Bayla Ostrach, PhD, MA, CIP, is an applied medical anthropologist conducting community-engaged research on Harm Reduction, substance use, substance use disorders treatment, and structural and policy factors in drug user health in Southern Appalachia. Dr. Ostrach is the Director of Fruit of Labor Action Research & Technical Assistance, LLC in Southern Appalachia and appointed faculty in Medical Anthropology and Family Medicine at Boston University School of Medicine.