Resources: Substance Use Disorder

2023 National Survey on Drug Use and Health (NSDUH) Detailed Tables

Shares 2023 survey data from interviews with people aged 12 and older regarding substance use, mental health, and treatment in the U.S. Features a variety of demographic, socioeconomic, and geographic statistics, including rural and urban county type. Covers a range of substances including prescription and illicit drugs, alcohol, tobacco and other nicotine products, several mental health conditions, and more.

Resource Type: Data
Date: 07/2024
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
2023 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 2021, 2022, and 2023. Includes accomplishments for all the states and territories and rural mentions throughout.

Resource Type: Document / Report
Date: 09/2024
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Adapting Evidence-Based Practices for Under-Resourced Populations

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.

Resource Type: Document / Report
Date: 2022
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
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)
AIDS Education and Training Center Program: National Coordinating Resource Center (AETC-NCRC)

Offers online training resources, technical assistance, capacity building support, and other services to help clinicians, clinics, and health systems provide high-quality HIV/AIDS care. Helps increase the number of healthcare professionals able and willing to offer effective counseling, diagnostic, treatment, mental health, and substance use services to people living with or at risk of contracting HIV.

Resource Type: Training
Sponsor: HIV/AIDS Bureau (HAB)
American Indian and Alaska Native Behavioral Health Center of Excellence

Provides training and technical assistance to improve behavioral health services and systems for American Indian and Alaska Native (AI/AN) communities. Supports behavioral health professionals in their efforts to provide high quality, culturally responsive care to AI/AN individuals and families, and seeks to enhance behavioral healthcare and wellness in tribal communities through policy and infrastructure advocacy.

Resource Type: Technical Assistance
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Appalachian Diseases of Despair

Provides information on mortality disparities from overdose, suicide, and alcoholic liver disease/cirrhosis, also known as diseases of despair, in the Appalachian region among people aged 15-26. Uses 2022 data from the Multiple Cause of Death database to examine mortality trends regionally, by state, as well as by gender, and metropolitan or nonmetropolitan designation.

Resource Type: Document / Report
Date: 08/2024
Sponsor: Appalachian Regional Commission (ARC)
BJA National Training and Technical Assistance Center (NTTAC)

Provides training and technical assistance to help meet the needs of state, local, and tribal criminal justice practitioners and agencies on a variety of justice topics including adjudication, corrections, crime prevention, justice information sharing, law enforcement, mental health, substance use, tribal justice, and capacity-building.

Resource Type: Technical Assistance
Sponsor: Bureau of Justice Assistance (BJA)
Center for Health and Justice

Provides training and technical assistance to government agencies, justice systems, and communities to plan and implement strategies to reduce recidivism and substance use among justice involved individuals and promote community health and safety. Includes assistance to Second Chance Act and other Office of Justice Programs (OJP) grantees.

Resource Type: Technical Assistance
Sponsor: Bureau of Justice Assistance (BJA)
Challenges and Solutions for Disaster Behavioral Health in Rural and Remote Communities

Provides a review of relevant research focused on the delivery of behavioral healthcare in disaster response in rural and remote areas. Describes the unique needs and challenges of providing behavioral health services to rural and isolated communities as a part of the wider response to natural or man-made disasters. Discusses different approaches to address behavioral health needs after a disaster or crisis, covering the areas of government and policy, community initiatives, and telebehavioral health.

Resource Type: Document / Report
Date: 03/2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) Resource Center

Provides training and technical assistance to jurisdictions to develop, implement, and expand comprehensive efforts to identify, respond to, treat, and support individuals impacted by the use and misuse of opioids, stimulants, and other substances. Promotes access to treatment and recovery services in the criminal justice system, data collection and sharing, leveraging resources and funding, and efforts to prevent substance misuse.

Resource Type: Training
Sponsor: Bureau of Justice Assistance (BJA)
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 1

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.

