Information Resources for Substance Use Disorder

Outlines federal drug policy priorities and promotes short and long-term solutions to reduce drug use, overdose, and other related harms in the U.S. Priorities include: expanding access to medication for opioid use disorder and other evidence-based treatment; advancing racial equity in drug policy; enhancing harm reduction efforts; supporting youth substance use prevention; reducing the supply of illicit substances; advancing recovery-ready workplaces; and expanding addiction workforce and access to recovery support services. Includes strategies to address substance use issues in rural and underserved communities.

Reports on the implementation, activities, and outcomes of state opioid response (SOR) grantees using data collected in fiscal years 2020, 2021, and 2022. Includes accomplishments for all the states and territories and rural mentions throughout.

Provides guidance for behavioral health practitioners, community leaders, and other stakeholders on the process of adapting evidence-based practices (EBPs) for individuals from under-resourced populations with mental health and substance use disorders (SUDs). Focuses on adaptations to make mental health and SUD treatment EBPs more culturally responsive to help address behavioral health inequities for groups that experience barriers to care, including tribal and rural populations. Describes various cultural adaptations for EBPs and supporting research, and offers program examples as well as evaluation and quality improvement resources.

Shares a policy, announced August 8, 2018, guiding the authorization of alternative, non-opioid pain management treatments and treatment for opioid use disorder (OUD) for federal workers receiving workers' compensation. Aims to reduce barriers to non-opioid pain treatment, such as alternative pain medication, cognitive behavioral therapy (CBT), physical therapy, transcutaneous electrical nerve stimulation (TENS), and other treatment without medication, as well as in-patient pain management programs. Increases patient access to OUD treatments, including medication-assisted treatment (MAT), opioid treatment programs, in-patient, out-patient, and emergency services.

Identifies and describes the following 7 drug policy priorities for the first year of the Biden-Harris Administration: expanding access to evidence-based treatment; advancing racial equity issues in drug policy; enhancing evidenced-based harm reduction efforts; supporting evidence-based prevention efforts to reduce youth substance use; reducing the supply of illicit substances; advancing recovery-ready workplaces and increasing the addiction workforce; and expanding access to recovery support services. Outlines next steps for the Office of National Drug Control Policy (ONDCP) to coordinate with other federal agencies to address drug policy priorities.

Provides information and resources for healthcare and social service organization leaders and providers to improve care coordination and access to services for women with opioid use disorder (OUD) in programs supported by the Health Resources and Services Administration (HRSA), such as health centers, Rural Health Clinics (RHCs), Ryan White HIV/AIDS clinics, and home visiting programs, as well as in other care settings. Focuses on shifting the culture around addiction and treatment, engaging women with OUD in care, and creating and maintaining partnerships that support care coordination for women with OUD. Offers self-assessment tools and metrics to help users monitor and evaluate care coordination in their organizations.

Provides evidence-based information, guidance, clinical tools, webinars, training, and other resources on the safe and effective prescription of opioids to treat chronic pain in a primary care setting. Addresses patient-centered clinical practices, including accurate assessments, evaluation of treatment options, risk monitoring, and safely ending opioid treatment. Provides an overview of prescription drug monitoring programs (PDMP) and the latest research and activity to reduce the occurrence of opioid use disorder (OUD).

Serves as the federal agency leading the national effort to promote community-based substance use disorder (SUD) treatment and recovery services for individuals and families. Works to improve and strengthen SUD treatment organizations and systems to help build capacity and meet the demand for services nationwide. Supports states and community-based programs in adopting and adapting evidence-based and best practices to reduce barriers and improve access to high quality treatment and recovery services. Offers free treatment referral to connect people dealing with issues related to substance use to programs and services available in their community.

Offers evidence-based information, recommendations, guides, and tools to U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) healthcare providers and patients to assist in the decision making process to improve the health and treatment of patients with chronic pain. Includes information and algorithms for determining the appropriateness, risks, duration, and frequency of opioid therapy to prioritize safe and effective opioid prescribing practices.

Offers states information and advice regarding strategies to combat the opioid crisis using technology, as well as potential funding opportunities for these efforts. Discusses implementing prescription drug monitoring programs (PDMPs) to track and facilitate the safe prescription of opioid medications and increasing data-driven approaches, interoperability, and telehealth services to improve care coordination among healthcare professionals.

Describes treatment and prevention strategies aimed at increasing healthcare quality, availability, and outcomes for Medicaid recipients with opioid use disorder (OUD) and other substance use disorder (SUD). Discusses long-term objectives focused on enhancing states' ability to track and implement evidence-based services to help beneficiaries with OUD and SUD.

Offers a dataset with information on Medicare-enrolled Opioid Treatment Program (OTP) providers that is updated monthly. Contains the name, National Provider Identifier (NPI), address, phone number, and the effective enrollment date for each provider. Includes resources for understanding and using the data.

