U.S. Department of Health & Human Services Funding and Resources

Funds primary healthcare and support services for low-income, uninsured, and underserved populations living with HIV in an outpatient setting in existing geographic service areas. Aims to improve health outcomes for people living with HIV by funding HIV testing, counseling, and diagnostic services; referrals to healthcare and support services, such as mental health and substance use treatment; strategies to treat and prevent immune system deterioration; and more.

Offers a 1-year initiative for rural justice, public safety practitioners, and other community stakeholders seeking to engage in strategic planning to address issues related to substance use and misuse in their communities. Assists participants in developing cross-sector networks and creating solutions to better respond to and serve justice-involved individuals with substance use or co-occurring disorders. Reaching Rural is an initiative of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) funded by the Bureau of Justice Assistance.

Awards fellowships to psychology students at the master's, doctoral, and postdoctoral levels focused on the behavioral health and well-being of communities of color. Offers financial support, professional development and guidance to build cultural competency, enhance services and public policy, and reduce mental health and substance use disparities in minority communities. Fellowships are administered by the American Psychological Association (APA) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Offers funding to increase the number of internships, field placements, and other experiential training opportunities for individuals working to become behavioral health professionals. Works with community-based health partners to meet workforce demand in high need and high demand areas with the goal of expanding access to quality behavioral health services, including services for the treatment of substance use disorders (SUDs). Supports interprofessional team-based care, integration of behavioral with primary care, and recruitment of diverse workforce. Special emphasis is placed on training focused on the behavioral health needs of children, adolescents, and young adults.

Provides funding to expand the number of didactic and experiential training opportunities for individuals working to become health service psychologists. Works with community-based health partners to meet workforce demand in primary care settings in high need and high demand areas with the goal of expanding access to behavioral health services. Supports integrated, interprofessional training with significant emphasis placed on trauma-informed care and substance use disorder (SUD) prevention and treatment services.

Provides fellowships and experiential learning programs to recruit and prepare individuals at all academic levels for careers in behavioral health addressing the needs of marginalized and minoritized populations. Seeks to increase the number of culturally competent mental and substance use disorder (SUD) psychiatrists who teach, administer services, conduct research, and provide direct mental or SUD services to minority communities. Offers 5 programs targeting students from diverse backgrounds at the high school level through medical residency. Programs are administered by the American Psychiatry Association (APA) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Awards fellowships to ethnic/racial minority students in master's or doctoral psychiatric, mental health, or substance use nursing programs. Aims to increase the number of nurses and nurse practitioners providing mental health and substance use prevention and treatment services to ethnic and racial minority populations. Provides stipends and educational supports to help students complete their degrees, conduct research, build leadership and cultural competency skills, and meet the needs of the communities they serve. Fellowships are administered by the American Nurses Association (ANA) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Provides funding for loan repayment for students in their last year of pursuing a degree in allopathic medicine, osteopathic medicine, physician assistant studies, nursing, or dentistry in exchange for 3-year full-time service commitments providing primary care services in Health Professional Shortage Areas (HPSAs) upon the completion of their residency.

Awards fellowships to master's level addictions counseling students. Offers financial support and professional development training to develop cultural competency skills in substance use disorder (SUD) counseling services for minority populations. Seeks to increase the number of SUD professional counselors serving minorities, including ethnic, racial, cultural, religious, gender, sexual orientation, rural, or veteran and military groups. Fellowships are administered by the National Board of Certified Counselors (NBCC) and the Association for Addiction Professionals (NAADAC) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Awards fellowships to master's and doctoral counseling students. Offers financial support and professional development training to develop cultural competency skills in mental health counseling services for minority populations. Seeks to increase the number of professional counselors serving minorities, including ethnic, racial, cultural, religious, gender, sexual orientation, rural, or veteran and military groups to improve overall community health and well-being. Fellowships are administered by the National Board of Certified Counselors (NBCC) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Provides state Medicaid agencies with the opportunity to participate in a value-based payment model that will promote integrated behavioral healthcare delivery in outpatient settings for Medicaid, Medicare, and dually eligible beneficiaries with mental health and/or substance use disorders (SUDs). Seeks to align payment between Medicare and Medicaid for integrated services, with the goal of improving behavioral health access, quality, and outcomes for the target population. Tribal and rural providers may be selected to join the model as practice participants.

Funds to support new and existing medical and dental residency training programs in community-based, ambulatory patient care settings. Helps address health professional shortages by supporting efforts to encourage and prepare residents to offer high-quality healthcare to rural and underserved communities.

Provides funding to establish new health centers that offer comprehensive primary healthcare services to underserved communities, including rural, migrant, and homeless populations and public housing residents. Aims to increase the number of individuals who receive primary healthcare services, including dental care and mental health and substance use disorder (SUD) services. Supports health centers operating on a permanent, full-time basis that address issues of healthcare accessibility and affordability in areas with shortages of health services and for underserved populations.

Provides funding to improve access to evidence-based, timely, and culturally relevant maternal mental health and substance use intervention and treatments services by strengthening community referral pathways and providing transitions in care for pregnant people who are at risk for or currently have a behavioral health condition in the perinatal and postpartum periods.

Provides funding for loan repayment for healthcare professionals in exchange for 2-year service obligations at Indian Health Service (IHS) facilities serving American Indian and Alaska Native communities. Helps recruit and retain qualified practitioners in facilities with the greatest staffing needs in specific health profession disciplines, including primary care and behavioral health.

Offers grants to rural or rural-serving organizations to evaluate, develop, and expand technology-enabled collaborative learning and capacity building models, with the goal of improving workforce retention and increasing access to healthcare, especially specialty care, in rural, frontier, and tribal areas and other underserved communities. Aims to support healthcare providers through distance health education models focused on chronic diseases, infectious diseases, mental health, substance use disorders (SUDs), prenatal and maternal health, pediatric care, pain management, palliative care, and other specialty care.

