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Kentucky Oral Health Coalition

Kentucky Oral Health Coalition

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Kentucky Oral Health Coalition

Renee and her guests Lacey McNary, a health policy consultant and principal of McNary and Associates and Dr. Laura Hancock Jones, a dentist working with the UK College of Dentistry Public Health Division's Western Kentucky Dental Outreach Program and chair of the Kentucky Oral Health Coalition, discuss the state of oral health in Kentucky.
S11 E30 Length 28:21 Premiere 5.20.16

Improving Oral Health Literacy and Access in Kentucky

The commonwealth’s alarmingly high rates of cancer, heart disease, diabetes, and obesity are well known. But another medical problem that doesn’t get as much publicity is just as critical to the well-being of Kentuckians: oral health.

Two representatives from the Kentucky Oral Health Coalition appeared on KET’s Connections to discuss the importance of having good teeth and efforts to address the oral health challenges in the state. Dr. Laura Hancock Jones is a dentist with the University of Kentucky College of Dentistry’s Western Kentucky Dental Outreach Program, and Lacey McNary is a health policy consultant in Louisville.

The Roots of Poor Oral Health
Consider a few facts: 40 percent of Kentucky children have never been to a dentist. One in four older Kentuckians don’t have their original teeth. In 2011 alone, some 16,000 uninsured or underinsured citizens went to their local emergency room for dental care. Poor oral health can contribute to other physical problems like diabetes, cardiovascular disease, and possibly even Alzheimer’s. It can impact how students learn.

“There’s thousands of children on a daily basis attending school with pain that is totally preventable,” McNary says. “It is really hurting them with their success rates in school and otherwise overall well-being.”

McNary and Jones attribute Kentucky’s poor oral health to a variety of factors. First, there’s a lack of access to dentists. Jones says 42 percent of all the dentists licensed in the state work in either Fayette or Jefferson Counties. As a result, people who live in poorer neighborhoods and rural counties may have to travel significant distances for basic dental services, if they can get transportation to those practices. Another issue is that not all dentists accept Medicaid patients, which can limit access for impoverished Kentuckians.

Other factors include tobacco use and diet. Jones says individuals who smoke are six times more likely to develop periodontal disease. And she says foods rich in carbohydrates and beverages that are high in sugar create the perfect breeding ground for bacteria that feed tooth-eating acids.

“The key point about oral health is you need to maintain that balance, so when things swing out of kilter in our mouth, it affects the environment in which the bacteria live,” Jones explains. “With the shift of acid in the mouth, it can really cause a lot of tooth decay to advance very rapidly.”

Finally, Jones says there’s poor dental hygiene. She says studies show that almost a third of the population never flosses, and brushing and flossing twice a day is recommended. She adds that fear also contributes to bad oral health outcomes.

“Dental and mental go together,” Jones says. “The fear and anxiety of dental treatment is real and it keeps people away until they are in that disaster-care mode.”

Improving Oral Health in the Commonwealth
The Kentucky Oral Health Coalition was originally formed in 1990 as a collaborative of the dentistry programs at the Universities of Kentucky and Louisville. The coalition has advocated for dental health policies, conducted an extensive oral health survey, and developed the Smile Kentucky! educational curriculum and dental health program for schools.

The coalition fell dormant in 2006 but was revived in 2010 under the auspices of Kentucky Youth Advocates. Now, the coalition is completing a statewide dental health survey – the first for the commonwealth in 15 years. Jones says the results of that survey will be released in the fall and will help inform new initiatives the group hopes to pursue. McNary says their top priorities include getting oral health coverage added as a benefit to Medicare and increasing the number of dentists who accept Medicaid.

“We are really interested in trying to create a better environment for dentists who want to serve and can serve low-income patients, whether it’s increasing the reimbursement rate for them or making it easier for them to sign up into the Medicaid system,” McNary says.

Expanding Access to Rural Areas and Children
The Kentucky Oral Health Coalition also advocates for more financial assistance to dental students. Jones says UK and U of L have state-sponsored dental school loan repayment programs, and she says some graduates are receiving incentives to locate in Appalachian communities. Jones says she’d like to see that program expand to cover other rural areas, including western Kentucky where she works.

