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Smoking Cessation and Pregnancy

Smoking Cessation and Pregnancy

Renee speaks with Kristin Ashford, Ph.D., a professor in the University of Kentucky College of Nursing whose research focuses on prenatal care and interventions aimed at preventing/ending tobacco use and illicit drugs. The program features a young woman who's participating in "Get Fit and Quit" recovery/smoking cessation program.
S13 E2 Length 29:32 Premiere: 9.8.17

Smoking Cessation and Pregnancy

When Misti Williams feels the urge to light up a cigarette, she can click on her cellphone for help. Her screen saver features a list of things she can do to distract herself from her nicotine cravings as she tries to quit smoking.

For 18 years, Williams has struggled with tobacco use. Now pregnant with her fifth child, she hopes she can finally kick the habit.

She’s not alone. More than a quarter of pregnant women in Kentucky smoke. Not only do they adversely affect their own health, but they put the well-being of their unborn children at risk as well.

KET’s Connections explored efforts to reduce tobacco use among expectant mothers. The guest was Kristin Ashford, an associate professor at the University of Kentucky College of Nursing who specializes in prenatal care and ways to end tobacco and illicit drug use among pregnant women.

The Risks of Smoking During and After Pregnancy
Even from the earliest days of a pregnancy, women who smoke are endangering their babies.

“During the first eight weeks of life is when all the fetal organs are developing, and that’s a very, very important time to stay away from any carcinogens,” says Ashford. “Cigarettes can contain carcinogens, and those can cause lifelong impact on the infant.”

Any level of nicotine is considered unsafe for expectant mothers, says Ashford, so pregnant women should avoid smoking even one or two cigarettes a day. If they do continue to use tobacco, studies show that women who smoke are more likely to have miscarriages, or their babies may be born too early or have a low birth weight.

The health risks continue after birth as well if babies are exposed to the second-hand smoke of their mothers or other family members, or to third-hand smoke if they come into contact with surfaces that are covered with smoke particles.

“Women who smoke during pregnancy, their children are more likely to have behavioral problems later in life,” Ashford says. “It has also been associated with ADHD and other types of learning disabilities.”

About one in four pregnant women in Kentucky smoke. (Nationally the rate is about 10 percent.) Ashford says in some Kentucky counties, nearly half of all pregnant women are smokers. Even electronic cigarettes, battery-operated smoking devices that allow users to inhale vapors that contain nicotine, flavorings, and other chemicals, are proving popular among expectant mothers.

“We spoke with women who were choosing to smoke electronic cigarettes in pregnancy and they told us they thought initially it was a safer alternative,” says Ashford. “The truth is we don’t know – we don’t have that evidence yet.”

In fact some pregnant women smoke both e-cigarettes and traditional cigarettes, says Ashford: the former because they thought it was safe and the latter for the extra hit of nicotine.

Kicking an 18-Year Habit
Misti Williams says she started smoking at age 13 so she could fit in with the popular kids at her school.

“Whenever I first started, I wasn’t even inhaling,” says Williams. “It had the nastiest taste to it, but I wasn’t going to stop it because I was already in with them girls and looking cool with my brother’s friends.”

Within six months, she was smoking two packs a week. By her mid-20s, she was smoking two packs a day.

As a young adult, Williams also became addicted to opioids and served six years in prison. She’s been clean from drugs for nearly seven years, but kicking her cigarette habit has been harder. Williams tried to quit multiple times, and always felt guilty when she relapsed. She even smoked during and after her first four pregnancies.

“I knew that second-hand smoke is bad for my children, but I would justify it in my head – my parents smoked around me all my life, it’s okay,” Williams says. “I would tell myself this just so I could keep doing what I was doing.”

Now five months pregnant with her fifth child – and at the urging of her oldest daughter – Williams has gotten serious about quitting. She’s in the “Get Fit and Quit” program that is a partnership between the UK College of Nursing, Chrysalis House (a substance abuse treatment center for women in Lexington), and the YMCA. She’s been smoke-free for two months, thanks to the program’s counseling and support services, like the tips on her cellphone screen saver that Williams can refer to when she craves nicotine.

It took her 18 years, but Williams says she’s finally ready to quit. And she hopes other moms will do the same.

“If you don’t want to smoke, if you want to actually quit, you can,” Williams says. “Just because you have certain types of cravings, that doesn’t mean that you’re a bad person, it just means that you need help, and it’s out there.”