Offers grants to support substance use prevention, substance use disorder (SUD) treatment, HIV and viral hepatitis prevention and treatment services for racial and ethnic medically underserved individuals with or at risk for SUD, mental health conditions, HIV, viral hepatitis, and other infectious diseases. Seeks to increase engagement in services and promote a syndemic approach to care for the target population, including tribal populations and those living in rural areas.

Provides funding for loan repayment for pediatric medical subspecialty care, pediatric surgical specialty care, and child and adolescent behavioral healthcare providers in exchange for 3-year service obligations at approved sites in Health Professional Shortage Areas (HPSAs), Medically Underserved Areas (MUAs), and Medically Underserved Population (MUPs). Aims to increase pediatric workforce in underserved areas and expand access to care, including child and adolescent mental health and substance use disorder (SUD) prevention and treatment services.

Assists with the recruitment and retention of pediatric medical subspecialty care, pediatric surgical specialty care, and behavioral healthcare professionals serving Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas/Populations (MUAs/Ps). New and current clinical staff working in eligible disciplines at an approved facility are eligible to receive loan repayment assistance through the Pediatric Specialty Loan Repayment Program. Helps communities meet pediatric workforce needs and increases access to child and adolescent behavioral healthcare, including mental health and substance use disorder (SUD) prevention and treatment services.

Awards funding for pilot projects to establish portable clinical care teams that provide healthcare outside for underserved populations experiencing unsheltered homelessness. Promotes syndemic approaches that successfully integrate behavioral health and HIV treatment and prevention, including low barrier substance use disorder (SUD) treatment; HIV and viral hepatitis testing and treatment; HIV prevention including condom, Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP) distribution; mental healthcare; and harm reduction services.

Offers formula grants to states to help develop and expand prevention, harm reduction, treatment, and recovery activities for opioid use disorder (OUD) and stimulant use. Seeks to improve the accessibility and effectiveness of treatment and services for individuals with OUD, including access to Food and Drug Administration (FDA)-approved medications for the treatment of OUD.

Helps American Indian and Alaska Native (AI/AN) tribal communities build and strengthen a comprehensive response to the opioid epidemic by providing prevention, harm reduction, treatment, and community-based recovery support services to AI/AN individuals with, or at risk for, opioid use disorder (OUD), including stimulant use disorder. Identifies and addresses gaps in services and systems of care for OUD in tribal communities, and coordinates with other federally supported opioid response efforts to increase access to innovative and culturally responsive services for people with OUD, including access to Food and Drug Administration (FDA)-approved medications for the treatment of opioid use disorder (MOUD).

Provides funding for loan repayment for substance use disorder (SUD) professionals in exchange for 6-year service obligations at STAR LRP-approved facilities located in Mental Health Professional Shortage Areas (HPSAs) or in counties with high rates of drug overdose deaths. Helps recruit and retain qualified clinicians and paraprofessionals to provide direct SUD treatment or recovery support services in underserved areas and rural communities significantly impacted by substance use.

Assists communities with the recruitment and retention of qualified substance use disorder (SUD) professionals who provide direct treatment or recovery support at facilities located in Mental Health Professional Shortage Areas (HPSAs) or in counties with a drug overdose death rate that is higher than the national average. New and current clinical staff working in eligible disciplines at a STAR LRP-approved facility are eligible to receive loan repayment assistance through the STAR Loan Repayment Program, which is open to a wider range of SUD clinicians and paraprofessionals compared to other HRSA loan repayment programs.

Helps underserved communities recruit and retain primary care clinicians at approved practice sites that provide quality, culturally appropriate primary healthcare services in Health Professional Shortage Areas (HPSAs). Supports sites that provide comprehensive primary care and primary care behavioral health services in rural and underserved communities. Clinicians working at an approved site in an eligible National Health Service Corps (NHSC) discipline may be eligible for a NHSC loan repayment or scholarship program.

Provides funding to implement suicide prevention and early intervention strategies for youth up to age 24 in schools, educational institutions, juvenile justice systems, substance use and mental health programs, and other child/youth-serving organizations.

Offers grant funding to assist health centers with establishing or expanding mental health and substance use disorder (SUD) services at their facilities. Aims to increase access to mental health and SUD treatment, including medications for opioid use disorder (MOUD), with a focus on rural and underserved populations that experience unique barriers to care.

Awards fellowships to master's and doctoral students in social work programs. Offers monetary stipends, professional development, training, mentoring, and other supports to develop cultural competency skills in social work services for ethnic and racial minority populations at risk for mental health and substance use disorders (SUDs). Seeks to increase the number of social workers providing mental health and substance use services to underserved populations. Fellowships are administered by the Council on Social Work Education (CSWE) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Grants to states to support the integration of behavioral and primary physical healthcare, with the goal of improving health outcomes for individuals with behavioral health conditions. Requires state collaboration with Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and other qualified community programs to adopt and improve integrated care models across systems.

Provides funding for loan repayment for primary care, oral health, behavioral/mental health, and maternal health providers in exchange for 2-year service obligations at National Health Service Corps (NHSC)-approved sites in a Primary Care, Dental, and Mental Health Professional Shortage Areas (HPSAs) in rural, urban, and underserved areas.

Provides funding for loan repayment for primary care and behavioral/mental health professionals in exchange for 3-year service obligations at National Health Service Corps (NHSC)-approved sites in Primary Care and Mental Health Professional Shortage Areas (HPSAs) in rural communities. Seeks to increase the number of primary care and behavioral/mental health professionals providing opioid use disorder (OUD) and substance use disorder (SUD) treatment and services to patients in rural areas.

Provides funding for loan repayment for substance use disorder (SUD) primary care and behavioral/mental health professionals in exchange for 3-year service obligations at National Health Service Corps (NHSC)-approved sites in Mental Health and/or Primary Care Health Professional Shortage Areas (HPSAs) in rural and underserved areas.