Jones also wants to see more oral health programs in primary and secondary schools in Kentucky. She says 72 percent of districts have some sort of oral health initiative, but most of those are screenings performed on kindergarten children. Jones says 20 percent of school-based programs provide on-site screenings and only 16 percent of schools offer comprehensive dental care services.

The coalition also seeks to expand an initiative in which students have a protective sealant applied to their permanent molars. Jones says 40 percent of schools offer the program, which has shown to be highly effective in preventing tooth decay.

“Our safety net is growing, but the sustainability of those programs is always in jeopardy,” Jones says.

“Prevention really is a very low-cost solution to a lot of these problems,” adds McNary.

Read a comprehensive spring 2016 report on Kentucky’s oral health from researchers at SUNY-Albany.

foundation_logo2013This KET production is part of the Inside Oral Health Care initiative, funded in part by the Foundation for a Healthy Kentucky.

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Each week, host Renee Shaw and a variety of interesting and engaging people - including business leaders, entertainers, authors, celebrities, and more - explore a broad array of topics impacting Kentucky and the world.

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Dominique Wilkins - S11 E41

Renee speaks with former NBA standout Dominique Wilkins about his storied career and his current mission to help combat the nation's diabetes epidemic.

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Tameka Montgomery - S11 E42

Renee speaks with Tameka Montgomery, who was appointed in 2013 by President Obama to lead the Office of Entrepreneurial Development at the U.S. Small Business Administration. In her capacity as Associate Administrator, she is charged with driving programs and policies that support national entrepreneurial training and education programs.

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Phil Wilkins - S11 E43

Renee's guest is businessman and entrepreneur Phil Wilkins, who owns Dream Big Restaurants LLC. He discusses his approach to entrepreneurship and how self-confidence is at the core of his success as a businessman.

  • Wednesday December 18, 2019 5:30 am ET on KETKY
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Impact 100 - S8 E1

Joy Allen and Martha Clark from Owensboro-based group Impact 100 will join Renee to discuss their organization and its success in giving $1.24 million in grant money to local nonprofits over the past six years

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Angel Clark and Bianca Spriggs - S8 E2

Photographer Angel Clark, director of the Center for HIV Prevention and Community Outreach at AVOL AIDS Volunteers, Inc., and Lexington writer, poet, and performer Bianca Spriggs, discuss their work with the Kentucky Domestic Violence Association in facilitating workshops for incarcerated women in Kentucky for The SwallowTale Project and the upcoming multimodal exhibit "The Thirteen."

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U.S. Attorney Robert Duncan, Jr. - Eastern District of Kentucky - S15 E14

U.S. Attorney for the Eastern District of Kentucky Robert Duncan, Jr. talks about addressing the opioid epidemic, violent crime, child exploitation, scams against the elderly, and more.

  • Sunday December 15, 2019 1:30 pm ET on KET
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Poverty in Kentucky - S8 E3

Renee and poverty eradication experts and advocates discuss poverty's growing grip on Kentucky's families and children and the efforts being made to improve the well-being of Kentuckians.

  • Monday December 23, 2019 5:30 am ET on KETKY
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Rev. Kimberly Jones - S8 E4

Renee talks with Miss Plus America, the Rev. Kimberly Jones from Louisville, about pageantry and how recognition of full-figured women affects body image of young girls.

  • Tuesday December 24, 2019 5:30 am ET on KETKY
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dream hampton - S8 E5

Acclaimed hip hop journalist and culture critic dream hampton has written about music, culture, and politics for 20 years. She is "divesting herself of hip hop" and discusses why she is ready to turn her back on the genre that has consumed much of her career.

  • Wednesday December 25, 2019 5:30 am ET on KETKY
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Tara Betts - S8 E6

Poet Tara Betts talks about her writing and her work as an activist for literacy. Betts, a lecturer in creative writing at Rutgers University, is the author of Arc and Hue, her 2009 debut collection of poetry. She recently spoke at the 2012 Kentucky Women Writers Conference.

