Appalachians have been characterized as a population with numerous disparities in health and limited access to medical services and infrastructures, leading to inaccurate generalizations that inhibit their healthcare progress. Appalachians face significant challenges in obtaining effective care, and the public lacks information about both their healthcare needs and about the resources communities have developed to meet those needs. In Appalachian Health and Well-Being, editors Robert L. Ludke and Phillip J. Obermiller bring together leading researchers and practitioners to provide a much-needed compilation of data- and research-driven perspectives, broadening our understanding of strategies to decrease the health inequalities affecting both rural and urban Appalachians. The contributors propose specific recommendations for necessary research, suggest practical solutions for health policy, and present best practices models for effective health intervention. This in-depth analysis offers new insights for students, health practitioners, and policy makers, promoting a greater understanding of the factors affecting Appalachian health and effective responses to those needs.
Appalachians have been characterized as a population with numerous disparities in health and limited access to medical services and infrastructures, leading to inaccurate generalizations that inhibit their healthcare progress. Appalachians face significant challenges in obtaining effective care, and the public lacks information about both their healthcare needs and about the resources communities have developed to meet those needs. In Appalachian Health and Well-Being, editors Robert L. Ludke and Phillip J. Obermiller bring together leading researchers and practitioners to provide a much-needed compilation of data- and research-driven perspectives, broadening our understanding of strategies to decrease the health inequalities affecting both rural and urban Appalachians. The contributors propose specific recommendations for necessary research, suggest practical solutions for health policy, and present best practices models for effective health intervention. This in-depth analysis offers new insights for students, health practitioners, and policy makers, promoting a greater understanding of the factors affecting Appalachian health and effective responses to those needs.
This book explores various and distinct aspects of environmental health literacy (EHL) from the perspective of investigators working in this emerging field and their community partners in research. Chapters aim to distinguish EHL from health literacy and environmental health education in order to classify it as a unique field with its own purposes and outcomes. Contributions in this book represent the key aspects of communication, dissemination and implementation, and social scientific research related to environmental health sciences and the range of expertise and interest in EHL. Readers will learn about the conceptual framework and underlying philosophical tenets of EHL, and its relation to health literacy and communications research. Special attention is given to topics like dissemination and implementation of culturally relevant environmental risk messaging, and promotion of EHL through visual technologies. Authoritative entries by experts also focus on important approaches to advancing EHL through community-engaged research and by engaging teachers and students at an early age through developing innovative STEM curriculum. The significance of theater is highlighted by describing the use of an interactive theater experience as an approach that enables community residents to express themselves in non-verbal ways.
Appalachian Health explores major challenges and opportunities for promoting the health and well-being of the people of Appalachia, a historically underserved population. It considers health's intersection with social, political, and economic factors to shed light on the trends affecting mortality and morbidity among the region's residents. Editors F. Douglas Scutchfield and Randy Wykoff have assembled high-profile experts working in academia, public health, and government to offer perspectives on a wide range of topics including health behaviors, environmental justice, and pandemic preparedness. This volume also provides updated data on issues such as opioid abuse, "deaths of despair," and the social determinants of health. Together, the contributors illuminate the complex health status of the region and offer evidence-based programs for addressing the health problems that have been identified.
Appalachian Americans: Issues and Concerns for Counseling and Psychotherapy, an edited book, by Drs. Daya Singh Sandhu, Jeffrey Parsons, and Quentin Hunter, has recently made debut in the fields of multicultural and cross-cultural scholarship and practice as sui generis, a unique book of its kind in many ways. This is perhaps one of the few books that brings counseling needs and mental health problems of the Appalachian people at the forefront for the first time. Generally, Appalachian Americans have been neglected, overlooked, or just forgotten in the past.Since the Civil Rights Act of 1964, when culturally different, racially diverse, and people of color started getting attention as an integral part of the American society, multiculturalism became one of the major research interests of social scientists. As a result, most of the multicultural scholarship focused on the cultural identity, cultural worldviews, cultural values of five major racial groups which included, European Americans, African Americans, Latina/Latino Americans, Asian Americans, and Native Americans.Appalachian Americans: Issues and Concerns for Counseling and Psychotherapy is very different, unique, and distinct from most of the previous multicultural publications. This book is not based on the racial or cultural identity of the Appalachian people, it is distinctly based on the issues relating to social marginalization, economic and social injustices, and inequities. It focuses much of its attention on the impact of the oppression and social marginalization on Appalachian people's lives.In its very first and rare attempt, this powerful book explores and discusses the effects of geography on the personality and special rules for living on the Appalachian Americans. Appalachian trails, also called trails of tears, have been sadly neglected by the multicultural scholarship and institutions of higher learning. While people in the other parts of the country enjoy beautiful sceneries of mountains and their ranges, but people from Appalachia living on the same mountains call their challenges of life as mountains of problems.The contributors of this book are commended for opening new vistas and visions for the Appalachian people to tread proudly and fearlessly on many unbeaten paths of their lives without worrying about becoming prisoners of mountains.More than ethnic, cultural, and racial conflicts, Appalachian people face more economical and environmental racism and discriminations mostly caused by the big corporations who are hungry for coal from the Appalachia. Many authors have discussed issues relating to social, psychological, and environmental needs of the Appalachian people and offered strategies of social justice and advocacy to deal with poverty, injustices, and social marginalization that is so prevalent in the Appalachian Land.The aim of this textbook is to address the mental health problems and counseling needs of the Appalachian people and it is indispensable for mental health professionals, professional counselors, psychologists, social workers, psychiatrists, and all other people interested in the physical, emotional, and spiritual well-being of the Appalachian people. I hope it will adorn your home library soon.Daya Singh SandhuAugust 29, 2019
Public health refers to the management and prevention of disease within a population by promoting healthy behaviors and environments in an effort to create a higher standard of living. In this comprehensive volume, editor James W. Holsinger Jr. and an esteemed group of scholars and practitioners offer a concise overview of this burgeoning field, emphasizing that the need for effective services has never been greater. Designed as a supplemental text for introductory courses in public health practice at the undergraduate and graduate levels, Contemporary Public Health provides historical background that contextualizes the current state of the field and explores the major issues practitioners face today. It addresses essential topics such as the social and ecological determinants of health and their impact on practice, marginalized populations, the role of community-oriented primary care, the importance of services and systems research, accreditation, and the organizational landscape of the American public health system. Finally, it examines international public health and explores the potential of systems based on multilevel partnerships of government, academic, and nonprofit organizations. With fresh historical and methodological analyses conducted by an impressive group of distinguished authors, this text is an essential resource for practitioners, health advocates, and students.