Supports new and existing training programs for paraprofessionals in behavioral health fields in order to improve services for families whose parents are impacted by opioid use disorder (OUD) or other substance use disorders (SUD). Seeks to increase the number of paraprofessionals in behavioral health working in high-need and high-demand areas to reduce the risk of mental health disorders and SUD among children.

Supports efforts to improve access to integrated and coordinated treatment and recovery services for substance use disorder (SUD), including opioid use disorder (OUD), in rural areas to address the SUD/OUD crisis in rural areas and promote long-term, sustained recovery.

Addresses health professional shortages by offering scholarships to eligible nursing students in exchange for full-time service obligations at critical shortage facilities (CSFs) located in Primary Care or Mental Health Professional Shortage Areas (HPSAs).

Strengthens the delivery of community-based recovery support services (RSS) for people in recovery from substance use disorder (SUD). Supports long term recovery through RSS delivered by people who have lived experienced with SUD and recovery, such as peer mentors, recovery coaches or recovery support specialists. Provides linkages to social supports, including medical, housing, educational, and employment services.

Funds community-based efforts to implement and assess new assisted outpatient treatment (AOT) programs that permit individuals to remain in their community while receiving treatment, leading to better life outcomes. Identifies evidence-based practices to decrease the frequency and duration of psychiatric hospitalization, homelessness, incarcerations, and interactions with the criminal justice system for individuals with a serious mental illness (SMI). Works to address substance use issues for individuals with SMI to improve their overall physical and social health.

Addresses primary care provider shortages by offering scholarships for students pursuing primary care health professions in exchange for full-time service obligations at National Health Service Corps (NHSC)-approved sites in Health Professional Shortage Areas (HPSAs).

Awards grants to reestablish or maintain strong multi-sector community coalitions that work to prevent and reduce substance use among youth age 18 or younger. Addresses local environmental factors related to youth substance use by implementing a wide-range of evidence-based and practice-based prevention strategies.

Supports local efforts to prevent and reduce substance use among youth age 18 or younger by establishing and maintaining new multi-sector community coalitions. Utilizes a wide-range of evidence-based prevention strategies to address local environmental factors related to substance use among youth and promote positive, sustainable, community-level change.

Funds infrastructure enhancements and capacity building efforts to address the changing healthcare landscape and increase access to high-quality HIV primary healthcare services for individuals with low-income and underserved populations, including those in rural areas.

Provides funding for training and resources to first responders and members of other key community sectors at the state, tribal, and local levels on carrying and administering naloxone and other Food and Drug Administration approved drugs or devices for emergency reversal of known or suspected opioid overdose. Works to establish processes and protocols for referral to appropriate treatment recovery, harm reduction, and other psychosocial support services, and provide safety education around fentanyl, synthetic opioids, and other drug trends associated with overdoses.

Provides substance use disorder (SUD) education to health profession students early in their academic careers, with the goal of increasing the number of professionals trained to identify, assess, intervene, and treat addiction; support recovery; and address stigma. Supports health profession programs in integrating SUD content into academic curricula and promotes the integration of behavioral and physical healthcare systems using a multidisciplinary team approach. Gives preference to programs that place students in SUD programs serving rural and underserved areas.

Supports the implementation of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) public health model in primary care, community health settings, and schools, with the goal of increasing screening for underage drinking, opioid use, and other substance use among children, adolescents, and adults. Assists with integrating SBIRT into routine healthcare and other encounters and enhancing system-level approaches to reduce alcohol and substance use and its negative health impacts among individuals with substance use disorder (SUD) and those at risk for SUD.

Provides funding for local, regional, or state-level organizations to develop advanced nursing education programs to train eligible nurses as sexual assault nurse examiners (SANEs). Coordinates all aspects of the education process, from recruitment, didactic and clinical training, and monitoring experiential learning hours up to certification completion and the retention of SANEs in the workforce. Seeks to increase the number of practicing SANEs, especially among rural and underserved populations, with the goals of better physical and mental healthcare for survivors, including trauma-informed care, and better evidence collection.

Provides funds to expand substance use disorder (SUD) treatment and recovery support services in existing drug courts that use the problem solving court model, including adult treatment drug courts (ATDCs), family treatment drug courts (FTDCs), or adult tribal healing to wellness courts (ATHWCs). Seeks to break the cycle of criminal behavior, alcohol and drug use, and incarceration by providing effective and comprehensive SUD treatment services to individuals with SUD involved with the justice system.

Offers flexible funding to provide family-based services for pregnant and postpartum women diagnosed with substance use disorder (SUD), with a particular emphasis on treatment for opioid use disorder (OUD). Assists states in establishing a continuum of care for pregnant and postpartum women in community-based settings. Supports new approaches and service delivery models designed to enhance coordination and efficiency in state systems managed by a state substance use agency. Aims to improve maternal and child health outcomes, decrease infant mortality, and reduce the negative impact of substance use on women, children, and family members.

Provides funding to integrate behavioral health services in primary care settings using telehealth technology through telehealth networks. Supports evidence-based projects in telehealth networks using telehealth technologies in rural and underserved areas to increase access to integrated behavioral health services in primary care settings and to improve the quality of healthcare information available to providers by evaluating the effectiveness of integrating telebehavioral health services into primary care settings.

Offers funding to recruit and train emergency medical services (EMS) personnel in rural areas with a primary focus on addressing substance use disorders (SUDs) and co-occurring mental health conditions (COD). Supports training on trauma-informed, recovery-based SUD/COD emergency care for rural residents, including the use of naloxone for the reversal of opioid overdose, and helps EMS staff meet federal or state licensing or certification requirements.

Awards funding to establish clinical rotations for physician assistant (PA) students in rural areas. Supports the development of rotations of at least 3 months that integrate primary care and behavioral health services, with the goal of increasing the number of PAs who choose to practice in rural areas after graduation and are trained to prevent, identify, diagnose, treat, and refer services for behavioral health conditions, including the provision of medications for opioid use disorder (MOUD). Offers financial assistance to trainees during rotations in a rural primary care setting.

