Un programa estatal en Kentucky tiene como objetivo proporcionar credenciales y vías para una carrera en trabajo social para las personas en recuperación por trastornos de uso de sustancias. Los defensores dicen que el programa Career Ladders in Mental and Behavioral Health o CLIMB-Health es vital para que el estado impulse la salud mental y los servicios sociales.

Carl Wilson, miembro sénior de desarrollo e iniciativas de atención médica del Consejo de Educación Secundaria de Kentucky dice que también ofrece oportunidades para las personas en recuperación, para ganarse la vida y ampliar sus horizontes profesionales.

"Con este programa se pueden obtener tanto credenciales profesionales como un empleo a nivel profesional," asegura Wilson. "Por lo tanto, el programa ofrece a las personas con experiencia una vía personalizada."

Los colegios comunitarios de todo el estado, que atienden a más de 100,000 residentes, trabajan ahora con personas que han recibido la certificación estatal de especialistas en apoyo entre pares, para transferir su formación a licenciaturas en Trabajo Social. El programa CLIMB-Health comienza en los campus del Sistema de Colegios Comunitarios y Técnicos de Kentucky en los condados con mayor número de muertes por sobredosis.

Wilson dice que los residentes de los 120 condados en programas de tribunales de drogas enfrentan obstáculos para encontrar empleo.

"Cuando llegan a la entrevista de trabajo, y el empleador verifica sus antecedentes, y ve un problema de adicción, en la mayoría de los casos, se ve la participación de la justicia, y se quedan sin oportunidades," reconoce Wilson.

Agrega que el objetivo es llenar los vacíos urgentes en el sistema de salud del estado e impulsar la estabilidad económica a largo plazo para las personas que viven en recuperación.

"Tenemos aproximadamente entre 50,000 y 60,000 trabajadores desaprovechados para nuestra mano de obra en Kentucky que no han tenido la oportunidad de contar con un programa especializado que este dirigido a ellos."

Mientras que las tasas de sobredosis en otros estados están disminuyendo, Kentucky se encuentra entre los diez estados con mayor número de muertes por sobredosis de drogas en el país, según el CDC.

La Fundación Lumina proporcionó apoyo para este informe.



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One popular New Year's resolution is to quit alcohol consumption.

Although easier said than done, one recovery center said there are modifications to try if previous attempts are not working. A good start is taking a hard look at what has worked and what has not.

Marissa Sauer, a licensed clinical addiction counselor at Avenues Recovery, a Fort Wayne recovery center, pointed out if there was a simple answer, everybody would use it. She added other influences are linked to alcohol and substance abuse.

"There's genetics. Were my parents and my grandparents struggling with substances? Does someone have maybe adverse childhood experiences that have led to substances being a coping mechanism of some kind?" Sauer explained. "Maybe there are these mental health diagnoses."

Sauer mentioned people, places, or things which could inhibit or enable someone to abuse drugs or alcohol, making it complicated to simply walk away. Medication, therapy or conversations with people who have beaten their addictions are all effective measures for recovery.

The US Surgeon General's 2025 Advisory Report indicates alcohol consumption is the third leading preventable cause of cancer after tobacco and obesity and the public is taking notice.

There is a growing momentum of the "sober curious" movement, avoiding happy hours at bars, ordering a low or no-alcohol drinks known as mocktails, or completely abstaining from alcohol for 30 days for "dry January." Sauer said longtime substance abusers fear change and she wants them to know there is hope.

"Whether you're 21 or whether you're 51, that ability to heal is there," Sauer emphasized. "The best gift that you could give yourself for a healthy 2025 is to give your loved ones the absolute best version of yourself."

An Indiana State Epidemiological report from 2021-2022 revealed almost 24% of residents aged 12 and older have participated in binge drinking, with the highest rate among young adults aged 18 to 25.


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A statewide program in Kentucky aims to provide credentialing and pathways to a career in social work for people in substance use disorder recovery. Advocates say the Career Ladders in Mental and Behavioral Health or CLIMB-Health program is vital for the state to boost the mental health and social services workforce.

Carl Wilson, senior fellow for healthcare development and initiatives with the Kentucky Council on Secondary Education, said it also provides opportunities for those in recovery to make a living and expand their career horizons.

"You can gain both occupation credentials and or employment all the way up through a professional level within this program. So the program offers individuals with lived experience a tailored pathway," he said.

Community colleges across the state serving more than 100,000 residents are now working with people who have been state-certified peer support specialists, to transfer their training toward Bachelor of Social Work degrees. The CLIMB-Health program began on Kentucky Community & Technical College System campuses in counties with the highest overdose deaths.

Wilson said residents in drug court programs in all 120 counties face barriers to employment.

"When they get to that employer interview, and that employer runs that background, and they see the addiction issue, they see in most cases, the justice involvement, they're locked out of opportunities," he added.

The goal is to fill urgent gaps in the state's healthcare system and boost long-term economic stability for people living in recovery.

"We have approximately 50,000 to 0,000 untapped workers for our workforce in Kentucky that have not been given that opportunity to have a specialized program which addresses them," Wilson continued.

While overdose rates in other states are declining Kentucky ranks among the top ten states in the nation for drug overdose deaths, according to the CDC.

While overdose deaths in the Commonwealth have declined, deaths among Black Kentuckians have increased by 5%, according to data from the latest Kentucky Overdose Fatality Report.

Organizations across the state are working to stem overdose deaths among residents of color. In Bowling Green, the nonprofit HOTEL INC. is focused on harm reduction.

Rebecca Troxell, HOTEL INC. lead navigator, explains the group's street teams go into homeless encampments and provide Narcan, fentanyl strips, hygiene packets and medical care.

"We have volunteer doctors, EMTs and nurses who go out with us, so we're able to provide medical care on site. We're able to provide educational components with that, as well, helping people understand what harm reduction really is," she said.

She added a recent SHIFT grant from the Foundation for a Healthy Kentucky will allow the street teams to reach more people. The program, which awards funding up to $50,000, aims to reduce disparities and other inequities worsened by the drug crisis.

In Lexington, the nonprofit agricultural organization Black Soil KY is adding Narcan boxes and educational materials to its farmers markets. They are also working to improve access to fresh food among Kentuckians in recovery.

Ashley Smith, co-founder and CEO of Black Soil, said farmers will also receive harm-reduction training: "We know having that unbarriered access to local goods, like seasonal produce, local meat within your recovery housing, just really provides an advantage for the overall outcome."

Kayla Migneron, director of the Louisville-based maternal health program Granny's Birth Initiative, said the SHIFT grant funding will help expand stigma-reduction training for doulas.

"Our main goal is that any person would be comfortable coming to get assistance from us, whether it's accessing resources using our stuff, even just asking for connections to other programming," explained Migneron.

Nationwide, overdose deaths among mostly younger Black women nearly tripled between 2015 and 2021.