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A Kentucky county’s recovery from opioid crisis could be a model for Tennessee | Opinion

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A Kentucky county’s recovery from opioid crisis could be a model for Tennessee | Opinion



‘If we pretend that everyone that has made a mistake…should get some sort of economic death penalty where they can never get a job again, we will never overcome this problem.’

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  • Harlan County, Kentucky, a rural part of the state with high overdose rates, is becoming a model for addiction recovery.
  • The county has implemented recovery programs, drug courts, and transportation services funded by opioid settlement money.
  • It may also serve as a model for other areas, including Tennessee, who are also struggling with opioid addiction and overdoses.

Mandy Gooden grew up in a town that had one of the largest addiction rates in the country, with over five times the OxyContin distribution per capita than the national average in 2000. 

After struggling with her own opiate addiction that began with a prescription after surgery in North Carolina, Gooden found recovery in that same hometown – Harlan, Kentucky.

Now, the faded buildings lining Harlan’s downtown are filled with posters for recovery groups, prevention events and nightly AA meetings in an alleyway beside the local bank.

Though the county still had a far higher overdose death rate than the national average in 2021, for the past three years, treatment efforts have increased. And the number of deaths has dropped.

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Harlan has established positions devoted to recovery, a recovery-focused drug court, transport programs and reemployment services. Day after day, Gooden has been part of that change. Now in long-term recovery, she helps others recover through a position funded by opioid settlement money.

Over the next 18 years, Harlan is expected to receive over $10 million in additional funds from pharmaceutical companies and distributors who exacerbated the opioid crisis, according to the Kentucky Attorney General’s office. 

“In Harlan, sober is the new cool,” said Gooden.

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Gooden manages local cases classified under Casey’s Law, shorthand for the Matthew Casey Wethington Act for Substance Abuse Intervention. It was instituted in Kentucky in 2004 after the 23-year-old Casey died from a heroin overdose. The law helps families petition courts to get treatment for loved ones who are unwilling or unable to do so themselves. 

Harlan’s success in recovery may provide a model for rural Tennessee communities as the state prepares to receive over $1.2 billion in abatement funds over the next 18 years. Dr. Stephen Patrick, former director of Child Health Policy at Vanderbilt, has been a part of efforts to outline how communities should use these funds, though guidelines for spending are lacking, he said.

In Harlan County, recovery takes a whole community

The money will aid recovery efforts. But for some, it will come too late.

As the coal industry declined through the 1990s, poverty and unemployment soared in Harlan, with over 25 percent of the county’s population of about 25,000 falling below the poverty line. 

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Tom Vicini, president and CEO of drug prevention and recovery organization Operation UNITE, said some unemployed coal miners sold their prescriptions to support their families or to buy more drugs themselves.

As Gooden and others worked to create an anti-addiction program, Kateena Haynes, CEO of the Boys and Girls Club of Appalachia, advocated for children who’ve experienced what she calls “horrific situations and circumstances.” 

“They think that, ‘You know, my parents haven’t had a job, and I’m not going to have a job, and so why don’t I just use drugs?’” Haynes said. “I think that the greatest thing that we do is just to give kids hope.”

The Harlan drug court has also stepped in, providing rehabilitation.

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The Harlan drug court provides support for those struggling with addiction

Amber Stepp said she landed her first job through the drug court in 2021 after struggling with an OxyContin addiction.

“[Drug court workers] taught me how to grocery shop; they got me to get a bank account; they just taught me to live a normal and productive life,” said Stepp. “They inspired me to find something I wanted to do and something that I’m passionate about and make that my career.”

She became a peer support specialist, someone who is in successful recovery, trained to support others struggling with addiction. 

She also helps run local recovery meetings and Harlan’s coalition of Operation UNITE, organizing community outreach events to prevent addiction.

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Through efforts led by Dan Mosley, Harlan has further advanced opportunities for people who may not otherwise be able to access recovery.

