Resources: Opioids

2022 CDC Clinical Practice Guideline at a Glance

Provides evidence-based information, guidance, clinical tools, training, and other resources on the safe and effective prescription of opioids to treat chronic pain in primary care and outpatient settings. Addresses patient-centered clinical practices, including accurate assessments, evaluation of treatment options, initiating opioid treatment and determining dosages, risk monitoring, safely ending opioid treatment, and health equity and disparities in the treatment of pain.

Resource Type: Website
Sponsor: Centers for Disease Control and Prevention (CDC)
2022 Report to Congress on the State Opioid Response Grants (SOR)

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.

Resource Type: Document / Report
Date: 09/2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
2024 National Drug Control Strategy

Outlines federal drug policy priorities and promotes short and long-term solutions to reduce drug use, overdose, supply, and other related harms in the U.S. Covers information and strategies to prevent youth substance use, expand access to medications for opioid use disorder and other evidence-based treatments, building recovery communities, and strengthening efforts to disrupt drug trafficking. Includes strategies to address substance use issues in rural, tribal, and other underserved communities.

Resource Type: Document / Report
Date: 05/2024
Sponsor: Office of National Drug Control Policy (ONDCP)
Addiction Technology Transfer Center Network (ATTC)

Consists of a network of 10 regional centers, a central coordinating office, a National Hispanic and Latino ATTC, and a National American Indian and Alaska Native ATTC working in addiction treatment and recovery services. Promotes awareness and new and evidence-based practices and services for the treatment of opioid use disorder (OUD) and substance use disorder (SUD). Facilitates the adoption of new technology by addiction treatment and recovery service providers. Offers education, training, resources, and information for the behavioral healthcare workforce in rural areas.

Resource Type: Technical Assistance
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Advancing Understanding of Rural Addiction (AURA)

Serves as a Rural Opioid Technical Assistance Regional Center (ROTA-R) in the South Central region of the U.S. Develops training and offers technical assistance to address opioid and stimulant use in rural communities throughout Arkansas, Louisiana, New Mexico, Oklahoma, and Texas.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Caring for Women with Opioid Use Disorder: A Toolkit for Organization Leaders and Providers

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.

Resource Type: Document / Report
Date: 11/2020
Sponsor: HRSA Office of Women's Health (OWH)
Center for Faith-Based and Neighborhood Partnerships (Partnership Center)

Develops partnerships between the U.S. Department of Health and Human Services (HHS) and community and faith-based organizations. Provides up-to-date information on federal health and human service activities and resources to help local organizations better serve their communities. Focuses on supporting grassroots efforts to address the issues of mental health and youth, opioids and preventing overdose, suicide prevention, and supporting individuals reentering society after incarceration and their families.

Resource Type: Technical Assistance
Sponsor: U.S. Department of Health & Human Services
CMS Letter to State Medicaid Directors: Leveraging Medicaid Technology to Address the Opioid Crisis

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.

Resource Type: Document / Report
Date: 06/2018
Sponsor: Centers for Medicare & Medicaid Services (CMS)
CMS Opioid Treatment Program Providers Dataset

Offers a dataset with information on Medicare-enrolled Opioid Treatment Program (OTP) providers that is updated weekly. 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.

Resource Type: Data
Date: 2024
Sponsor: Centers for Medicare & Medicaid Services (CMS)
CMS Roadmap: Strategy to Fight the Opioid Crisis

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.

Resource Type: Document / Report
Date: 06/2020
Sponsor: Centers for Medicare & Medicaid Services (CMS)
Connecting Communities to Substance Use Services: Practical Approaches for First Responders

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.

Resource Type: Document / Report
Date: 08/2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Conversations with Rural Law Enforcement Leaders – Volume 2

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.

