This course explores the concept of Therapeutic Reconciliation as a framework for breaking the negative feedback loop that often exists between first responders and patients with substance use disorders. Designed for all branches of prehospital providers, the course emphasizes harm reduction principles—such as leave-behind naloxone programs—and provides a deeper understanding of addiction as a chronic, treatable condition. Participants will also hear directly from individuals with lived experience, offering critical insight into patient perspectives and fostering more compassionate, effective care.