B02: “There’s No Place Like Home”: Substandard housing, economic instability, and mental health in Central Appalachia

I traveled to Central Appalachia with the Appalachia Service Project (ASP) to participate in immersive health experiences related to my global health minor. ASP is a large nonprofit organization run entirely by volunteers, and its mission is to provide home repairs and renovations for people living in substandard housing conditions. I volunteered with the organization on three separate trips, and observed that people living in inadequate housing conditions were vocal about their struggles with mental health challenges and stress induced by economic insecurity. The strong sense of family, community, and resiliency contribute to the unique cultural world of Central Appalachia, and often force homeowners to remain in the area even when their physical and mental wellbeing is challenged. Central Appalachia experiences a household income that is 66% lower than the national average, and many families in this region do not have adequate access to healthcare, proper nutrition, or safe and secure housing options. Due to the high prevalence of substandard homes in this region, many residents face safety issues that lead to injury or exacerbate pre-existing health conditions, as well as contribute to worsening mental health conditions. Those who do not have access to proper housing experience higher rates of anxiety, depression, and general distress than those who have a secure home. The inequity caused by a lack of access to housing is a multifaceted issue that is related to a person’s economic security, mental health status, family system, cultural world, and surrounding environment. ASP works to mitigate these issues by providing quality home repairs to families in need. This organization has been seen to uplift residents, decrease homeowners’ stress, anxiety, and embarrassment, as well as decrease their financial stress. I am grateful for my experiences with ASP, and to have been part of the work they continue to do in Central Appalachia.

Author: Alaina Singh

Advisors: Joseph Carlin, Paul Flaspohler

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