Resources: Substance Use Disorder

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

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

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.

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

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.

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.

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.

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.

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

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

Develops partnerships between the U.S. Department of Health and Human Services (HHS) and community and faith-based organizations. Provides up-to-date information on federal health and human service activities and resources to help local organizations better serve their communities. Focuses on supporting grassroots efforts to address the issues of mental health, the opioid crisis, childhood obesity, and reforming and strengthening healthcare systems.

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

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.

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

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

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

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

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

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

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

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

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.

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.

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

Provides a worksheet to assist rural health departments in developing partnerships with local groups and organizations to address the inter-related issues of suicide, overdose, and adverse childhood experiences (ACEs) in their communities. Discusses risk and protective factors as well as data sources relevant to suicide, overdose, and ACEs. Offers important considerations for current and future partnerships designed to enhance prevention in rural areas.

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.

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.

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.

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

Provides an overview of a 10-year U.S. Department of Health and Human Services (HHS) initiative, starting in fiscal year 2020, to reduce new HIV infections in the U.S by 90% by 2030. Outlines the Centers for Disease Control and Prevention's (CDC) role in the initiative and strategies for working with national, state, and local partners in efforts to diagnose, treat, and prevent new HIV infections, and respond to potential HIV outbreaks. Includes information on funding for the initiative, priority jurisdictions, including 7 states with substantial rural burden, local plans focused on ending the HIV epidemic, success stories, and resources for partners and grantees.

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.

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.

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.

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.

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.

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.

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

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.

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.

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.

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.

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.

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

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 opioid use disorder (OUD), mental health, stimulant use, and substance use disorder (SUD) to strengthen rural communities in Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin.

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.

Describes the U.S. Department of Health and Human Service's approach to promoting the integration of behavioral healthcare into larger healthcare and social systems. Discusses key barriers to fully integrating behavioral health services and highlights several programs and policies, including those targeting rural areas, that are designed to address these challenges and enhance access to integrated, equitable, and culturally appropriate behavioral healthcare across the U.S.

Supports Historically Black Colleges and Universities (HBCUs) in efforts to increase the number of racial and ethnic minority students entering behavioral health fields, including careers related to the treatment of substance use disorder (SUDs) and co-occurring mental health disorders (COD). Helps students discover and access behavioral health as an area of study and behavioral health career opportunities. Raises awareness of inequities and health disparities among minority and marginalized communities affected by substance use and mental illness.

Infographic highlighting areas where resources and programs from the U.S. Department of Agriculture Rural Development (USDA RD) have worked to address prevention, treatment, and recovery from opioid use.

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.

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

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

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.

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

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

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).

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.

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.

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

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

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.

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.

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).

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

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

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

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.

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

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.

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.

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.

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

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

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

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.

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

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

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.

Consists of a network of 10 regional resource centers, a central coordinating office, a National Hispanic and Latino MHTTC, and a National American Indian and Alaska Native MHTTC that provide support to individuals and organizations working in the mental health field. Aims to raise the knowledge and skill base of the mental health workforce and promote the implementation of new and evidence-based practices for a full range of mental health prevention, treatment, and recovery services. Offers a variety of education, training, and resources on a variety of topics related to mental health, including rural mental health; early childhood, youth, and young adults; suicide prevention; culturally informed practices; population-based approaches; and more.

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.

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.

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.

Provides technical assistance to improve and support state systems and local programs implementing the Pyramid Model for Supporting Social-Emotional Competence in Infants and Young Children (Pyramid Model) to improve the social, emotional, and behavioral outcomes of young children with, and at risk for, developmental disabilities or delays. Works with early childhood programs to reduce the use of inappropriate discipline practices, promote family engagement, use data for decision-making, integrate early childhood and infant mental health consultation, and foster inclusion.

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 abuse for students, families, schools, and communities.

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.

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.

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

Offers training and technical assistance to mentoring practitioners and programs seeking to implement and operate mentoring programs to achieve positive outcomes for justice-involved youth. Provides youth mentors with information, tools, program, and training materials to support the use of evidence-based practices and innovative models designed to increase the quality and effectiveness of various program types, including group, peer, school-based, or web-based mentoring. Promotes mentoring as an important approach to support youth safety and well-being, prevent or decrease their involvement with the justice system, and reduce crime.

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.

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

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

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

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.

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.

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

Interactive map providing data on suspected nonfatal drug overdoses in pre-hospital care settings in the U.S. at the national, state, and county level. Offers data on nonfatal drug overdose incidence and trends, including overdose rates, number/rate of naloxone administration, and average emergency medical services (EMS) response time. Allows users to explore disparities according to demographic characteristics, such as age, race, gender, and frontier, rural, and urban geographies, as well as by the suspected drug involved.

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.

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

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.

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.

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.

Interactive maps showing the geographic distribution in the U.S. of estimated retail pharmacy dispensed opioid prescriptions per 100 persons per year from 2019–2022. Data is provided nationally at both the state and county level.

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

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

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

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

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

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

Provides guidance 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.

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

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

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

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

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

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.

Highlights discussion and policy priorities from a August 2022 virtual roundtable meeting focused on increasing awareness and understanding of the barriers and challenges related to buprenorphine access in pharmacy settings the U.S. Includes specific observations and recommendations to improve buprenorphine access in pharmacy settings in rural areas.

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.

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.

Offers a range of essential behavioral health and housing services and supports through over 500 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.

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.

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.

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

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.

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.

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.

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

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.

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).

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

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

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

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

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

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

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.

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.

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

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

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.

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

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

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

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

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

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

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

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

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

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; medication-assisted treatment (MAT); treatment for opioid use disorder (OUD); harm reduction; opioid overdose; crisis care; and suicide prevention.

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.

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

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

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

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

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

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."

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.

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

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

Provides 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.

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).

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.

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.

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.

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

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.

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.

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.

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.

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.

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.

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.

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.

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

Provides 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.

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.

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

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.

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

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

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.

Provides training and technical assistance to Office of Juvenile Justice and Delinquency Prevention (OJJDP) tribal grantees and federally recognized tribes to improve juvenile justice systems, with the goal of reducing crime, recidivism, and victimization, and increasing positive outcomes for Native youth. Builds tribal capacity to develop and implement community-led, culturally based approaches to youth prevention and intervention, enhancement of tribal court systems, trauma-informed care, and other efforts to address issues affecting Native youth, such as poverty, addiction, suicide, violence, and gang activity.

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.

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.

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

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

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

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

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

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

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.

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

Offers free and confidential support for veterans and others in crisis. Dial 988 and press 1, text 838255, or chat online to get help. Available 24 hours a day, 7 days a week.

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.

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

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