In Vancouver, Alex, from the Nisga’a Nation, talks about the abuse and violence that drove him to take his first drink. Paula, a Woodland Cree woman, started shooting up at age 11; soon, the only way to support her habit was as a sex worker. As a five-year-old girl, Desirae was put into foster care; now as an adult with her own kids, she struggles to break the generational cycle of addiction.

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