St. Charles VA

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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Reflections on the legacy of coal camp healthcare and success of the St. Charles Clinic

Several closely tied to the St. Charles Clinic gather to discuss what contributed to its success and reminisce about past generations of healthcare in the area, namely during the time large coal companies were active. They emphasize the determination of local residents and role of widespread community collaboration in establishing and maintaining the clinic. Those …

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Reflections on culture: camaraderie, family, and the destructive fallout of addiction in St. Charles

Art Van Zee reflects on the rich coal mining culture of St. Charles, Va. and surrounding communities. He describes its positive impact on the connectedness of extended family units and overall sense of camaraderie among neighbors. In doing so, Art highlights the ongoing cultural shift away from this reality–citing the destruction of families as one …

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On healthcare education and mentoring

Art Van Zee discusses the value of healthcare education and mentoring. He expresses gratitude for the nurturing and supportive environment both his parents cultivated for him as a child; for Sister Beth Davies’ mentorship in the field of addiction-related healthcare and substance abuse treatment; and for several others who shaped him as a doctor throughout …

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On the success of the St. Charles Clinic: Art Van Zee’s decision to stay and other local leaders

Nancy Raybin highlights Art Van Zee’s commitment to the St. Charles Clinic (and decision to stay) as the foremost contributing factor to its success. She also speaks to the local leadership of many others involved in the clinic’s foundation. Follow this link for access to the full-length interview. Recorded October 28th, 2021.

Nancy Raybin on Bill Dow’s visionary leadership and other prominent figures in southwest Virginia

Nancy Raybin describes Bill Dow’s visionary leadership, highlighting his role in securing funds for the Coalition’s varied projects. But given her placement in St. Charles and being so far removed from SHC happenings in East Tennessee, Raybin speaks more to her relationship with other Coalition leaders in southwest Virginia, such as John Williams and John …

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On the St. Charles Clinic’s economic model: “…it had to survive beyond the goodwill of volunteers”

Nancy Raybin describes the growth and development of the St. Charles Clinic over time. She provides insight about what distinguished this one from others in East Tennessee, with emphasis on the value of applying business principles and establishing an economic model that together would facilitate long-term sustainability. She also comments on the effect different political …

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Nancy Raybin’s onboarding and role as Director of the St. Charles Clinic, 1974

Nancy Raybin discusses her onboarding and role as the Director of the St. Charles Clinic from 1974 to 1976, a period during which she hired Polly McClanahan as the clinic’s Nurse Practitioner (NP), recruited Art Van Zee as the clinic’s doctor, and established policies and procedures related to third party payer (Medicaid, Medicare, and, in …

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An overview of Nancy Raybin’s SHC experience

Nancy Raybin recaps her time with the Student Health Coalition, from initial introduction during the spring semester and subsequent participation as a community organizer in St. Charles, Va. during the summer of 1973 to serving as co-Director–alongside Randy Hodges and Polly McClanahan-McArthur–the following academic year. Follow this link for access to the full-length interview. Recorded …

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