
was
not
to
become
an
addict
right,
I'm
using
the
word
added,
because
that's
the
kind
of
language,
but
there
are
so
many
things
that
happens
to
the
body
that
allows
us
to
become
addicted
to
medications
and
some
people
are
predisposed
to
addictions,
and
one
thing
that
is
missing.
You
mentioned
coming
out
of
covert
the
amount
of
trauma
that
we
went
through
and
that
intergenerationally,
especially
for
black
people
having
exposure
to
trauma.
B
B
B
C
Feel,
and
so
with
recent
kind
of
news,
media,
yeah
and
also
the
data
is
showing
of
an
increased
number
in
the
black
community.
When
we
talk
about
opioids
I
know,
we
got
around
the
2010s
when
it
was
kind
of
becoming
counterpart
of
the
discussion
and
the
media.
It
was
very
heavily
focused
on
white
and
especially
in
the
Appalachian
area.
What
do
you
see
as
some
of
the
drawing
factors?
That's
increasing
them
for
the
black
population
right
now,
I.
B
Think
Dr
now
named
it
so
historically
pain
medications
were
under
prescribed
in
African-Americans
right.
We
talk
about
that.
A
lot
about
the
pain,
medic,
pain
management,
and
so
if
white
people
are
getting
addicted,
it
was
because
of
what
was
happening
at
the
clinics
when
you're
getting
medications.
B
I
think
generationally.
We
saw
the
effects
of
heroin
and
that's
why
people
moved
away
from
it,
but
with
the
over-prescribing
other
medications,
opioids
became
back
in
the
market,
heroin
became
crack,
never
went
away
right,
kids,
experimenting,
drugs,
never
went
away,
but
how
it
became
into
the
communities
is
through
illicit
drugs
and
there
was
a
a
whole
era
in
like
ecstasy
and
Molly,
and
so
we
started
mixing
with
fentanyl
and
then
it's
highly
addictive
right.
It's
very
highly
addictive.
So
the
more
you
take,
the
more
you
want
to
use
and
I.
A
A
Overdosed
on
on
the
fentanyl-
and
she
stated
even
though
I
have
overdosed
I,
can't
let
it
go
and
so
I
don't
think
people
understand
that
you
know
this
is
not
just
a
choice:
I'm
not
just
like
deciding
to
go
outside
without
an
umbrella,
and
it's
raining
exactly.
You
know,
and
this
is
something
I
can't
control
I
am
outside,
because
I
don't
have
an
umbrella
and
they're
outside,
because
they
don't
know
the
resources
and
they
don't
know
how
to
get
off,
and
they
don't
know
how
to
address
the
trauma
going
back
into
the
black
communities.
B
A
B
D
Affects
everyone
and
we're
seeing
extreme
increases
within
the
African-American
Community
from
2019
to
2021,
the
African-American
Community
had
the
largest
increase
of
opioid
use,
so
drugs
affect
everyone
and
it
is
rampant
here
within
our
African-American
community
and
so
and
because
I've
heard
this
as
well.
Yes
still.
C
D
Go
to
the
hospital
and
go
to
the
doctor
and
see
and
say
what's
going
on
because
it
can
be
both
in
you
can
go
to
your
religious
leader,
your
face.
You
can
go
to
your
family
and
you
can
also
go
to
a
Medical,
Institution
or
not
institution,
but
a
medical
facility,
a
mental
health
facility
and
get
support
and
get
help.
D
D
To
share
hey
the
Little
Billy
at
school
today
told
me
to
try
this
pink
pill
and
I
started
to
try
it.
But
if
we
don't
ever
have
those
conversations,
then
we
can't
start
telling
our
children.
No,
if
you
don't
know
what
it
is,
do
not
try
it
because
they
might
be
afraid
to
go
home
and
tell
Mom
and
Dad,
because
you
know
you
get
chastised,
you
get
discipline.
So
please
start
normalizing,
I!
Think
having
that
conversation
and
talking
about
it
and
seeking
help
and
getting
support
there
are
supports
out
there.
C
B
One
thing
that
to
notice
the
difference
between
like
I,
say,
addiction,
seeking
behaviors
signs
of
active
intoxication
and
then
signs
of
withdrawal,
addiction
seeking
behaviors.
You
can
see
someone
withdrawing
medicines
going
missing
in
the
medicine
cabinet.
Your
jury
end
up
going
missing
because
loved
one
needs
somebody
to
go
pawn
something
staying
out
all
night,
not
coming
in
signs
and
attacking
location
nodding
off,
especially
when
it
comes
to
opioids
and
depression,
falling
asleep.