Resource Type: Document / Report
Date: 2021
Sponsors: Bureau of Justice Assistance (BJA), Office of Community Oriented Policing Services (COPS Office)
Cross-Sector Collaboration Between Law Enforcement, Courts, Child Welfare, and Schools to Address the Impact of Substance Use Disorders on Children and Families in the United States

Provides information to law enforcement, courts, child welfare agencies, and schools on how they can create cross-sector collaborations to reduce the harmful effects of substance use on children and families. Includes 8 strategies for cross-sector collaboration and provides examples of successful collaboration projects. Considers factors related to addressing substance use in rural communities.

Resource Type: Document / Report
Date: 08/2023
Sponsor: Bureau of Justice Assistance (BJA)
Deflection and Pre-Arrest Diversion: Supporting Rural Communities

Provides information and guidance to rural communities on establishing deflection and pre-arrest diversion (DPAD) programs. Promotes the use of DPAD to reduce criminal justice system involvement for people who use drugs and those with substance use disorders and help link them to evidence-based treatment services. Describes challenges to implementing DPAD programs in rural areas and offers strategies and resources to address these barriers. Includes example projects from 2 rural communities.

Resource Type: Document / Report
Date: 10/2021
Sponsor: Centers for Disease Control and Prevention (CDC)
Emergency Department Interventions for Opioid Use Disorder: Overview of the Landscape, Key Components, and Analysis of Five Case Studies

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.

Resource Type: Document / Report
Date: 08/2023
Sponsor: U.S. Department of Health & Human Services
Engaging Community Coalitions to Decrease Opioid Overdose Deaths Practice Guide 2023

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.

Resource Type: Document / Report
Date: 2023
Sponsors: National Institute on Drug Abuse (NIDA), Substance Abuse and Mental Health Services Administration (SAMHSA)
Evaluation of the Maternal Opioid Misuse (MOM) Model

Evaluates 7 states participating in CMS's Maternal Opioid Misuse (MOM) Model, which is designed to support delivery system transformation for pregnant and postpartum people enrolled in Medicaid who have opioid use disorder (OUD). Provides an overview of program activities for implementation year 2 from July 2022 to June 2023, including adoption, implementation, reach, and sustainability of the model, as well as the model's outcomes and effectiveness. Discusses barriers and other factors affecting care in rural areas.

Resource Type: Document / Report
Sponsor: Centers for Medicare & Medicaid Services (CMS)
Evaluation of Using Telehealth for Opioid Use Disorders in a Correctional Setting

Provides an evaluation of a comprehensive behavioral health treatment approach taken by 1 rural county jail in Massachusetts utilizing telehealth for individuals with opioid use disorder (OUD) during the COVID-19 pandemic. Offers results, findings, and lessons learned from Franklin County Sheriff's Office's experience providing all 3 federally approved medications for opioid use disorder (MOUD) and counseling through telehealth to individuals in the jail during the pandemic.

Resource Type: Document / Report
Date: 05/2024
Sponsor: National Institute of Justice (NIJ)
Evidence-Based Whole-Person Care for Pregnant People Who Have Opioid Use Disorder

Outlines evidence-based practices to help obstetrician-gynecologists, primary care physicians, nurse practitioners, certified midwives, specialists, and other providers take a more active role in supporting the health of pregnant people with opioid use disorder (OUD) and their infant children. Offers information on screening and assessment for OUD, initiating and maintaining pharmacotherapy to treat OUD, providing whole person care, prioritizing health equity for underserved populations, and barriers to care, including those faced by pregnant people living in rural areas.

Resource Type: Document / Report
Date: 03/2024
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Fentanyl and Carfentanil

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.

Resource Type: Document / Report
Date: 01/2018
Sponsor: VA Pharmacy Benefits Management (PBM) Services
Fentanyl and Opioids: Preventing Overdoses and Related Emergencies at K-12 and Higher Education Campuses

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 overdose and other potential threats and issues resulting from fentanyl and opioid misuse. 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 prepare for and respond to an opioid overdose.