  • Thursday December 26, 2019 5:30 am ET on KETKY
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Mimi Pickering and Dr. Catherine Fosl - S8 E7

Filmmaker Mimi Pickering and biographer Dr. Catherine Fosl, director of the University of Louisville's Anne Braden Institute for Social Justice Research, discuss the upcoming documentary on KET Anne Braden: Southern Patriot, about the American civil rights leader.

  • Friday December 27, 2019 5:30 am ET on KETKY
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Pastor Edward Palmer - Racial Bias and Juvenile Justice Reform - S15 E2

Pastor Edward Palmer works to eliminate disproportionate minority contact within the child welfare and juvenile justice systems. He talks about Kentucky's juvenile justice reform efforts, how he's working with justice officials in addressing racial biases, and more. Pastor Palmer is a certified diversity trainer and the current chair of the National Coalition for Juvenile Justice. He is also serving his fifth term as a Radcliff city councilman.

  • Sunday December 22, 2019 8:00 am ET on KETKY
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Susan Pope - S8 E12

Renee's guest is Danville actress Susan Pope, who is touring with her one-woman play, Dreadfully White, described as a zany look at the serious subject of growing up in a violent family.

  • Monday December 30, 2019 5:30 am ET on KETKY
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M.A.D.E. (Motivating Youth All Day Everyday) - S8 E13

Teaching life lessons beyond classroom textbooks is what a former UK football player and a one-time incarcerated gang member have in common. Quincy Murdock and Logan Avritt are working to improve GPA's for at-risk kids and dial down the lure of gangs and violence. It's called M.A.D.E. - Motivating Youth All Day Everyday. A 2012 KET production.

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Cathy Holloway Hill - S8 E15

An author, life coach, and radio talk show host, Cathy Holloway Hill has written a book on how to uncover and discover the real you in Lies, Love and Life.

  • Wednesday January 1, 2020 5:30 am ET on KETKY
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Bianca Spriggs - S8 E16

Affrilachian poet and performer Bianca Spriggs discusses "The Thirteen," an exhibit and performance revolving around the lives of 13 black women who were lynched in Kentucky during the 19th and 20th centuries. A 2013 KET production.

  • Thursday January 2, 2020 5:30 am ET on KETKY
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Derek Anderson - S8 E18

Former University of Kentucky Wildcat and NBA player Derek Anderson discusses his new book, Stamina, about how he overcame poverty and other challenges.

  • Friday January 3, 2020 5:30 am ET on KETKY
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Dayna Seelig - S15 E12

Dayna Seelig, the Kentucky Spirited Chef, discusses the spirit of hospitality, along with her new book, Kentucky Spirited Treasures: Bourbon Wine & 'Shine.

  • Sunday December 29, 2019 8:00 am ET on KETKY
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Thrivals 5.0 - S8 E19

A look at "Thrivals 5.0: "The Quest: The Call to Adventure," part of Louisville's IdeaFestival. Thrivals 5.0 presents an interactive introduction to "questors" who have not just dared to dream but have achieved their dream. A 2013 KET production.

  • Monday January 6, 2020 5:30 am ET on KETKY
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Dr. Alexandra Bradner - S8 E20

Renee welcomes Dr. Alexandra Bradner, University of Kentucky Philosophy professor, who wrote a critique of the MTV series Buckwild.

  • Tuesday January 7, 2020 5:30 am ET on KETKY
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Jane Beshear - S8 E21

Kentucky First Lady Jane Beshear discusses her tenure and what she hopes to accomplish in the remaining two years. A 2013 KET production.

  • Wednesday January 8, 2020 5:30 am ET on KETKY
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Janet Steele Holloway - S8 E24

Janet Steele Holloway, founder of Women Leading Kentucky and author, discusses her coming of age autobiography A Willful Child.

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Byron Hurt - S8 E25

Acclaimed filmmaker Byron Hurt talks about his latest film, Soul Food Junkies, the history and hazards of the high-fat cuisine and the love it inspires.

  • Friday January 10, 2020 5:30 am ET on KETKY
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Connections - S15 E15

  • Sunday January 5, 2020 8:00 am ET on KETKY
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Lexington Artists - S8 E28

Renee speaks with Lexington artists Kremena Todorova and Kurt Gohde about the Lexington Tattoo Project and Lexington artist Denise E. Brown, who tackles the sensitive issues of race, class, and society in her works.

