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SUD presents unique challenges in rural communities, but resources and solutions are available. The Rural SUD Info Center is a connection point to those tools—whether related to prevention, treatment, or recovery. 

Prevention

Click to explore popular toolkits and resources on Prevention

Developing a Rural Community Approach to Overcoming Stigma
Resource page about Community Conversations on Opioid Use Disorder, a program focused on overcoming stigma
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Community-Led Safe Spaces for U.S. Communities?
Community-led Safe Spaces offer peer-led support to people in distress in a welcoming setting in …
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SAMHSA 988 Crisis Line
The course will help learners to understand what the 988 Crisis Lifeline is, how it …
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Why Addiction is a Chronic Disorder
Webinar
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Motivational Interviewing: Evidence-Based Strategies and Principles for Guiding Conversations With Your Patients
In this session, Dr. Jackson shares practical ways to implement and utilize motivational interviewing (MI) …
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Improving Prevention and Care Outcomes for LGBTQ People: Safer Spaces and Better Data Collection
This article describes key points in a presentation given by Dr. Blosnich (Assistant Professor and …
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Overdose Response Teams
ORTs are a multi-agency, harm reduction response unit that delivers support and person-centered services to …
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Resources for an Evolving Crisis: Preventing Overdose from Combined Substances
The aim of this resource page is to provide communities including health and human services …
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Facts for Life: Drug Interaction and Overdose
Fact sheet describing the interaction of multiple drugs and ways to prevent overdose.
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Community-Led Safe Spaces for U.S. Communities?
Community-led Safe Spaces offer peer-led support to people in distress in a welcoming setting in …
View
SAMHSA 988 Crisis Line
The course will help learners to understand what the 988 Crisis Lifeline is, how it …
View
Cognitive-Behavioral Therapy for Treatment Seeking
This article and toolkit describes CBT for Treatment Seeking (CBT-TS). The program seeks to overcome …
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Treatment

Click to explore popular toolkits and resources on Treatment

Treatment and recovery beliefs
“I don’t think that a medication is going to help someone long-term stay off opioids”: …
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UVM CORA MAINE BNA DATA BRIEF
Maine Baseline Needs Assessment OUD Treatment Barriers and Beliefs
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Vermont BNA: Rural Practitioners and Stakeholders
Vermont Baseline Needs Assessment: Rural Practitioners and Stakeholders
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SBIRT for Unhealthy Alcohol Use
In this webinar, Dr. Rose presents the origins of SBIRT and summarizes the evidence for …
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Peer Recovery as an Evidence-Based Practice: From Science to Impact
The presentation focuses on how peer recovery models of care can help rural recovery communities …
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Alcohol Use Disorder in the Primary Care Setting: Best Practices for Rural Communities
Our panel addresses the extent of rural alcohol use, specific rural barriers to treatment, clinical …
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Illicit Drug Supply: Fentanyl and Xylazine
This webinar presentation explores current information about fentanyl and xylazine including drug supply information, pharmacology, …
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Overdose Response Teams
ORTs are a multi-agency, harm reduction response unit that delivers support and person-centered services to …
View
Understanding the Harm Reduction Approach: Principles and Practice
This presentation outlines history, principles, and practices of harm reduction to reduce stigma and harm …
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Strategies for Distributing Intranasal Naloxone to Rural Communities
This presentation explores the need for naloxone distribution in rural areas, and discusses innovative methods …
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Medications for Opioid Use Disorder
Medications for Opioid Use Disorder (MOUD)
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Implementing Medication-Assisted Recovery
Strategies to streamline access to addiction treatment medications and creating equitable policies and procedures.
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How to Prevent MAT-Related Discrimination
Information on developing non-discriminating policies in rural recovery housing based on FHA and ADA.
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UVM CORA MAINE BNA DATA BRIEF
Maine Baseline Needs Assessment OUD Treatment Barriers and Beliefs
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2020 Rural Opioid Overdose Mortality
2020 Rural Opioid Overdose Mortality
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Medications for Opioid Use Disorder
Medications for Opioid Use Disorder (MOUD)
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Treatment and Assessment of Co-occurring PTSD and SUDs
This webinar by Dr. Peck provides a definition of trauma and posttraumatic stress disorder (PTSD) …
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Evidence-Based Treatment of PTSD in Individuals with OUD, and Innovative Approaches for Increasing Access to Care in Rural Communities
This presentation discusses effective treatment approaches for posttraumatic stress disorder (PTSD) in individuals with co-occurring …
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Rural-Urban Disparities
Rural-Urban Disparities in U.S. Cigarette Smoking Quit Ratios
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Smartphone-based Financial Incentives to Promote Smoking Cessation Among Pregnant Women
This webinar reviews the research, development, and outcomes produced by an innovative intervention with remotely-delivered …
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Reaching People Where They’re At: Smoking Cessation Treatment Delivery at Your Door
This webinar presentation discusses novel ways to deliver evidence-based treatment for smoking cessation within and …
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Recovery