Replace Smoking with a Healthy Behavior
Ashford says most pregnant women feel ashamed of their smoking habits, yet are still unable to quit.

“It certainly is an addiction and we have to treat it as one,” she says.

That includes addressing withdrawal symptoms. Ashford says those can include cravings, heart-rate changes, and depressive behaviors, all of which can be combated with the help of a tobacco treatment specialist.

Part of Ashford’s research includes interviewing women who stopped smoking during a pregnancy and did not relapse post-partum. She says those women saw their pregnancy as a good opportunity to make long-term behavior changes. That mindset helped them move from seeing cigarettes as a comfort to something they want to avoid.

“Also, women who were successful adopted a ‘change behavior,’” says Ashford. “They replaced their smoking behavior with a healthy behavior.”

For example, the “Get Fit to Quit” program replaces smoking with exercise, a cessation strategy that Ashford says is showing promising results. These replacement behaviors can help alleviate common triggers for smoking, such as reaching for a cigarette when stressed or after having a meal. Finally, she says it helps to enroll the mother’s partner in his or her own smoking cessation program if they use tobacco.

Some pregnant smokers do try to quit cold turkey, but Ashford says that’s difficult for most people. In fact, two-thirds of mothers who quit during pregnancy will relapse, she says. She says it’s critical to remind those mothers that it’s even more important for them to quit after giving birth.

“They don’t understand that second-hand smoke after they deliver that baby is just as harmful to the baby long-term as smoking during pregnancy,” Ashford says.

foundation_logo2013This KET article is part of the 2017 Smoking and Health Initiative, funded in part by the Foundation for a Healthy Kentucky.

Program Details

Connections

About Connections

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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Elaine Chao - S10 E23

Renee sits down with Elaine Chao, former U.S. Labor Secretary and wife of Sen. Mitch McConnell, in an interview filmed in Washington, D.C.

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Connections with Renee Shaw - S10 E24

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Dorothy Edwards and Diane Fleet - S10 E26

Renee's guests are Dorothy Edwards, executive director of Green Dot etc., a violence prevention training program for individuals, schools, and other organizations, and Diane Fleet, assistant director of GreenHouse17. They discuss the training Green Dot is providing to GreenHouse17 and the Bluegrass Rape Crisis Center on domestic violence prevention and intervention techniques.

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Kendell Nash - ECHO - S10 E27

Kendell Nash, executive director of ECHO (Exploited Children's Help Organization), joins Renee to discuss issues of child exploitation, neglect, and abuse. ECHO provides education, advocacy, and support services to the children and families of Metro Louisville and surrounding areas.

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Kevin Chapman - S10 E28

Clinical psychologist Kevin Chapman of Louisville discusses anxiety disorders and an innovative approach called virtual reality exposure therapy to help ease those conditions.

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Filmmaker Sarah Burns - S17 E3

Renee Shaw talks with filmmaker Sarah Burns about her new documentary Muhammad Ali, a six-year project that offers viewers a multifaceted look at Louisville's most famous son who went on to become heavyweight champion of the world as well as one of the world's most charismatic and controversial figures.

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Connections

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Kiley Lane Parker - S10 E29

Filmmaker Kiley Lane Parker discusses her film, Raising Ms. President, about raising the next generation of female political leaders.

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Pellom McDaniels - S10 E30

Pellom McDaniels, faculty curator of African-American collections and assistant professor of African-American studies at Emory University in Atlanta, talks about his book, The Prince of Jockeys: The Life of Isaac Burns Murphy.

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Jay Williams - S10 E33

U.S. Assistant Secretary of Commerce for Economic Development Jay Williams is a former mayor of Youngstown, Ohio. From the recent SOAR summit in Pikeville, he talks about how Youngstown recovered from the decline of the steel industry and how those lessons can apply to Eastern Kentucky areas distressed by the sharp downturn in coal jobs.

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Susan and Morgan Guess - S10 E34

Susan Guess and her daughter, Morgan, began the Guess Anti-Bullying Foundation nearly four years ago after Morgan experienced bullying. They have raised $50,000 to bring a variety of anti-bullying programs to the region. Susan Guess was appointed by Gov. Steve Beshear in 2014 to serve on the Kentucky Bully Prevention Task Force, which will make recommendations to the governor in fall 2015.