Resource Type: Document / Report
Date: 2020
Sponsors: Bureau of Justice Assistance (BJA), Office of Community Oriented Policing Services (COPS Office)
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)
Council of State Governments (CSG) Justice Center

Offers technical assistance to state and local agencies and organizations to strengthen justice systems, reduce recidivism, and improve policy and practice to increase equity and access to services for behavioral health, housing, education/employment, victim support, and more.

Resource Type: Technical Assistance
Sponsor: Bureau of Justice Assistance (BJA)
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)
Cultural Factors That Protect Against Substance Misuse and Promote Mental Health in American Indian and Alaska Native Populations

Summarizes research examining how cultural-specific risk and protective factors can contribute to or mitigate substance misuse among American Indian and Alaska Native (AI/AN) populations. Aims to inform prevention planning by tribal communities and providers to include culturally responsive programs, practices, and policies that can reduce substance misuse and support the mental health and well-being of AI/AN individuals, youth, and families.

Resource Type: Document / Report
Date: 2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Culturally Responsive Pathways to Peer Programming in Tribal Communities

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.

Resource Type: Document / Report
Date: 09/2023
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)
Digital Therapeutics for Management and Treatment in Behavioral Health

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.

Resource Type: Document / Report
Date: 07/2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Drug-Free Communities (DFC) Support Program: End-of-Year 2022 Report National Cross-Site Evaluation

Provides a brief outline of the Drug-Free Communities (DFC) Support Program and summarizes national DFC program implementation evaluation data from February to August 2022. Describes the reach of the DFC program, substances addressed, community protective and risk factors, and the types of communities served, including rural and frontier areas.

Resource Type: Document / Report
Date: 08/2023
Sponsors: Centers for Disease Control and Prevention (CDC), Office of National Drug Control Policy (ONDCP)
EARN's Mental Health Toolkit

Offers focused information and guidance for employers seeking to create a mental health-friendly workplace. Features a 4 A's - Awareness, Accommodations, Assistance, and Access - framework to guide organizations in developing their own mental health initiatives, including accommodations and support for employees with substance use disorder (SUD). Provides case studies of successful model programs implemented by a diverse set of companies and organizations; a literature review to better inform employers about workplace mental health issues; and other tools and resources.

Resource Type: Website
Sponsor: Office of Disability Employment Policy (ODEP)
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)
Expanding Access to and Use of Behavioral Health Services for People Experiencing Homelessness

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.

Resource Type: Document / Report
Date: 01/2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Family Treatment Courts Training and Technical Assistance Program (FTC TTA Program)

Provides training and technical assistance to states, tribes, and local jurisdictions to develop, enhance, and sustain family treatment courts (FTCs). Offers a range of resources, publications, and web-based learning tools to help implement evidence-based practices, strengthen family treatment court operations, and achieve better outcomes for participants. Promotes the use FTCs to provide safe environments for children and address the needs of justice-involved parents with substance use disorder (SUD) through intensive judicial monitoring and interventions to treat SUD and other co-occurring risk factors.

Resource Type: Training
Sponsor: Office of Juvenile Justice and Delinquency Prevention (OJJDP)
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)
Financing Peer Recovery Support: Opportunities to Enhance the Substance Use Disorder Peer Workforce

Offers information on the regulatory structures, financing, and utilization of peer recovery support services (PRSS) for substance use disorders (SUDs) within federal grant programs and state Medicaid programs. Identifies challenges and opportunities to finance and strengthen the PRSS workforce and reviews several federal grant programs relevant to providing PRSS in rural areas.

Resource Type: Document / Report
Date: 03/2024
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
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)
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)
Helping Rural Communities Thrive: How Federal Leaders Can Transform Federal Assistance to Support Rural Justice Practitioners

Discusses results of the Rural Justice Survey, which documents the priorities of rural communities related to criminal justice and public safety and the challenges these communities face in accessing federal funding to address these issues. Offers recommendations to make federal funding, technical assistance, and training programs more available and relevant to rural stakeholders, including justice and public safety practitioners, healthcare providers, public health officials, treatment providers, victim advocates, and others. Highlights needs and interventions in areas such as behavioral health, substance use, crisis intervention, supportive services, and others.