Motivated by a deeply rooted sense of place and community, Appalachian women have long fought against the damaging effects of industrialization. In this collection of interviews, sociologist Shannon Elizabeth Bell presents the voices of twelve Central Appalachian women, environmental justice activists fighting against mountaintop removal mining and its devastating effects on public health, regional ecology, and community well-being. Each woman narrates her own personal story of injustice and tells how that experience led her to activism. The interviews--many of them illustrated by the women's "photostories"--describe obstacles, losses, and tragedies. But they also tell of new communities and personal transformations catalyzed through activism. Bell supplements each narrative with careful notes that aid the reader while amplifying the power and flow of the activists' stories. Bell's analysis outlines the relationship between Appalachian women's activism and the gendered responsibilities they feel within their families and communities. Ultimately, Bell argues that these women draw upon a broader "protector identity" that both encompasses and extends the identity of motherhood that has often been associated with grassroots women's activism. As protectors, the women challenge dominant Appalachian gender expectations and guard not only their families but also their homeplaces, their communities, their heritage, and the endangered mountains that surround them. 30% of the proceeds from the sale of this book will be donated to organizations fighting for environmental justice in Central Appalachia.
In Ailing in Place, Michele Morrone explores the relationship between environmental conditions in Appalachia and health outcomes that are too often ascribed to individual choices only. She applies quantitative data to observations from environmental health professionals to frame the ways in which the environment, as a social determinant of health, leads to health disparities in Appalachian communities. These examples—these stories of place—trace the impacts of water quality, waste disposal, and natural resource extraction on the health and quality of life of Appalachian people. Public health is inextricably linked to place. Environmental conditions such as contaminated water, unsafe food, and polluted air are as important as culture, community, and landscape in characterizing a place and determining the health outcomes of the people who live there. In some places, the state of the environment is a consequence of historical activities related to natural resources and cultural practices. In others, political decisions to achieve short-term economic objectives are made with little consideration of long-term public health consequences.
After rising from poverty to earn two Ivy League degrees, an Appalachian lawyer pays tribute to the strong “hill women” who raised and inspired her, and whose values have the potential to rejuvenate a struggling region. “Destined to be compared to Hillbilly Elegy and Educated.”—BookPage (starred review) “A gritty, warm love letter to Appalachian communities and the resourceful women who lead them.”—Slate Nestled in the Appalachian mountains, Owsley County, Kentucky, is one of the poorest places in the country. Buildings are crumbling as tobacco farming and coal mining decline. But strong women find creative ways to subsist in the hills. Through the women who raised her, Cassie Chambers traces her path out of and back into the Kentucky mountains. Chambers’s Granny was a child bride who rose before dawn every morning to raise seven children. Granny’s daughter, Ruth—the hardest-working tobacco farmer in the county—stayed on the family farm, while Wilma—the sixth child—became the first in the family to graduate from high school. Married at nineteen and pregnant with Cassie a few months later, Wilma beat the odds to finish college. She raised her daughter to think she could move mountains, like the ones that kept her safe but also isolated from the larger world. Cassie would spend much of her childhood with Granny and Ruth in the hills of Owsley County. With her “hill women” values guiding her, she went on to graduate from Harvard Law. But while the Ivy League gave her opportunities, its privileged world felt far from her reality, and she moved home to help rural Kentucky women by providing free legal services. Appalachian women face issues from domestic violence to the opioid crisis, but they are also keeping their towns together in the face of a system that continually fails them. With nuance and heart, Chambers breaks down the myth of the hillbilly and illuminates a region whose poor communities, especially women, can lead it into the future.
Stories from doctors, nurses, and therapists dealing on a daily basis with the opioid crisis in Appalachia should be heartbreaking. Yet those told here also inspire with practical advice on how to assist those in addiction, from a grass-roots to a policy level. Readers looking for ways to combat the crisis will find suggestions alongside laughter, tears, and sometimes rage. Each author brings the passion of their profession and the personal losses they have experienced from addiction, and posits solutions and harm reduction with positivity, grace, and even humor. Authors representing seven states from northern, Coalfields, and southern Appalachia relate personal encounters with patients or providers who changed them forever. This is a history document, showing how we got here; an evidenced indictment of current policies failing those who need them most; an affirmation that Appalachia solves its own problems; and a collection of suggestions for best practice moving forward.