As Harlan’s Judge-Executive, Mosley helped establish the Harlan County Drug Summit in 2019. He developed Ride for Recovery, which pays community action agencies or private transit providers to transport someone to recovery if they are unable to. Harlan also provides job reentry services.

“If we pretend that everyone that has made a mistake as it relates to their addiction should get some sort of economic death penalty where they can never get a job again, we will never overcome this problem,” said Mosley.

 “They were loved back to life here.”

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Originally from Nashville, Virginia Hunt is currently a journalism and biology student at Northwestern University with a special interest in public health reporting. 



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Unexpected death of central Kentucky woman prompts community fundraising effort

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Unexpected death of central Kentucky woman prompts community fundraising effort


MADISON COUNTY, Ky. (LEX 18) — A Central Kentucky mother is working to raise money for her daughter’s funeral after the woman died unexpectedly while visiting a friend in Pennsylvania last week.

Ashley Lowery McCoy’s mother, Paula Carrier, said the community has stepped up during her time of shock, raising around $5,000 for funeral arrangements in just four days.

“She’ll look down on all of us, and she’ll be smiling. She’ll say, ‘Hey, they actually love me,’” Carrier said. “She’d be proud of everybody for stepping up. She’d see that she mattered.”

McCoy had recently left a sober living program about a month ago after battling drug addiction, according to her mother. At the same time, McCoy managed to leave an abusive relationship.

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“My daughter’s seen me get clean. She wanted to get clean, and she did it,” Carrier said. “She would tell you, ‘Mom, you should be proud of me because I’m doing good,’” Carrier said.

McCoy’s pastor said she had recently given herself to God before leaving for her trip to Pennsylvania.

“You could tell that she was broken and she wants a change in life,” Senior Pastor at the Revival Hope Tabernacle church, Walter Rhodus said.

“She left this world and I mean she gets to spend eternity in heaven. That’s priceless. I mean, absolutely priceless,” the pastor said.

With Ashley’s funeral scheduled for December 19, the family is still $2,000 short of covering the costs. They have set up several donation locations in Jessamine County and Madison County.

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“No mom should have to do that. If I don’t get it, I don’t know what I want to do, I’ll sell everything I’ve got,” Carrier said. “If I could, I’d ride back here with her. I would take my child’s place.”





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Kentucky Volleyball set for Final Four showdown with Wisconsin

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Kentucky Volleyball set for Final Four showdown with Wisconsin


The semifinal stage is set for No. 1 seed Kentucky volleyball, as the Wildcats prepare to take on No. 3 seed Wisconsin in the NCAA Final Four on Thursday, Dec. 18, at 9:00 PM ET inside the T-Mobile Center in Kansas City.

Kentucky has been dominant throughout the NCAA Tournament, including a 3–0 sweep of Wofford, a sweep against Cal Poly in the Sweet 16, and a sweep over Creighton in the Elite Eight. Their only dropped set came in the Round of 32 against UCLA. Outside of that brief hiccup, Kentucky has controlled matches from start to finish and remains undefeated at home this season.

Wisconsin arrives in Kansas City after a statement win over No. 1 Texas in the Elite Eight. The Badgers earned a measure of revenge against the Longhorns, who handed Wisconsin one of its four losses during the regular season. Kentucky accounted for Texas’ other two defeats, beating the Longhorns in both the regular season and the SEC Tournament championship.

Thursday’s matchup also carries historical weight for Big Blue Nation. Wisconsin was the team that ended Kentucky men’s basketball’s perfect 38–0 season in the 2015 Final Four, denying the Wildcats an undefeated national title.

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Now, Kentucky volleyball has an opportunity to write a different ending against the Badgers on the sport’s biggest stage.

If the Wildcats advance, they’ll face the winner of the other national semifinal matchup, which sees No. 1 seed Pittsburgh, who actually handed Kentucky one of its regular-season losses, take on No. 3 seed Texas A&M, whom the Cats defeated in College Station.

