Research has shown that about 1 in 6 Mississippians aged 12 and older have a substance use disorder. Despite the prevalence, fewer than 25% of residents in need receive treatment.
A small, mighty team at the Mississippi State Department of Health (
@MSDH) is working to tackle this substance use issue, and they’re using Epic to magnify their reach across the entire state.
Several challenges are at play, including staffing shortages and the sheer distance between people and facilities in rural states like Mississippi. When the nearest care is an hour away, you’re pretty unlikely to receive it.
"With just four doctors and 18 advanced practice providers serving a statewide population with significant need, we knew we had to approach this challenge creatively," said Christina Graham, Director of Epic at MSDH.
The program starts with an annual screening in MyChart, given to all patients who visit an MSDH clinic. Then, clinicians tailor their care to the individual’s risk level, providing positive reinforcement to low-risk patients and following system-prompted intervention guidance for those who are higher on the risk scale. High-risk individuals are supported with follow-up care via video visits — which gives them access to a handful of addiction specialists who might otherwise be out of reach.
It's working.
As of December 2025, MSDH has used the new program to screen more than 43,000 patients, with 729 currently receiving treatment. More than 350 patients receiving treatment for substance abuse have completed at least six months in the program, with 69% of them now reporting no alcohol or illegal drug use. After six months of participation in the program, 53% of patients were employed or attending school, an increase of nearly 20% from intake.