‘People helping People:' North Dakota's addiction fix

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.

The recommended treatment for chronic alcoholism is abstinence. But at the Oaks - a permanent home for those who once lived on the streets - residents are given a measure of wine at hourly intervals. It is called the Managed Alcohol Program, and aims to change the drinking behaviour of inveterate addicts.

Disseminating correct HIV information to the public can be difficult but an HIV prevention program for the homeless has used artificial intelligence to select 'influencers' who are more likely to spread information. These individuals help to extend information through their social networks, resulting in more and accurate information reaching the public.

For many people who were deported to Mexico after decades living in the United States, the city of Nogales provides a renewed sense of community. The city is home to the Centro de Sueños rehabilitation center, or Dream Center, a place where many Mexican individuals deported by the U.S. Immigrations and Customs Enforcement find shelter, food, support, jobs, and new families. Built by a preacher from Phoenix, the Dream Center gives participants a renewed sense of hope.

Collaborative efforts targeting adult-peer mentoring in Kansas City, Missouri have resulted in less crime and increased trust among participants. Focusing on high-risk teens and young adults, the program known as Teens in Transition connects law enforcement with youth members to work together on an art project over a 9-week span.

Merging accountability with treatment promotes recovery for those charged with drug possession. In Franklin County, Ohio, the municipal court system operates a program called Helping Achieve Recovery Together. The court recovery program provides a two-year track for participants to receive mental health support from peers and the courts, with the goal of moving them from the criminal justice system and into treatment.

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.

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.

Freed from prison after serving at least 15 years, often much longer, for crimes committed when they were teens, a group of men holds twice-monthly Zoom meetings to lend structure and peer support to their lives during a time when COVID-19 restrictions foreclose other face-to-face meetings. Under Washington, D.C.’s Incarceration Reduction Amendment Act, 42 men have been released. At least 22 of them meet regularly to share leads on possible jobs, discuss their frustrations, and encourage each other to stay focused on the positive.