Recovery is hard in tiny communities. All your friends are doing drugs, there are maybe 2 or 3 12-step meetings a week, no outpatient programs that you can att

Recovery is hard in tiny communities. All your friends are doing drugs, there are maybe 2 or 3 12-step meetings a week, no outpatient programs that you can attend while working, no sober living facilities, and treatment involves a trip to the big city. Contrast this with a modest sized city like my home of Madison, WI, where there are two rehabs in town, the land of a thousand rehabs is just across the state line, hundreds of meetings a week, and there is a thriving sober living community. Small town folks make up the majority of the recovering heroin addicts I meet here. They all took the quick trip up the road to Madison for rehab, moved into sober living in town, and stayed for the recovery community. Perhaps that's more difficult on an isolated island community? If you think it's too hard to get the dope there, you haven't met an addict in need...