Describes the Centers for Medicare & Medicaid Services (CMS) activities to address the opioid epidemic related to prevention, treatment, and data. Highlights program successes, innovative approaches, and future goals of CMS efforts to address the opioid crisis.

Provides information to first responder agencies, communities, and other stakeholders to support practices and approaches for first responders to connect people to substance use treatment and other support services. Offers evidence-based strategies, public health approaches, resources, and program models, including best practices for responding to opioid overdoses. Considers potential challenges, such as those faced in rural areas, and other factors when implementing initiatives to support people who use drugs.

Offers a search tool to locate public disposal locations for controlled substances. Users can enter a ZIP code or city and state information, and select a search radius from 5 miles up to a maximum of 50 miles. The result page lists the names, addresses, and maps of the disposal sites for the search criteria.

Summarizes key focus areas, needs, and recommendations of underrepresented rural and tribal law enforcement leaders in 5 states that were the result of a series of listening sessions with federal agencies. Includes topics such as substance use, mental health, and homelessness; illicit drugs; trafficking from the southern border; relationships with tribes; and funding, among others. Provides individual state summaries and U.S. Department of Justice resources to support local efforts to enhance public safety and reduce crime in rural and tribal areas.

Summarizes key focus areas, needs, and recommendations of underrepresented rural and tribal law enforcement leaders in 9 states that were the result of a series of listening sessions with federal agencies. Includes topics such as substance use and addiction; mental health and medical care; illegal drug trafficking and related crime; school safety; and funding, among others. Describes ongoing federal responses to rural law enforcement concerns and highlights several best practices and new ideas to support local efforts to enhance public safety and reduce crime in rural and tribal areas.

Provides guidance on evidence-based counseling approaches to help individuals achieve and maintain recovery from substance misuse and substance use disorders (SUDs). Supports licensed counselors and other providers, including non-specialists, nurses, interns, administrators, clinical supervisors, peer specialists, and other staff, seeking to adopt or expand a recovery-oriented framework in their programs. Offers information and resources on how to implement recovery programs and counseling approaches to prevent recurrence, sustain recovery, and promote harm reduction and healthy lifestyles for those in recovery. Includes strategies, resources, and examples focused on providing services in rural settings.

Provides interactive data visualizations on drug poisoning mortality rates in the U.S. from 2003 through 2021. Shows national trends broken down by age, sex, and race and provides state and county-level data. Includes urban/rural trends by state for the estimated crude death rates for drug poisoning.

Provides an overview and history on the use of peer recovery support services (PRSS) in tribal communities to address high rates of substance use and substance use disorders (SUDs). Offers resources and models on best practices for tribes to develop, implement, and sustain PRSS programming. Draws insights from 9 tribal PRSS practitioners to highlight the importance of including Native American culture and traditions into PRSS delivery.

Provides an overview and highlights the benefits of using digital therapeutics (DTx) health software to treat or alleviate behavioral health conditions. Offers information on DTx research, regulatory and reimbursement considerations, and advice for providers on how to select and implement DTx in their practice. Describes issues related to DTx, behavioral health equity, and potential barriers to access, including in rural areas.

Offers focused information and guidance for employers seeking to create a mental health-friendly workplace. Includes research summaries to better inform employers about workplace mental health issues. Features a 4 A's - Awareness, Accommodations, Assistance, and Access - framework and links to resources to help organizations develop their own mental health initiatives, including accommodations and support for employees with substance use disorder (SUD). Provides descriptions of successful model programs implemented by a diverse set of companies and organizations.

Describes emergency department-based opioid use disorder (OUD) treatment and intervention models and key features of emergency department-based OUD treatment models. Shares findings from 5 case studies of emergency department-based OUD treatment programs located throughout the U.S., including from an emergency department of a free-standing rural hospital in California.

Provides an overview of a ten-year U.S. Department of Health and Human Services (HHS) initiative, starting in fiscal year (FY) 2020, to end the epidemic of HIV, which remains a significant public health issue in America. Outlines the Centers for Disease Control and Prevention's (CDC) role in the initiative, working with national, state, and local partners in efforts to diagnose, treat, and prevent new HIV infections, and respond to potential HIV outbreaks. Aims to jump start progress on reducing HIV and prevent a resurgence of the disease across the country. Includes national HIV data snapshots and links to other federal resources on a range of HIV-related topics.

Provides guidance and resources to help individuals and communities build and strengthen community coalitions with the ultimate goal of decreasing opioid overdose deaths. Includes insights from rural communities and rural considerations.

Offers evidence-based opioid overdose prevention practices for community leaders, local and regional organizers, nonprofit groups, law enforcement, public health and other members of the public. Provides summaries of effective strategies to prevent opioid overdose and the context in which they are most effective. Discusses targeted naloxone distribution, including Good Samaritan laws, syringe services programs, criminal justice settings, and medication-assisted treatment (MAT) and initiating MAT in emergency departments. Summarizes the major research on each practice and offers examples of organizations that have successfully used the strategies to reduce the risk of overdose.

