Data from the WNC Health Network shows a 39% increase in poor mental health in the region since 2012, alongside widespread impacts of substance use across households. In this episode of the WNC Health Policy Podcast, we begin to explore the mental health and substance use landscape of Western North Carolina through the experience of clinician Lissa Carter, who has worked across recovery, community mental health, education, and clinical leadership roles in Buncombe County.

On May 1, 2025, North Carolina Governor Josh Stein officially proclaimed May as Mental Health Awareness Month. Mental health is a critical issue for Western North Carolina, with 11% of respondents to regional health assessment surveys report having considered suicide in past year, up from 7% in 2021, and 20% report being unable to access needed mental health services. In the wake of Hurricane Helene, greater resources, awareness, programs, and policy supports are needed to support the mental health of all Western North Carolinians.