Addressing the Opioid crisis from every angle: HEAL initiative brings organizations from all walks of life together


The opioid epidemic and substance use disorder has likely affected everyone in the Commonwealth in some way, shape, or form.  While Kentucky has made great strides, especially in the areas of offering expedited treatment options, both in-patient and out-patient, to those struggling with addiction, the eradication of this epidemic must happen at home.

 That’s the crux of the HEAL (Help End Addiction for Life) initiative in Letcher County.  The small county, tucked away on the southeastern corner of Kentucky, is a lot like many other counties.  Their hospitals and clinics were full of those struggling with addiction.  This overflowed to their court system.  It affected every walk of life – from those who were addicted, to families, and children.  It was wrecking lives every minute of every day. 

The answer to this growing problem is multi-faceted and must include prevention, education, treatment, and lifelong recovery.

It is spearheaded by a vibrant physician in the area, Dr. Van Breeding.  Dr. Breeding, who works at Mountain Comprehensive Health Corporation (MCHC), was named Staff Care’s 2017 Country Doctor of the Year.  Staff Care’s assessment of Dr. Breeding was spot on: “He stands at the confluence of societal ills that are threatening the well-being of his home region.”

Dr. Breeding leads the monthly HEAL meetings, which has grown over the last three months from a few people gathered around a table at a local restaurant to more than 50 people on February 26.  His passion for people is unwavering.  He talks of how his approach to addiction changed after visiting Karen’s Place, an in-patient treatment facility operated by Addiction Recovery Care.

 The HEAL initiative is led by a core group of organizations such as MCHC, Appalachian Regional Healthcare, Addiction Recovery Care, and SOAR, which has two employees from the Centers for Disease Control and Prevention (CDC) working in its offices.  At any given meeting you will find representatives from multiple health sectors, the local college (Southeast Community and Technical College), public schools, court system, faith-based organizations, non-profit organizations, civic organizations, and even arts and entertainment.

 The meeting in February featured a presentation from organizers from the Levitt Amp Series.  Whitesburg was one of 15 towns in America selected for the concert series.

HEAL’s involvement? They plan to have a health and wellness fair to complement the first concert on May 31 with an embedded emphasis on addiction.

Through the work of partnerships, such as that with the Letcher County Health Department, Whitesburg and Letcher County will begin a needle exchange program in April.

 Also, through a partnership with Addiction Recovery Care, hospitals and clinics in the MCHC and ARH networks now have access to Peer Support Specialists to help clinicians and patients who are dealing with addiction.  The idea is to provide a pathway to treatment – a pathway to hope and healing – as soon as possible.

The opioid epidemic is real.  According to the Kentucky Office of Drug Control Policy’s 2016 Overdose Fatality Report, overdose deaths in Kentucky grew from 1,248 in 2015 to 1,404 in 2016.

HEAL is showing that real and practical solutions begin at home.  And home is where healing begins.  To eradicate this epidemic, it will take a collaboration of all professions, representing all walks of life.  It’s our problem.  We must create and work our solutions.

 HEAL demonstrates what is possible when everyone comes together and works towards a common goal.  As I like to say, there’s something stirring in the mountains of Appalachia Kentucky.  It’s a movement of hope, promise, and healing.