Resource Type: Document / Report
Date: 06/2023
Sponsor: Bureau of Justice Assistance (BJA)
How Being Trauma-Informed Improves Criminal Justice System Responses Train-the-Trainer

Offers a 2-day training opportunity to communities, agencies, and organizations seeking to enhance their capacity to provide training in trauma-informed responses to providers working with individuals involved in the criminal justice system. Develops local trainers who can deliver SAMHSA GAINS Center's "How Being Trauma-Informed Improves Criminal Justice System Responses" curriculum to justice system professionals, law enforcement, and mental health and substance use disorder (SUD) providers and peers.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
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)
IHS Youth Regional Treatment Centers (YRTC)

Operates 13 tribally and federally operated residential treatment facilities located across the U.S. to address substance use disorder (SUD) and/or co-occurring mental health disorders (COD) among American Indian and Alaska Native (AI/AN) youth and their families at no cost. Provides a range of education and culture-based prevention initiatives, evidence-based and practice-based models of treatment, family strengthening and recreational activities designed to help AI/AN youth overcome challenges related to mental health and substance use. Promotes holistic, culturally responsive care that integrates clinical services with traditional healing, spiritual values, and cultural identification in a substance-free residential environment to support AI/AN youth in achieving their treatment goals and leading healthy, resilient lives.

Resource Type: Treatment Provision
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)
Implementing Peer Support Services in Small and Rural Law Enforcement Agencies

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.

Resource Type: Document / Report
Date: 02/2023
Sponsor: Office of Community Oriented Policing Services (COPS Office)
Indian Health Service (IHS) Behavioral Health Fact Sheet

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.

Resource Type: Document / Report
Date: 06/2023
Sponsor: Indian Health Service (IHS)
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)
Inspire and Think Big: Recovery Communities' Role in Challenging Times, Part 1

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.

Resource Type: Video / Audio / Multimedia
Date: 07/2020
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Inspire and Think Big: Recovery Communities' Role in Challenging Times, Part 2

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.

Resource Type: Video / Audio / Multimedia
Date: 07/2020
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Inspire and Think Big: Recovery Communities' Role in Challenging Times, Part 5

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.

Resource Type: Video / Audio / Multimedia
Date: 08/2020
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Inspire and Think Big: Recovery Communities' Role in Challenging Times, Part 6

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.

Resource Type: Video / Audio / Multimedia
Date: 08/2020
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Jail-Based Medication-Assisted Treatment (MAT) Mentor Site Initiative

Offers jails with established medication-assisted treatment (MAT) programs the opportunity to apply to become a mentor site to provide peer-to-peer mentoring to other jails interested in establishing or expanding MAT programs to better meet the needs of individuals in jail with substance use disorders (SUD).

Resource Type: Technical Assistance
Sponsor: Bureau of Justice Assistance (BJA)
Jails and Justice Support Center

Provides training and technical assistance to jails to establish and maintain safe, humane, and effective environments for their populations, including incarcerated individuals, staff, and visitors. Focuses on policy, operational practices, and professional development in a range of core topic areas, including medical, mental, and behavioral health services for the target population.

Resource Type: Technical Assistance
Sponsor: Bureau of Justice Assistance (BJA)
Justice and Mental Health Collaboration Program Resources

Offers a variety of resources and information to jurisdictions seeking to reduce criminal justice involvement and improve outcomes for individuals with mental health and/or co-occurring substance use disorders. Supports the implementation of best practices, policies, and strategies at every point in the criminal justice system, from pre-arrest through reentry. Provides targeted resources to BJA's Justice and Mental Health Collaboration Program and Connect and Protect: Law Enforcement Behavioral Health program grantees and supports other communities in their efforts to enhance crisis responses, connect individuals to treatment and services, and improve public safety.