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Diabetes Epidemic - S10 E20

Gilbert Friedell, MD, and J. Isaac Joyner, MPH, discuss their book, The Great Diabetes Epidemic: A Manifesto for Control and Prevention. The book advocates taking a public health approach to addressing diabetes, emphasizes prevention of diabetes-related complications, and encourages more community responsiveness.

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Cathy Zion - Zion Publications LLC - S10 E38

Cathy Zion became owner and publisher of Zion Publications in 1996, after a long career in banking. Her company publishes Today's Woman, and added new magazines, Today's Transitions and Today's Family.

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Gigi Butler - Gigi's Cupcakes - S10 E39

Gigi Butler opened her first Gigi's Cupcakes location just off of music row in Nashville, Tennessee in 2008 and in six short years, with 98 locations and counting, Gigi's is now the largest cupcake franchise in the world.

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Cathe Dykstra - Family Scholar House - S10 E41

Cathe Dykstra, chief possibility officer, president & CEO of Family Scholar House, discusses the Louisville organization and its impact on families and communities. Family Scholar House's mission is to end the cycle of poverty by providing housing and educational support to single-parent students and their families.

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Infant Nutrition and Breastfeeding - S10 E42

Renee and her guests discuss the health benefits of breastfeeding in recognition of national breastfeeding week, as well as provide tips on proper infant nutrition. Scheduled guests include: Doraine Bailey, MA, IBCLC, Breastfeeding Support Services with the Lexington-Fayette County Health Dept.; Ana Maria Linares, an associate professor in the UK College of Nursing and a Lactation Consultant who has conducted research on attitudes and practices around breastfeeding among Latinas in Lexington; and Nicole Peritore, program coordinator for the Health Education through Extension Leadership (HEEL) Office at the University of Kentucky.

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Connections

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Connections

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Andre Taylor - S10 E43

Andre Taylor has a distinguished 35-year career, building and advising businesses. He's the author of You Can Still Win! and a half-dozen other books, a frequent guest expert on ABC News, and an international authority on winning and leadership. Mr. Taylor was a speaker at the 13th Annual Lexington Bluegrass Area Minority Business Expo.

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JoAnne Wheeler Bland - S10 E44

Renee talks with transgender activist JoAnne Wheeler Bland, who in her sixties transitioned from male to female. A practicing attorney for more than 40 years, she is a former Special Justice on the Kentucky Supreme Court, former Vice-President of the Kentucky Fairness Alliance, current member of the Kentucky Council on Postsecondary Education's Committee on Equal Opportunity (the Diversity Committee), and guest speaker at Women's and Gender Studies programs at Kentucky universities.

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Faith Politics - S10 E45

Renee and her guests talk about the role of religion in politics and public policy decision-making. Guests: Rev. Nancy Jo Kemper, pastor of New Union Christian Church, and Rev. D. Anthony Everett, pastor of Wesley United Methodist Church.

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Kinship Care - S10 E46

Kentucky has one of the highest rates in the nation of children being raised by grandparents and other relatives, also known as kinship care. Renee and her guests discuss what research tells us about the financial, emotional, and legal challenges that kinship care poses. Guests: Terry Brooks, executive director of Kentucky Youth Advocates, and Jeanne Miller-Jacobs, a kinship care provider.

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Fayette County Public Schools Superintendent Manny Caulk - S11 E2

Renee Shaw interviews new Fayette County Public Schools Superintendent Manny Caulk, who talks about his experiences in public education and his goals for the district.

  • Friday October 15, 2021 5:30 am ET on KETKY
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Connections

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The Kentucky African American Encyclopedia - Gerald Smith - S11 E3

Renee's guest is Dr. Gerald Smith, an author and history professor at the University of Kentucky, and co-editor of The Kentucky African-American Encyclopedia: Life and Culture in the Commonwealth. The reference book contains entries on the individuals, events, places, organizations, movements, and institutions that helped shape the state's history and cultural diversity.

  • Monday October 18, 2021 5:30 am ET on KETKY
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Childhood Cancer - S11 E4

September is childhood cancer awareness month. Renee talks with survivors and parents about their experiences and the research on the rare maladies striking youth.

