Marylanders who want a new health challenge can participate in Sober October, which -- in addition to the sobriety pledge -- offers the chance to raise money for charity.

With alcohol consumption increasing during the pandemic, a month of sobriety may offer people a needed chance to reevaluate their relationship with drinking.

Gallup's most recent polling found that 53% of Americans report having 1-7 drinks per week.

Sharing his experience, Zach Snitzer with the Maryland Addiction Recovery Center said after a month off of alcohol, people typically report some noticeable differences.

"The major things, I think, are how much they feel better physically as well as emotionally," Snitzer observed. "So, you hear people talk about they have more energy. They're not hung over; they're more focused or clear from a mental standpoint. Those are pretty much the things that we hear."

Alcohol is known to impact sleep. According to the National Institutes of Health, drinking can cause insomnia and shorten the duration of sleep. Snitzer pointed out that while alcohol may make you feel drowsy, the overall impact on the amount of real rest you get is negative.

"Alcohol is a depressant, so while it may make people sleepy, it definitely interrupts healthy or normal sleeping routines," he explained, "Which is one of the issues that you see in terms of substances in general."

Sober October organizers point to the health benefits, but also the insights folks can get about their relationship with alcohol.

The ability to stop drinking for a month may not be the same for all people, and according to Snitzer, that's a clue: "They might want to reexamine what that relationship looks like; they might be somebody that's suffering from a substance use disorder no matter how minute it is," he added.

Organizers recommend that heavy drinkers or people dependent on alcohol consult their doctor before signing up. Proceeds from Sober October benefit SMART Recovery, a nonprofit addiction treatment organization.

This week, Gov. Jim Justice announced five new appointments to the West Virginia First Foundation, the private foundation responsible for the statewide distribution of opioid settlement funds.

Advocates are calling for the money to be used for medication for addiction treatment and harm reduction services - such as needle exchanges, naloxone, and overdose prevention centers.

Mary Newlyn, executive director of the West Virginia Hope in Action Alliance, said expanding housing and wraparound support services for people who use drugs and people with drug-related convictions, would help stabilize communities and families.

She pointed out most substance-use disorder funding is not funneled toward those types of supports.

"Once a person has reached a state of sobriety, they need community support and access to the healthy coping techniques they obtained during treatment," Newlyn explained. "These communities are built in transitional and recovery housing."

According to the Office of Drug Control Policy there were at least 1,300 drug overdose deaths in West Virginia in 2020, a 51% increase compared to 2019. This year, there have been more than 5,000 reported EMS responses for suspected overdoses.

Tricia Christensen, director of policy for the nonprofit Community Education Group, said states should be thinking creatively about how to best use the funding to help stem the tide of substance abuse. She pointed to mental health resources, youth prevention programs and community programs focused on forging a life in recovery.

"How do we invest in our communities to really think about opportunities for kids as they're growing older?" Christensen asked. "Opportunities for those kids' parents now, right? Because we know that this is a generational issue."

The Mountain State has received an estimated $847 million from lawsuit payouts involving major pharmacy chains, drug manufacturers, drug distributors, and pharmaceutical consulting firms.This week, Gov. Jim Justice announced five new appointments to the West Virginia First Foundation, the private foundation responsible for the statewide distribution of opioid settlement funds.

Advocates are calling for the money to be used for medication for addiction treatment and harm reduction services - such as needle exchanges, naloxone, and overdose prevention centers.

Mary Newlyn, executive director of the West Virginia Hope in Action Alliance, said expanding housing and wraparound support services for people who use drugs and people with drug-related convictions, would help stabilize communities and families.

She pointed out most substance-use disorder funding is not funneled toward those types of supports.

"Once a person has reached a state of sobriety, they need community support and access to the healthy coping techniques they obtained during treatment," Newlyn explained. "These communities are built in transitional and recovery housing."

According to the Office of Drug Control Policy there were at least 1,300 drug overdose deaths in West Virginia in 2020, a 51% increase compared to 2019. This year, there have been more than 5,000 reported EMS responses for suspected overdoses.

Tricia Christensen, director of policy for the nonprofit Community Education Group, said states should be thinking creatively about how to best use the funding to help stem the tide of substance abuse. She pointed to mental health resources, youth prevention programs and community programs focused on forging a life in recovery.

"How do we invest in our communities to really think about opportunities for kids as they're growing older?" Christensen asked. "Opportunities for those kids' parents now, right? Because we know that this is a generational issue."

The Mountain State has received an estimated $847 million from lawsuit payouts involving major pharmacy chains, drug manufacturers, drug distributors, and pharmaceutical consulting firms.

More than 615,000 dollars is going to nonprofit groups in Kentucky working to end opioid addiction. According to state data, more than 2,100 Kentuckians lost their lives to a drug overdose last year - the first decline in deaths since 2018. Eligible groups include those working to raise awareness about overdose prevention, reduce the stigma around substance use disorders, and improve access to harm reduction, treatment and recovery support.

Marianne Smith Edge, chair of board of directors with the Foundation for a Healthy Kentucky said grant awardees will also receive administrative help.

"The uniqueness is not just the dollars - it's really providing that support that a lot of times nonprofits, especially smaller ones, don't have. So, that'll help them guide and ensure that the dollars really get the return on investment for those specific communities," she said.

The grant program is a partnership between the Foundation for a Healthy Kentucky and the Kentucky Cabinet for Health and Family Services.

Overdose death rates have increased by 44% for Black Americans, and by 39% for the American Indian and Alaskan Native populations, according to the CDC. The program aims to address these disparities in the Commonwealth, Smith added.

"This particular fund is really geared toward really reaching those underserved and minority populations that perhaps haven't always been the top recipients of some of the other substance abuse prevention programs," she continued.

Opioid lawsuits against pharmaceutical companies resulted in a $460 million payout to Kentucky in 2021 to provide state and local governments with funding to support opioid treatment programs.

Construction workers are more likely to die by suicide or of a drug overdose than workers in almost any other field, and a St. Louis-based peer support system and hotline wants to change it.

According to the American Addiction Centers, those who work in construction have nearly twice the rate of substance use disorders as the national average.

Don Willey, pension chairman and Trustee for Laborers Local 110, helped initiate "LEAN-STL," which stands for Laborers Escaping Addiction Now-St. Louis. He said the program's peer support specialists have lived experience, which is effective in helping others in their recovery.

"There are people that gain recovery and want to give it away and help other people attain recovery and maintain sobriety," Willey explained. "That has been the best model in dealing with people struggling with mental health issues and addiction."

Willey pointed out the construction industry is both physically and mentally taxing, and he has seen many people become addicted after being prescribed opioids for pain. He explained construction jobs have some definite benefits, but there's also the uncertainty of not knowing when the next project will come around, which can be stressful.

Willey noted LEAN STL peer support specialists are also working to help break down stigmas associated with substance use disorders, addiction and mental health. He emphasized they offer resources, not diagnoses or treatment. And he added more can still be done, not only in the construction industry, but across the board.

"We need to create an environment of free thought and speech when it comes to this topic," Willey urged. "We need to make these epidemic issues in this country as easy as talking about blood pressure, weight loss, weight gain. As easy as dealing with diabetes. It should carry no more stigma than that."

Willey stressed staying silent on the issue can be deadly. The LEAN STL program is free of charge, for Laborers' union members and their families. It's funded through the Greater St. Louis Construction Laborers Fund.