Barbara Kingsolver's Higher Ground: A New Hope for Women in Appalachia Battling Addiction

In January 2025, author Barbara Kingsolver inaugurated the Higher Ground Women’s Recovery Residence in Pennington Gap, Virginia, utilizing royalties from her Pulitzer Prize-winning novel, *Demon Copperhead*, which addresses the opioid crisis in Appalachia. The facility aims to provide a supportive environment for women recovering from substance use disorders, particularly those transitioning from incarceration or treatment centers. During a celebratory event at the historic Lee Theatre, Kingsolver invited residents to share their experiences, highlighting the kinship and support they found among each other.

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The opioid epidemic has severely impacted central Appalachia, with pharmaceutical companies targeting the region with misleading claims about addiction-resistant opioids. Kingsolver's vision for Higher Ground emerged from her research and immersion in the stories of those affected by addiction. Joie Cantrell, a public health nurse and board chair of Higher Ground, emphasized the necessity of a safe space for women to recalibrate after treatment or incarceration, noting that many women fall back into old patterns without adequate support.

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Higher Ground has quickly gained traction, reaching its capacity of seven women by August 2025. The facility's location in town is crucial, as public transportation options are limited in the area. Residents benefit from a relaxed environment that fosters independence and self-reliance, with four women employed and others pursuing education. The community has shown overwhelming support, with local donations of furniture and supplies, and volunteers assisting with the facility's setup.

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Operating on an estimated annual budget of $120,000, Higher Ground charges residents $50 per week, significantly lower than the average $2,500 monthly fees at other recovery houses. The facility relies solely on donations and has no federal or state funding. Kingsolver has also acquired an adjacent building to establish a thrift shop, which will provide additional income and job training for residents. Supporters aim to expand the model to other areas in the region.

Virginia Mercury

Despite the positive reception, challenges remain. Critics point out that recovery houses must navigate the complexities of reintegration into families and communities, as unprepared environments can hinder success. Marvin Ventrell, CEO of the National Association of Addiction Treatment Providers, noted that recovery is a communal process, and the social structures surrounding individuals in recovery must be addressed.

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• “we figure it out.” — Syara Parsell, Resident

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• “The way I put it is, ‘They came to harvest our pain when there was nothing else left,’” — Barbara Kingsolver, Author

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• “is not just sobriety, but belief in themselves.” — Barbara Kingsolver, Author

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Higher Ground Women’s Recovery Residence represents a significant step in addressing the opioid crisis in Appalachia by providing a nurturing environment for women in recovery. As the facility continues to grow and adapt, it serves as a model for community-driven recovery efforts, emphasizing the importance of support, stability, and empowerment in the journey toward healing.

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