Remaining Challenges

On the evolution of treatment and maintenance for opioid addiction in St. Charles, Va.

Art Van Zee discusses the evolution of treatment for opioid addiction, including monumental shifts particularly valuable to rural communities such as St. Charles, Va. He explains that access to methadone maintenance treatment is extremely restricted for many people in isolated regions, as it would incur unsustainable expenses (both financial and time-related) just to get to …

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Did we make a difference? Margaret Ecker and Rosie Hammond reflect.

Margaret Ecker and Rosie Hammond grapple with the question: did we (the SHC) make a difference? Margaret shares how, in reflection of Art Van Zee’s insight to ongoing addiction throughout southwest Virginia and the Appalachian region, there are new challenges to address, different than those tackled by the SHC in the 60s and 70s. From …

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Differences between West and East TN core injustices and approach to community organizing

Sharon Roberson describes community organizing work over time and the growing tension that transpired among Vanderbilt students from one summer to the next, particularly in light of apartheid in South Africa and the ongoing domestic fight for civil rights. Many students sought to transition from healthcare to more expansive, basic racial justice issues. Roberson notes …

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Art Van Zee on the opioid epidemic in southwestern Virginia

Art Van Zee was among the first physicians in the U.S. to warn people about the dangers of OxyContin and take a multi-billion dollar pharmaceutical company head on for its marketing blunders. He describes his witness of the problem rapidly develop into a nationwide opioid epidemic by the late 1990s from his work at a …

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Where can the SHC go from here?

Charles “Boomer” Winfrey and Maureen O’Connell ruminate on work left to be done in the eastern Tennessee region of Appalachia. Their focus pertains mostly to the ongoing need for augmented healthcare resources, drug education and reform, and meeting the needs of those left in the coverage cracks as a repercussion of Tennessee’s decision not to …

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