Resource Type: Document / Report
Date: 09/2023
Sponsor: Office of Safe and Supportive Schools (OSSS)
FindTreatment.gov

Directory of providers across the U.S. specializing in the treatment of substance use disorder (SUD) and mental illness. Offers a search function to locate substance use and mental health facilities, healthcare centers, buprenorphine practitioners, and opioid treatment providers in or near a specific community. Provides information about treatment options, paying for treatment, and understanding mental health and addiction disorders in order to make it easier for individuals to identify and begin receiving appropriate treatment services.

Resource Type: Treatment Provision
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
First Responder Deflection Mentoring Initiative

Offers an opportunity for first responder organizations operating deflection initiatives for people with substance use disorders (SUDs) to apply to become a mentor site to provide peer-to-peer mentoring to other first responder organizations interested in establishing or enhancing a deflection program. Promotes deflection as an innovative model to support individuals in the community with opioid, stimulant, and other SUDs, mental health and/or co-occurring disorders while avoiding involvement with the justice system.

Resource Type: Technical Assistance
Sponsor: Bureau of Justice Assistance (BJA)
Fletcher Group Rural Center of Excellence (RCOE)

Provides technical assistance to help establish and expand recovery housing services and evidence-based treatment and prevention programs in over 100 counties highly impacted by substance use disorder (SUD) in Kentucky, Ohio, West Virginia, Georgia, Tennessee, Mississippi, Washington, Oregon, Montana, and Idaho.

Resource Type: Technical Assistance
Sponsor: Federal Office of Rural Health Policy (FORHP)
Funding Support to Help Address Opioid Misuse in Rural Communities

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.

Resource Type: Document / Report
Date: 06/2018
Sponsor: USDA Rural Development (USDA RD)
Great Lakes Rural Opioid Technical Assistance Regional Center (Great Lakes ROTA-RC)

Serves as a Rural Opioid Technical Assistance Regional Center (ROTA-R) in the Great Lakes region of the U.S. Develops culturally and linguistically appropriate, evidence-based training and best practices on harm reduction, prevention, treatment, and recovery. Offers technical assistance to address substance use disorder (SUD) and mental health to strengthen rural communities in Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
How Can USDA Help Address the Opioid Epidemic?

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.

Resource Type: Document / Report
Date: 06/2018
Sponsor: USDA Rural Development (USDA RD)
How to Receive Medications for Opioid Use Disorder (MOUD) Training

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. Providers who complete the MOUD training may receive priority consideration when applying to the NHSC Substance Use Disorder Workforce Loan Repayment Program or NHSC Rural Community Loan Repayment Program.

Resource Type: Website
Sponsor: Bureau of Health Workforce (BHW)
HRSA: Opioid Crisis

Highlights several programs and opportunities the Health Resources and Services Administration (HRSA) is supporting to address the opioid crisis and resources on expanding access to care, connecting resources, sharing best practices, training, and more.

Resource Type: Website
Sponsor: Health Resources and Services Administration (HRSA)
IHS National Committee on Heroin Opioids and Pain Efforts (HOPE Committee)

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.

Resource Type: Website
Sponsor: Indian Health Service (IHS)
Impact Report: Rural Responses to the Opioid Epidemic

Shares the impacts and accomplishments of the Rural Responses to the Opioid Epidemic (RROE) project, co-funded by the Bureau of Justice Assistance (BJA), the Centers for Disease Control and Prevention (CDC), and the State Justice Institute (SJI). RROE consisted of 21 rural sites, including their partners in public safety, public health, and behavioral health, that planned, developed, implemented, and/or improved programs, practices, and policies to address substance use disorder (SUD) and overdoses in their communities.

Resource Type: Document / Report
Date: 05/2024
Sponsor: Bureau of Justice Assistance (BJA)
Indian Health Service (IHS) Division of Behavioral Health (DBH) Mental Health Program

Provides comprehensive mental health services for American Indian and Alaska Native individuals and families. Offers community and clinical-based treatments and services, including mental health treatment and support for substance use disorder (SUD) and opioid use disorder (OUD).