Provides funding for loan repayment for registered nurses (RNs), advanced practice registered nurses (APRNs), and nurse faculty in exchange for full-time service obligations at critical shortage facilities (CSFs) located in Mental Health or Primary Care Health Professional Shortage Areas (HPSAs) or at a school of nursing. Addresses nursing shortages to meet the healthcare needs of underserved communities, including mental health, substance use disorder (SUD), and other behavioral health services.

Aims to prevent and reduce suicidal behavior and substance misuse, reduce the impact of trauma, and promote mental health among American Indian and Alaska Native youth through age 24. Supports tribal communities in building and sustaining infrastructure for behavioral health systems that will positively impact AI/AN youth by successfully integrating culture, resources, and readiness to address suicide and substance misuse among the target population.

Awards fellowships to master's and doctoral students in marriage and family therapy (MFT) programs. Offers financial support, training, and professional development opportunities designed to build cultural competency in mental health treatment for ethnic and racial minorities. Seeks to increase the number of marriage and family therapists providing mental health and substance use services to underserved populations. Fellowships are administered by the Foundation for the Advancement of Human Systems (FAHS) through the Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Aims to reduce the development and progression of substance use disorder (SUD) by improving local capacity to deliver community-based SUD prevention and mental health services. Promotes building strategic partnerships among key stakeholders to expand prevention infrastructure and implement strategies to identify and address the primary prevention concerns in the community, including the use of opioids, methamphetamine, and heroin. Provides evidence-based services to prevent SUD and support the mental health and well-being of youth and adults, especially those from underserved communities.

Provides funding to enhance states' ability to develop, implement, and promote substance use prevention and mental health promotion services for individuals and families in their state. Supports states in building the capacity of local providers to identify prevention priorities in their communities, including the use of opioids, methamphetamine, and heroin, and to implement evidence-based strategies to address their prevention needs. Focuses on delivering prevention services to rural, tribal, and other underserved communities.

Provides resources focused on improving mental health outcomes in children and youth, from birth to age 21, at risk for or with serious emotional disturbances (SED) and their families. Supports the implementation, expansion, and integration of a System of Care (SOC) approach to create sustainable infrastructure and services that are required as part of the Comprehensive Community Mental Health Services for Children and their Families Program, also known as the Children's Mental Health Initiative (CMHI). CMHI seeks to prepare children and youth at risk for or with SED for successful transition to adulthood and assumption of adult roles and responsibilities.

Works to prepare and encourage physicians to practice healthcare in rural communities. Provides start-up funding for the planning and development of sustainable programs to train residents in rural residency programs in family medicine, internal medicine, public health, preventive medicine, psychiatry, general surgery, and obstetrics and gynecology.

Supports efforts to address the opioid crisis in American Indian and Alaska Native (AI/AN) communities through locally designed prevention, treatment, recovery, and aftercare services for mental health and substance use disorder (SUD). Aims to raise awareness and education of opioid interventions that are family-centered and culturally appropriate, create comprehensive community opioid support teams, and increase the use of medication-assisted treatment (MAT)/medications for opioid use disorder (MOUD) to meet treatment needs and reduce opioid overdose in AI/AN communities. COIPP is an initiative of IHS's Alcohol and Substance Abuse Branch (ASAB).

Supports planning activities to assist rural communities in developing integrated healthcare provider networks. Promotes the strengthening of rural healthcare systems by achieving efficiencies, expanding access to care, increasing care coordination, and improving basic healthcare services.

Offers funding to state and local health departments to work with HIV clinical providers in developing approaches that utilize culturally competent community health worker (CHW) services to conduct outreach and re-engage people with HIV in care who are living in rural areas. Services include connecting individuals to mental health and substance use disorder (SUD) services, and other supports necessary to help participants enter, re-engage, and remain in HIV care and treatment.

Funds programs to address high rates of infant death by improving health outcomes before, during, and after pregnancy and reducing well-documented racial/ethnic differences in rates of infant death and adverse perinatal outcomes. Supports the provision of direct and enabling services, including screening and referrals, case management, care coordination, health and parenting education, and linkages to clinical care, to enrolled program participants.

Supports research projects that implement innovative strategies to reduce opioid, stimulant, and/or poly-drug overdose in high-risk communities. Promotes the use of evidence-based practices in new or existing programs and emphasizes the evaluation of new and promising approaches. Establishes partnerships between public safety and public health agencies to address harms related to opioid, stimulant, and poly-substance use and overdose.

Offers flexible block grant funding to states, territories and freely associated states, and one tribe to design and implement activities and services to address the complex needs of individuals, families, and communities affected by substance use disorder (SUD). Funds can be used to establish statewide programs and services or to make sub-awards to local organizations to provide SUD services in their region. All activities and services must address core SUBG program purposes. Supports SUD treatment, programs, and services for the following populations and services areas: pregnant women, women with dependent children, IV drug users, tuberculosis services, HIV/AIDS early intervention services, and primary prevention services.

Offers flexible block grant funding to states, territories, and freely associated states to provide comprehensive, community-based mental health services to adults with serious mental illness (SMI) and children and adolescents with serious emotional disturbances (SED). Supports collaboration by encouraging various individuals and groups to be involved in the mental health planning process, including adults participating in mental health services, family members of children with SED, and representatives from education, mental health, rehabilitation, criminal justice, and other state agencies.

Provides funding to develop internships, field placements, and other experiential training opportunities for individuals training in behavioral health professions focused on serving children and youth ages 16-25 in rural and underserved communities. Aims to expand access to behavioral healthcare for rural and underserved children and youth with mental health and substance use disorders (SUD) by increasing the supply and distribution of behavioral health providers. Assists in recruiting and training behavioral health professionals by increasing the number of clinical supervisors, providing stipend support for trainees, and connecting graduates to employment opportunities.

Funds to develop, improve, and/or enhance statewide or regional networks to expand the capacity of healthcare providers' to screen, assess, treat, and refer pregnant and postpartum people for maternal mental health and substance use disorder (SUD), especially for rural and medically underserved areas.