Resource Type: Website
Sponsor: Bureau of Justice Assistance (BJA)
Maintaining Fidelity to ACT: Current Issues and Innovations in Implementation

Offers information on the principles of the assertive community treatment (ACT) model, which provides time-unlimited, community-based services for individuals with serious mental illness (SMI) who experience or are at risk for concurrent substance use, frequent hospitalization, homelessness, involvement with the criminal legal system, and psychiatric crises. Discusses current issues and challenges as well as strategies for successfully implementing ACT in communities. Describes examples of ACT implementation for specific underserved populations, including individuals with criminal justice involvement, people in rural areas, youth, older adults, and immigrants.

Resource Type: Document / Report
Date: 09/2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program

Offers evidence-based, voluntary programs that provide families with regular, planned home visits from qualified health, social service, and child development professionals. Supports at-risk pregnant people and parents with children up to kindergarten entry with resources to raise physically, socially, and emotionally healthy children. Provides guidance on parenting and health topics, such as breastfeeding, safe sleep practices, injury prevention, nutrition, and childcare solutions. Seeks to improve maternal and child health, prevent child abuse and neglect, encourage positive parenting, and promote child development and school readiness.

Resource Type: Treatment Provision
Sponsor: Maternal and Child Health Bureau (MCHB)
Medicaid and CHIP Enrollees Who Received Mental Health or SUD Services in 2020

Provides data describing Medicaid and the Children's Health Insurance Program (CHIP) enrollees, ages 12 to 64, who received at least 1 mental health (MH) or substance use disorder (SUD) service paid for by Medicaid or CHIP in 2020. Supports CMS efforts to measure disparities in healthcare access and make targeted, data-informed investments to improve health equity for Medicaid and CHIP populations. Summarizes demographic trends among enrollees receiving SUD/MH services, including analysis by age, sex/gender identity, race/ethnicity, geographic area, primary language spoken, and eligibility category.

Resource Type: Document / Report
Date: 12/2023
Sponsor: Centers for Medicare & Medicaid Services (CMS)
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)
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
Mental and Substance Use Disorders Prevalence Study: Findings Report

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.

Resource Type: Document / Report
Date: 2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Mental Health in Rural America

Provides a list of USDA RD funding programs that can be used to support behavioral healthcare and community mental health in rural areas. Includes data on mental health projects supported by these programs in fiscal year 2023. Highlights 2 projects that have successfully used funds to expand behavioral health services in their communities.

Resource Type: Document / Report
Date: 06/2024
Sponsor: USDA Rural Development (USDA RD)
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 Adolescent Treatment Court (NATC) Dashboard

Offers a national overview of data on adolescent treatment courts in the U.S. and a map-based court locator tool that allows users to search for adolescent treatment court programs in each state. Includes the location, contact information, and key program details for each treatment court.

Resource Type: Treatment Provision
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 Center on Substance Abuse and Child Welfare

Provides training and technical assistance to enhance the social and emotional well-being and improve outcomes for children and families impacted by substance use and co-occurring mental health disorders and child abuse or neglect. Supports agencies and professionals in developing policies, procedures, and practices that promote recovery, safety, and stability for children, youth, and parents at risk or currently involved with the justice system and for those who have experienced maltreatment, violence, and other forms of trauma.

Resource Type: Training
Sponsors: Administration for Children and Families (ACF), Substance Abuse and Mental Health Services Administration (SAMHSA)
National Clinician Consultation Center (NCCC)

Provides healthcare providers with free and confidential consultation services and clinical resources on HIV/AIDS-related topics, such as testing, prevention, treatment, and post-exposure prophylaxis (PEP). Includes online and phone-based advice from leading clinicians with expert knowledge on managing HIV/AIDS, perinatal HIV, hepatitis C, pre-exposure prophylaxis (PrEP), substance use, and exposure to bloodborne pathogens.

Resource Type: Training
Sponsor: HIV/AIDS Bureau (HAB)
National Criminal Justice Association (NCJA) Center for Justice Planning

Provides training and technical assistance to help state administering agencies (SAAs) and local Criminal Justice Planning Boards (CJPBs) administer Edward Byrne Memorial Justice Assistance Grant (JAG) grant awards to strengthen state and local criminal justice systems. Offers resources and guidance in a range of areas related to the management and effective use of Byrne JAG funding to address criminal justice and public safety needs.

