OnePath is your toolkit for helping to combat the opioid epidemic as a member of the medical community with empathy, mindfulness, and a big-picture perspective.

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Latest Episode

E1: The Psychology of Addiction & Stigma

Opioids are a highly addictive substance central to the lives of many Americans, and in turn, can quickly escalate the emotional stakes of doctor-patient interactions. The way that caregivers navigate these sometimes-volatile encounters can make a huge difference in the road to a given patient’s recovery. MetroHeath’s Dr. Bob Smith explains his deeply humanistic and empathy-based approach in his practice, aiming to guide his patients into seeing the personal wins inherent in recovery.

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Dr. Smith is a clinical psychologist and certified addiction specialist. He currently serves as the Director of the Medical Staff Assistance Programs for the MetroHealth System in Cleveland, Ohio. He is also an Assistant Professor of Psychiatry with Case Western Reserve, School of Medicine and Directs MetroHealth’s TeamSTEPPS Regional Training Center for the American Hospital Association.

In the past, Dr. Smith served as Director of Chemical Dependency Treatment with the Department of Psychiatry at MetroHealth Medical Center for ten years. Upon leaving MetroHealth, he worked in private practice and as a consultant with a number of treatment programs for chemically dependent / mentally ill adults and adolescents. Dr. Smith served as a Consultant for the Ohio Department of Alcohol and Drug Addiction Services, the Ohio Department of Rehabilitation and Corrections and the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County.

In addition, Dr. Smith served as the principle investigator on two demonstration projects with SAMHSA regarding innovative treatment approaches for chemically dependent and mentally ill men and women.

Dr. Smith provides corporate educational programs regarding substance abuse and mental illness and has established drug-free workplace programs, implemented employee assistance programs and served as a forensic psychologist in state and federal criminal cases.

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Introducing OnePath: Safer Opioid Prescribing

Listen to Introducing OnePath: Safer Opioid Prescribing


The Alcohol, Drug Addiction, and Mental Health Services (ADAMHS) Board of Cuyahoga County is responsible for the planning, funding, and monitoring of public mental health and addiction treatment and recovery services delivered to the residents of Cuyahoga County.

The mission of the Cuyahoga County Board of Health (CCBH) is to work in partnership with the community to protect and improve the health and well-being of everyone in Cuyahoga County.

The Centers for Disease Control and Prevention (CDC) is one of the major operating components of the Department of Health and Human Services. The CDC works 24/7 to protect America from health, safety and security threats, both foreign and in the U.S.

The mission of the Ohio Department of Mental Health and Addiction Services (OhioMAS) is to provide statewide leadership of a high-quality mental health and addition prevention, treatment, and recovery system that is effective and valued by all Ohioans.

The Team

Libbey Pelaia

Libbey Pelaia (host) is an educator within the Office of Opioid Safety at MetroHealth and has a demonstrated history of leading initiatives within the healthcare, research, and higher education sectors.

Hannah Rae Leach

Producer & Engineer
Hannah Rae Leach (producer and engineer) is a Cleveland-based audio producer, writer, musician, and newly-minted advocate for opioid safety.

Joan Papp, MD FACEP

Founder & Medic
Joan Papp, MD FACEP is the founder and Medical Director of the Office of Opioid Safety at MetroHealth Medical Center.

Karolyn Tibayan

Karolyn Tibayan is the Director of the Office of Opioid Safety at MetroHealth Medical Center

Sean Rule Hoffman

Mix Engineer
Sean Rule Hoffman (mix engineer), hailing from Orange, Ohio, earned a degree in Music Technology with a minor in Electronic Media and Film from Capital University in Columbus, Ohio.