{"id":18164,"date":"2024-12-11T09:02:11","date_gmt":"2024-12-11T10:02:11","guid":{"rendered":"http:\/\/medexperts.pro\/?p=18164"},"modified":"2024-12-12T02:30:14","modified_gmt":"2024-12-12T02:30:14","slug":"opioids-ravaged-a-kentucky-town-then-rehab-became-its-business","status":"publish","type":"post","link":"https:\/\/medexperts.pro\/?p=18164","title":{"rendered":"Opioids Ravaged a Kentucky Town. Then Rehab Became Its Business."},"content":{"rendered":"<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-0\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Louisa, Ky., is a small town of about 2,600 on the border of West Virginia with a single pair of railroad tracks running through it. If you follow these tracks south, against the flow of the Big Sandy River, you\u2019ll go between the public library and the Main Street Park and over Lick Creek, one of the manifold creeks that web eastern Kentucky like capillaries. Follow Lick Creek past a baseball diamond and a pawnshop and you\u2019ll arrive behind an ordinary gray mobile home in a small lot of grass where Ingrid Jackson was living in the fall of 2023. The days were still long and the afternoon sun settled gently on nearby mountains, turning leaves a lambent red. Reedy gospel music played from inside the trailer, announcing Jackson\u2019s presence as she opened the door. Her hair, normally figured in light brown curls, was packed into a shower cap. She smiled from the entryway. It was a smile difficult not to smile back at.<\/p>\n<\/div>\n<\/div>\n<div data-testid=\"AudioBlock-1\">\n<figure class=\"margins-h css-1nhp71k\"><figcaption class=\"css-5soref\">\n<div class=\"audioFigureHeading\">\n<h3 class=\"css-71086k\">Listen to this article, read by Eric Jason Martin<\/h3>\n<\/div>\n<\/figcaption><div class=\"css-1ijhom3\">\n<div><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-1\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Jackson had never lived in a trailer before, or a small town. She was born in Louisville, the daughter of a man with schizophrenia who, in 1983, decapitated a 76-year-old woman. Jackson was 1 at the time. In 2010, at 27, she was in a car accident and was prescribed pain pills. Not long after that, she began using heroin. Over the next decade she went through nine rounds of addiction rehab. Each ended in relapse. Her most recent one came in 2022 after her son was sentenced to life in prison for murder; he was 21. In Louisville on Christmas Day she called a residential rehab company named Addiction Recovery Care, which has its headquarters in Louisa. So now she was here, in Appalachian coal country, in a trailer along Lick Creek, in a town a tiny fraction the size of her home city, working as a nursing assistant in a nearby nursing home, sharing a trailer with Latasha Kidd, a local woman 12 years her junior with a mountain accent, a fade and blood-orange bangs. \u201cThis is culture shock,\u201d Jackson said. \u201cI\u2019m a city girl, and there\u2019s not a lot of us around, and I\u2019m like: Mama!\u201d<\/p>\n<\/div>\n<\/div>\n<div data-testid=\"ImageBlock-3\">\n<div data-testid=\"imageblock-wrapper\">\n<figure class=\"img-sz-large css-hxpw2c e1g7ppur0\" aria-label=\"media\" role=\"group\">\n<div class=\"css-1xdhyk6 erfvjey0\" data-testid=\"photoviewer-children-figure\"><\/div><figcaption data-testid=\"photoviewer-children-caption\" class=\"css-1g9ic6e ewdxa0s0\"><span class=\"css-92478m e13ogyst0\">Louisa, a town of about 2,600 on the border of West Virginia, suffered with the contraction of the coal industry, but ARC, in addition to its treatment centers, has opened a cafe, a bakery, a small gallery, an old theater that the company renovated and other businesses where clients in its recovery programs work.<\/span><span class=\"css-1xhm86d e1z0qqy90\"><span><span aria-hidden=\"false\">Stacy Kranitz for The New York Times<\/span><\/span><\/span><\/figcaption><\/figure>\n<\/div>\n<\/div>\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-2\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Jackson and Kidd were about as different as you could make them. Jackson was Black, Kidd white; Jackson outgoing, Kidd reserved; Jackson neat, Kidd messy; Jackson devout, Kidd agnostic; Jackson straight, Kidd queer. Still, they became fast friends in rehab and now, five months out, inhabited a somewhat fragile existence together, in the period of addiction recovery that many people in long-term recovery say is the most difficult: the space between leaving rehab and getting back on your feet. <a class=\"css-yywogo\" href=\"https:\/\/ucr.fbi.gov\/crime-in-the-u.s\/2019\/crime-in-the-u.s.-2019\/topic-pages\/persons-arrested\" title rel=\"noopener noreferrer\" target=\"_blank\">More than a million people<\/a> in the United States are arrested every year on drug-related charges, and for them, finding a steady job, consistent housing and reliable transportation can be even more difficult than the tremors, hallucinations and nausea of detox. <a class=\"css-yywogo\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s11920-011-0224-0\" title rel=\"noopener noreferrer\" target=\"_blank\">Studies have shown<\/a> that relapse rates for people in recovery may be as high as 85 percent within the first year. Another woman with whom Kidd and Jackson went through recovery, who was supposed to live with them, relapsed and overdosed the day before moving in.<\/p>\n<\/div>\n<\/div>\n<div data-testid=\"Dropzone-5\"><\/div>\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-3\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Jackson often worried that something similar might happen to Kidd, who had struggled with addiction so long that, until recently, she didn\u2019t know how to pay her bills. At 29, Kidd hadn\u2019t yet held a full-time job. \u201cSo I have to push her sometimes,\u201d Jackson said. \u201c \u2019Cause when I want to go in my own direction, I don\u2019t want Tasha to be left upside-down.\u201d<\/p>\n<div class=\"css-1336jj\">\n<div class=\"css-121kum4\">\n<div class=\"css-171d1bw\"><\/div>\n<div class=\"css-asuuk5\">\n<div class=\"css-7axq9l\" data-testid=\"optimistic-truncator-noscript\">\n<div data-testid=\"optimistic-truncator-noscript-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\">We are having trouble retrieving the article content.