Resource Type: Treatment Provision
Sponsor: Indian Health Service (IHS)
Law Enforcement Naloxone Toolkit

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).

Resource Type: Website
Sponsor: Bureau of Justice Assistance (BJA)
Local Response to Public Health Emergencies: Focus on the Opioid Epidemic

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

Resource Type: Document / Report
Date: 2019
Sponsor: Centers for Disease Control and Prevention (CDC)
Mapping Broadband Health in America

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.

Resource Type: Map / Chart
Date: 2023
Sponsor: Federal Communications Commission (FCC)
Medicaid Coverage of Medications to Reverse Opioid Overdose and Treat Alcohol and Opioid Use Disorder

Provides information on the availability of, and access to, medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD), and for reversing opioid overdoses within state Medicaid plans. Discusses policies and regulations affecting access to these medications and reviews the present coverage and availability of the medications to Medicaid beneficiaries in each state. Includes 5 innovative models for expanding medication access to underserved Medicaid populations, including those residing in rural areas, American Indian/Alaska Native communities, and individuals recently released from incarceration.

Resource Type: Document / Report
Date: 01/2024
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Medicare Coverage of Services in Opioid Treatment Programs

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 medications for opioid use disorder (MOUD) approved by the U.S. Food and Drug Administration (FDA), substance use counseling, individual and group therapy, toxicology testing, intake activities, periodic assessments, and intensive outpatient services.

Resource Type: Website
Sponsor: Centers for Medicare & Medicaid Services (CMS)
Medication-Assisted Treatment (MAT) in Rural Jails Podcast Series

Podcast series featuring conversations with individuals currently involved with programs that provide medication-assisted treatment (MAT) and recovery support in rural jails. Each episode focuses on the unique role the speaker has in their respective MAT program, which includes a jail medical staff administrator, a peer specialist, a community-based medical provider, a MAT program coordinator, and a jail administrator. Offers experience and lessons learned from addressing common challenges to implementing MAT for individuals in jail with opioid use disorder.

Resource Type: Video / Audio / Multimedia
Date: 2023
Sponsor: Bureau of Justice Assistance (BJA)
Medications for Opioid Use Disorder (MOUD)

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

Resource Type: Document / Report
Date: 06/2020
Sponsor: VA Pharmacy Benefits Management (PBM) Services
Midwest Community-University Networking Center for Behavioral Health

Serves as a Rural Opioid Technical Assistance Regional Center (ROTA-R) in the Midwest region of the U.S. Develops training, best practices, and provides technical assistance related to opioids, stimulants, prevention, treatment, and recovery. Supports rural communities in Iowa, Kansas, Missouri, and Nebraska.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Mountain Plains Rural Opioid Technical Assistance Center (MP ROTAC)

Serves as a Rural Opioid Technical Assistance Regional Center (ROTA-R) in the Mountain Plains region of the U.S. Offers training and technical assistance to help address opioid and stimulant use, substance use disorder (SUD), mental health, and other behavioral health issues. Supports rural communities in Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
National Center on Safe Supportive Learning Environments (NCSSLE)

Delivers information, resources, technical assistance, and training to K-12 schools and institutions of higher learning to assess school climate, implement evidence-based programs to improve learning conditions, and measure outcomes in 3 core areas: providing a well-rounded education, improving the safety and health of students, and improving the effective use of technology. Offers multiple products, policy guides, toolkits, research, media, online events and training related to issues of substance and opioid misuse for students, families, schools, and communities.

Resource Type: Technical Assistance
Sponsor: Office of Safe and Supportive Schools (OSSS)
National Report: Rural Substance Use Disorder Stigma and Treatment Needs

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.