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Kellie Blair Hardt - S11 E5

Renee speaks with special education teacher Kellie Blair Hardt, who overcame homelessness, an absent mother, an alcoholic father and school expulsion to earn her GED. She received the National Education Association Foundation's 2013 Horace Mann Award for Teaching Excellence as one of the nation's top educators. Hardt is currently pursuing a Ph.D. in higher education at George Mason University. She was featured in KET's series Dropping Back In.

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Jacinda Townsend - S11 E6

Author Jacinda Townsend discusses her critically acclaimed novel, Saint Monkey, a coming-of-age story set in 1950's Eastern Kentucky. The book won the James Fenimore Cooper Prize for historical fiction. Townsend is a former Hurston-Wright Award finalist and currently teaches creative writing at Indiana University.

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Filmmaker Sarah Burns - S17 E3

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Diabetes Epidemic - S10 E20

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Mary Gwen Wheeler, 55,000 Degrees - S10 E16

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15K Degrees Initiative - S10 E13

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Jefferson County Veterans Treatment Court - S10 E11

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Charlene Buckles and Dan Wu - S17 E2

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Cynthia Knapek - Leadership Louisville Center

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Bill Farmer - S10 E8

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Diane Follingstad - UK Women's Circle Endowment Chair - S10 E6

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Kevin Chapman - S10 E5

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  • Wednesday September 8, 2021 9:30 pm CT on KETKY
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  • Wednesday September 8, 2021 1:20 pm CT on KETKY
  • Wednesday September 8, 2021 5:30 am ET on KETKY
  • Wednesday September 8, 2021 4:30 am CT on KETKY

Soreyda Benedit Begley and Chris Begley - S10 E3

  • Tuesday September 7, 2021 10:30 pm ET on KETKY
  • Tuesday September 7, 2021 9:30 pm CT on KETKY
  • Tuesday September 7, 2021 5:30 am ET on KETKY
  • Tuesday September 7, 2021 4:30 am CT on KETKY

Chris Rabb - S10 E1

  • Friday September 3, 2021 10:30 pm ET on KETKY
  • Friday September 3, 2021 9:30 pm CT on KETKY
  • Friday September 3, 2021 2:00 pm ET on KETKY
  • Friday September 3, 2021 1:00 pm CT on KETKY
  • Friday September 3, 2021 5:30 am ET on KETKY
  • Friday September 3, 2021 4:30 am CT on KETKY

Tanya Torp and Holly Houston - S9 E46

  • Thursday September 2, 2021 10:30 pm ET on KETKY
  • Thursday September 2, 2021 9:30 pm CT on KETKY
  • Thursday September 2, 2021 5:30 am ET on KETKY
  • Thursday September 2, 2021 4:30 am CT on KETKY

Frontier Nursing University - S9 E45

  • Wednesday September 1, 2021 10:30 pm ET on KETKY
  • Wednesday September 1, 2021 9:30 pm CT on KETKY
  • Wednesday September 1, 2021 5:30 am ET on KETKY
  • Wednesday September 1, 2021 4:30 am CT on KETKY

SWAG - Sisters and Supporters Working Against Gun Violence - S9 E44

  • Tuesday August 31, 2021 10:30 pm ET on KETKY
  • Tuesday August 31, 2021 9:30 pm CT on KETKY
  • Tuesday August 31, 2021 2:00 pm ET on KETKY
  • Tuesday August 31, 2021 1:00 pm CT on KETKY
  • Tuesday August 31, 2021 5:30 am ET on KETKY
  • Tuesday August 31, 2021 4:30 am CT on KETKY

Marta Miranda - S9 E43

  • Monday August 30, 2021 10:30 pm ET on KETKY
  • Monday August 30, 2021 9:30 pm CT on KETKY
  • Monday August 30, 2021 2:00 pm ET on KETKY
  • Monday August 30, 2021 1:00 pm CT on KETKY
  • Monday August 30, 2021 5:30 am ET on KETKY
  • Monday August 30, 2021 4:30 am CT on KETKY

Sarah Taylor Vanover - Early Childhood Education

  • Sunday September 5, 2021 8:00 am ET on KETKY
  • Sunday September 5, 2021 7:00 am CT on KETKY
  • Saturday September 4, 2021 4:30 pm ET on KETKY
  • Saturday September 4, 2021 3:30 pm CT on KETKY
  • Wednesday September 1, 2021 11:30 pm ET on KET
  • Wednesday September 1, 2021 10:30 pm CT on KET
  • Wednesday September 1, 2021 6:00 pm ET on KET
  • Wednesday September 1, 2021 5:00 pm CT on KET
  • Sunday August 29, 2021 6:00 pm ET on KET2
  • Sunday August 29, 2021 5:00 pm CT on KET2
  • Sunday August 29, 2021 4:30 pm ET on KETKY
  • Sunday August 29, 2021 3:30 pm CT on KETKY
  • Sunday August 29, 2021 12:00 pm ET on KET
  • Sunday August 29, 2021 11:00 am CT on KET