Resource Type: Technical Assistance
Sponsor: Bureau of Justice Assistance (BJA)
National Criminal Justice Training Center

Provides training and technical assistance to rural, tribal, and underserved communities to address criminal justice, public safety, and other related challenges. Offers customized, culturally appropriate assistance in the areas of tribal justice, law enforcement, child safety, and victim services. Serves as the technical assistance provider for the DOJ's Coordinated Tribal Assistance Solicitation (CTAS) program.

Resource Type: Training
Sponsor: U.S. Department of Justice
National Faith in Action Guide on Maternal Health

Provides information about maternal healthcare and health disparities and factors contributing to maternal morbidity and mortality, such as intimate partner violence (IPV), mental health, and substance use disorders (SUDs). Describes specific challenges to maternal health for individuals and families in rural communities. Offers guidance and resources to help religious/faith groups to better support maternal health in their communities.

Resource Type: Document / Report
Date: 04/2024
Sponsor: U.S. Department of Health & Human Services
National Family Support Technical Assistance Center

Offers training and technical assistance to families, organizations, and communities to enhance their ability to provide support and care for children who experience challenges related to mental health and/or substance use. Provides guidance to professionals helping families navigate mental health and substance use systems and increases access to information, resources, and training on best practices and policies for strengthening family engagement and support to improve outcomes for the target population through the lifespan.

Resource Type: Technical Assistance
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
National Harm Reduction Technical Assistance Center (NHRTAC)

Provides expert technical assistance and resources to help communities, health departments, treatment programs, and other organizations providing or planning to provide harm reduction services.

Resource Type: Technical Assistance
Sponsor: Centers for Disease Control and Prevention (CDC)
National Network to Eliminate Disparities in Behavioral Health (NNED)

Consists of a network of community-based organizations working to eliminate behavioral health disparities and reduce mental health and substance use problems for racial, ethnic, cultural, and sexual minority communities. Aims to achieve behavioral health equity by providing links to training, technical assistance, professional development opportunities, and information sharing to address the opioid epidemic, trauma, and other concerns related to substance use.

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
National Prevention Week (NPW)

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.

Resource Type: Website
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
National Recovery Month

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.

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

Provides a directory of national, state, and local programs and services to support recovery, rehabilitation and community reintegration for military service members, veterans, their families, and caregivers. Helps connect individuals to a range of services and resources, including substance use disorder (SUD) treatment and recovery support.

Resource Type: Treatment Provision
Sponsors: U.S. Department of Defense (DOD), U.S. Department of Labor (DOL), U.S. Department of Veterans Affairs
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)
National Treatment Court Resource Center

Serves as a central hub for information and resources to support the establishment and operations of all treatment court types, including adult, youth, and veteran treatment courts, and tribal healing to wellness courts. Offers a range of publications, interactive maps, newsletters, podcasts, and other materials to help jurisdictions design and implement new programs; expand and enhance existing programs; and analyze and disseminate program data.

Resource Type: Website
Sponsor: Bureau of Justice Assistance (BJA)
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)
Office of Juvenile Justice and Delinquency Prevention (OJJDP) Mentoring Program

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.

Resource Type: Website
Sponsor: Office of Juvenile Justice and Delinquency Prevention (OJJDP)
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 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 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-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)
Projects for Assistance in Transition from Homelessness (PATH)

Offers a range of essential behavioral health and housing services and supports through approximately 450 local PATH provider organizations working to reduce or eliminate homelessness for individuals diagnosed with serious mental illness (SMI) and/or co-occurring substance use disorders (COD) who are currently experiencing homelessness or are at risk of becoming homeless. Focuses on providing services that are not well supported by mainstream mental health programs and aims to serve areas with the greatest need, including underserved populations and communities.