Provides peer recovery support services to individuals with or in recovery from substance use disorder (SUD) or co-occurring substance use and mental disorders (COD). Promotes long-term recovery supports, in coordination with clinical SUD treatment, that are led by peers in recovery who reflect the communities they serve. Increases access to recovery support services through training and support for current and new peer recovery specialists and supervisors, especially those from historically underserved communities.

Strengthens the relationship between recovery organizations, their statewide networks of recovery stakeholders, and healthcare systems to improve recovery services for individuals with substance use disorder (SUD). Aims to promote and integrate recovery organizations and peer recovery support services (PRSS) across coordinated state and local networks through increased collaboration, training, and participation in multilevel planning, policy, and program development activities.

Provides funding to support services, training, and collaboration with partners focused on helping individuals in treatment or recovery with substance use disorder (SUD) or co-occurring disorder (COD) live independently and participate in the workforce.

Provides funding to prevent substance misuse and address mental health issues by establishing and expanding behavioral healthcare services in rural communities for children and adolescents aged 5-17 who are at risk for, have, or are recovering from a behavioral health disorder.

Focuses on increasing access to and involvement with care and services for individuals from racial and ethnic minority populations with substance use disorder (SUD) and/or co-occurring substance use and mental disorders (COD) who are HIV positive or at risk for HIV. Helps connect these individuals to SUD/COD treatments, HIV care and treatment, HIV/AIDS and Hepatitis C (HCV) testing and vaccinations, as well as recovery and community support services to help retain clients in care with the overall goal of reducing health disparities among the target populations.

Provides funding to enhance the ability of state health departments to track and prevent nonfatal and fatal overdoses and identify emerging drug threats by supporting surveillance and prevention strategies designed to reduce overdose morbidity and mortality. Emphasizes activities focused on opioid, stimulants, and polysubstance use and works to address health inequities and increase access to care and services for populations at high-risk for overdose, including rural communities and tribal populations.

Provides funding for local health departments, special district health departments, and territorial governments to implement data-based surveillance and prevention strategies to reduce overdose morbidity and mortality in communities. Emphasizes activities focused on opioids and stimulants. Seeks to address health inequities and increase access to care for populations at high-risk for overdose, including rural communities and tribal populations.

Provides comprehensive, coordinated, evidence-based services for individuals, youth, and families currently experiencing or at risk of homelessness who are diagnosed with serious mental illness (SMI), serious emotional disturbance (SED), and/or a co-occurring disorder (COD). Aims to engage and connect the target population to behavioral health treatment, case management, and recovery support services and help them secure sustainable permanent housing. Assists participants in identifying and obtaining resources for health insurance that help individuals maintain their treatment, recovery, and housing status.

Provides funding to eligible entities to establish, expand and/or enhance existing community-based nurse practitioner (NP) residency and fellowship training programs to increase the number of advanced practice registered nurses (APRNs) prepared to provide primary care in community-based settings for rural, urban, and tribal underserved populations. Supports efforts to integrate behavioral and maternal health into primary care through the training of qualified NPs in these fields.

Funding to support the training and graduation of advanced practice registered nursing (APRN) students and trainees in the areas of primary care, mental health, substance use, and maternal healthcare, with preference given to programs that train students to practice in underserved and rural communities.

Funds primary healthcare and support services in an outpatient setting for low-income, uninsured, and underserved populations living with HIV in new geographic service areas. Helps provide HIV testing, diagnostic services, referral to healthcare and support services, mental health and substance use disorder treatment, and other services to enable people with HIV to live healthy lives.

Expands access to social detoxification services for American Indian and Alaska Native (AI/NA) populations impacted by alcohol use disorder (AUD) or substance use disorder (SUD) in McKinley County, New Mexico. Supports programs that include the 3 critical components of community-based social detoxification: evaluation, stabilization, and fostering patient readiness for and entry into treatment. PARD is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Funds treatment, recovery, case management, and harm reduction services and programs in residential treatment facilities for pregnant and postpartum women with substance use disorder (SUD) to support and sustain recovery. Aims to reduce infant and maternal mortality; improve family dynamics through access to treatment; and increase access to evidence-based SUD residential services.

Expands access at the community level to naloxone and other medications approved by the Food and Drug Administration (FDA) for emergency treatment of opioid overdose by establishing best practices for prescribing overdose reversal drugs. Provides training and resources to prescribers and providers and ensures protocols are in place to connect people who have experienced overdose to appropriate follow-up care and substance use treatment, including medications for opioid use disorder (MOUD) and behavioral therapies. Focuses on specific urban and rural populations to address the needs and expand workforce capacity in communities highly impacted by overdose and reduce overdose deaths.

Funds the implementation and expansion of local efforts to enhance community infrastructure to address behavioral health treatment and other services for substance use disorder (SUD) and other co-occurring disorders (CODs) for individuals and families experiencing homelessness. Provides comprehensive, coordinated services such as behavioral health outreach, treatment, peer support, recovery support services (RSS), case management, and connections to sustainable permanent housing.

Funding to plan, develop, and operate a 12 month full-time, or 24 month half-time, training program for nurse practitioners, physician assistants, health service psychologists, counselors, nurses, and/or social workers focused on training practitioners to provide mental health and substance use disorder (SUD), including opioid use disorder (OUD), services. Seeks to expand the workforce trained to provide care for individuals in need of mental health and SUD/OUD prevention, treatment, and recovery services in an integrated primary care underserved community-based setting.

Assists rural communities working to reduce the incidence and impact of neonatal abstinence syndrome (NAS) among pregnant, postpartum, and persons of childbearing age who are diagnosed with or at risk for opioid use disorder (OUD) and/or other substance use disorders (SUDs). Supports the implementation of evidence-based OUD/SUD prevention, treatment, and recovery strategies designed to improve systems of care, family supports, and social determinants of health (SDOH) in rural areas.