Judi Jennings - S9 E42

  • Friday August 27, 2021 10:30 pm ET on KETKY
  • Friday August 27, 2021 9:30 pm CT on KETKY
  • Friday August 27, 2021 2:00 pm ET on KETKY
  • Friday August 27, 2021 1:00 pm CT on KETKY
  • Friday August 27, 2021 5:30 am ET on KETKY
  • Friday August 27, 2021 4:30 am CT on KETKY

Dr. Robert Hilgers - S9 E41

  • Thursday August 26, 2021 10:30 pm ET on KETKY
  • Thursday August 26, 2021 9:30 pm CT on KETKY
  • Thursday August 26, 2021 2:00 pm ET on KETKY
  • Thursday August 26, 2021 1:00 pm CT on KETKY
  • Thursday August 26, 2021 5:30 am ET on KETKY
  • Thursday August 26, 2021 4:30 am CT on KETKY

Wil James - S9 E40

  • Wednesday August 25, 2021 10:30 pm ET on KETKY
  • Wednesday August 25, 2021 9:30 pm CT on KETKY
  • Wednesday August 25, 2021 2:00 pm ET on KETKY
  • Wednesday August 25, 2021 1:00 pm CT on KETKY
  • Wednesday August 25, 2021 5:30 am ET on KETKY
  • Wednesday August 25, 2021 4:30 am CT on KETKY

African Americans and Mental Health - S9 E39

  • Tuesday August 24, 2021 10:30 pm ET on KETKY
  • Tuesday August 24, 2021 9:30 pm CT on KETKY
  • Tuesday August 24, 2021 2:00 pm ET on KETKY
  • Tuesday August 24, 2021 1:00 pm CT on KETKY
  • Tuesday August 24, 2021 5:30 am ET on KETKY
  • Tuesday August 24, 2021 4:30 am CT on KETKY

Charisse Gillett - Lexington Theological Seminary - S9 E38

  • Monday August 23, 2021 10:30 pm ET on KETKY
  • Monday August 23, 2021 9:30 pm CT on KETKY
  • Monday August 23, 2021 2:00 pm ET on KETKY
  • Monday August 23, 2021 1:00 pm CT on KETKY
  • Monday August 23, 2021 5:30 am ET on KETKY
  • Monday August 23, 2021 4:30 am CT on KETKY

The Rise of Anti-Asian Violence

  • Sunday August 29, 2021 8:00 am ET on KETKY
  • Sunday August 29, 2021 7:00 am CT on KETKY
  • Saturday August 28, 2021 4:30 pm ET on KETKY
  • Saturday August 28, 2021 3:30 pm CT on KETKY
  • Wednesday August 25, 2021 11:30 pm ET on KET
  • Wednesday August 25, 2021 10:30 pm CT on KET
  • Wednesday August 25, 2021 6:00 pm ET on KET
  • Wednesday August 25, 2021 5:00 pm CT on KET
  • Sunday August 22, 2021 4:30 pm ET on KETKY
  • Sunday August 22, 2021 3:30 pm CT on KETKY

Chef and Activist Dan Wu

  • Sunday August 22, 2021 8:00 am ET on KETKY
  • Sunday August 22, 2021 7:00 am CT on KETKY
  • Saturday August 21, 2021 4:30 pm ET on KETKY
  • Saturday August 21, 2021 3:30 pm CT on KETKY

Dr. Timothy M. Houchin - S9 E37

  • Friday August 20, 2021 10:30 pm ET on KETKY
  • Friday August 20, 2021 9:30 pm CT on KETKY
  • Friday August 20, 2021 2:00 pm ET on KETKY
  • Friday August 20, 2021 1:00 pm CT on KETKY
  • Friday August 20, 2021 5:30 am ET on KETKY
  • Friday August 20, 2021 4:30 am CT on KETKY

