cover of episode 809: The Call

809: The Call

2024/12/8
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Howard Glass
M
Mary Harris
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Howard Glass: 本期节目讲述了一个非同寻常的热线电话及其后续事件,探讨了匿名性在热线服务中的重要性,以及热线服务在应对社会问题的独特作用。 该热线电话的设立旨在帮助那些独自吸毒的人避免过量服用,体现了社会对弱势群体的关怀。 节目中提到的第一个自杀热线,由一位神父兼记者创立,其匿名性是其成功的关键,为后来的各种热线服务提供了借鉴。 Mary Harris: 本节目主要围绕一个名为“独自吸毒勿用热线”(Never Use Alone)的电话展开,讲述了接线员Jessie与吸毒者Kimber的一次通话,以及急救人员Steven对Kimber的救援。 通过这次电话和救援,节目展现了热线服务的运作方式,以及吸毒者在面对成瘾问题时的困境和希望。 节目中也探讨了亲情与成瘾之间的复杂关系,以及家属在面对亲人吸毒时的无奈与挣扎。 此外,节目还揭示了美国社会面临的严重毒品过量危机,以及热线服务在应对这一危机中的重要作用。 Jessie: 作为一名护士和热线接线员,Jessie分享了她多年的工作经验,以及她对吸毒者和家属的理解和关怀。 她强调了热线服务的核心目标是挽救生命,而不是强迫吸毒者戒毒。 她与女儿Kaylin的关系也反映了亲情与成瘾之间的复杂性,以及她如何从强迫女儿戒毒转变为支持女儿活下去。 Jessie的经历和观点体现了热线服务的人文关怀和专业精神。 Steven: 作为一名急救人员,Steven分享了他多年来参与救援吸毒者过量服用的经历,以及他对毒品危机的深刻认识。 他讲述了在救援Kimber的过程中,他与接线员Jessie的合作,以及他如何通过自己的经验帮助Kimber。 Steven的经历和观点体现了急救人员的专业素养和对生命的尊重。 他参与到“独自吸毒勿用热线”中,体现了他对预防毒品过量致死的重视。 Kimber: 作为一名吸毒者,Kimber分享了她与毒瘾抗争的经历,以及她如何通过“独自吸毒勿用热线”获得帮助。 她讲述了她过量服用药物后被救活的经历,以及她戒毒的历程。 Kimber的经历和观点体现了吸毒者在面对成瘾问题时的挣扎和希望。 她最终戒毒成功,并成为热线的工作人员,体现了她对生命的热爱和对帮助他人的渴望。

Deep Dive

Key Insights

What is the purpose of the Never Use Alone hotline?

The Never Use Alone hotline is designed to help drug users who are using substances like heroin or speedballs alone. An operator stays on the line to ensure the caller is safe and can call paramedics if an overdose occurs. Its primary goal is to keep people alive, not to push them into sobriety or treatment.

Why did Kimber call the Never Use Alone hotline?

Kimber called the Never Use Alone hotline because she had received a card with the hotline's number from a needle exchange program. She was using heroin alone and wanted someone to stay on the line in case she overdosed.

What happened during Kimber's call to the Never Use Alone hotline?

During Kimber's call, she injected heroin while on the phone with Jessie, the operator. Jessie monitored her and, when Kimber became unresponsive, called 911. Paramedics arrived within minutes and revived Kimber using Narcan.

How did Stephen, the paramedic, feel after reviving Kimber?

Stephen felt deeply emotional after reviving Kimber, especially when he learned she had called the Never Use Alone hotline. He cried with Jessie, the operator, realizing the hotline had worked to save Kimber's life. This experience reinforced his belief in the importance of ensuring drug users are not left alone.

What is Jessie's personal connection to the Never Use Alone hotline?

Jessie's personal connection to the hotline stems from her daughter, Kaylin, who has overdosed multiple times. Jessie's experience with her daughter's addiction led her to adopt a harm reduction approach, focusing on keeping people alive rather than pushing them to stop using drugs.

What is the significance of the Never Use Alone hotline in the context of the overdose crisis?

The Never Use Alone hotline addresses the overdose crisis by providing a safety net for drug users who are alone. With over 100,000 overdose deaths annually in the U.S., the hotline aims to reduce fatalities by ensuring someone is on the line to call for help if an overdose occurs.

How did Kimber's life change after her overdose and interaction with the hotline?

After her overdose, Kimber continued to use drugs but stayed in touch with Jessie and Stephen. Over a year later, she entered rehab, detoxed without medication, and has been sober for two years. She now works for an overdose hotline and is expecting a child.

What role does harm reduction play in the Never Use Alone hotline's approach?

The Never Use Alone hotline embodies harm reduction by focusing on keeping drug users alive rather than pushing them to quit. It acknowledges that many users are not ready to stop and provides a safety net to prevent fatal overdoses, emphasizing survival over abstinence.

How did Stephen's personal history with addiction influence his work as a paramedic?

Stephen's personal history with addiction, including surviving overdoses, shaped his empathetic approach as a paramedic. He understands the fear and stigma drug users face and strives to create a non-judgmental environment when reviving overdose victims.

What challenges do operators like Jessie face when working with the Never Use Alone hotline?

Operators like Jessie face the emotional challenge of staying on the line with callers who may overdose. They often form connections with regular callers, but some stop calling, leaving operators unsure if they stopped using or died. Jessie also balances this work with her personal struggles, including her daughter's addiction.

Chapters
The episode begins by discussing the origins of hotlines in the 1950s, highlighting the first suicide hotline established in San Francisco by a priest and journalist. It emphasizes the importance of anonymity in hotlines and the various types of hotlines that exist today.
  • First US suicide hotline created in the early 1960s by a priest/journalist in San Francisco.
  • Used anonymity to help callers.
  • Many types of hotlines exist today for various needs.

Shownotes Transcript

One call to a very unusual hotline and everything that followed.

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  • Prologue: Ira talks about a priest who set up what may have been the first hotline in the United States. It was just him, answering a phone, trying to help strangers who called. (2 minutes)
  • Act One: The Never Use Alone hotline was set up so that drug users can call if they are say, using heroin by themselves. Someone will stay on the line with them in case they overdose. We hear the recording of one call, from a woman named Kimber. (13 minutes)
  • Act Two: An EMT learns he was connected to the call, in more ways than he realized. (16 minutes)
  • Act Three: Jessie, who took the call, explains how she discovered the hotline. She keeps in touch with Kimber. Until one day, Kimber disappears. (16 minutes)
  • Act Four: We learn what happened to Kimber after she called the line. (10 minutes)

Transcripts are available at thisamericanlife.org)

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