Book excerpt: " The first and most successful rural social settlement school in the United States lies at the forks of Troublesome Creek in Knott County, Kentucky. Since its founding in 1902 by May Stone and Katherine Pettit, the Hindman Settlement School has received accolades for the quality of its education, health, and community services that have measurably improved the lives of people in the region. Challenge and Change in Appalachia is the story of a groundbreaking center for education that transformed a community. The School's farms and extension work brought modern methods to the area. At the same time, the School encouraged preservation of the region's crafts and music. Today, unique programs for dyslexic children, work in adult education, and cultural heritage activities make the School a model for rural redevelopment.