Shares strategies, considerations, and information for behavioral health and other healthcare practitioners working to expand access to mental health and/or substance use disorder (SUD) treatment for people experiencing homelessness. Highlights 4 case studies of organizations working to address mental health and SUD among populations experiencing homelessness, including a rural specific example located in Colorado.

Describes the uses and dangers of fentanyl and carfentanil, which are both extremely potent synthetic opioids. Includes methods for reducing opioid use and overdoses, including medication-assisted treatment (MAT) and naloxone distribution.

Offers information on topics to address opioid misuse in rural communities for which U.S. Department of Agriculture Rural Development (USDA RD) funding is available. Includes funding for equipment, healthcare and other facilities, as well as other forms of support such as workforce development, strategic and community planning activities.

Infographic highlighting areas where resources and programs from the U.S. Department of Agriculture Rural Development (USDA RD) have worked to address prevention, treatment, and recovery from opioid use, as well as programs to help build upstream resilience and future prosperity in rural communities.

Provides information, resources, and eligibility criteria to obtain free training to provide medications for opioid use disorder (MOUD) for eligible clinicians working to address the opioid epidemic.

Outlines how the Health Resources and Services Administration (HRSA) is addressing the opioid crisis and resources on expanding access to care, connecting resources, sharing best practices, training, and more.

Collaborates with tribal stakeholders across the U.S. to address issues related to the treatment of chronic pain and the use of heroin and prescription opioids among tribal populations. Works to promote appropriate and effective pain management, reduce opioid overdose deaths, and improve access to culturally appropriate substance use prevention, treatment, and recovery services for American Indian and Alaska Native communities. Workgroup focus areas include prescriber support, treatment and recovery, harm reduction, program effectiveness metrics, technical assistance, and communications.

Discusses key considerations for small and rural law enforcement agencies seeking to establish and maintain peer support services. Promotes peer support as part of a wellness strategy for police officers dealing with substance use, mental, or physical health issues related to working in a high stress occupation. Provides action steps for peer support program design as well as promising practices and lessons learned from 3 small and rural departments currently utilizing peer support.

Provides an overview of how Indian Health Service (IHS) is working to address behavioral health in American Indian and Alaska Native (AI/AN) communities. Describes behavioral issues affecting individuals and families, such as alcohol and substance use disorder (SUD), mental health, suicide, domestic violence, and behavior-related chronic disease.

Interview with Colin Cash from the Mille Lacs Band of Ojibwe in Minnesota discussing his experience founding and leading the Sober Squad Recovery Movement program. Highlights ways that this program can serve as a model for advancing and sustaining recovery communities during periods of change and disruption, such as the COVID-19 pandemic.

Interview with Ruby Takushi, Director of Programs for the Recovery Café in Seattle, Washington. Discusses aspects of the recovery cafe model and how it may be used to advance and sustain recovery communities during periods of change and disruption, such as the COVID-19 pandemic.

Interview with Andre Johnson, President and CEO of the Detroit Recovery Project. Discusses how a peer-led, peer-run, peer-delivered recovery model can be used to advance recovery communities and help individuals maintain recovery during periods of change and disruption, such as the COVID-19 pandemic.

Interview with Callan Howton, Director of the National Peer-Run Training and Technical Assistance Center for Addiction Recovery Peer Support. Highlights how this model of providing recovery housing can be used to advance recovery communities and help individuals maintain recovery from substance use during periods of change and disruption, such as the COVID-19 pandemic.

Interview with Precia Stuby, Executive Director of the Hancock County Board of Alcohol, Drug Addiction and Mental Health Services in Ohio. Discusses how embedding a recovery-oriented system of care (ROSC) model in local health agencies may be employed as a strategy to advance and sustain recovery communities during periods of change and disruption, such as the COVID-19 pandemic.

Panel discussion featuring 5 representatives from recovery communities in different regions of the country. Draws on the speakers' experiences working to build successful community-based recovery programs and explores how their various approaches and strategies may serve as models to advance and sustain recovery communities during periods of change and disruption, such as the COVID-19 pandemic.

Serves as a clearinghouse of resources to assist law enforcement agencies across the country in establishing a naloxone program to reduce the harm and number of deaths associated with opioid overdose. Offers information on a range of topics related to operating a naloxone program, including naloxone medication and its role in law enforcement; acquiring and administering naloxone; training law enforcement; liability and risk issues; and collaboration with other agencies and stakeholders. Provides a variety of tools and materials, such as sample documents and templates for data collection forms, training materials, press releases, community outreach materials, and more. Product of the Bureau of Justice Assistance's (BJA) National Training and Technical Assistance Center (NTTAC) funded by a contract through the U.S. Department of Justice (DOJ) Office of Justice Programs (OJP).

Documents the challenges, successes, and lessons learned from the Rural Opioid Overdose Reversal Program (ROOR), a 2015 pilot grant program administered by the Health Resources and Services Administration's (HRSA) Federal Office of Rural Health Policy. Includes resources to support related projects and programs, with links to training, data strategies, and outreach tools.

Provides access to a 6-part national online discussion series and resource sharing opportunity focused on the social determinants of health (SDOH), COVID-19, and their impact on substance use prevention, treatment, and recovery workforces recorded in 2020. Aims to identify emerging best practices and resources to address health disparities related to substance use in underserved communities and/or communities of color, including Black, Latinx, American Indian and Alaska Native, Asian, Native Hawaiian, and Pacific Islander populations. Includes a recording of each session along with presentation slides, and a session report presenting notes, core themes, strategies, and resources discussed in the related session.

Provides an overview of a 2017 pilot project to enhance the ability of local health departments (LHDs) to address opioid use and overdose in their communities by working more effectively with state and local partners and reduce the occurrence of fatal and non-fatal overdose. Summarizes project activities and goals and a brief introduction to the four pilot sites: Bell County, Kentucky; Hillsborough County, New Hampshire; Montgomery County, Ohio; and Boone County, West Virginia.

Interactive map providing broadband and health data at the national, state, and county levels. Includes maps with data on broadband, maternal health, chronic disease, opioids, and access to care. Allows users to filter data by rurality. Helps users explore the intersection of broadband and health to better inform policies, programs, innovation, and investment decisions.

Provides a dataset with comparisons of the number and percentage of Medicaid opioid prescriptions from each state. Includes an interactive mapping tool and resources for understanding and using the data.

Describes a benefit that covers opioid use disorder (OUD) treatment services under Medicare Part B medical insurance. Enables the Centers for Medicare & Medicaid Services (CMS) to make bundled payments to certified opioid treatment programs (OTPs) for OUD treatment services for an episode of care provided to Medicare Part B beneficiaries. Covers the following services under the benefit: opioid agonist and antagonist medication-assisted treatment (MAT) medications approved by the U.S. Food and Drug Administration (FDA), naloxone and overdose education, substance use counseling, individual and group therapy, toxicology testing, intake activities, and periodic assessments.

Provides a dataset with comparisons of the number and percentage of Medicare Part D opioid prescriptions at the state, county, and ZIP code level. Includes an interactive mapping tool and resources for understanding and using the data.

Provides information on methadone, buprenorphine, and naltrexone and how they are used to provide medication-assisted treatment (MAT) for opioid use disorder (OUD). Covers the signs of an overdose and answers questions about each medication.

Shares the results of the Mental and Substance Use Disorders Prevalence Study (MDPS), a pilot program to determine the lifetime and past-year prevalence rates of schizophrenia spectrum disorders; past-year bipolar I disorder, major depressive disorder, generalized anxiety disorder, post-traumatic stress disorder(PTSD), obsessive-compulsive disorder, and anorexia nervosa; and past-year alcohol, opioid, cannabis, stimulant, and sedative/hypnotic/anxiolytic use disorders. Includes statistics and data on rural areas.

Offers information and training videos on how to approach the topic of naloxone with individuals taking prescription opioids and with opioid use disorder (OUD). Includes videos demonstrating how to provide training for the 3 types of naloxone kits offered by the U.S. Department of Veteran Affairs (VA), including nasal spray, auto-injector, and intramuscular.

Offers information on a week-long event dedicated to promoting public awareness of mental illness and substance use disorder (SUD), increasing community engagement, and highlighting promising and evidence-based prevention approaches. Includes a planning toolkit, webinars, and other resources to support community prevention efforts and help communities organize local events and activities in support of National Prevention Week. Helps communities connect and collaborate with federal agencies and national organizations to raise awareness about substance use prevention and promote positive mental health.

Offers information on a month-long event held every September to promote public awareness and knowledge of mental illness and substance use disorder (SUD), and celebrate those in recovery. Includes a toolkit, webinars, recovery publications, and other resources and tips to engage communities, stakeholders, local officials, and others in support of Recovery Month.

Shares the results of a survey of practitioners affiliated with Rural Communities Opioid Response Program (RCORP) grant sites throughout the U.S. to assess substance use disorder (SUD) stigma and treatment needs in rural areas. Includes various statistics on practitioner demographics, professional roles, work setting, medications for opioid use disorder (MOUD), stigma, and other practitioner beliefs and barriers.

Shares a policy, effective September 23, 2019, whereby injured federal workers receiving workers' compensation that are newly prescribed opioids will be limited to an initial 7-day supply. Allows an injured worker to receive a maximum of 4 sequential 7-day supply prescriptions, an initial and 3 subsequent prescriptions, for a total of 28 days before prior authorization is required. For additional opioid prescriptions exceeding the initial 28-day period, the prescribing physician will need to submit a form certifying the medical necessity of continued opioid use for approval from the Office of Workers' Compensation Programs (OWCP).

Describes opportunities and resources related to mentoring, including relevant research, programmatic grants, training and technical assistance, and publications. Aims to increase access to effective mentoring services for youth in hopes of reducing youth substance use, aggression, depression, and criminal behavior while improving self-esteem, academic performance, and peer relationships.

Presentation on opioid use disorder (OUD) management during the COVID-19 pandemic. Discusses challenges, best practices, and alternative methods of providing OUD and substance use disorder (SUD) treatment while adhering to COVID-19 restrictions, including safety strategies for patients, providers, and communities.

Provides tools, publications, and other resources for schools to provide services, support, and interventions to address opioid and substance misuse for students and their families. Includes information on substance use and related trauma among students. Discusses implementing positive behavioral interventions and supports (PBIS) to improve school climate and reduce substance use.

Provides an overview of the U.S. Department of Veterans Affairs (VA) Opioid Overdose Education & Naloxone Distribution (OEND) program. Focuses on reducing opioid overdoses and deaths among veterans through education and training for prevention, recognition, rescue response, and naloxone kit use. Includes OEND videos and materials for providers and patients.

Allows local organizations, providers, state and local health departments, and other stakeholders to add a free, customizable version of the Centers for Disease Control and Prevention (CDC) opioid overdose website to their own websites. Helps communities disseminate online, current CDC opioid information and resources, as well as training on the CDC guidelines for prescribing opioids for chronic pain.

Describes a 4-point strategic plan to protect injured federal workers covered under the Federal Employee's Compensation Act from the risk of opioid misuse and addiction. Includes details on these policy initiatives and their progress, information on any new policies, as well as a discussion of opioid facts and risk factors for opioid misuse, addiction, and overdose, and links to additional resources.

Toolkit sharing field guidance, resources, and presentations to support clinical decisions about starting, continuing, or tapering opioid therapy, and other challenges related to safe opioid prescribing. Includes patient and provider education, clinical tools, and other resources.

Offers comprehensive information and resources on the use of prescription opioids, managing chronic pain, and opioid use disorder (OUD) for patients and providers, specifically for American Indian and Alaska Native (AI/AN) communities and Indian Health Service (IHS) providers. Includes online tools, technical assistance resources, guides, and training for patients and providers on topics such as opioid crisis data, opioid prevention, proper pain management, opioid prescribing/stewardship, culturally appropriate practices, maternal health, harm reduction, naloxone use, child health and wellness, medication-assisted treatment (MAT), tele-MAT, trauma-informed care, best practices, supportive services, wellness courts, and training opportunities. Resource is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Provides guidance and resources to help communities, healthcare providers, and volunteers providing opioid use disorder (OUD) treatment and harm reduction and recovery services address opioid use in their communities. Include rural mentions throughout.

Interactive map providing state- and county-level data showing the rates of drug overdose deaths, including opioid deaths, in the U.S. Allows users to create maps illustrating connections between overdose deaths and selected demographic, economic, and behavioral health characteristics, including race/ethnicity, age, education, disability status, household income, poverty rates, unemployment rates, the number of mental health facilities per 100,000 population, and more.

Details the U.S. Department of Health and Human Services strategy to respond to drug overdoses and prevent overdose deaths across the U.S. Shares research, resources, and evidence-informed overdose interventions focused on 4 priority areas: primary prevention, harm reduction, evidence-based treatment, and recovery support. Offers strategies and resources designed to increase coordination among key stakeholders, reduce stigma, and expand access to healthcare and treatment for underserved populations, including rural and tribal communities.

Shares information, resources, and tools organized around 7 strategies to help local and state health departments link people at risk of opioid overdose to care. Includes rural examples and discussion throughout.

Consists of a public health and public safety collaboration between the High Intensity Drug Trafficking Areas (HIDTA) program and the Centers for Disease Control and Prevention (CDC) across the U.S. Seeks to help communities reduce fatal and non-fatal drug overdose rates by improving information sharing across agencies and supporting evidence-based interventions. Equips states with a Drug Intelligence Officer (DIO) and a Public Health Analyst (PHA) who are responsible for helping to increase communication, data flow, and intelligence sharing between public safety and public health sectors within and across states.

Fact sheet detailing a 6-step planning process to help schools and institutions of higher education develop or update emergency operation plans (EOPs) to address potential threats and issues resulting from opioid misuse and abuse. Discusses the 5 mission areas of preparedness for opioid-related emergencies and the effects of the opioid crisis on school-aged children, young adults, and school safety. Includes links to additional resources and information to aid in the development of school EOPs, and programs and activities to address an opioid overdose.