  • Monday January 13, 2020 5:30 am ET on KETKY
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Beth Dotson Brown - S8 E31

Renee speaks with Beth Dotson Brown, an award winning freelance writer and editor who lives in Lancaster, Kentucky. She is the author of Yes! I Am Catholic and contributor to A Cup of Comfort for Breast Cancer Survivors.

  • Tuesday January 14, 2020 5:30 am ET on KETKY
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Connections - S15 E16

  • Sunday January 12, 2020 8:00 am ET on KETKY
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Jakobi Williams - S8 E34

Renee's guest is Jakobi Williams, a Chicago native and assistant professor in the history department at the University of Kentucky. He discusses his book From the Bullet to the Ballot: The Illinois Chapter of the Black Panther Party and Racial Coalition Politics in Chicago.

  • Wednesday January 15, 2020 5:30 am ET on KETKY
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Frank Minnifield - S8 E35

Renee talks with Frank Minnifield, former pro football player and Kentucky businessman, about the 11th annual induction ceremony of the Kentucky Pro Football Hall of Fame, an effort he spearheaded to recognize gridiron greats while raising money for youth organizations.

  • Thursday January 16, 2020 5:30 am ET on KETKY
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U.S. Attorney Robert Duncan, Jr. - Eastern District of Kentucky - S15 E14

  • Sunday December 15, 2019 8:00 am ET on KETKY
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A Tribute to Georgia Davis Powers - S11 E18

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Gary Tuggle - S11 E40

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Dr. Leana Wen - S11 E39

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Opioid Addiction Response and Research - S15 E3

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Terrence Walton - S11 E38

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U.S. Agriculture Secretary Tom Vilsack - S11 E37

  • Tuesday December 10, 2019 10:30 pm ET on KETKY
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Kimberly Johnson - S11 E36

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Andrew Brennen - S11 E17

  • Saturday December 7, 2019 4:30 pm ET on KETKY
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Jason Merrick - S11 E35

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Fayette County Veterans Treatment Court - S11 E34

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Dr. Lynne Saddler - S11 E33

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  • Wednesday December 4, 2019 5:30 am ET on KETKY
  • Wednesday December 4, 2019 4:30 am CT on KETKY

Scott Hesseltine - S11 E32

  • Tuesday December 3, 2019 10:30 pm ET on KETKY
  • Tuesday December 3, 2019 9:30 pm CT on KETKY
  • Tuesday December 3, 2019 2:00 pm ET on KETKY
  • Tuesday December 3, 2019 1:00 pm CT on KETKY
  • Tuesday December 3, 2019 5:30 am ET on KETKY
  • Tuesday December 3, 2019 4:30 am CT on KETKY

Jessie Laine Powell - S11 E31

  • Monday December 2, 2019 10:30 pm ET on KETKY
  • Monday December 2, 2019 9:30 pm CT on KETKY
  • Monday December 2, 2019 2:00 pm ET on KETKY
  • Monday December 2, 2019 1:00 pm CT on KETKY
  • Monday December 2, 2019 5:30 am ET on KETKY
  • Monday December 2, 2019 4:30 am CT on KETKY

Inclusivity in Fashion - Frankie Lewis; RaeShanda Johnson - S15 E13

  • Saturday November 30, 2019 4:30 pm ET on KETKY
  • Saturday November 30, 2019 3:30 pm CT on KETKY
  • Wednesday November 27, 2019 11:30 pm ET on KET
  • Wednesday November 27, 2019 10:30 pm CT on KET
  • Sunday November 24, 2019 6:00 pm ET on KET2
  • Sunday November 24, 2019 5:00 pm CT on KET2
  • Sunday November 24, 2019 4:30 pm ET on KETKY
  • Sunday November 24, 2019 3:30 pm CT on KETKY
  • Sunday November 24, 2019 1:30 pm ET on KET
  • Sunday November 24, 2019 12:30 pm CT on KET
  • Sunday November 24, 2019 8:00 am ET on KETKY
  • Sunday November 24, 2019 7:00 am CT on KETKY

