Health and Community Based Services

Viable health and community based services, including child care, social services, long term care and behavioral health, will be essential both to ensuring a high quality of life for workers and to growing the Appalachian economy during this time of transition. This section spotlights resources in the community based services sector in the region—detailing programs currently available and identifying areas where services need to be expanded.


  • Tender Heart Child Care — There is a myth Janet Butcher would like to debunk. “Child care is not babysitting!” she says emphatically. Janet and her husband, Darrell Butcher, are the owners and directors of Tender Heart Child Care in Johnson County, Kentucky.

Websites and Organizations

Reports and Resources


To suggest a resource or link: