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'Deep in the Hollers': LGBTQ+ Narratives of Addiction and Recovery in Appalachia

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Title: 'Deep in the Hollers': LGBTQ+ Narratives of Addiction and Recovery in Appalachia
Language: English
Authors: Jacob Perkins, Harley Locklear
Source: Professional Counselor. 2025 15(4):312-330.
Availability: National Board for Certified Counselors, Inc. and Affiliates. 3 Terrace Way, Greensboro, NC 27403. Tel: 336-547-0607; Fax: 336-547-0017; e-mail: TCPjournal@nbcc.org; Web site: http://tpcjournal.nbcc.org
Peer Reviewed: Y
Page Count: 19
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Tests/Questionnaires
Descriptors: LGBTQ People, Addictive Behavior, Drug Rehabilitation, Geographic Regions, Help Seeking, Wellness, Social Bias, Access to Health Care, Resilience (Psychology), Interpersonal Relationship, Substance Abuse, Barriers
Geographic Terms: Appalachia
ISSN: 2164-3989
Abstract: This study employs narrative inquiry to explore the experiences of LGBTQ+ individuals in Appalachia as they navigate addiction and recovery. From in-depth, semi-structured interviews, five central themes emerged: becoming in Appalachia, seeking refuge, reaching a breaking point, recovery in the margins, and visions of wellness. These themes illuminate the complex interplay between LGBTQ+ identity development, structural marginalization, and lack of access to affirming recovery supports in the Appalachian region. Participants' stories reveal how isolation, stigma, and cultural expectations shape both substance use and recovery trajectories. Themes also highlight resilience, chosen family, and the reimagining of wellness beyond dominant treatment models. This work contributes to the limited scholarship on LGBTQ+ recovery in rural regions and underscores the importance of culturally responsive, community-rooted approaches to care in Appalachia.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1495241
Database: ERIC
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  Data: 'Deep in the Hollers': LGBTQ+ Narratives of Addiction and Recovery in Appalachia
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  Data: <searchLink fieldCode="AR" term="%22Jacob+Perkins%22">Jacob Perkins</searchLink><br /><searchLink fieldCode="AR" term="%22Harley+Locklear%22">Harley Locklear</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Professional+Counselor%22"><i>Professional Counselor</i></searchLink>. 2025 15(4):312-330.
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  Data: National Board for Certified Counselors, Inc. and Affiliates. 3 Terrace Way, Greensboro, NC 27403. Tel: 336-547-0607; Fax: 336-547-0017; e-mail: TCPjournal@nbcc.org; Web site: http://tpcjournal.nbcc.org
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  Data: <searchLink fieldCode="DE" term="%22LGBTQ+People%22">LGBTQ People</searchLink><br /><searchLink fieldCode="DE" term="%22Addictive+Behavior%22">Addictive Behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Rehabilitation%22">Drug Rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Geographic+Regions%22">Geographic Regions</searchLink><br /><searchLink fieldCode="DE" term="%22Help+Seeking%22">Help Seeking</searchLink><br /><searchLink fieldCode="DE" term="%22Wellness%22">Wellness</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Bias%22">Social Bias</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Health+Care%22">Access to Health Care</searchLink><br /><searchLink fieldCode="DE" term="%22Resilience+%28Psychology%29%22">Resilience (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Interpersonal+Relationship%22">Interpersonal Relationship</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+Abuse%22">Substance Abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Barriers%22">Barriers</searchLink>
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  Data: This study employs narrative inquiry to explore the experiences of LGBTQ+ individuals in Appalachia as they navigate addiction and recovery. From in-depth, semi-structured interviews, five central themes emerged: becoming in Appalachia, seeking refuge, reaching a breaking point, recovery in the margins, and visions of wellness. These themes illuminate the complex interplay between LGBTQ+ identity development, structural marginalization, and lack of access to affirming recovery supports in the Appalachian region. Participants' stories reveal how isolation, stigma, and cultural expectations shape both substance use and recovery trajectories. Themes also highlight resilience, chosen family, and the reimagining of wellness beyond dominant treatment models. This work contributes to the limited scholarship on LGBTQ+ recovery in rural regions and underscores the importance of culturally responsive, community-rooted approaches to care in Appalachia.
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  Data: 2026
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      – Text: English
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        StartPage: 312
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      – SubjectFull: Drug Rehabilitation
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      – SubjectFull: Geographic Regions
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      – SubjectFull: Help Seeking
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      – SubjectFull: Wellness
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      – SubjectFull: Social Bias
        Type: general
      – SubjectFull: Access to Health Care
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      – SubjectFull: Resilience (Psychology)
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      – SubjectFull: Interpersonal Relationship
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      – SubjectFull: Substance Abuse
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      – SubjectFull: Barriers
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      – SubjectFull: Appalachia
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