Click to explore popular toolkits and resources on Recovery

Confidentiality 101 for Recovery Housing Providers
Webinar– Learn how recovery housing providers can comply with laws and protect resident confidentiality
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How to Create a Recovery to Work Program
Quality of life, personal development, and sustained recovery from Substance Use Disorders are all enhanced …
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How to Become a Better Public Speaker
Recovery allies can earn how to become better public speakers so they can promote their …
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How to Create a Recovery to Work Program
Quality of life, personal development, and sustained recovery from Substance Use Disorders are all enhanced …
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How to Use the Recovery Ecosystem Mapping Tool
Learn about how to use the Recovery Ecosystem Index Mapping Tool
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Welcome to the Recovery Ecosystem Index Mapping Tool
Learn about a new resource for rural communities– the Recovery Ecosystem Index Mapping Tool
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Confidentiality 101 for Recovery Housing Providers
Webinar– Learn how recovery housing providers can comply with laws and protect resident confidentiality
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How Recovery Homes Can Help Sex Trafficking Survivors
In this webinar, learn about how recovery homes can support survivors of human trafficking.
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Contingency Management Workbook for Rural Recovery Housing
This toolkit considers the unique setting of rural recovery housing and was informed and inspired …
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Rural Recovery House Management – Understanding & Responding to NIMBYism in Rural Communities
NIMBY (Not In My Back Yard) is a characterization of opposition by residents in a …
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A Campaign to Reduce Stigma
“Individuals impacted by opioid use disorder (OUD) met with artist Charmaine Wheatley to have their …
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Reducing Stigma in Rural EDs and Other Care Settings
This campaign aims to promote a stigma-free care environment while connecting individuals and families with …
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Implementing contingency management into rural recovery housing
Implementing contingency management into rural recovery housing: recommendations of a professional advisory expert panel.
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Why Evaluation Matters
Find out why evaluation matters to your rural recovery house, what data is the most …
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Intermediate Evaluation
This course will consist of five modules covering resident outcomes of interest, construction and use …
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How to Create a Recovery to Work Program
Quality of life, personal development, and sustained recovery from Substance Use Disorders are all enhanced …
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How to Become a Better Public Speaker
Recovery allies can earn how to become better public speakers so they can promote their …
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How to Hire an Executive Director
A methodology and checklist: how to hire the best talent
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Policy

Click to explore popular toolkits and resources on Policy

Confidentiality 101 for Recovery Housing Providers
Webinar– Learn how recovery housing providers can comply with laws and protect resident confidentiality
View
How to Create a Recovery to Work Program
Quality of life, personal development, and sustained recovery from Substance Use Disorders are all enhanced …
View
SUD Stigma Resources
Resources for SUD-related stigma
View
Contingency Management Workbook for Rural Recovery Housing
This toolkit considers the unique setting of rural recovery housing and was informed and inspired …
View
Implementing contingency management into rural recovery housing
Implementing contingency management into rural recovery housing: recommendations of a professional advisory expert panel.
View
A Qualitative Analysis of US State Laws Regulating Incentives for Health Behavior
This presentation describes the results of a qualitative study examining state laws regulating incentives for …
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Implementing Medication-Assisted Recovery
Strategies to streamline access to addiction treatment medications and creating equitable policies and procedures.
View
How to Prevent MAT-Related Discrimination
Information on developing non-discriminating policies in rural recovery housing based on FHA and ADA.
View
Resources for Monitoring Substance Use Trends
This article describes the websites for federal agencies and national or international organizations which can …
View
Confidentiality 101 for Recovery Housing Providers
Webinar– Learn how recovery housing providers can comply with laws and protect resident confidentiality
View
How to Create a Recovery to Work Program
Quality of life, personal development, and sustained recovery from Substance Use Disorders are all enhanced …
View
Compliance Law in Recovery Housing
A webinar on a practical guide to structuring legally compliant RH and SUD services
View
Motivational Interviewing: Evidence-Based Strategies and Principles for Guiding Conversations With Your Patients
In this session, Dr. Jackson shares practical ways to implement and utilize motivational interviewing (MI) …
View
Behavioral Health Care Managers: An Approach to Integrating Behavioral Health in Rural Primary Care Practices
This article discusses a model for integrating Behavioral Health into rural primary care practices, recognizing …
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Transitions Clinic Network Programs
Transitions Clinic Network (TCN) programs address the high rates of overdose mortality among people recently …
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SUD Stigma Resources
Resources for SUD-related stigma
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National Report – Rural SUD Stigma
National Report: Rural Substance Use Disorder Stigma and Treatment Needs
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Developing a Rural Community Approach to Overcoming Stigma
Resource page about Community Conversations on Opioid Use Disorder, a program focused on overcoming stigma
View
Justice: Post-Adjudication
This course is an overview of the justice system while also discussing issues addressing SUD …
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Justice & Correctional Initiatives
Focus on person-centered approaches and the impact of discrimination on those in the legal and …
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Justice: Pre-Adjudication
The course provides a glossary of commonly used terms and gives an overview of the …
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Funding & Reimbursement

