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By Elena Cleaves, Staff Writer By Elena Cleaves, Staff Writer (© freshidea - stock.adobe.com) In rural Missouri, being rural strong means being proud of one's resiliency and ability to keep going when the going gets tough. However, it's important to distinguish that resiliency means recognizing when help is needed and having the courage to seek it. The Health Care Collaborative (HCC) of Rural Missouri and its Live Well Community Health Centers offer a grant-funded program to treat opioid addiction focusing on education, stigma reduction, and support. The Rural Community Opioid Response Program (RCORP) connects opioid addicts to physical and mental health care providers and community resources to support whole-person care. The program also includes two peer counselors with firsthand mental health and addiction experiences who help addicts navigate recovery. This program is especially integral as overdose-related deaths were declared a national public health emergency in 2017, with the opioid epidemic continuing to wage its own war right alongside the coronavirus pandemic. In 2020, drug overdose deaths accounted for more than 80,000 deaths in the U.S., 50,000 of which were opioid-related. According to the National Association of Counties (NAC), roughly 130 Americans die of opioid overdose daily. Opioids are often prescribed for pain, making them easily available to not only the person suffering from injury but to those with access to their medicine cabinet. Prolonged use over time increases tolerance to the drug so eventually a higher dosage is required to get the same, or any, desired effect. Because of this, opioids are extremely accessible and addictive to people fighting severe or chronic pain. Opioids are also found on the street and can be taken multiple ways including intravenously, which allows opportunities for further health complications if needles are dirty and/or shared. Synthetic opioids such as fentanyl may also be mixed in with the product unknowingly to the user and prove fatal. According to the Centers for Disease Control and Prevention (CDC), manufactured fentanyl, an infamously fatal synthetic opioid, is on the rise. Between May 2019 and May 2020, it caused an increase of overdose deaths by 38.4%. As the ongoing COVID-19 pandemic causes increased rates of substance use due to stress, experts and prediction models PAGE 04 April Issue 2021

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