Mental Health Courts - S9 E36

  • Thursday August 19, 2021 10:30 pm ET on KETKY
  • Thursday August 19, 2021 9:30 pm CT on KETKY
  • Thursday August 19, 2021 2:00 pm ET on KETKY
  • Thursday August 19, 2021 1:00 pm CT on KETKY
  • Thursday August 19, 2021 5:30 am ET on KETKY
  • Thursday August 19, 2021 4:30 am CT on KETKY
Top

Season 13 Episodes

Marcie Timmerman - Mental Health and Wellness

S13 E43 Length 28:03 Premiere Date 8.24.18

Tiffany Manuel - Affordable Housing

S13 E42 Length 27:32 Premiere Date 8.17.18

Jessica Dueñas - 2019 Kentucky Teacher of the Year

S13 E41 Length 28:52 Premiere Date 8.10.18

2018 KIDS COUNT Data Book

S13 E37 Length 28:48 Premiere Date 7.13.18

A New Task Force on Opioids

S13 E36 Length 28:07 Premiere Date 7.6.18

Shining a Spotlight on Epilepsy

S13 E35 Length 28:02 Premiere Date 6.29.18

Criminal Justice Reform

S13 E34 Length 28:32 Premiere Date 6.22.18

Jay Box - Kentucky Community and Technical College

S13 E33 Length 28:03 Premiere Date 6.15.18

Interim Kentucky Education Commissioner Wayne Lewis

S13 E32 Length 28:03 Premiere Date 6.8.18

Bob King - Kentucky Council on Postsecondary Education

S13 E31 Length 28:09 Premiere Date 6.1.18

Rachel Childress - Lexington Habitat for Humanity

S13 E30 Length 26:22 Premiere Date 5.25.18

2018 Kentucky Primary Races

S13 E29 Length 29:52 Premiere Date 5.18.18

Dr. Donna Grigsby

S13 E28 Length 28:03 Premiere Date 5.11.18

Sexual Assault Awareness and Prevention

S13 E27 Length 28:02 Premiere Date 5.4.18

Kosair Charities Face It Movement; Terry Brooks

S13 E25 Length 28:27 Premiere Date 4.20.18

Child Marriage Laws in Kentucky - Donna Pollard

S13 E24 Length 28:42 Premiere Date 4.13.18

Remembering Dr. Martin Luther King, Jr.

S13 E23 Length 29:22 Premiere Date 4.6.18

Secretary Derrick Ramsey - Apprenticeships

S13 E22 Length 28:09 Premiere Date 2.23.18

Educational Innovation

S13 E21 Length 28:45 Premiere Date 2.16.18

Gerald Smith

S13 E20 Length 28:12 Premiere Date 2.9.18

Perry Bacon Jr.

S13 E18 Length 28:02 Premiere Date 2.2.18

DV8 Kitchen

S13 E17 Length 28:37 Premiere Date 1.19.18

Silas House, New Novel

S13 E16 Length 28:03 Premiere Date 1.16.18

Tawanda Owsley

S13 E15 Length 26:32 Premiere Date 1.5.18

Sexual Harassment Issues

S13 E14 Length 28:37 Premiere Date 12.15.17

Disability Rates and Benefits

S13 E13 Length 27:27 Premiere Date 12.8.17

Good Samaritans

S13 E12 Length 28:42 Premiere Date 11.17.17

A Salute to Heroes

S13 E10 Length 26:18 Premiere Date 11.10.17

Legislative Health Policy

S13 E9 Length 28:12 Premiere Date 11.3.17

Elder Care

S13 E8 Length 29:31 Premiere Date 10.27.17

Preventing Youth Suicide

S13 E7 Length 28:17 Premiere Date 10.20.17

A Proposal for Pension Reform

S13 E6 Length 28:02 Premiere Date 10.13.17

Rethinking Pain Medication

S13 E5 Length 28:02 Premiere Date 10.6.17

Former Gov. Steve Beshear

S13 E4 Length 28:53 Premiere Date 9.29.17

Secretary Elaine Chao

S13 E3 Length 28:52 Premiere Date 9.22.17

Smoking Cessation and Pregnancy

S13 E2 Length 29:32 Premiere Date 9.8.17

Author and Journalist Sam Quinones

S13 E1 Length 28:52 Premiere Date 9.1.17

Author and Journalist Sam Quinones

Preview Length 28:52 Premiere Date 9.1.17

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