How Bangor drug court participants are getting help staying sober during the pandemic

When the size of group gatherings began to be limited to prevent the spread of COVID-19, recovery programs had to rethink how to hold meetings – such as moving groups to online formats. Although there are limitations to not meeting in-person, this format has increased accessibility for many participants and allowed them to join meetings from outside of their typical region.

Merging accountability with treatment promotes recovery for those charged with drug possession. In Franklin County, Ohio, the municipal court system operates a program called Helping Achieve Recovery Together. The court recovery program provides a two-year track for participants to receive mental health support from peers and the courts, with the goal of moving them from the criminal justice system and into treatment.

Stay-at-home orders and social distancing can worsen opioid addiction problems, and so some health providers, social media, and agencies in opioid-heavy Appalachia have devised ways to turn a threat into an opportunity. To counter isolation and denial of in-person counseling, forums on Reddit have thrived as virtual support groups. Video conferencing has proved a boon to telemedicine and counselors, extending the reach of services. Treatment providers and even Kentucky's prisons are distributing medications in novel ways to help people maintain sobriety and avoid overdoses.

To close a gap in drug treatment that often denies help to people who end up jailed, a hospital employee schooled in the strong evidence of effectiveness of medication-assisted treatment cobbled together a program using Medicaid funding and the cooperation of the courts and medical community. The program is rare in rural America. Though still small, the Courts Addiction & Drug Services program ended its first year with no overdoses, and only a handful of relapses, among its dozens of participants. In a region where MAT drugs are nearly impossible to get, the program is now working to expand its services.

In Battle Creek, Michigan, a church has turned to holding online Sunday service during the pandemic, and in doing so, has gained a larger congregation. While there are limitations to attending online services, and some don't feel like "Internet-based connections" are real, around 200 people still attend each online service, including some individuals from overseas.

An Alberta Health Services’ text messaging service called Text4Hope is giving people text messages to help them cope with the COVID-19 pandemic. The texts, written by mental health therapists, use cognitive behavioral therapy, helping people disrupt the constant stream of negative thoughts that happen during traumatic times. So far, over 30,000 people have signed up.

As the Ramadan season begins, Muslim communities around the world are making adjustments to how they observe it in the wake of the COVID-19 pandemic. In Minneapolis, the Cedar-Riverside neighborhood is broadcasting the call to prayer by speaker and in the U.K., the National Huffadh Association has created an online toolkit on how to pray at home. With connection and community a key part of Ramadan, a Reddit thread has started, connecting people for a Secret Santa-style Eid gift exchange, and a Minneapolis programmer has started an online service matching people in time zones to break fast together.

Social connection is crucial to recovery for people participating in Alcoholics Anonymous, but the quarantine mandated by the coronavirus has made that impossible. Support groups across the state of Washington are grappling with isolation and, in response, have started meeting over Zoom instead. This article talks to several participants to get their take on it. One person in particular said that meeting online has allowed them to attend more meetings, and it has been a source of comfort during quarantine.

At nursing homes in the Long Island area, facilities and their staff have stepped up to ensure residents can use technology to stay connected. They have facilitated performances over Zoom, local school-children send videos to say hello, and lectures and games have been made available online, as well.

In 2001, facing a 20-year opioid epidemic, Portugal decriminalized all personal drug use, meaning people carrying drugs for personal use could no longer face prosecution or jail. The approach, met with public support, offered people access to services like safe injection sites and counseling and showed demonstrable success in declining opioid related deaths, the spread of infectious diseases, and drug use all together. As the rest of the world faces a similar crisis, Portugal could be a model response.