Looking
drowsy
looking
at
how
the
skin
looks
and
marks.
Sometimes
opioids
are
mixed
with
stimulants
and
methamphetamines.
B
If
the
person
is
appearing,
let's
say
delusional
and
responding
to
things
that
aren't
there.
If
you
notice
by
their
veins
that
you
say
marks,
you
know,
that's
an
indication
of
IV
drug
use,
so
there
are
a
few
Dr
No
might
have
some
more.
She
can
add.
I.
Think
withdrawal
is
one
of
the
main
reasons
why
people
can't
stop
using
and
we
don't
recognize
that
enough,
because
after
you
overdose,
you
say
why
that
person
just
doesn't
stop
like
they
almost
die
they've
coated.
They
need
a
CPR,
they
should
just
stop.
B
D
D
Anymore,
you're
kind
of
secluding
yourself
in
your
room,
you're
just
kind
of
going
dark
in
a
sense
that
could
be
sign
as
well
that
they're
in
active
use
or
they're
they're
seeking
behaviors,
so
just
kind
of
look
out
for
those
things
and
again
it
goes
back
to
talking
with
your
loved
one
talking
with
their
children.
The
communication
is
the
number
one
key,
because
so
many
times
it
gets
message
because
we're
not
talking
about
it.
We
see
the
behavior
it's
just
like.
D
Oh
they're,
going
through
the
stage,
oh
they're,
just
in
a
mood
they're
in
the
funk
they're
mad,
because
I
took
the
phone
away
and
it's
so
much
more
than
that.
So
ask
those
questions.
Ask:
how
are
you
feeling
ask
them
what's
going
on
ask
them?
You
know
something
happened
in
that
school
that
you
want
to
talk
about.
You
don't
have
to
just
kind
of
love
if
you're
doing
drugs,
because
they're
probably
gonna,
be
like
no
or
mom
or
dad's
out,
but
just
ask
them
and
tell
them
it's.
A
B
A
That
Kerry's
such
a
hard
burden
all
the
way
through
life.
You
know
all
the
way
up
until
a
teenager
and
an
adult,
you
know
you
don't
want
to
disappoint
your
parents,
and
so
how
would
you
tell
a
parent
to
come
to
their
child?
To
start
that
conversation,
because
you
know,
as
we
become
adults
and
we
have
kids
or
working
with
kids,
the
youth?
We
are
terrified
what
happened
every
day,
conversations
like
we
can
sit
here
and
talk
about
drug
usage,
but
to
go
to
our
kids
and
talk
to
about
those
things.
D
D
On
vulnerability
and
I
know,
I
think
parents,
especially
from
a
generational
perspective,
an
African-American
family.
It's
like
this
hierarchy,
I'm
the
mom
I'm,
the
dad
I'm,
the
parent
when
I
say,
goes,
there's
this
line
of
demarcation.
You
don't
step
over
it,
but
that
causes
a
lack
of
that
communication
and
so
I
feel
like
kind
of
saying.
Yes,
I
am
the
parent
and
what
I
say
goes,
but
also
you
are
individual
and
a
human
who
are
developing.
You
know
questions.
You
have
thought
that,
there's
anything
that
you
want
to
talk
about
come
to
me.
D
Let's
talk
and
I
think
you
can
have
that
that
conversation
pre
and
they
know
that
they're
more
likely
to
you
know
have
that
conversation.
I,
remember
growing
up.
My
dad
was
like
my
mom
didn't
use
like
oh
you're
tatas
and
your
woohoo's.
It
was
breasts.
It
was
vagina,
it
was
penis
and
it
was
like
and
they
are
not
to
be
touched.
B
C
D
And
if
someone
touches
you,
you
come
tell
us,
and
so
when
a
little
boy
in
the
second
grade
touch,
my
breasts,
I
ran
straight
home
was
like
I
got
yesterday
in
school
and
he
got
up
to
the
school
the
next
day
and
took
care
of
it,
because
it
was
a
conversation
before
anything
ever
happened.
That
told
me
it's
okay
to
come
to
me.
Tell
me.
B
I
also
think
asking
questions,
you
know,
I
think
a
lot
of
Times
Square
if
you
come
in
or
with
any
of
our
loved
ones,
if
it's
our
sister
or
brother,
you
know
it's
like
I,
think
they're
using
or
I
think
you're
doing
this,
like
it's
coming
from
a
place
of
judgment.
I
think
these
opening
the
conversation
like
hey
I've
been
noticing
these
things.
You
know
I.
