This first episode introduces the Tribal and Rural Opioid Initiative, and the state of the opioid crisis in Utah. It features guest Heather Bush from Utah Department of Health, a Syringe Exchange Program Coordinator and Dr. Erin Fanning Madden, assistant professor in the Division of Epidemiology and biostatistics at University of New Mexico Health Science Center. We review information about how the crisis began, and set the stage for debunking a myth in each of our episodes moving forward.