‘It's like a sisterhood'

Northern Maine is home to some of America's poorest - but it ranks high on national measures of health. Hospital programs visit more patients in their homes where they can be more comfortable and receive everything they need, which in turn reduces medical costs.

Assertive community treatment teams working through outreach-centered programs in Maricopa County have become an industry standard for treating those with persistent and severe mental illnesses who have recently been incarcerated. They provide a long-term approach, aiming to halt a cycle of incarceration and hospitalization by focusing on underlying issues such as what caused the police interaction and incarceration.

Students in Scottish schools, colleges, and universities will now be able to access free sanitary products. This eliminates the indignity of “period poverty” and helps students avoid missing school due to being unable to afford sanitary products.

Jane Cavarozzi, an entrepreneur and activist, started Dirty Girl coffee to “support economic development and women’s advancement in the small, depressed villages around Appalachian Ohio.” She lives in the town of Glouster and is respected for living local and working local, as opposed to being an outsider problem-solver. Though her coffee company is just one small step forward, she works closely with community groups to move economic development initiatives for the region forward.

Across New Hampshire, youth are leading the fight against substance abuse. Programs like Dover’s Youth-to-Youth, Stand Up Sachems, Youth Leadership Through Adventure, and the Making it Happen Coalition, are all youth-led, adult-supported initiatives that are empowering young adults to create and disseminate substance abuse awareness and prevention campaigns. Fundamental to each of these efforts effective communication and creating a sense of community as key to prevention.

Amid the pandemic, medical researchers and an abortion-rights advocacy group in the U.S. are working to make the abortion pill available via mail. Although there is ambiguity surrounding the rules and regulations of how the pill must be distributed to patients, some doctors have helped efforts by agreeing to register with F.D.A.-approved manufacturers and a handful of states are allowing the pill to be mailed after an in-person ultrasound has been conducted.

Frustrated by a tight labor market, two locally owned Grand Rapids employers discovered the virtues – economic, not just moral – of hiring formerly incarcerated people, whose gratitude for an opportunity translated into excellent performance and less risk of adding to rapid turnover. The employers helped guarantee success by paying for support services that made post-prison transitions easier. The employers then talked hundreds of other local employers into doing the same. Besides providing a business advantage, the program changes lives and is evidently contributing to much lower rates of recidivism.

New Hampshire's Rockinham County gives some people with extensive drug and criminal histories an offramp from the criminal legal system, in the form of housing at Cross Roads House and a drug court to emphasize treatment over punishment. But, while other cities in the state meet such needs with multiple programs, the second-most populous county in the state has a severe shortage of supportive housing and services. Such services can make the difference between prison and success, and even between life and death in a place with high rates of overdose deaths.

Better Reproductive Health, Better Communities Project is a partnership between nonprofits and medical providers working to increase awareness about unintended pregnancies and unsafe abortions, while also ensuring women have better access to high-quality post-abortion care. The project has focused on providing family planning and emergency contraception to women in low-income urban areas. Volunteer peer educators and social media has helped reach over 4,000 women, spreading information about sexual and reproductive health services and connecting women to quality abortion care.

The Golden Girls shelter has been providing meals, medical aid, and other support services for women with children who are experiencing homelessness. Since the Golden Girls living space opened, the program has served a total of 50 women ranging in age from the early 50s to late 70s. While at the shelter, staff members help them complete paperwork so they can receive Social Security payments, pensions, or alimony, and apply for affordable housing. They’re also provided medical care, counseling, and assistance finding jobs.