Resource Type: Treatment Provision
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Providers Clinical Support System - Medications for Alcohol Use Disorders (PCSS-MAUD)

Offers healthcare professionals evidence-based training, education, and resources to treat patients with alcohol use disorder (AUD). Provides free training to clinicians, pharmacists, peers, and substance use disorder counselors to enhance their ability to identify and treat individuals with AUD, including the use of medications for alcohol use disorder (MAUD).

Resource Type: Training
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)
Reaching Recovery in Rural and Tribal Areas

Podcast episode featuring the county prosecutor of rural Navajo County in northeast Arizona discussing efforts to provide substance use disorder treatment and recovery services to individuals in the county jail. Transcript available below description.

Resource Type: Video / Audio / Multimedia
Date: 09/2023
Sponsor: Bureau of Justice Assistance (BJA)
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)
Residential Substance Abuse Treatment (RSAT) Training and Technical Assistance

Provides training and technical assistance to BJA's Residential Substance Abuse Treatment (RSAT) grantees in their efforts to address substance use disorders (SUDs) and reduce overdose deaths in jails and prisons. Aims to enhance the capacity of state, local, and Indian tribal governments to provide residential SUD treatment during detention and to plan and deliver community-based treatment and aftercare services upon release from incarceration.

Resource Type: Training
Sponsor: Bureau of Justice Assistance (BJA)
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 Court Perspectives on Addressing Substance Use Disorder in Justice-Involved People

Summarizes the contents of a 1-day listening session for judges and court personnel from rural communities held in July 2024, focusing on barriers, successes, and innovations to address substance use disorder (SUD) for court-involved people and to identify additional opportunities for courts to support children and families impacted by SUD.

Resource Type: Document / Report
Date: 09/2024
Sponsor: State Justice Institute (SJI)
Rural Disaster Behavioral Health: A Guide for Outreach Workers and Crisis Counselors

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.

Resource Type: Document / Report
Date: 08/2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Rural Health Research Center Publications on Substance Use and Treatment

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.

Resource Type: Website
Sponsor: Federal Office of Rural Health Policy (FORHP)
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 Healthy People 2030

Provides literature reviews on rural health priorities identified in the Rural Healthy People 2030 survey. Includes chapters on the issues of addiction, rural substance misuse, mental health and mental disorders, chronic pain, and more. Seeks to inform rural policymakers, providers, advocates, and other stakeholders to promote the health of people living in rural communities.

Resource Type: Document / Report
Date: 2023
Sponsor: Federal Office of Rural Health Policy (FORHP)
Rural Prevention and Treatment of Substance Use Disorders Toolkit

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.

Resource Type: Website
Sponsor: Federal Office of Rural Health Policy (FORHP)
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 Behavioral Health Equity Program (BHEP)

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.

Resource Type: Website
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
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 Criminal and Juvenile Justice Programs

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, enhance reentry services, evidence-based practices, screening and assessments, and more.

Resource Type: Website
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Crisis Services: Meeting Needs, Saving Lives

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.

Resource Type: Document / Report
Date: 08/2020
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Data

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.

Resource Type: Data
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Disaster Preparedness, Response, Recovery, and Mitigation Programs

Provides an overview of Substance Abuse and Mental Health Services Administration (SAMHSA) efforts to improve the behavioral health of communities and responders while they prepare, respond, and recover from disasters. Provides links to technical assistance resources, a helpline, and treatment locators designed to help states, territories, tribes, and responders effectively plan for and respond to disasters to minimize negative outcomes, such as developing new or exacerbating existing substance use disorder (SUD) or mental illness.

Resource Type: Website
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Disaster Technical Assistance Center (DTAC)

Provides training and technical assistance to states, tribes, and local communities to support the delivery of mental health and substance use-related services in response to disasters. Offers expert consultation, training, and other resources to help communities prepare for and respond to the behavioral health needs of individuals during and after a natural or human-caused disaster. Includes resources focused on special populations, including rural, tribal, and other communities that experience disparities during disaster events.