Resource Type: Document / Report
Date: 09/2023
Sponsor: Federal Office of Rural Health Policy (FORHP)
National Technical Assistance Center on Positive Behavioral Interventions and Supports (PBIS)

Assists schools and school districts with the implementation of a Positive Behavioral Interventions and Supports (PBIS) framework to improve students' social, emotional, and physical well-being, reducing disruptive behavior, and creating a positive learning environment. Uses a multi-tiered framework that reaches all students while allowing for more focused intervention and support for at-risk students and students with disabilities. Includes resources and blueprints for implementing school-wide responses to the opioid crisis and substance use. Offers direct onsite technical assistance to district and state leadership teams as well as indirect assistance through online resources, national and regional conferences, and collaborations with other technical assistance centers and organizations.

Resource Type: Technical Assistance
Sponsors: Office of Elementary and Secondary Education (OESE), Office of Special Education and Rehabilitative Services (OSERS)
Northeast and Caribbean Rural Opioid Technical Assistance Center (NeC-ROTAC)

Serves as a Rural Opioid Technical Assistance Regional Center (ROTA-R) providing training and technical assistance to address opioids, stimulants, and other substances impacting rural communities in New Jersey, New York, Puerto Rico, and the U.S. Virgin Islands.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Northwest Rural Opioid Technical Assistance Collaborative (NW ROTA)

Serves as a Rural Opioid Technical Assistance Regional Center (ROTA-R) in the Northwest region of the U.S. Provides support, technical assistance, and training to address opioid use disorder (OUD) and stimulant use throughout rural areas in Alaska, Idaho, Oregon, and Washington.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Opioid Affected Youth Initiative (OAYI) Technical Assistance

Offers technical assistance and resources to OJJDP's Opioid Affected Youth Initiative grantees working to develop and implement interventions to identify, respond to, and support children, youth, and families impacted by opioids and other substance use disorders (SUDs). Supports integrated, strategic approaches to substance use issues and promotes multidisciplinary collaboration between juvenile justice and juvenile court systems, mental and behavioral health services, child welfare, healthcare, and other stakeholders.

Resource Type: Technical Assistance
Sponsor: Office of Juvenile Justice and Delinquency Prevention (OJJDP)
Opioid Crisis and Substance Misuse

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.

Resource Type: Website
Sponsors: Office of Elementary and Secondary Education (OESE), Office of Special Education and Rehabilitative Services (OSERS)
Opioid Dispensing Rate Maps

Interactive maps showing the geographic distribution in the U.S. of estimated retail pharmacy dispensed opioid prescriptions per 100 persons per year from 2019–2023. Data is provided nationally at both the state and county level.

Resource Type: Map / Chart
Date: 10/2023
Sponsor: Centers for Disease Control and Prevention (CDC)
Opioid Overdose Education & Naloxone Distribution (OEND)

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.

Resource Type: Website
Sponsor: VA Pharmacy Benefits Management (PBM) Services
Opioid Overdose Prevention for State and Local Health Departments Microsite

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.

Resource Type: Website
Sponsor: Centers for Disease Control and Prevention (CDC)
Opioid Response Network (ORN)

Provides free training, education, and technical assistance to increase access for communities to evidence-based practices for opioid use disorder (OUD) and stimulant use prevention, treatment, and recovery services. Connects community members with local consultants and technology specialists who are qualified to implement evidence-based practices.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Opioid Safety Initiative Toolkit

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.

Resource Type: Website
Sponsor: Veterans Health Administration (VHA)
Opioid Stewardship in the Indian Health Service (IHS)

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, drug checking, 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).

Resource Type: Website
Sponsor: Indian Health Service (IHS)
Opioid Use Disorder: Rural Policy Brief

Provides a brief overview of the issue of opioid overdoses in rural areas and offers public health policy and strategy options to help communities prevent and reduce rural opioid overdose deaths. Includes case studies describing interventions implemented in 3 states.

Resource Type: Website
Sponsor: Centers for Disease Control and Prevention (CDC)
Opioid-Overdose Reduction Continuum of Care Approach: A Guide for Policymakers for Implementing Evidence-Based Strategies That Address Opioid Overdose

Provides guidance to policymakers, communities, and key stakeholders to develop and implement system- and practice-level changes to reduce opioid overdose deaths. Presents results from the National Institutes of Health (NIH) Helping to End Addiction Long-term (HEAL) Initiative's HEALing Communities Study. Outlines priority populations and 19 evidence-based interventions to prevent and reduce opioid related overdose deaths. Offers resources on various topics related opioid overdose and highlights model programs, including those serving rural areas.

Resource Type: Document / Report
Date: 2023
Sponsors: National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH)
Opioid-Overdose Reduction Continuum of Care Approach (ORCCA) Practice Guide 2023

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.

Resource Type: Document / Report
Date: 09/2023
Sponsors: National Institute on Drug Abuse (NIDA), Substance Abuse and Mental Health Services Administration (SAMHSA)
Overdose Mapping Tool: Drug Overdose Deaths in the United States

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/substance use treatment facilities per 100,000 population, and more.

Resource Type: Map / Chart
Sponsor: Bureau of Justice Assistance (BJA)
Overdose Prevention Strategy

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.

Resource Type: Website
Sponsor: U.S. Department of Health & Human Services
Overdose Response and Linkage to Care: A Roadmap for Health Departments

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.

Resource Type: Document / Report
Date: 11/2021
Sponsor: Centers for Disease Control and Prevention (CDC)
Pacific Southwest Rural Opioid Technical Assistance Regional Center (Pacific Southwest ROTA-R)

Serves as a Rural Opioid Technical Assistance Regional Center (ROTA-R) in the Pacific Southwest region of the U.S. Shares training opportunities, shares information, and offers technical assistance to help rural communities address opioid and stimulant use throughout Arizona, California, Hawaii, Nevada, and the Pacific jurisdictions.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Prevention Technology Transfer Center Network (PTTC)

Consists of a network of 10 regional resource centers, a central coordinating office, a National Hispanic and Latino PTTC, and a National American Indian and Alaska Native PTTC that work to support effective substance use prevention interventions. Develops and disseminates education, training, resources, and information to raise awareness and promote the implementation of evidence-based prevention practices. Facilitates the adoption of new technology by individuals and organizations working in the field of substance use prevention. PTTC focus areas include community coalitions and collaborators; health equity and inclusion; data-informed decisions; implementation science; cannabis prevention; and workforce development.

Resource Type: Technical Assistance
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Providers Clinical Support System - Medications for Opioid Use Disorder (PCSS-MOUD)

Offers healthcare professionals evidence-based training, education, and resources to treat patients with opioid use disorder (OUD). Provides free medications for opioid use disorder (MOUD) training for physicians, physician assistants (PA), advanced practice registered nurses (APRNs), medical students, and other healthcare professionals. Training is available in on-demand, online, or in-person formats.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Providing Employment Services to Individuals in Recovery

Describes the Addiction Recovery Care (ARC) program, which combines residential treatment of substance use disorders with employment services for individuals in Kentucky, with a focus on rural, Appalachian communities with high rates of opioid use. Discusses the program structure, implementation, target populations, and services provided, including medications for opioid use disorder, recovery services, and employment and job training programs. Offers lessons learned and recommendations for implementing similar programs.

Resource Type: Document / Report
Date: 05/2024
Sponsor: ACF Office of Planning, Research & Evaluation
RCORP: Helping Meet Rural Needs

Features a 6-part video series highlighting Rural Communities Opioid Response Program (RCORP) grantees and their work to prevent and treat opioid use disorder (OUD) in their communities.

Resource Type: Video / Audio / Multimedia
Date: 11/2023
Sponsor: Federal Office of Rural Health Policy (FORHP)
Recovery Ecosystem Index Map

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.

Resource Type: Map / Chart
Date: 09/2022
Sponsor: Health Resources and Services Administration (HRSA)
Resilient Engaged Active Community Health (REACH)

Serves as a Rural Opioid Technical Assistance Regional Center (ROTA-R) offering training and technical assistance to address substance use disorder (SUD) and mental health, including prevention, treatment, and recovery efforts. Supports rural communities in Delaware, Maryland, Pennsylvania, Virginia, and West Virginia.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Resources for Substance Use Disorder and Opioid Misuse Prevention, Treatment, and Recovery

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.

Resource Type: Document / Report
Date: 02/2019
Sponsor: USDA Rural Development (USDA RD)
Rural Communities Opioids Response Program Technical Assistance Evaluation

Evaluates the technical assistance (TA) provided to grantees in FORHP's Rural Communities Opioids Response Program (RCORP) from March 1, 2022 through September 30, 2023. Provides reports, briefs, and data on various types of RCORP TA, such as site visits, learning collaboratives, peer-to-peer calls, office hours, and more. Offers feedback and lessons learned from RCORP grantees on strategies and approaches to help rural communities address opioid misuse and opioid use disorders (OUD).

Resource Type: Document / Report
Date: 02/2024
Sponsor: Federal Office of Rural Health Policy (FORHP)
Rural Community Action Guide: Building Stronger, Healthy, Drug-Free 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.

Resource Type: Document / Report
Date: 01/2020
Sponsor: USDA Rural Development (USDA RD)
Rural Health Research RECAP: Opioid Use and Treatment Availability

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).

Resource Type: Document / Report
Date: 01/2018
Sponsor: Federal Office of Rural Health Policy (FORHP)
Rural Health Research RECAP: Opioid Use Disorder and Treatment: Rural-Urban Comparisons

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.

Resource Type: Document / Report
Date: 02/2022
Sponsor: Federal Office of Rural Health Policy (FORHP)
Rural Response to the Opioid Crisis Topic Guide

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.

Resource Type: Website
Sponsor: Federal Office of Rural Health Policy (FORHP)
Rural Sheriffs and Judges Workshop Highlights

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.

Resource Type: Video / Audio / Multimedia
Date: 12/2018
Sponsors: Bureau of Justice Assistance (BJA), USDA Rural Development (USDA RD)
Rural SUD Info Center

Provides a clearinghouse of information, best practices, tools, events, and research to support comprehensive approaches to prevention, treatment, recovery, and policy to address substance use disorder (SUD) in rural communities nationwide.

Resource Type: Website
Sponsor: Federal Office of Rural Health Policy (FORHP)
Rx Awareness Campaign

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.

Resource Type: Website
Sponsor: Centers for Disease Control and Prevention (CDC)
SAMHSA Buprenorphine Practitioner Locator

Directory of healthcare practitioners authorized to provide buprenorphine for the treatment of opioid use disorder (OUD) in the U.S. and U.S. territories.

Resource Type: Treatment Provision
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Evidence-Based Practices Resource Center

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.

Resource Type: Website
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Find Help

Directory of behavioral health treatment locator tools, hotlines for suicide prevention, treatment referral services, assistance for veterans in crisis, and more. Includes links to resources and services related to substance use disorder (SUD) prevention, treatment, and recovery; mental illness; medications for opioid use disorder (MOUD); harm reduction; opioid overdose; crisis care; and suicide prevention.

Resource Type: Treatment Provision
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Medications for Substance Use Disorders

Provides an overview of medications for opioid use disorder (MOUD) and medications for alcohol use disorder (MAUD), 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.

Resource Type: Website
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Opioid Treatment Program Directory

Directory of certified opioid treatment programs available in each state that treat addiction and dependence on opioids, such as heroin and prescription pain relievers.

Resource Type: Treatment Provision
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Sequential Intercept Model (SIM) Mapping Workshops

Offers a training opportunity to local jurisdictions seeking to implement the Sequential Intercept Model (SIM) mapping process to address the needs of adults with mental and substance use disorders (SUDs) who are involved or at risk for involvement in the criminal justice system. Brings together cross-system, multidisciplinary teams from local criminal justice and behavioral health agencies and organizations to develop integrated strategic community action plans to identify individuals with behavioral health needs and divert them out of the criminal justice system and into appropriate community-based treatment programs.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Southeast Rural Opioid Technical Assistance Regional Center (ROTA-RC)

Serves as a Rural Opioid Technical Assistance Regional Center (ROTA-R) in the Southeast region of the U.S. Develops training and provides technical assistance to address opioid and stimulant use in rural communities. Supports rural communities in Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Summary of VA Substance Use Treatment Options

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.

