Where do I go teen pregnancy elder abuse family disease Broken families holistic health lack of coping skills tribal leadership lack of education lack of resources access to care role reversal lack of support affects everyone gang violence central hub for services lack of culture religion spirituality sober living domestic violence single parents emotional abuse eating disorders sedentary lifestyles medication abuse alternative medicine harm reduction lack of providers social media peer pressure lack of involvement Racism Stigma Shame discrimination stress trauma grief anti-depressants parenting rural ICW foster equity fear generational addiction unrecognized recovery cycles hopeless manipulation data unemployment suicide homeless poverty overdose fentanyl narcan abandoned isolation enabling denial transportation alcoholism confidentiality anxiety depression PTSD Veterans youth elders Covid-19 self-medication