Interactive map providing county-level data describing community-level factors to support individuals in recovery from substance use disorder (SUD). Allows users to create maps illustrating connections between overdose deaths including opioid deaths, and selected demographic and economic factors.

Shares programs from the U.S. Department of Agriculture Rural Development (USDA RD) to address specific community needs related to substance use disorder (SUD) and opioid misuse prevention, treatment, and recovery efforts. Provides brief program summaries with information on program eligibility, as well as how the program may be used to confront issues of substance and opioid misuse in rural communities.

Provides an overview of the challenges facing communities seeking to address opioid misuse and substance use disorders in rural areas. Offers information and guidance from a wide range of experts and stakeholders to help rural leaders develop effective prevention, treatment, and recovery strategies to mitigate the impacts of substance use on rural populations. Highlights promising practices, lessons learned, and key resources to support community-led efforts to prevent and reduce substance use and build healthy communities.

Shares information for crisis counselors, outreach workers, and other supportive service providers on how to best respond to the behavioral health needs of diverse rural populations following a disaster. Considers unique risk factors, strengths, and the behavioral health impacts of disasters on rural populations. Highlights best practices to help rural individuals and communities access mental health and substance use services and treatment after disaster events. Includes a summary of recommendations, resources, and a customizable tip sheet for outreach to rural residents.

Video recording of a workshop discussion intended to help rural faith leaders understand substance use prevention and identify and implement evidence-based prevention strategies in rural communities. Provides information on substance use prevention, treatment, and recovery in a rural context. Highlights ways that faith communities can partner with other stakeholders to develop prevention programs and activities and offers several faith-based prevention program models.

Video recording of a workshop discussion on the intersection of substance use disorder (SUD) and the COVID-19 pandemic to help rural faith leaders learn and share information and resources to help individual and families struggling with addiction. Covers opioid use/misuse and COVID-19 in rural areas; the economic impacts of SUD on small communities before and during the pandemic; finding and using data to understand the problem in individual communities; helping faith-based and community leaders bring hope and healing to communities; and congregation readiness.

Lists policy briefs, working papers, journal articles, and other publications on substance use and treatment in rural areas published by federally-funded Rural Health Research Centers. Includes links to upcoming and archived webinars on the topic and other related research projects.

Summarizes research describing the prevalence of opioid use in rural communities. Includes statistics on the perceived need and use of treatment for opioid use disorder (OUD).

Summarizes research describing differences between rural and urban populations with opioid use disorder (OUD) including youth, young adults, and pregnant women. Includes statistics describing the impacts OUD has on both rural and urban emergency department visits.

Highlights evidence-based and promising models and related resources to develop, implement, evaluate, and build sustainable substance use disorder (SUD) prevention and treatment programs in rural communities. Identifies barriers to SUD and treatment in rural areas.

Provides an overview of the opioid crisis in rural America and includes information and resources on initiatives and funding opportunities to address the crisis. Covers successful rural model program examples, events, and other tools for prevention, harm reduction, and treatment.

Video recording sharing highlights from a December 13-14, 2018 workshop in Knoxville, Tennessee attended by rural sheriffs and judges. Workshop hosted by the U.S. Department of Agriculture (USDA) Rural Development and the Bureau of Justice Assistance (BJA) to brainstorm ideas and discuss new methods to address the opioid crisis.

Highlights evidence-based and promising models and related resources to implement, evaluate, and build sustainable tobacco control and prevention programs in rural communities. Provides an overview of tobacco use in rural areas, including barriers to establishing tobacco control and prevention programs.

Provides information and resources to help states and local communities building media campaigns to increase awareness and educate the public on the dangers of prescription opioids by sharing the stories of people impacted by them. Offers videos, radio spots, social media posts, signage, and online ads that cover opioid treatment and recovery, overdose prevention, and real life stories of addiction and loss due to prescription opioids.

Offers information and resources to support and promote behavioral health equity by removing barriers and providing prevention and treatment services for mental illness and substance use disorder (SUD). Includes links to data, reports, Substance Abuse and Mental Health Services Administration (SAMHSA) programs and federal programs and initiatives for the following populations: Hispanic or Latino; Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPI); American Indians and Alaska Natives (AI/AN); Black or African Americans; and the LGBTQ+ populations.

Provides access to data, reports, and other information from Substance Abuse and Mental Health Services Administration's (SAMHSA) Center for Behavioral Health Statistics and Quality (CBHSQ) on various aspects of behavioral health, including substance use and mental health treatment services. Includes data on household substance use and mental health; treatment, admissions, and discharges; mental health facilities; substance use facilities; emergency departments; client-level mental health information; and uniform reporting system statistics.

Provides an overview of Substance Abuse and Mental Health Services Administration (SAMHSA) efforts to address the challenges incarcerated and justice system-involved individuals face when attempting to seek treatment for and recover from mental illness and substance use disorder (SUD). Seeks to increase access to behavioral health services, minimize costs, and other consequences related to the unnecessary and repetitive incarceration of people with behavioral health issues. Discusses strategies to identify individuals with mental illness and SUD, implement diversion programs, enhancing reentry services, evidence-based practices, screening and assessments, and more.

