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CINCINNATI (WKRC) -Rolling hills, picturesque farms and wonderful places for a weekend trip; that's one way to look at Ohio's Appalachian counties. But there's another side; some of the worst poverty in the state and poverty is a fact of life for too many people. At the Inter-Faith House Food Bank in West Union, it's grab a number, take a seat, and give your name. But if that process seems impersonal, actually it's quite the opposite. Yolanda Williams, a food bank client, said, "When you come here people in this place do not treat you like some of the cities and stuff. They're family." And when times are tough, family helps out. In Adams County times are always tough. The second highest county poverty rate in Ohio, one quarter of all Adams County adults are out of work. It's like a constant recession. Food bank director, Joe-Ann Weber, said, "Some people are embarrassed to come here and I tell them don't be embarrassed. There's no shame. I've had teachers come here, a doctor's wife, young doctor. And I tell them don't be ashamed to come here. Everybody needs a hand up once in a while." And, of course, adult poverty trickles down to the kids. At 35.2 percent, Adams County has the highest childhood poverty rate in the Tri-State metropolitan area; nearly double the regional average. Other Appalachian counties like Highland and Brown are above that average too. Adams County resident Yolanda Williams, who lives in a mobile home on a dirt road, is a 57-year-old grandmother caring for a 15-year-old, a 14-year-old and a 4-year-old. It's all-too-common, "One of the really hard things is I go on field trips with the kids at school and the other kids say, 'Is that your mom? She's kind of old to be a mom,' and they have to explain all that and it's tough on them." Poor is poor, but there are obvious differences between urban and rural poverty. In an urban area, people can walk to social services or take the bus and there is access to some jobs. But not out in Appalachia. Yolanda and her husband are on disability. They do have a car, but decent paying jobs are hard to find. "You have to go to either Eastgate or Maysville. That's a lot of gas, too. You'd have to get a really good job or otherwise you're just paying to go back and forth," said Williams. But Williams also says many of her neighbors would not want an Eastgate dropped into Adams County because sprawl, even with jobs, means the rural way of life would change. "That comes hard out here. People have been here a long time and I understand it. They don't want change. It's a very peaceful place to live," she said. So the only way up may be out, at least for a while. Williams says one of the teens she's caring for knows that education is the key, "She plans to be a doctor and she has the education and the brains to do it." Williams is among the more than 700 people helped last month by the Inter-Faith House. A facility which sums up the challenges Adams County faces. The food bank just moved into a larger building. That's good because they can help more people but the building was a business which closed, taking jobs. And the newer building is more expensive for the all-volunteer agency to heat and air-condition than was their previous home. They're selling clothes now; one dollar for a little bag, three dollars for a medium bag, five dollars for a much bigger garbage bag. They still give away food and ways to grow food. But five tomato plants can't grow jobs and without more jobs, better transportation and fewer school dropouts, generational Appalachian poverty will continue. Food pantries don't end poverty, they just make it a bit easier to endure.