Aims to increase access to medications for opioid use disorder (MOUD) along with comprehensive opioid use disorder (OUD) psychosocial and recovery support services (RSS) for individuals with OUD seeking MOUD. Provides funds to states, nonprofits, American Indian and Alaska Native tribes, and tribal organizations to support MOUD programs and related program activities.

Provides funds to expand access to treatment, recovery, and reentry services for sentenced adults in the criminal justice system with a substance use disorder (SUD) and possible co-occurring mental illness. Seeks to reduce substance use and involvement with the criminal justice system by helping individuals successfully reintegrate into the community upon release from prisons, jails, or detention centers.

Offers funding, based on a formula, to eligible institutions that then distribute funds to full-time nurse anesthetist trainees to help cover required education costs and living expenses. Seeks to increase the number of certified registered nurse anesthetists (CRNAs) practicing in rural, urban, and tribal underserved areas.

Provides funding to address immediate responses to the opioid crisis in rural areas by improving access to, capacity for, and sustainability of prevention, treatment, and recovery services for substance use disorder (SUD).

Funds demonstration projects in states to improve the quality of emergency medical services (EMS) for children. Seeks innovative models and methods to strengthen EMS systems. Seeks to improve health outcomes and attain equitable access to pediatric emergency care and everyday readiness for all children across the nation, especially for those children living in racial or ethnic minority, tribal, and rural communities.

Helps local governments and their community partners respond to trauma and stress related to civil unrest, community violence, and/or collective trauma within the past 24 months. Provides violence prevention and youth engagement programs along with trauma-informed behavioral health services to at-risk youth and families impacted by community disruption and violence. Develops coalitions of local government agencies, community organizations, and residents to deliver resources and services and bring about positive community change and healing.

Provides funding to support community-based partnerships and collaborations aimed at promoting access to healthcare for under-resourced and underserved children and their families in rural and underserved areas through the implementation and evaluation of new or improved evidence-informed, evidence-based strategies, or innovative community-based projects and models of care. Includes substance use services for children and adolescents at risk for substance use disorders (SUD).

Supports American Indian and Alaska Native (AI/AN) youth in successfully transitioning back into the community after completing treatment at an Indian Health Services (IHS) Youth Regional Treatment Center (YRTC). Provides culturally adapted aftercare and case management services focused on whole-person wellness and community engagement to help youth achieve and sustain safety and sobriety, with an emphasis on employability as a means of achieving program goals. YRTC is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Aims to increase the affordability, accessibility, acceptability, and availability of medication-assisted treatment (MAT) by establishing new MAT access points in rural communities. Enhances the capacity to provide MAT treatment services for people in rural areas with or at risk of opioid use disorder (OUD), with focus on underserved populations. Promotes the use of Food and Drug Administration (FDA)-approved medications for the treatment of OUD along with supportive services, including counseling and behavioral therapies. Supports the use MAT to treat alcohol use disorder, if the need exists.

Offers funding for predoctoral training programs in general, pediatric, or public health dentistry for dental, dental hygiene, and public health dentistry students. Aims to enhance trainees' ability to provide oral healthcare for populations and individuals with medically complex health conditions, special healthcare, and behavioral healthcare needs in vulnerable, underserved, or rural communities. Focuses on training that integrates oral health within primary care and promotes patient-centered approaches that address the impact of social determinants of health on oral health outcomes.

Supports community-driven efforts to deliver evidence-based, culturally appropriate substance use prevention, treatment, and aftercare services for American Indian and Alaska Native (AI/AN) communities. Works to expand access to behavioral health services; improve care coordination and cross-system collaboration; and engage family, youth, and community resources to reduce substance use disorder (SUD) and overall substance misuse in tribal communities. SASP is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Funds for states to develop and implement programs to address the oral health workforce needs in Dental Health Professional Shortage Areas (HPSAs), including those in rural communities. Supports new ideas, methods, and/or approaches to increase access to oral health services. Allows states to design programs to address opioid use disorder (OUD) by improving pain management practices, treatments, and recovery support services. Helps states become better prepared for future public health emergencies by evaluating and responding to the impact of COVID-19 on oral health workforce.

Provides funds to implement evidence-based or promising prevention, treatment, and recovery activities for substance use disorder (SUD), including opioid use disorder (OUD), in rural communities. Expands access to prevention, treatment, and recovery services for rural residents diagnosed with or at risk of OUD/SUD, their families, and others in the community.

Provides funding to increase the number of internships, field placements, and other experiential training opportunities for individuals working to become peer support specialists and other behavioral health paraprofessionals. Promotes collaboration with community-based health partners to meet workforce demand in high need and high demand areas and expand access to quality behavioral health services, including services for the treatment of substance use disorder (SUD). Promotes interdisciplinary collaboration through team-based care and emphasizes training oriented toward the behavioral health needs of children, adolescents, and transitional-aged youth.

Provides funds to implement evidence-based prevention, treatment, and recovery activities in rural communities to address psychostimulant use disorders and the misuse of psychostimulants, including methamphetamine, cocaine, ecstasy, and prescription stimulants. Expands access to prevention, treatment, and recovery services for rural residents diagnosed with or at risk of psychostimulant use disorder, their families, and others in the community.

Provides funding to enhance established community-based coalitions working to address the use and misuse of opioids, methamphetamines, and prescription medications among youth ages 12-18. Strengthens cooperation between leaders, groups, organizations, and agencies across the community to implement strategies and services that help identify at-risk youth, reduce substance use, and create safer and healthier communities.

Serves adolescents, aged 12-18, and transitional youth, aged 16-25, with substance use disorder (SUD) and/or co-occurring substance use and mental disorders (COD) by expanding access to evidence-based early intervention, treatment, and recovery support services. Involves family members/primary caregivers in the treatment and recovery process, and focuses on reducing health disparities among underserved female and racial/ethnic minority populations.

