Kentucky
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.’
Opioid addiction and overdoses on the rise in Tennessee
Cases of opioid addiction and overdoses have increased in recent years in Tennessee.
Mike Fant, Nashville Tennessean
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.
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.
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.
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.
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.
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.”
Originally from Nashville, Virginia Hunt is currently a journalism and biology student at Northwestern University with a special interest in public health reporting.
Kentucky
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Kentucky
HC Mark Pope on Kentucky Fans Booing During Gonzaga Blowout: ‘Well-Deserved’
Kentucky was annihilated on its home floor on Friday night.
During a 94-59 loss to the No. 11 Gonzaga Bulldogs, Kentucky fans made their displeasure with the No. 18 Wildcats known, as there was rampant booing throughout the night – and Kentucky head coach Mark Pope understands the frustration.
“All the boos that we heard tonight were incredibly well-deserved, mostly for me, and we have to fix it,” Pope said after the loss. “We’ve kind of diminished a little bit into a bad spot right now that we have to dig ourselves out of it, and it’s going to be an internal group thing, and we feel the responsibility we have to this university and this fan base.”
Kentucky shot 26.7% from the field, 20.6% from behind the arc and was out-rebounded by Gonzaga, 40-27. Meanwhile, the Bulldogs shot 57.1% from the field and 50% from behind the arc. Gonzaga forwards Graham Ike and Braden Huff combined for 48 points. Moreover, the Bulldogs were coming off a 101-61 loss to the No. 7 Michigan Wolverines.
The loss dropped Kentucky to 5-4, with all four losses being against ranked opponents: Louisville (96-88), Michigan State (83-66), North Carolina (67-64) and Gonzaga (94-59).
“As you roll through life,” Pope said, “you just have your response, and our response so far has not been adequate, and we have to fix it.”
Kentucky can correct course as it plays two more ranked out-of-conference matchups before SEC play begins, as it hosts No. 22 Indiana on Dec. 13 and No. 23 St. John’s on Dec. 20.
Pope is in his second season at Kentucky, with the Wildcats going 24-12 and earning a No. 3 seed in the NCAA Tournament last season before later losing to Tennessee in the Sweet 16.
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Kentucky
What Gonzaga’s Graham Ike said after dominating Kentucky
Gonzaga forward Graham stewed on everything that transpired during the Bulldogs’ 40-point loss to Michigan in the Players Era Festival for over a week.
The 6-foot-9 forward and preseason All-American candidate looked anything but one of the best players in the country against the Wolverines. Ike scored just one point — his lowest point total since his first collegiate game as a freshman — and failed to make a single shot from the field for just the third time in his five-year college career, epitomizing the kind of night Gonzaga had to endure on its way to the program’s worst margin of defeat in the Mark Few era.
The ensuing nine days leading up to Friday’s showdown against Kentucky from Nashville’s Bridgestone Arena was business as usual, according to Ike, though wanting to right all the wrongs from the previous outing would’ve been natural for him and the Zags.
That, and getting to face off against a familiar opponent he had dominated the past two meetings probably helped too.
The Wildcats wound up being the punching bag Ike and the Bulldogs needed to take their frustrations out on, as Gonzaga pulled off its second-largest win over an Associated Press Top 25 team in a 94-59 final from Bridgestone Arena on Friday.
Ike matched his Gonzaga career high with 28 points while grabbing 10 rebounds, nearly duplicating his 28-point, 11-rebound performance from last season’s overtime thriller against Kentucky in Seattle. This time around, though, the Zags held onto their double-digit halftime lead instead of giving it up in crunch time, handing the Wildcats their second-largest defeat as a ranked team in program history.
Friday also marked Kentucky’s third loss to Gonzaga since November 2022. Ike had a hand in the Zags’ impressive 89-85 win over the Wildcats at Rupp Arena in 2024 (23 points, 10-of-17 shooting) and followed up nine months later with 28 points and 11 rebounds in a narrow loss from Climate Pledge Arena.
With Friday’s game in the books, Ike averages 26.3 points, 8.7 rebounds and 2.7 assists on 59.2% shooting from the field in three career games against Kentucky.
Here’s what Ike had to say after the game.
On the nine days in between the Michigan game and Friday
“Standard nine days. But definitely just wanted to dial in on our response. It was a great opportunity to see what we’re made of, and we responded well. Proud of the guys for doing so tonight.”
On taming the pro-Kentucky crowd early on
“I thought it was huge, keeping the crowd out of it. Credit to the guys — everybody stepped in and played great defense. I remember holding them to two points for a while and after they hit their first 3, that’s kind of when the crowd erupted. It just let me know how many people were here tonight so, I thought we did a great job controlling the crowd.”
On dominating Kentucky in paint points
“It’s really just our brand and style of basketball. Just forcing the ball inside, high-low, post duck-ins — just trying to get other guys open and sometimes, I got myself open. I appreciate you guys for giving me the ball. [Braeden] Smith had a great game tonight. Him and Mario [Saint-Supéry]. Six assists for B Smith — I just appreciate all my teammates.”
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