Angie Gray has spent her entire career in public health nursing and says she knew long ago that West Virginia was vulnerable to many public health issues. Substance use disorder was becoming a problem in West Virginia as she advanced in her career, and its prevalence concerned her.

“Our obituaries in the paper, it was 20-year-olds, 30-year-olds, 40-year-olds, 50-year-olds. Once opioids were introduced to people, they felt normal for the first time. Until they didn’t.…