Provides funding to implement community-based outreach programs to enhance the delivery of healthcare to underserved rural populations. Promotes community engagement and collaboration between local healthcare and social service providers to expand services using innovative, evidence-based models, with the goal of improving health outcomes and population health for rural areas at the local or regional level. Offers 2 funding tracks, including the Healthy Rural Hometown Initiative (HRHI), which is designed to reduce rural health disparities related to the 5 leading causes of avoidable death by addressing the underlying factors and social determinants of health that can impact health and wellness.

Strengthens rural communities' ability to conduct planning to engage high risk populations and expand capacity for effective prevention, treatment, and recovery responses to substance use disorder (SUD) and opioid use disorder (OUD) in rural counties.

Offers funds to community coalitions to continue grant activities under a previously awarded Drug-Free Communities Support Program grant. Coalitions utilize a wide-range of evidence-based prevention strategies to address local environmental factors related to substance use among youth age 18 or younger and seek to promote positive, sustainable, community-level change.

Expands and enhances existing 12-month nurse practitioner (NP) residency programs with the goal of increasing the number of new, qualified primary care or behavioral health NPs prepared to work in integrated, community-based settings, especially in rural or underserved areas.

Provides funding to existing USDA Cooperative Extension grantees to develop and offer training and technical assistance for rural communities to help combat the effects of the opioid crisis and/or stimulant issues. Supports education and training on prevention, treatment, and recovery activities related to opioid use disorder (OUD) and stimulant use disorder and works to share successful model programs.

Supports the implementation of comprehensive and integrated HIV surveillance and prevention programs that seek to prevent new infections; improve health outcomes for people living with HIV; and reduce related health disparities. Aims to support efforts working to end the HIV epidemic in America by leveraging powerful data, tools, and resources to reduce new HIV infections by 75% in 5 years.

Provides funding to expand clinical training at accredited addiction medicine fellowship (AMF) and addiction psychiatry fellowship (APF) programs. Seeks to increase the number of physicians and psychiatrists working in underserved, community-based settings that integrate primary care with mental health and substance use disorder (SUD) prevention and treatment services. Seeks to improve access to addiction prevention, treatment, and recovery services at various points of care and across healthcare sectors.

Supports the planning, development, operation, and participation in accredited postdoctoral training programs for general dentistry, pediatric dentistry, and dental public health. Seeks to improve health outcomes by providing low-income, underserved, uninsured, underrepresented minority, rural, and other disadvantaged populations with increased access to oral health services.

Aims to increase the number of primary care physicians capable and willing to provide care to rural and/or underserved communities by funding accredited residency training program improvements in family medicine, general internal medicine, general pediatrics, or combined internal medicine and pediatrics. Works to reduce healthcare expenses, improve care quality, and increase access to healthcare by preparing and encouraging residency graduates to serve in rural and/or underserved areas.

Funds for demonstration projects to support statewide adoption of the Overdose Detection Mapping Application Program (ODMAP) mobile tool. ODMAP helps states quickly track and analyze fatal and nonfatal opioid overdoses and the administration of naloxone by first responders. Works to establish coalitions in local communities to use ODMAP data to inform public health and safety interventions for specific geographic areas or populations at high risk for overdose.

Provides funding to strengthen experiential training for behavioral health paraprofessional students focused on prevention, treatment, and recovery services for substance use disorder (SUD), including opioid use disorder (OUD). Emphasizes training that addresses the specific challenges of children, adolescents, and transitional-age youth at risk for behavioral health disorders. Seeks to expand access to quality SUD/OUD treatment and services in high need, high demand areas by increasing the number of qualified behavioral health paraprofessionals working in community-based settings.

Funds to expand community-based training for the treatment of opioid use disorder (OUD) and substance use disorder (SUD), especially among affected rural youth, for students pursuing advanced degrees in behavioral health.

Funds to establish 3 demonstration projects to implement evidence-based 2-generational strategies addressing issues facing rural at-risk children, prenatal to age 3, and their parents, such as adverse childhood experiences (ACEs), maternal depression, mental health disorders, substance use disorder (SUD), opioid use, and related neonatal abstinence syndrome (NAS). Offers technical assistance, training, and support to demonstration sites to coordinate programs and services that support healthy childhood development and increase family economic opportunity.

Supports recovery community organizations (RCOs) in expanding peer recovery support services (PRSS) to people with substance use disorder (SUD) and their family members. PRSS utilizes peer leaders, individuals who have experienced addiction and recovery, to help people with SUD stay in recovery by offering support in the areas of housing, employment, education, social connection, and abstinence from substance use. Peer leaders are involved at all levels of designing, developing, and implementing programs.

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.

Offers free and confidential emotional support to people experiencing suicidal crisis or emotional distress through a national network of local crisis centers. Dial 98, text 988, or chat online to get help. Available 24 hours a day, 7 days a week.

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.

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 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.

Provides an overview of capital funding as it relates to supporting rural healthcare. Answers frequently asked questions on the topic, details successful rural model program examples, and links to additional resources and information for funding, events, and related organizations.

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 and youth, opioids and preventing overdose, suicide prevention, and supporting individuals reentering society after incarceration and their families.

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.

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.

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

Provides technical assistance to rural healthcare providers in the Delta Regional Authority (DRA) service area in order to enhance healthcare delivery and improve health outcomes for residents in communities in the Delta region. Supports small rural hospitals, Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), and other healthcare organizations seeking to strengthen local healthcare systems by addressing gaps in service and improving quality to better meet community health needs.

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.

Directory of treatment facilities that provide services to treat a recent onset of serious mental illness, such as psychosis, schizophrenia, bi-polar disorder, and other conditions in the U.S. or U.S. territories. Programs offer evidence-based interventions and supports, including medication, therapy, family and peer support, education and employment assistance, and other services. Serves as a confidential and anonymous source of information for individuals and family members seeking treatment.

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.

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.

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.

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.

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

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.

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

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.