Resource Type: Website
Sponsor: Veterans Health Administration (VHA)
Teens Linked to Care (TLC): Strategies to Prevent Substance Misuse

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.

Resource Type: Website
Sponsor: Centers for Disease Control and Prevention (CDC)
TLC: Teens Linked to Care Toolkit

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.

Resource Type: Document / Report
Date: 03/2023
Sponsor: Centers for Disease Control and Prevention (CDC)
Treatment for Opioid Use Disorder: Population Estimates — United States, 2022

Estimates and characterizes the U.S. adult populations who need opioid use disorder (OUD) treatment, receive any OUD treatment, and receive medications for OUD, using data from the 2022 National Survey on Drug Use and Health. Includes data comparing adults living in metropolitan areas with those in micropolitan or noncore statistical areas.

Resource Type: Document / Report
Date: 06/2024
Sponsor: Centers for Disease Control and Prevention (CDC)
University of Rhode Island (URI) Community First Responder Program ROTA-R

Serves as a Rural Opioid Technical Assistance Regional Center (ROTA-R) in New England. Provides support, technical assistance, and naloxone training to address substance use disorder (SUD) and overdose throughout rural areas in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
University of Rochester Medicine Recovery Center of Excellence (UR Medicine RCOE)

Offers technical assistance and information resources to help rural communities identify and implement evidence-based practices to reduce negative outcomes related to substance use disorder (SUD), including the use of synthetic opioids. Provides assistance to communities nationwide while partnering with 20 specific high-need Appalachian counties in Kentucky, New York, Ohio, and West Virginia to combat the opioid crisis.

Resource Type: Technical Assistance
Sponsor: Federal Office of Rural Health Policy (FORHP)
University of Vermont Center on Rural Addiction (UVM CORA)

Supports capacity building efforts for the prevention and treatment of substance use disorder (SUD) in rural counties of Vermont, Maine, and New Hampshire disproportionately affected by SUD. Utilizes innovative technology and telehealth strategies to identify real-time needs in communities, disseminate education and resources on evidence-based approaches, and provide ongoing training and technical assistance to providers in order to more effectively address the needs of individuals and special populations with SUD and related issues.

Resource Type: Technical Assistance
Sponsor: Federal Office of Rural Health Policy (FORHP)
Urban – Rural Differences in Drug Overdose Death Rates, 2020

Provides data describing urban and rural differences in drug overdose death rates in the year 2020, using mortality data from the National Vital Statistics System (NVSS). Shows differences in rural and urban overdose death rates by sex, race and Hispanic origin, and selected types of opioids and stimulants.

Resource Type: Data
Date: 07/2022
Sponsor: Centers for Disease Control and Prevention (CDC)
VA PBM: Academic Detailing Services (ADS) - Educational Materials

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.

Resource Type: Website
Sponsor: VA Pharmacy Benefits Management (PBM) Services
VA/DoD Clinical Practice Guidelines for the Management of Substance Use Disorder (SUD)

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.

Resource Type: Document / Report
Date: 2021
Sponsor: Veterans Health Administration (VHA)
VA/DoD Clinical Practice Guidelines for the Use Opioids in the Management of Chronic Pain

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.

Resource Type: Website
Date: 2022
Sponsor: Veterans Health Administration (VHA)
Young Children Who Are Exposed Prenatally to Substances and Their Families

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, state examples, and evidence-based practices for supporting young children exposed prenatally to substances and their families.

Resource Type: Website
Sponsor: Office of Special Education and Rehabilitative Services (OSERS)