Updates
Articles
August 18, 2025
All Voices Welcome at the World Cafe
We are using the World Café method—a flexible dialogue approach— to support honest discussion, build trust, and establish collaborative relationships with our rural community partners. Through conversation, mutual learning, and shared decision-making, we are working together on community-specific, trauma-informed approaches to reduce the risk of substance use disorder in rural youth.
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July 10, 2025
Partnering with Rural Communities on Substance Use Prevention for Youth
This article highlights our use of the Community-Based Participatory Research model, which centers on forming meaningful relationships with rural communities through broad engagement, mutual learning, and shared decision-making. Working together, we are developing capacity for sustainable trauma-informed interventions that the community needs, wants, and can sustain with the community guiding implementation every step of the way.
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October 23, 2024
Addressing Rural Adolescent E-Cigarette Use
In collaboration with schools, community members, and tobacco and substance use disorder treatment specialists in rural areas, we are developing educational programs and resources to address e-cigarette use (also called vaping) among adolescents. The program focuses on supporting teens in quitting e-cigarettes and supporting health care providers through a credit-bearing educational program.
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October 22, 2024
Welcoming Recovery
There is not a “one size fits all” approach to treatment for opioid use disorder. By reducing stigma related to methadone, this project aims to make all Food and Drug Administration-approved medications for opioid use disorder available in communities.
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October 22, 2024
Growing Resilience
For the Growing Resilience initiative, we are partnering with rural communities to develop trauma-informed approaches to support SUD prevention for rural youth. Learning from schools, health care providers, social service agencies, and others working with young people, we are collaborating on relevant evidence-based interventions to address the impact of trauma and reduce the risk of developing SUD.
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Portraits
October 7, 2021
Ben Thomas Bowling
Ben Thomas Bowling is a brother, loves music, and is an active member of the recovery community.
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October 7, 2021
Melissa Handshoe
Melissa Handshoe is an artist, a mother, and an active community member in Knott County.
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October 7, 2021
Phillip Aaron Hudson
Phillip Aaron Hudson is a father, a farmer, and a community member of Hickory Hill in Knott County.
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August 11, 2021
Les Stapleton
Les Stapleton is mayor of Prestonsburg, Kentucky.
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August 11, 2021
Reneé Ratliff
Reneé Ratliff is director of the Mountain Center for Recovery and Hope.
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August 11, 2021
Shawn Allen
Shawn Allen is a community member and peer in Floyd County, Kentucky.
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Videos
August 1, 2025
How Nicotine Affects Your Brain
This animated video explains how nicotine in e-cigarettes affects the brain. It shows how the more a person vapes, the more nicotine they need to get the same feeling and avoid feeling sick. Quitting is hard, but there are resources to help.
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July 11, 2025
Escape the Vape
This animated video explains what nicotine replacement therapy (NRT) is and how it can help young people to quit vaping. It provides a general understanding of how NRT works and what the process looks like.
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August 1, 2024
Beth's Story
Beth has been in recovery for 31 years. She says, "It doesn't happen in one day. It takes a long time to gain the fortitude, to get healthy, to be grateful, to be clean and sober."
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April 15, 2024
Charles's Story
Charles has been in recovery for 38 years and helps individuals with SUD as an addiction therapist. “Recovery is my work, it’s my ministry,” he says. “Recovery actually works, but you have to work at it.”
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April 15, 2024
Chris's Story
Now in recovery from SUD, Chris says, “My life has become so much more than I ever expected it would be. I have a sense of purpose. I have beautiful relationships in my life.”
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April 15, 2024
Dr. Malcho's Story
Dr. Malcho, an emergency physician certified in addiction medicine, expresses the opportunity to make a difference. “You have the ability to be there at a critical moment to change [a patient’s] life,” she says. “And if you meet them where they are, you can do that.”