A COVID ‘silver lining': You can start drug treatment over the phone — and more people are starting to

State officials in Alaska are aware of the shortage of options for alcohol treatment, particularly at detox centers, but are struggling to fill the void. However, a few youth detox centers have been able to balance the number of beds and incoming patients.

Many psychologists and counselors have moved their therapy sessions online due to the coronavirus pandemic, which has been received largely positively across the nation. As the pandemic continues, however, there is an increasing need for therapists who are trained to work with other therapists or first responders, so some states are now increasing online educational training, using social media to make connections, and utilizing professional organizations to "keep records of therapists available and trained to work with other first responders."

Volunteer groups in Georgia are making cloth masks for non-coronavirus patients at local hospitals so that personal protective equipment can be reserved for medical staff in direct contact with COVID-19 patients. Although these masks do not provide the same kind of protection as medically regulated masks, they do serve as a back-up and thousands have been delivered to area hospitals.

Philadelphia medical centers had to pivot their services in response to COVID-19, turning to telehealth to screen patients who think they’re experiencing symptoms. That pivot took some adjusting – having to hire and train staff in the technology and process and scaling their services to meet the massive spike in online appointments. Doing so has let places like Jefferson Health and Penn Medicine see close to 10x the patients they usually see.

To allow patients to still see their doctors during the coronavirus pandemic, insurance providers have eliminated some of the barriers for providers to be reimbursed for telehealth appointments. This change in policy has helped doctors in Maine grow their telehealth practices in ways that may outlast the pandemic.

Amid the pandemic, medical researchers and an abortion-rights advocacy group in the U.S. are working to make the abortion pill available via mail. Although there is ambiguity surrounding the rules and regulations of how the pill must be distributed to patients, some doctors have helped efforts by agreeing to register with F.D.A.-approved manufacturers and a handful of states are allowing the pill to be mailed after an in-person ultrasound has been conducted.

The CARES Act was meant to help small businesses, including hospitals, find financial stability during the coronavirus pandemic, but confusing guidelines and a lack of oversight have impeded the success. This reality has been especially difficult for rural hospitals, some of which "have left millions in relief aid untouched, spiraling deeper into debt for fear that the wrong decision could force them to return money."

To help address burnout for child welfare workers in Knox County, Ohio, Knox County Job & Family Services has launched a two-pronged approach that aims to offer wellbeing services to employees. Although the Covid pandemic impeded the rollout of these self-care services and resources, feedback has been positive.

Community health workers with North Carolina Formerly Incarcerated Transition Program (NC FIT) counsel people recently released from jails and prisons to help them get the care they need for mental and physical health problems. The program closes some but not all of the gaps left by the state's inadequate Medicaid coverage and prison health services. Banking on the trust that comes with shared experiences, the formerly incarcerated health workers can connect people with medication-assisted treatment for substance use, covid-related treatments, and mental health care, all common ailments post-incarceration.

Lately, the notion of being alcohol-free or participating in movements like “dry January” has picked up speed, especially as young people become more aware of the adverse effects of excessive drinking. Bars and companies like Boisson — a dry drinks and mixology shop — sell various alternatives to alcohol ranging from dry wines and beers to spirits made with CBD.