Shares national guidelines for behavioral health crisis care best practice toolkit from the Substance Abuse and Mental Health Services Administration (SAMHSA) and a 2020 technical assistance paper series focused on crisis services. Offers information to support mental health authorities, agency administrators, service providers, and other state and local leaders in the design, development, implementation, and quality improvement of behavioral health crisis systems. Details components of crisis services and best practices, along with tools for implementing and evaluating care that aligns with national guidelines. Addresses key issues related to crisis services, including homelessness, technology advances, substance use, legal issues, financing crisis care, diverse populations, children and adolescents, rural and frontier areas, and the role of law enforcement.

Provides information on drug-free programs, drug testing, and other resources and training designed to address illegal substance use by federal employees and in federally regulated industries, such as the U.S. Nuclear Regulatory Commission (NCRC), the U.S. Department of Transportation (DOT), and the U.S. Department of Defense (DOD). Discusses policies, guidelines, and regulations to address substance misuse in workplaces.

Provides communities, healthcare professionals, policymakers, and others with a searchable resource center including reports, guides, toolkits, and other resources to implement evidence-based practices for mental illness and substance use disorder (SUD). Focuses on opioid use disorder (OUD) and other SUD prevention, treatment, and recovery options.

Provides information to support partnerships between faith-based and community organizations and federal programs to offer effective programs and activities for substance use prevention, mental health services, and addiction treatment. Offers resources for training, technical assistance, publications, and existing faith-based coalitions and collaborations focused on decreasing violence, combating substance use, improving behavioral health, reducing homelessness, and providing crisis counseling to those in need.

Interactive map that can be sorted by fiscal year (FY) and state to show formula and discretionary funding amounts and detailed summaries for Substance Abuse and Mental Health Services Administration (SAMHSA) grants.

Offers a collection of Substance Abuse and Mental Health Services Administration (SAMHSA) programs and resources designed to prevent and end homelessness among men, women, youth, and families with mental illness or substance use disorder (SUD). Includes grant programs and services as well as publications, videos, and webinars on behavioral health treatment, employment assistance, housing/shelter programs, case management, trauma, as well as links to help individuals find immediate help and treatment.

Provides an overview of medications for opioid use disorder (MOUD) and medications for alcohol use disorder (AUD), as well as information on opioid treatment programs (OTPs). Describes current federal regulations and requirements for practitioners to prescribe MOUD. Includes information and training resources for healthcare providers, researchers, and patients.

Describes how naloxone is used and the medication's side effects. Briefly discusses causes of opioid overdose. Highlights how the Substance Abuse and Mental Health Services Administration (SAMHSA) is working with communities, local governments, local law enforcement, and state and federal partners to expand naloxone use.

Serves as a national clearinghouse for recovery-oriented care to address substance use, mental health, and co-occurring disorders. Promotes collaboration across key sectors to more effectively integrate recovery into systems of care, increase recovery services, and reduce barriers to recovery for underserved populations, including rural and tribal communities.

Offers information and resources on challenges faced by children and youth, such as those related to bullying, mental health, substance use, and violence. Highlights several Substance Abuse and Mental Health Services Administration (SAMHSA) programs for educators and parents, including Project AWARE, Trauma-Informed Services in Schools (TISS), and the campaign "Talk. They Hear You."

Presents the Substance Abuse and Mental Health Services Administration's (SAMHSA) 4-year strategic plan detailing the agency's guiding principles, priorities, goals, and objectives to address behavioral health needs in the U.S. Focuses on 5 key areas: preventing substance use and overdose; access to suicide prevention and mental health services; promoting resilience and emotional health for children, youth, and families; integrating behavioral and physical healthcare; and strengthening behavioral health workforce. Emphasizes behavioral health equity for underserved and/or historically marginalized populations, including rural and tribal communities.

Provides an overview of Substance Abuse and Mental Health Services Administration's (SAMHSA) Office of Tribal Affairs and Policy (OTAP) that seeks to address behavioral health issues facing American Indian and Alaska Native populations. Details programs, policy and advisory resources, and supports to promote self-sufficiency, prevent and treat substance use disorder (SUD), offer recovery and support services, reduce violence and suicide rates, and increase access to behavioral health services.

Provides an overview of Substance Abuse and Mental Health Services Administration (SAMHSA) efforts to increase the supply of trained, culturally aware behavioral health professionals, including psychiatrists, therapists, addiction counselors, homeless outreach specialists, recovery coaches, and other professionals in fields related to prevention, healthcare, and social services. Includes links to programs and resources to help address workforce shortages and provide culturally competent care to individuals with mental illness and substance use disorder (SUD).

