The photos in Hannah Modigh’s book are taken in 2006 in and around the small town of St. Charles in Virginia, a community marked by generations of coal-mining in subterranean mines. Today, unemployment there is vast. Hillbilly heroin is a slang term for the prescription painkiller Oxycontin, often used by miners, which in high dosage has a heroin-like effect. Hillbilly Heroin, Honey is Hannah Modigh's first book.