Sheila Vakharia PhD MSW

@myharmreduction.bsky.social

Harm Reductionist. Drug Policy Reformer. Writer. Speaker. Lapsed Academic. Researcher-Advocate. Brown. She/Her/Dr.

fraudulent addiction treatment will remain common until we actually have standards of care that don't allow billing for "faith based" approaches led by poorly trained peers. www.propublica.org/article/kent... if you wouldn't pay for it for depression or cancer, you shouldn't pay for it for addiction

They Needed Treatment for Drug Addiction. The Company They Turned to May Have Used Them to Commit Fraud.

Kentucky’s largest drug rehab center touts a Christian message and a selfless commitment to helping others. But internally, the organization prioritized money over the well-being of its clients and st...

propublica.org

A single day in jail can derail someone's life – imagine the horrific consequences of multiple bookings in a single year. As we enter 2026, it's time for the U.S. to embrace housing-first solutions, not increased policing & criminalization.

Infographic that says more than 40% of unhoused people booked into jail were booked again within the year

1. It was not an accident. 2. It was not a staffer. 3. While the president may have dementia his racism is not due to dementia. 4. He isn’t sorry. He means every racist thought he shares. 5. His base agrees with him. 6. He will do it again. 7. No one in power will hold him accountable.

“They say they want to protect Americans from drugs, but their policies don’t match these words,” says Hanna Sharif-Kazemi as the administration talks up more drug-war strikes. A new tracker helps quantify the damage to people who use drugs of domestic cuts, reports @tganeva.bsky.social:

Trump’s Deadly Drug War Is Also Waged Through Funding Cuts

While waging war in the Caribbean to "protect Americans," the administration is slashing lifesaving care for PWUD, as a new tracker details.

filtermag.org

🚨🗞️ JOURNALISTS: As the criminalization of homelessness runs rampant in DC & across the country, it's more important than ever to rely on data to get the story right. Here are some useful resources that can help you to fight through misinformation 🧵

This administration has prioritized punishment, penalties, tariffs, and border enforcement in the name of our loved ones who died of overdose. All while gutting the very programs & strategies that are saving lives, and cutting the research for solutions. www.npr.org/2025/07/16/n...

Exclusive: Trump team withholds $140 million budgeted for fentanyl fight

Threats to $140 million in funds for public health departments battling fentanyl overdoses comes as some experts see the addiction safety net unraveling.

npr.org

"An increasingly hostile political and legal environment appears to be directly translating into greater police interference with health services," write Liam Michaud & co-authors of their new study, for which Ontario service users and providers were interviewed:

Police in Ontario Increasingly Obstruct Harm Reduction Service Delivery

Police surveillance and interference block life-saving care as the province becomes more hostile to harm reduction, our study shows.

filtermag.org

People always ask me, "Sheila, but what about the kids?" Now I can refer them to this great textbook. Preorder your copy today! It's by Amanda Reiman and Barry Lessin - "Harm Reduction Approaches with Adolescents who use Substances." www.amazon.com/Harm-Reducti...

Harm Reduction Approaches with Adolescents Who Use Substances

Amazon.com: Harm Reduction Approaches with Adolescents Who Use Substances: 9781032940847: Reiman, Amanda, Lessin, Barry: Books

amazon.com

Seeing some posts referring to Kilmar Abrego Garcia as being "kept safe" in jail. No one is safe in jail, fam. Incarceration strips years off people's lives and manufactures premature death. It's very important to understand this, especially now.