Resource Type: Technical Assistance
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Drug-Free Workplace Programs

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.

Resource Type: Website
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 Faith and Community Engagement

Provides information to support partnerships between faith-based and community organizations and federal programs to offer effective programs and activities for mental health services and substance use prevention, treatment and recovery. 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.

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 Grants Dashboard

Announces grant funding opportunity awards for formula and discretionary funding amounts and detailed summaries for Substance Abuse and Mental Health Services Administration (SAMHSA) grants. Funding awards can be sorted by Notice of Funding Opportunities (NOFOs), fiscal year (FY), and state.

Resource Type: Website
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Homelessness Programs and Resources

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, services, and related resources on behavioral health treatment, employment assistance, housing/shelter programs, case management, trauma, as well as links to help individuals find immediate help and treatment.

Resource Type: Website
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)
SAMHSA School and Campus Health Programs

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."

Resource Type: Website
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Screening, Brief Intervention, and Referral to Treatment (SBIRT) Programs

Assists with the provision of comprehensive and integrated substance use disorder (SUD) treatment and early intervention services for those with or at risk of developing SUD. Provides information on reimbursement coding for screening, brief intervention, and referral to treatment (SBIRT) services and related resources.

Resource Type: Treatment Provision
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Strategic Plan: Fiscal Year 2023-2026

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.

Resource Type: Document / Report
Date: 08/2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Tribal Affairs and Policy

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.

Resource Type: Website
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Tribal Training and Technical Assistance Center

Provides culturally appropriate training and technical assistance to tribal communities on substance use disorders (SUDs), suicide prevention, and mental health. Supports tribal infrastructure development, capacity building, program planning, and implementation activities, with the goal of promoting the healthy and safe development of American Indian and Alaska Native children, families, and communities.

Resource Type: Technical Assistance
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Workforce Programs

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).

Resource Type: Website
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA's Behavioral Health Equity Fact Sheet

Highlights selected activities and programs from various Substance Abuse and Mental Health Administration (SAMHSA) offices and centers that are working to advance behavioral health equity, including efforts targeting rural and tribal communities.

Resource Type: Document / Report
Date: 03/2024
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA's National Helpline

Offers a free and confidential information service, also known as the Treatment Referral Routing Service, that can provide referrals to local treatment facilities, support groups, and community-based organizations for individuals and family members looking for help with mental health and/or substance use disorder (SUD). Call 1-800-662-4375 or TTY at 1-800-487-4889 or text your ZIP code to 435748 to get help. Service is available in English and Spanish 24 hours a day, 7 a week, 365 days a year.

Resource Type: Hotline
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Screening and Treatment for Maternal Mental Health and Substance Use Disorders (MMHSUD)

Offers services, education, resources, and other opportunities to help healthcare providers identify and address mental health concerns and substance use disorders (SUD) in women during and after pregnancy.

Resource Type: Treatment Provision
Sponsor: Maternal and Child Health Bureau (MCHB)
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)
Specifying Monitoring and Evaluation Measures for Local Overdose Prevention and Response Strategies: A Toolkit

Provides information and resources for local health departments and community organizations implementing or expanding overdose prevention and response strategies at the local level. Offers guidance in developing practical measurement strategies to monitor progress, demonstrate accountability, and assess the outcomes and impact of grant-funded overdose initiatives. Includes examples from programs implemented in rural counties.

Resource Type: Document / Report
Date: 2024
Sponsor: Centers for Disease Control and Prevention (CDC)
SSI/SSDI Outreach, Access, and Recovery (SOAR)

Provides training and technical assistance to help states and communities establish local programs to support Supplemental Security Income/Social Security Disability Insurance (SSI/SSDI) outreach, access, and recovery efforts, also known as SSI/SSDI Outreach, Access, and Recovery (SOAR) model implementation. Seeks to increase access to SSI/SSDI benefits for eligible children and adults who are experiencing or at risk of homelessness and have a serious mental illness, medical impairment, and/or a co-occurring substance use disorder. Offers resources and training to enhance the ability of case managers to provide comprehensive SSI/SSDI application assistance to help individuals obtain their SSI/SSDI benefits, which can serve as an important resource to sustain individuals in treatment and recovery and secure permanent housing.

