What if the most effective solution to addiction, mental health crises, and repeat ER visits isn't another program—but someone who's been there before? In this episode of Rural Builds, host Rob Birdman Hephner sits down in Tucson, Arizona, with Richard Sandoval, Senior Director of Community Programs at Hope Incorporated, for a powerful conversation about peer support, recovery, and what works in rural communities.

Sandoval explains how Hope Incorporated meets people where they are—inside jails, emergency rooms, hospitals, shelters, and on the streets—by using peer support rooted in lived experience. From mental health challenges to substance use recovery, the organization focuses on building trust and connection with individuals who often feel written off by traditional systems.

The episode dives deep into why rural areas face unique challenges: fewer treatment beds, limited transportation, staffing shortages, and a lack of nearby resources. Sandoval shares how introducing peer support in rural Arizona communities—like the White Mountains and Show Low—led to dramatic results, including reduced ER readmissions and more than $8 million in healthcare cost savings over 18 months for a single hospital system.

Beyond the data, this conversation explores why peer support de-escalates crisis situations, how stigma around mental health mirrors outdated thinking about physical health, and why recovery is never a straight line. Sandoval's personal journey—from Veterans Treatment Court participant to senior leadership—brings the mission full circle, proving that hope isn't abstract. It's built through relationships, consistency, and people who refuse to give up on others.

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Sitgreaves Community Development Corporation