You
know
this
like
I,
said
a
lot
of
times
around
trauma
right.
B
You
know
like
encouraging
people
to
engage
in
treatment
early
on
so
that
when
they
take
that
opioid
it
does
not
become
a
issue
of
I
feel
better
when
I
take
the
opiates
and
I
need
to
keep
taking
it.
So
prevention
in
the
beginning
of
like
have
it,
opened
up
conversations
to
handle
small
stuff,
so
they
don't
Avalanche
to
bigger.
Bigger
issues
is
key
and
yeah
as
an
open
questions
in
a
setting.
That's
like
a
conducive
environment
right
so.
A
A
Know,
and
so
because
you
saw
beautiful
people,
lose
it
all
yes
and
go
to
the
bottom,
and
so,
but
none
of
those
folks
was
like
I'm
going
to
do
you
this
journey
and
I
am
going
to
lose
it
all.
No
one
goes
in
thinking
that
so
I
think
that's.
The
one
thing
we
have
to
understand
is
that
you
know
one
they're
trying
usually
they're
trying
to
escape
from
something
and
when
your
community
has
been
for
years
of
press
and
they're,
the
services
that
are
available
to
others
are
not
available
to
you.
B
So
the
national
Department
of
Health
and
Human
Service
just
released
the
hotline
I
think
it's
the
easiest
to
remember
and
the
easiest
to
get
connected
to
Services.
It's
all
over.
The
internet
is
988.
So
if
you
need
resources
instead
of
calling,
you
know
911
unless
it's
an
emergency
situation
calling
988
locally
here,
they'll,
probably
dispatch
our
mobile
crisis
unit,
which
can
actually
come
to
your
home
and
do
an
assessment.
They
can
take
up
to
two
hours
to
respond,
but
usually
it's
shorter
than
that.
B
B
A
D
If
it's
an
immediate
situation,
but
it's
going
to
require
those
family,
members
and
friends
and
loved
ones
who
are
around
sometimes
to
help
Tiffany
and
I
were
talking
this
morning
about
it's
just
as
important
as
like,
if
I'm
having
an
asthma
attack-
and
you
need
to
give
me
my
inhaler
or
for
me
if
I'm
having
allergic
reaction,
give
me
my
EpiPen.
It's
the
same
thing.
If
somebody
is
I'm
going
into
overdose,
giving
them
the
Narcan
shot
or
you
know
getting
them
to
the
treatment
that
they
need
to
get
to
get
better.
B
B
That
is
used
for
overdose
reversal,
it
can
be
given
nasal
spray
or
it
can
be
given.
I
am
so
like
just
a
quick
shot
in
the
in
the
muscles
arm
or
thigh
and
you're
going
to
give
information
about
the
training.
That's
on
it,
but
it
is
so
important
that
we
normalize
having
Narcan
in
our
purses.
I
was
at
my
local
subway
station
and
the
owner
was
like
having
people
overdose
in
this
parking
lot.
He
end
up
having
Narcan
and
he's
able
to
reverse
reverse.
The
overdose
would
end
up
happening.
B
B
Know
what
it
is,
if
you
see
someone
unconscious,
but
if
you're
actively
trying
to
use
Narcan
I,
think
you
can
use
up
to
five
I'll
try
it.
You
know
it
saves
lives,
it
saves
lives.
Another
thing
to
mention,
because
the
withdrawal
is
so
difficult
in
the
craving
program
is
so
strong.
We
need
to
normalize
medication,
medication,
assisted
treatment.
There
are
two
different
types
and
it
will
help
someone
live
so
much
better
without
chasing
that
need
for
using
addiction.
B
It's
a
medication
that
replaces
the
addiction
for,
or
the
Cravings
or
opioids
it's
an
opioid
antagonist
is
what
it
calls.
So
it
blocks
that
receptor
I
keep
talking
about,
so
your
body
no
longer
craves
it
and
there's
several
clinics
around.
If
you
call
that
988
number
and
you're
interested
in
getting
treatment
and
saying
I
can't
live
like
this
trying
to
get
on
medication.
Assistant
treatment
is
kind
of
key
in
the
recovery
process,
so
those
are
just
the
two
medications.
I
think
we
should
normalize
having
it
in
communities
of
color
Yes.
A
Training
will
include
information
on
opioids
awareness,
preventing
and
responding
to
opioid
overdose,
one
free
Narcan
kit,
while
supplies
live
and
last
linkage
to
community
services
for
securing
medication
at
home,
substance,
use,
support
and
referrals
to
medication,
assistant
treatment
or
mat
harm
reduction
and
introduction
to
post
overdose,
responding
or
call
Port.