With a spot in the national championship match on the line, the Wildcats will look to continue their dominant run and settle an old score. The national championship game is Sunday, Dec. 21, on ABC at 3:30 PM ET.



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PREVIEW: Kentucky wraps up home-and-home series with Belmont on the road

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PREVIEW: Kentucky wraps up home-and-home series with Belmont on the road


Kentucky has had a week off following their 82-55 win over Central Michigan, and now, the Cats retake the court down in Nashville to take on the Belmont Bruins. This is the second game of a home-and-home series between the two programs. Kentucky won its contest against Belmont last season by just six points at home — an 84-78 game in which the Bruins gave Kentucky all it could handle.

Here’s everything you need to know about this year’s Belmont squad and the upcoming game.

Bio Blast

Belmont is 4-5 on the season, but this isn’t your average 4-5 Missouri Valley Conference team. Three of those five losses came to AP ranked teams and Princeton, who they also lost to, was the first team outside of the AP Poll in the latest release. So, make that four of their five losses that have come to AP top 26 teams.

Amidst those losses came a defeat to McNeese. That’s their only real stinker on the season. For most of the game, Belmont kept it close against No. 9 Oklahoma, No. 18 Tennessee, No. 21 Ohio State and Princeton who, again, is right outside the AP top 25.

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Kentucky is 4-0 all-time against Belmont, and all of those matches have taken place since 2014. Georgia Amoore had 23 points and five assists in last year’s win over the Bruins. Amelia Hassett had a notable outing as well, scoring 16 points, grabbing 11 rebounds and getting two steals as she played in all 40 minutes of the game.

Scouting Report

Speaking of last year’s game, guard Jailyn Banks had 23 points against the Wildcats, and she could very well put up a similar number this time around. As a junior, Banks is averaging 14.9 points, 3.3 assists and 2.8 rebounds per game. She has scored in double figures in all of Belmont’s games this season except for one, when she put up seven points against the Buckeyes.

Avery Strickland has been a big contributor for them as well, averaging 11.3 points and 2.9 rebounds per game this season. Tuti Jones, who had 11 against Kentucky a year ago, is putting up 9.8 points, 5.4 rebounds, 3.4 assists and 3.2 steals per game.

Hilary Fuller is another name to watch for Belmont. She’s currently averaging 11.1 points, 5.1 rebounds and 1.3 blocks per game while shooting 37.5% from deep. As a team, Belmont is shooting just 30.6% from three-point range, but she’s one of their players that can get hot in a hurry from the perimeter.

Belmont Bruins roster

via espn.com

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Projected Kentucky Starters

#5 – Tonie Morgan

5-FOOT-8 – GUARD – SENIOR

12.4 PPG – 8.5 APG – 2.9 RPG

#0 – Jordan Obi

6-FOOT-1 – GUARD – GRADUATE STUDENT

12.2 PPG – 6.2 RPG – 1 APG

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#32 – Amelia Hassett

6-FOOT-4 – FORWARD – SENIOR

9.7 PPG – 6.1 RPG – 2 BPG

#7 – Teonni Key

6-FOOT-5 – FORWARD – SENIOR

11.5 PPG – 5.7 RPG – 1.6 BPG

#13 – Clara Strack

6-FOOT-5 – CENTER – JUNIOR

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15.2 PPG – 10.2 RPG – 2.7 BPG

Phoenix’s Prediction

Score: 76-60, Kentucky

MVP: Amelia Hassett

Belmont’s 4-5 record is deceiving, and I would expect them to give Kentucky some trouble on the road. I don’t think they’ll ever truly threaten to win the game, but at the same time, I don’t think Kentucky is going to blow this team out to the point Gabby Brooks gets any PT. Give me Amelia Hassett to put up a team-high 20 points in the win.

How to Watch/Listen

Join The Discussion on KSBoard

Want to interact with the KSR crew during tonight’s game? Consider joining the conversation on KSBoard, where we’ll be sharing live updates while also answering questions and providing real-time analysis (and probably complaining about the officiating).

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