Provides an overview of treatment options for veterans experiencing substance use issues. Includes information on different therapies, medications to reduce opioid and other substance use, intensive outpatient treatment, residential care, continuing care and relapse prevention, self-help groups, and more.

Details a school-centered pilot project that examined implementing strategies to prevent youth substance use and risky sexual behaviors in high-risk rural communities in Ohio, Kentucky, and Indiana. Highlights efforts to address related issues of HIV, sexually transmitted diseases (STDs), teen pregnancy, and high-risk substance use through education, primary prevention, and early detection screening. Program activities included implementing new health curricula, partnering with health departments and community drug-free coalitions, and developing and distributing informational products and video campaigns.

Shares evidence-based guidance on how to integrate peer support services (PSS) into substance use disorder (SUD) treatment programs and services. Describes PSS for people with substance related issues, the role and functions of peer recovery workers, and other topics related to incorporating PSS into SUD treatment. Includes specific considerations related to providing peer support in rural areas.

Serves as a planning resource for schools and stakeholders interested in implementing the Teens Linked to Care (TLC) program, an integrated prevention strategy to address both substance use and risky sexual behavior in youth living in rural communities. Outlines the 4 phases of the TLC program, and shares tools and other resources to help schools support sexual health and substance use education and policies.

Provides guidance to Tribal Healing to Wellness Courts (THWCs) on effective case management practices and the functions of case management in THWC operations. Offers case management models; resources; and information related to ethics, balancing roles, and data collection and evaluation to assist THWCs in developing or revising the role of case managers in their courts.

Discusses common elements of intergovernmental collaboration, including tribal-state collaborations, intended to assist Tribal Healing to Wellness Courts (THWCs) interested in utilizing collaboration to enhance their court operations. Provides a brief history THWCs, profiles of current collaborations that can serve as models, and shares resources to help new and existing THWCs meet the needs of their communities.

Describes differences in rates of drug overdose deaths in 2020 between rural and urban counties by sex, race and Hispanic origin, and selected types of opioids and stimulants.

Provides instructions for the safe disposal of unwanted and unneeded medications to prevent substance misuse and accidental poisonings. Includes safety tips to keep drugs away from children and pets, ensure proper medication storage, and proper medication disposal. Takes back unused and expired medications and publishes bulletins and alerts with recent news related to medication safety.

Provides access to education materials developed by the VA Pharmacy Benefits Management Services (PBM) Academic Detailing Services (ADS) sharing evidence-based treatments to help providers improve the health of veterans. Offers provider and patient education tools and outreach resources to encourage evidence-based decision making for a variety of medical conditions and diseases, including opioid use disorder (OUD) and substance use disorder (SUD), pain, suicide, dementia, depression, HIV, post-traumatic stress disorder (PTSD), and more.

Describes the enterprise-wide initiatives currently supported by the Veterans Health Administration (VHA) Office of Rural Health. Shares the work of the U.S. Department of Veterans Affairs' (VA) national programs to provide healthcare services in VA hospitals and health systems to veterans residing in rural areas across the nation. Outlines programs to address primary care, specialty care, mental health, care coordination, workforce training and education, transportation, and more. Includes virtual training for providers on substance use disorder (SUD) treatment and recovery, as well as a pharmacy-based program to increase access to medication-assisted treatment (MAT) for rural veterans with opioid use disorder.

Provides an overview of alcohol and drug misuse, screening, treatment options, and programs and services for veterans. Covers evidence-based psychotherapy, cognitive behavioral therapy (CBT) for substance use disorder (SUD), medication-assisted treatment (MAT) for opioid use disorder (OUD) and SUD, opioid overdose, stimulant use disorders, motivational interviewing and enhancement therapy, and more. Includes additional resources to help veterans and family members access SUD treatment and recovery support services.

Offers evidence-based information, recommendations, guides, and tools for U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) healthcare providers and patients to assist in the decision making process to improve the treatment and outcomes for patients with substance use disorder (SUD), including opioid use disorder (OUD), methamphetamine use, and co-occurring mental health conditions. Describes best practices to help patients avoid preventable complications, reduce substance use, and improve their overall health and wellness.

Provides an overview of a 10-year U.S. Department of Health and Human Services (HHS) initiative, that started in fiscal year (FY) 2020, to end the HIV epidemic in America. Highlights how the initiative was developed, lists its target goals, and discusses the plan focusing on 57 priority jurisdictions, including 7 states with high rates of rural HIV diagnoses, where more than 50% of new HIV diagnoses occurred in 2016 and 2017. Includes key strategies, data, and tools utilized by the initiative.

Provides information for state and local early intervention systems regarding the prevalence of infants and toddlers prenatally exposed to substances, and resources and supports needed to promote positive outcomes for these infants and their families. Shares links to key research, policy, guidance and state examples, and evidence-based practices for supporting young children exposed prenatally to substances and their families.