So
where
will
this
training
be
held
at
40
Cox
in
Asheville?
In
the
conference
room
in
the
at
the
main
entrance
parking
is
free,
so
we
must
educate
our
community
so
that
we
know
how
to
help
our
folks
Elena.
C
Then
I
also
just
want
to
highlight
that
Buncombe
County
has
received
will
receive
over
16
million
over
a
period
of
18
years
to
help
with
the
opioid
litigation
settlement,
and
so
Community
want
to
know
more
about
that.
You
always
can
go
out
to
engage
Buncombe
county.org
and
find
more
information
about
the
opioid
settlement
funds
and
how
we
are
collectively
trying
to
solve
this
problem
in
our
community.
So
I
encourage
Community
to
go
out
again.
That's
engaged
Buncombe
county.org
and
you
can
find
out
more
about
the
opioid
settlement
funds
and
the
projects.
A
They're
working
on
and
you
know,
I
wish
we
had
more
time
and
we
only
have
30
minutes
for
the
show
and
I'm.
So
sorry,
we're
at
three
minutes
left
so
I
want
each
of
you
to
give
us
what
you
want
the
audience
to
know
we're
going
to
have
you
back,
because
this
is
such
an
amazing
topic
and
we
have
to
educate
our
folks
and
our
community,
so
Tiffany
I'm
going
to
start
with
you.
What
is
something
you
might
leave
with
our
audience
or
Inspire
or.
B
Encourage
our
audience
to
do
sure,
I.
Think
for
me:
it's
getting
loved
ones,
treatment,
getting
yourself
treatment
personally,
I
know
professionally.
I
said
you
know
my
background
is
addiction,
but
I've
lost
two
cousins
to
opioid
overdoses.
That
I
think.
If
we
know
what
we
know
now,
you
know
how
can
we
have
saved
lives
and
making
sure
that
we
can
get
folks
into
treatment
so
again,
I
would
encourage
us
to
learn
more
about
using
Narcan
having
our
kid
in
our
homes
and
encouraging
loved
ones
to
try
medication
assistant
treatment.
D
D
Those
are
lives
that
we
can
save
or
in
our
backpacks
or
in
our
duffel
bags,
whatever
at
the
gym,
wherever
you
may
be,
and
just
know
that
it's
a
conversation
so
start
with
talking,
let's
reduce
the
stigma
around
it.
We
know
it's
happening,
I'm
saying
with
mental
health:
let's
reduce
the
stigma
if
you're
having
those
traumas
that
may
lead
to
the
opioid
use
in
the
first
place.
Let's
talk
about
getting
you
into
therapy
and
working
through
the
trauma,
so
you
don't
need
to
rely
on
the
opioid
or
the
other
medicines.
C
C
A
All
right-
and
you
know,
as
always,
we
have
to
wrap
this
up
and
I
would
say
a
lot
of
times.
We
as
as
people,
we're
so
scared
to
have
uncomfortable
conversations,
and
but
we
sit
uncomfortably
all
the
time,
we're
uncomfortable
in
certain
chairs,
we're
uncomfortable
in
certain
audiences
and
we're
uncomfortable
just
within
our
own
skin.
But
if
someone
took
the
time
to
talk
to
you
about
what
would
make
that
chair
better?
What
would
make
that
space
better
and
why
you
don't
feel
you
fit
in
your
skin?
How.
A
So
take
that
and
look
at
your
family
members,
your
community
members
or
people
you're
engaged
with
it,
is
important
to
have
conversations
that
are
uncomfortable,
because
when
you
remove
the
uncomfortableness
you've
real
you
build
a
bridge.
You
build
a
bridge
of
communication.
You
open
up
lines
that
you
never
knew
you
had
before.
It
is
not
about
blaming
anyone.
It
is
not
about
making
someone
take
ownership,
it
is
about
providing
education
and
support,
we're
all
born
with
dreams.
We're
all
born
with
a
heart
willing
to
love
we're
all
born
with
a
purpose.
A
Your
purpose
is
to
help
someone
guide
someone
to
find
support
or
to
be
a
listening
ear.
Whatever
you
were
designed
to
do,
make
sure
you
do
it
in
love
and
compassion,
because
we
are
all
one
traumatic
event
away
from
a
bad
situation
and
that's
just
the
truth,
and
we
are
one
welcome
every
day
of
the
week
every
hour
every
minute,
and
we
encourage
you
all
to
visit
our
webpage
to
get
involved
and
to
engage
from
me
to
you.
This
is
in
the
episode
of
tapped.