<\/p>\n<p class=\"css-3kpklk\">Please enable JavaScript in your browser settings.<\/p>\n<\/div>\n<\/div>\n<div class=\"css-1dv1kvn\" id=\"optimistic-truncator-a11y\">\n<hr \/>\n<p>Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0<a href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F12%2F11%2Fmagazine%2Fopioid-addiction-recovery-kentucky-louisa.html&amp;asset=opttrunc\">log into<\/a>\u00a0your Times account, or\u00a0<a href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F12%2F11%2Fmagazine%2Fopioid-addiction-recovery-kentucky-louisa.html\">subscribe<\/a>\u00a0for all of The Times.<\/p>\n<hr \/>\n<\/div>\n<div class=\"css-1g71tqy\">\n<div data-testid=\"optimistic-truncator-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\">Thank you for your patience while we verify access.<\/p>\n<p class=\"css-3kpklk\">Already a subscriber?\u00a0<a data-testid=\"log-in-link\" class=\"css-z5ryv4\" href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F12%2F11%2Fmagazine%2Fopioid-addiction-recovery-kentucky-louisa.html&amp;asset=opttrunc\">Log in<\/a>.<\/p>\n<p class=\"css-3kpklk\">Want all of The Times?\u00a0<a data-testid=\"subscribe-link\" class=\"css-z5ryv4\" href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F12%2F11%2Fmagazine%2Fopioid-addiction-recovery-kentucky-louisa.html\">Subscribe<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Louisa, Ky., is a small town of about 2,600 on the border of West Virginia with a single pair of railroad tracks running through it. If you follow these tracks south, against the flow of the Big Sandy River, you\u2019ll go between the public library and the Main Street Park and over Lick Creek, one of the manifold creeks that web eastern Kentucky like capillaries. Follow Lick Creek past a baseball diamond and a pawnshop and you\u2019ll arrive behind an ordinary gray mobile home in a small lot of grass where Ingrid Jackson was living in the fall of 2023. The days were still long and the afternoon sun settled gently on nearby mountains, turning leaves a lambent red. Reedy gospel music played from inside the trailer, announcing Jackson\u2019s presence as she opened the door. Her hair, normally figured in light brown curls, was packed into a shower cap. She smiled from the entryway. It was a smile difficult not to smile back at.Listen to this article, read by Eric Jason MartinJackson had never lived in a trailer before, or a small town. She was born in Louisville, the daughter of a man with schizophrenia who, in 1983, decapitated a 76-year-old woman. Jackson was 1 at the time. In 2010, at 27, she was in a car accident and was prescribed pain pills. Not long after that, she began using heroin. Over the next decade she went through nine rounds of addiction rehab. Each ended in relapse. Her most recent one came in 2022 after her son was sentenced to life in prison for murder; he was 21. In Louisville on Christmas Day she called a residential rehab company named Addiction Recovery Care, which has its headquarters in Louisa. So now she was here, in Appalachian coal country, in a trailer along Lick Creek, in a town a tiny fraction the size of her home city, working as a nursing assistant in a nearby nursing home, sharing a trailer with Latasha Kidd, a local woman 12 years her junior with a mountain accent, a fade and blood-orange bangs. \u201cThis is culture shock,\u201d Jackson said. \u201cI\u2019m a city girl, and there\u2019s not a lot of us around, and I\u2019m like: Mama!\u201dLouisa, a town of about 2,600 on the border of West Virginia, suffered with the contraction of the coal industry, but ARC, in addition to its treatment centers, has opened a cafe, a bakery, a small gallery, an old theater that the company renovated and other businesses where clients in its recovery programs work.Stacy Kranitz for The New York TimesJackson and Kidd were about as different as you could make them. Jackson was Black, Kidd white; Jackson outgoing, Kidd reserved; Jackson neat, Kidd messy; Jackson devout, Kidd agnostic; Jackson straight, Kidd queer. Still, they became fast friends in rehab and now, five months out, inhabited a somewhat fragile existence together, in the period of addiction recovery that many people in long-term recovery say is the most difficult: the space between leaving rehab and getting back on your feet. More than a million people in the United States are arrested every year on drug-related charges, and for them, finding a steady job, consistent housing and reliable transportation can be even more difficult than the tremors, hallucinations and nausea of detox. Studies have shown that relapse rates for people in recovery may be as high as 85 percent within the first year. Another woman with whom Kidd and Jackson went through recovery, who was supposed to live with them, relapsed and overdosed the day before moving in.Jackson often worried that something similar might happen to Kidd, who had struggled with addiction so long that, until recently, she didn\u2019t know how to pay her bills. At 29, Kidd hadn\u2019t yet held a full-time job. \u201cSo I have to push her sometimes,\u201d Jackson said. \u201c \u2019Cause when I want to go in my own direction, I don\u2019t want Tasha to be left upside-down.\u201dWe are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0log into\u00a0your Times account, or\u00a0subscribe\u00a0for all of The Times.Thank you for your patience while we verify access.Already a subscriber?\u00a0Log in.Want all of The Times?\u00a0Subscribe.<\/p>\n","protected":false},"author":1,"featured_media":18166,"comment_status":"close","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[],"class_list":["post-18164","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/18164","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=18164"}],"version-history":[{"count":2,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/18164\/revisions"}],"predecessor-version":[{"id":18167,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/18164\/revisions\/18167"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/media\/18166"}],"wp:attachment":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18164"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18164"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}