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)
Tailoring Crisis Response and Pre-Arrest Diversion Models for Rural Communities

Outlines strategies, technologies, and successful models rural communities can adapt to support crisis response and pre-arrest diversion for individuals with mental health and substance use issues in their communities.

Resource Type: Document / Report
Date: 06/2019
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
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)
TIP 33: Treatment for Stimulant Use Disorders

Provides evidence-based guidance related to the treatment of stimulant use disorders and related problems associated with the use of cocaine, methamphetamine, and the misuse of prescribed stimulants. Offers information and recommendations to support behavioral health service providers and other substance use disorder (SUD) providers with treatment approaches, strategies, engagement, retention, and more. Details the challenges and barriers to providing treatment in rural areas.

Resource Type: Document / Report
Date: 10/2021
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
TIP 64: Incorporating Peer Support Into Substance Use Disorder Treatment Services

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.

Resource Type: Document / Report
Date: 06/2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
TIP 65: Counseling Approaches to Promote Recovery from Problematic Substance Use and Related Issues

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.

Resource Type: Document / Report
Date: 11/2023
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
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 Court Institute

Provides training and technical assistance to treatment courts to enhance the capacity, knowledge, and skills of treatment court programs to effectively deliver services to justice-involved youth impacted by substance use and create safer and healthier communities. Offers resources, materials, and programming to support treatment courts in implementing best practices, building recovery capital, and other support services for youth offenders and their families dealing with issues related to substance use.

Resource Type: Training
Sponsor: Office of Juvenile Justice and Delinquency Prevention (OJJDP)
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)
Tribal Behavioral Health Service Locator

Directory of tribal behavioral health service providers that is searchable by state. Shares contact information, affiliation, and details the services available for each provider.

Resource Type: Treatment Provision
Sponsor: Centers for Medicare & Medicaid Services (CMS)
Tribal Healing to Wellness Courts

Provides training and technical assistance to help tribal jurisdictions develop new or strengthen existing healing to wellness courts. Offers up-to-date resources on effective, evidence-based strategies to address alcohol and substance use issues among justice-involved juveniles and adults in tribal areas using a treatment court model that incorporates culturally appropriate services, trauma-informed approaches, and traditional healing practices.

Resource Type: Training
Sponsor: Bureau of Justice Assistance (BJA)
Tribal Healing to Wellness Courts: Case Management

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.

Resource Type: Document / Report
Date: 05/2018
Sponsor: Bureau of Justice Assistance (BJA)
Tribal Healing to Wellness Courts: Intergovernmental Collaboration

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.

Resource Type: Document / Report
Date: 05/2021
Sponsor: Bureau of Justice Assistance (BJA)
Tribal Justice and Safety Training and Technical Assistance

Provides subject matter-based training and technical assistance designed for tribes to enhance their practical and specialized knowledge to implement and strengthen their tribal justice system initiatives and interventions.

Resource Type: Technical Assistance
Sponsor: U.S. Department of Justice
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

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.

Resource Type: Document / Report
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 Rural Health Enterprise-Wide Initiatives

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.

Resource Type: Website
Sponsor: VHA Office of Rural Health (ORH)
VA Substance Use Disorder (SUD) Program Locator

Directory of substance use disorder (SUD) programs available from U.S. Department of Veterans Affairs (VA) medical centers.

Resource Type: Treatment Provision
Sponsor: Veterans Health Administration (VHA)
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)
VHA Mental Health Care Locator

Offers tools to help veterans locate mental health treatment services, U.S. Department of Veterans Affairs (VA) medical centers and clinics, suicide prevention coordinators, vet centers, post-traumatic stress disorder (PTSD) programs, community mental health providers, and other mental health and substance use resources.

Resource Type: Treatment Provision
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)