Oral Health Care In Kentucky - S11 E30

  • Friday November 29, 2019 10:30 pm ET on KETKY
  • Friday November 29, 2019 9:30 pm CT on KETKY
  • Friday November 29, 2019 2:00 pm ET on KETKY
  • Friday November 29, 2019 1:00 pm CT on KETKY
  • Friday November 29, 2019 5:30 am ET on KETKY
  • Friday November 29, 2019 4:30 am CT on KETKY

Kishonna Gray - S11 E29

  • Thursday November 28, 2019 10:30 pm ET on KETKY
  • Thursday November 28, 2019 9:30 pm CT on KETKY
  • Thursday November 28, 2019 2:00 pm ET on KETKY
  • Thursday November 28, 2019 1:00 pm CT on KETKY
  • Thursday November 28, 2019 5:30 am ET on KETKY
  • Thursday November 28, 2019 4:30 am CT on KETKY

Gretchen Hunt - S11 E28

  • Wednesday November 27, 2019 10:30 pm ET on KETKY
  • Wednesday November 27, 2019 9:30 pm CT on KETKY
  • Wednesday November 27, 2019 2:00 pm ET on KETKY
  • Wednesday November 27, 2019 1:00 pm CT on KETKY
  • Wednesday November 27, 2019 5:30 am ET on KETKY
  • Wednesday November 27, 2019 4:30 am CT on KETKY

Dr. Erin Frazier - S11 E27

  • Tuesday November 26, 2019 10:30 pm ET on KETKY
  • Tuesday November 26, 2019 9:30 pm CT on KETKY
  • Tuesday November 26, 2019 2:00 pm ET on KETKY
  • Tuesday November 26, 2019 1:00 pm CT on KETKY
  • Tuesday November 26, 2019 5:30 am ET on KETKY
  • Tuesday November 26, 2019 4:30 am CT on KETKY

Crystal Wilkinson - S11 E26

  • Monday November 25, 2019 10:30 pm ET on KETKY
  • Monday November 25, 2019 9:30 pm CT on KETKY
  • Monday November 25, 2019 2:00 pm ET on KETKY
  • Monday November 25, 2019 1:00 pm CT on KETKY
  • Monday November 25, 2019 5:30 am ET on KETKY
  • Monday November 25, 2019 4:30 am CT on KETKY

Dayna Seelig - S15 E12

  • Saturday November 23, 2019 4:30 pm ET on KETKY
  • Saturday November 23, 2019 3:30 pm CT on KETKY
  • Wednesday November 20, 2019 11:30 pm ET on KET
  • Wednesday November 20, 2019 10:30 pm CT on KET
  • Sunday November 17, 2019 6:00 pm ET on KET2
  • Sunday November 17, 2019 5:00 pm CT on KET2
  • Sunday November 17, 2019 4:30 pm ET on KETKY
  • Sunday November 17, 2019 3:30 pm CT on KETKY
  • Sunday November 17, 2019 1:30 pm ET on KET
  • Sunday November 17, 2019 12:30 pm CT on KET
  • Sunday November 17, 2019 8:00 am ET on KETKY
  • Sunday November 17, 2019 7:00 am CT on KETKY

Kentucky Secretary of State Alison Lundergan Grimes - S11 E25

  • Friday November 22, 2019 10:30 pm ET on KETKY
  • Friday November 22, 2019 9:30 pm CT on KETKY
  • Friday November 22, 2019 2:00 pm ET on KETKY
  • Friday November 22, 2019 1:00 pm CT on KETKY
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Child Abuse Awareness and Prevention - S11 E24

  • Thursday November 21, 2019 10:30 pm ET on KETKY
  • Thursday November 21, 2019 9:30 pm CT on KETKY
  • Thursday November 21, 2019 2:00 pm ET on KETKY
  • Thursday November 21, 2019 1:00 pm CT on KETKY
  • Thursday November 21, 2019 5:30 am ET on KETKY
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Anthony Smith - S11 E16

  • Monday November 18, 2019 10:30 pm ET on KETKY
  • Monday November 18, 2019 9:30 pm CT on KETKY
  • Monday November 18, 2019 2:00 pm ET on KETKY
  • Monday November 18, 2019 1:00 pm CT on KETKY
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Rachael Denhollander - S15 E11