Click to explore popular toolkits and resources on Funding & Reimbursement

How to Create a Recovery to Work Program
Quality of life, personal development, and sustained recovery from Substance Use Disorders are all enhanced …
View
How to Become a Better Public Speaker
Recovery allies can earn how to become better public speakers so they can promote their …
View
A Deeper Dive into ASAM’s Recent Criteria Changes
Fletcher Group Rural SUD and Recovery Housing Specialist Anne Shields does a deeper dive into …
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How to Become a Better Public Speaker
Recovery allies can earn how to become better public speakers so they can promote their …
View
Beginning Your Rural Grant Seeking Journey
The course covers the resourcing, relationship-building, and other topics for rural recovery housing fundraising and …
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How to Write Winning Grants
Show me the money! Grant writer and former grant reviewer Pamela Baston shares the grant …
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How to Create a Recovery to Work Program
Quality of life, personal development, and sustained recovery from Substance Use Disorders are all enhanced …
View
How to Become a Better Public Speaker
Recovery allies can earn how to become better public speakers so they can promote their …
View
Beginning Your Rural Grant Seeking Journey
The course covers the resourcing, relationship-building, and other topics for rural recovery housing fundraising and …
View

Search For Resources:

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Confidentiality 101 for Recovery Housing Providers

Webinar– Learn how recovery housing providers can comply with laws and protect resident confidentiality

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National Recovery Housing Landscape

A policy and resource overview for recovery housing in the U.S.

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Program, Policy and Social Support Characteristics Associated with Rural vs. Urban Recovery Housing, 2018–2020

Explore a research article about various characteristics of rural and urban recovery housing programs.

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Financial Landscape of Recovery Housing in the United States

Explore a research article about the financial landscape of recovery housing in the U.S.

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Assessing Waivered and Non-Waivered Physician Barriers to Treating Patients with SUD: Pilot

Explore a research article about physician barriers to treating patients with SUD in Kentucky.

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Recovery housing predictors of closure risk during COVID-19

Explore a research article reporting program closure risks among recovery housing programs during COVID-19.

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Psychometric Properties of the Fletcher Recovery Housing Alliance Measure (FRHAM-12)

Explore a research article introducing a newly validated measure for recovery housing programs.

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Impact of COVID-19 on Rural and Non-Rural Recovery Housing in the U.S.

Explore a research article about the impacts of COVID-19 on rural and non-rural recovery housing.

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Not finding what you're looking for?
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Welcome to the Rural SUD Info Center, a collection of best practices, tools, and research for rural communities as they work to build and strengthen a comprehensive approach to substance use disorder (SUD). These resources offer support to rural providers/partners, recovery specialists, rural community members, and more.

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Quick Links

This website is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of awards totaling $10 million with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

FAQs

How can I learn more about the resources and services that are specifically available in my local area?

We encourage all visitors to the Rural SUD Info website to also explore additional resources and services available through the Health Resources & Services Administration (HRSA),  Substance Abuse and Mental Health Services Administration (SAMHSA), or Rural Health Information Hub (RHIHub).

How often are the Rural SUD Info Center materials updated?

Materials are updated on a quarterly basis.

How can I contact the Rural SUD Info Center?

Visit the request assistance page. https://ruralsudinfo.org/request-assistance/

Is there an Urban SUD Resource Center?

There is not an equivalent Urban SUD Resource Center. However, all of the information and tools on this website are available to the public, regardless of location or grant status. 

What are the Rural Centers of Excellence?

The RCOEs were established in 2019 by the Rural Communities Opioid Response Program (RCORP), an initiative of the Health Resources and Services Administration (HRSA) that aims to reduce morbidity and mortality related to SUD in rural areas.

Myself, or someone I know, is in a crisis. What should I do?

Please call or text 988, or visit: https://www.samhsa.gov/find-support/in-crisis

What is the Rural SUD Info Center?

The Rural SUD Info Center is a collection of best practices, tools, and research for rural communities building and strengthening a comprehensive approach to substance use disorder (SUD). These resources offer support to rural providers/partners, recovery specialists, rural community members, and more.

What resources are available for providers and patients?

Resources available for providers and patients include the Clearinghouse Resource Page. We also encourage visitors to fill out a technical assistance (TA) request for implementation support.

Where can I find rural providers in my area?

We encourage our visitors to use resources found throughout the Rural SUD Info
Center, along with Health
Resources & Services Administration, Rural
Health Information Hub, and the three RCOEs
to locate rural providers in your area.

Where can I find previous versions of toolkits?

All old versions of toolkits and resources are archived and can be retrieved through a request via the request assistance form.

Who operates the Rural SUD Info Center?

The Rural SUD Info Center is operated by the three RCORP-Rural Centers of Excellence on Substance Use Disorders, which are funded by HRSA’s Federal Office of Rural Health Policy.

In Crisis? Call or Text 988