Substance Abuse



Helping Women Enter the Recovery-to-Work Ecosystem in Appalachian Tennessee

Across Appalachia, developing a ready workforce must include helping workers re-enter and retain employment. Since 2017, the staff at the Helen Ross McNabb Center in Morristown, Tennessee, has been doing just that. The McNabb Center’s Jail to Work program gives women serving in county jails on drug offenses the…
Investment in Action
West Virginia


On the Road to Recovery with Reintegrate Appalachia

Individuals overcoming substance use disorder (SUD) often face a series of overwhelming obstacles when reentering their communities. Workplace stigmas around addiction, a lack of transportation to services and unsupportive living situations can all stand in the way of successful long-term recovery. To help individuals navigate these types of barriers,…
Investment in Action


The Troublesome Creek Stringed Instruments Company: Kentucky’s Recovery Ecosystem

In Hindman, Kentucky, the Troublesome Creek Stringed Instruments Company, a subsidiary of the Appalachian Artisan Center (AAC), is using ARC support to train craftspeople in making hand-crafted stringed instruments as part of its Culture of Recovery (COR) program. Many of the skilled luthiers being trained are in recovery from substance…
Investment in Action
Man and woman inspect plastic ring in manufacturing setting

Addressing Substance Abuse in Appalachia

The nation’s substance abuse crisis disproportionately impacts Appalachia, where in 2018 overdose mortality rates for people ages 25–54 was 43 percent higher in the Region than the rest of the country. Appalachians struggling with substance use disorder encounter additional barriers including transportation, housing, access to care, education, and steady employment.

Appalachian Diseases of Despair

This study analyzed the impact of diseases of despair on mortality within Appalachia, focusing on increasing morbidity and mortality from three main causes: alcohol, prescription drug, and illegal drug overdose; suicide; and alcoholic liver disease.