  • Saturday November 16, 2019 4:30 pm ET on KETKY
  • Saturday November 16, 2019 3:30 pm CT on KETKY
  • Wednesday November 13, 2019 11:30 pm ET on KET
  • Wednesday November 13, 2019 10:30 pm CT on KET

Wayne Lewis - S11 E15

  • Friday November 15, 2019 10:30 pm ET on KETKY
  • Friday November 15, 2019 9:30 pm CT on KETKY
  • Friday November 15, 2019 2:00 pm ET on KETKY
  • Friday November 15, 2019 1:00 pm CT on KETKY
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Former Kentucky First Lady Jane Beshear - S11 E11

  • Thursday November 14, 2019 10:30 pm ET on KETKY
  • Thursday November 14, 2019 9:30 pm CT on KETKY
  • Thursday November 14, 2019 2:00 pm ET on KETKY
  • Thursday November 14, 2019 1:00 pm CT on KETKY
  • Thursday November 14, 2019 5:30 am ET on KETKY
  • Thursday November 14, 2019 4:30 am CT on KETKY

Miss Kentucky Clark Davis - S11 E10

  • Wednesday November 13, 2019 10:30 pm ET on KETKY
  • Wednesday November 13, 2019 9:30 pm CT on KETKY
  • Wednesday November 13, 2019 2:00 pm ET on KETKY
  • Wednesday November 13, 2019 1:00 pm CT on KETKY
Top

Season 11

Businessman Phil Wilkins

S11 E43 Length 26:31

Training Business Leaders

S11 E42 Length 26:21

NBA Great Dominique Wilkins

S11 E41 Length 27:47

DEA Agent Gary Tuggle

S11 E40 Length 27:47

Addiction and Public Health Reform

S11 E39 Length 29:11

Addiction and the Criminal Justice System

S11 E38 Length 28:21

Addiction in Rural Communities

S11 E37 Length 29:26

Addiction and Mental Health

S11 E36 Length 29:06

Recovery Services for Inmates

S11 E35 Length 28:26

Veterans Treatment Court

S11 E34 Length 28:22

Opioid Epidemic in Northern Ky.

S11 E33 Length 27:21

Treatment Models for Addiction

S11 E32 Length 27:51

Jazz Vocalist Jessie Laine Powell

S11 E31 Length 28:11

Kentucky Oral Health Coalition

S11 E30 Length 28:21

Dr. Kishonna Gray on Gaming

S11 E29 Length 28:06

Advocating for Victims Rights

S11 E28 Length 28:46

Advice for Parents on Coping Techniques

S11 E27 Length 28:06

Author and Poet Crystal Wilkinson

S11 E26 Length 28:01

Secretary Grimes on Voting Access

S11 E25 Length 28:31

Child Abuse and Neglect

S11 E24 Length 28:01

Overcoming Eating Disorders

S11 E21 Length 28:59

Lt. Gov. Jenean Hampton

S11 E19 Length 28:16

Remembering Georgia Davis Powers

S11 E18 Length 29:31

Giving Students a Voice

S11 E17 Length 28:01

Addressing Youth Violence

S11 E16 Length 28:11

Professor Wayne Lewis

S11 E15 Length 28:01

Ed. Commissioner Stephen Pruitt

S11 E14 Length 28:06

State Sen. Julie Raque Adams

S11 E13 Length 28:31

Kentucky First Lady Jane Beshear

S11 E11 Length 28:57

Miss Kentucky Clark Davis

S11 E10 Length 29:03

Ari Berman on Voting Rights

S11 E9 Length 28:01

Poet Allison Joseph

S11 E8 Length 28:01

Journalist Dorothy Gilliam

S11 E7 Length 28:41

Author Jacinda Townsend

S11 E6 Length 28:01

Kellie Blair Hardt

S11 E5 Length 28:16

Childhood Cancer

S11 E4 Length 28:01

Kentucky African-American Encyclopedia

S11 E3 Length 28:11

Manny Caulk

S11 E2 Length 28:09

25th Anniversary of the Americans with Disabilities Act

S11 E1 Length 28:31

Explore KET