Medication and Recovery: Doctors Say Access to Critical Addiction Care is Difficult in Appalachia

The City University of New York’s College of Staten Island is among a handful but growing number of colleges that are offering peer advocate training programs to former substance abusers. These certified trainings are enabling vulnerable adults to pursue higher education, acquire skills, and use their experience to not just find employment but also support patients with recovery.

Crossroads for Women, a New Mexico nonprofit, is helping formerly incarcerated women find community, support, and recovery. Using trauma-informed care practices, the program offers a comprehensive list of services like housing, mental health treatment, employment counseling, and substance abuse treatment. Underlying all services is the understanding that no individual is trauma free and that community and relationships are crucial to sustainable recovery.

DOROT is a non-profit organization that matches seniors with younger adult volunteers for social visits to combat isolation and loneliness and to promote intergenerational friendships. Many of the seniors are widowers and social isolation can lead to negative health consequences. The organization also delivers fresh meals and holds other events, but was unable to operate as usual once the Covid-19 pandemic hit, so DOROT helped seniors set up Zoom for online conferencing. The group has matched 500 seniors with volunteers and advises similar programs across the country. Many pairs have formed deep friendships.

Tennessee Reconnect, which started as a small-scale "mentorship and financial support program", has now been adopted and expanded throughout the state as a way to help adults start or continue higher education. Now in its second year, the program matches applicants with "navigators," adult mentors who understand the specific student's financial and social challenges and helps them navigate the process every step of the way. The program also provides funding to students to pay for coursework and is now looking to expand its operations to jails and prisons.

The solar-powered freezer donated by Green Life Energy allows vaccines to be stored at the appropriate temperature, providing more access to necessary immunizations, specifically for those in rural communities. Nurses say the freezer box has the capacity to hold up to 500 doses of different vaccines, including polio, measles, tuberculosis, and the COVID-19 vaccine.

Teams of Community Direct Distributors (CDD) are leading drug distribution campaigns to prevent and eliminate neglected tropical diseases in hard-to-reach, rural areas. These CDDs are members of the community they serve and are trained to educate the locals on disease prevention and administer the drugs themselves. With the CDDs’ help, several states have already eliminated some diseases and greatly reduced the spread of others.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.

A pair of doctors are working to make healthcare more accessible and affordable by training area hospitals to use new technology, like ultrasound devices, to detect non-communicable diseases. Through their newly established non-communicable disease clinic staffed with personnel trained to provide more precise medical care, about 1,100 patients have been cared for.

To increase awareness of cervical cancer and the cancer-preventing HPV vaccine, Al-Ansar radio shares information about the disease, the vaccine and works to dispel speculation and misinformation about vaccines in general to those in underserved and hard-to-reach areas, as they’re often hardest to get vaccinated.

To enhance rural access to healthcare in Nigeria, the Parkers Mobile Clinic partners with local volunteers, healthcare professionals, educators, and community development advocates to identify and remedy unique healthcare gaps. Outreach programs are then designed to provide localized mental health support, nutritional counseling, and other reproductive health services.