Provides information on multiple grants and programs to support the development and education of the health workforce to meet the needs of rural, underserved, and other vulnerable populations. Covers funding opportunities for workforce, including scholarship and loan repayment programs, in the areas of behavioral health, primary care, nursing, oral health, geriatrics, and public health.

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

Provides an overview of human services in rural America. Answers frequently asked questions on the topic, details successful rural model program examples, and links to additional resources and information for funding, events, and related organizations.

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.

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).

Manages the Indian Health Service (IHS) wide area network, which enables the effective use of electronic health records (EHR) and ensures the secure exchange of electronic health information (EHI) between healthcare providers in order to improve healthcare quality and efficiency. Provides internet access and network connectivity to over 400 federal, tribal, and urban healthcare facilities in the IHS Wide Area Network that serve American Indian and Alaska Native people across 35 states, as well as to healthcare partners, such as insurance providers, laboratory services, and pharmacies.

Provides an overview of Indian Health Service's (IHS) Office of Clinical and Preventive Services (OCPS) which is responsible for developing and managing clinical, preventive, and public health programs for IHS that cover a wide range of services, including alcohol and substance use and other behavioral health programs. Serves as an advocate for Native American health issues at the national level. Sets policy and budget priorities for IHS Area Offices and health facilities. Offers technical support to local clinical and preventive health programs.

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.

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.

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.

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.

Highlights evidence-based and promising models and related resources to implement, evaluate, and build sustainable mental health programs in rural communities. Provides an overview of mental health in rural areas, including barriers to treatment and different factors that impact mental health.

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

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

Provides information and resources to raise awareness of the impact that violence and various forms of trauma can have on the behavioral health of children, adolescents, and families. Seeks to enhance treatment and services for trauma-exposed children and adolescents. Includes information and resources on traumatic stress, treatment options, and advice for families, caregivers, child health and welfare professionals, and others about how to help and respond to child traumatic stress.

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.

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

Shares guidance to support the design, development, implementation, and quality improvement of behavioral health program to best meet the needs of individuals who experience a mental health crisis. Defines national guidelines for crisis care and outlines tips and tools to support those guidelines. Includes discussion of unique challenges rural and frontier communities face, and recommends approaches for those working with rural and frontier populations focused on increasing access to behavioral health crisis services.

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 free and confidential mental health support to mothers and families before, during, and after pregnancy. Provides immediate support, information, and resources for mothers with perinatal depression, anxiety, or other mental health issues from licensed and certified counselors, as well as referral to local providers if additional care or support is needed. Call or text 1-833-852-6262 to get help. Service is available in English and Spanish 24 hours a day, 7 a week.

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.

Offers access to national and state-level survey data on the health status of children in the U.S. Includes data on children ages 0-17 and examines factors related to the well-being and healthcare needs of children, including accessing and using healthcare services, family relationships and health, school and after school activities, and neighborhood characteristics. Includes data on physical and mental health conditions, health insurance type and status, healthcare access and utilization, specialty care, nutrition, health activities, and more.

Provides training and technical assistance to mental health, primary care, and peer support providers on evidence-based practices and community-driven solutions that promote children's mental health. Aims to increase the dissemination of and access to quality, community mental health services for children, youth, and their families. Promotes a system of care approach to address barriers to care and increase mental health equity for the target population.

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 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.

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

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.

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

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

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.

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.

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.

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.

Provides tele-consultation, training, technical assistance, and care coordination using telehealth to help providers integrate behavioral healthcare services into pediatric primary care. Supports the use of telehealth and other technologies to improve the ability of providers to diagnose, treat, and refer children with mental health conditions. Seeks to increase access to treatment and referral services for children and adolescents with behavioral health conditions in rural and underserved areas.

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.

Shares strategies and best practices to help expand the community-based behavioral health workforce through the increased use of community-initiated care (CIC) and behavioral health support specialists (BHSS). Provides information to address behavioral health workforce shortages and behavioral health disparities in underserved communities and populations, including 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.

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

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

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.

Offers technical assistance for clinicians in small, underserved, and rural practices to participate in the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP), which establishes value-based payment systems and models for clinicians serving Medicare patients. Help participants understand QPP requirements, learn about flexible options for small practices, and implement measures to improve quality and efficiency.

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.

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) and mental health, including prevention, treatment, and recovery efforts. Supports rural communities in Delaware, Maryland, Pennsylvania, Virginia, and West Virginia.

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).

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.

Lists policy briefs, working papers, journal articles, and other publications on emergency medical services (EMS) and trauma 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.

Lists policy briefs, working papers, journal articles, and other publications on mental and behavioral health 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.

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.

Lists policy briefs, working papers, journal articles, and other publications on transportation 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.

Summarizes research describing the distribution of behavioral health professions in rural areas between 2014 and 2021, including social workers, psychologists, psychiatric nurse practitioners, counselors, and psychiatrists.

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.

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.

Highlights evidence-based and promising models and related resources to implement, evaluate, and build sustainable suicide prevention programs in rural communities.

Highlights evidence-based and promising models and related resources to implement, evaluate, and build sustainable transportation programs in rural communities. Provides an overview of transportation needs and barriers in rural areas.

Provides an overview of rural tribal health. Answers frequently asked questions on the topic, details successful rural model program examples, and links to additional resources and information for funding, events, and related organizations.

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.

Features the Substance Abuse and Mental Health Services Administration (SAMHSA) Behavioral Health Career Navigator tool that shares information on educational requirements, obtaining a license or certification for the first time, and licensure or certification renewal for several types of mental health and substance use careers in all 50 states.

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

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

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

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 mental health services and substance use prevention, treatment and recovery. Offers resources for training, technical assistance, publications, and existing faith-based coalitions and collaborations focused on decreasing violence, combating substance use, improving behavioral health, reducing homelessness, and providing crisis counseling to those in need.

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

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

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

Describes how naloxone and nalmefene are used and the side effects of opioid overdose reversal medications (OORMs). 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/nalmefene 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.

Provides training and technical assistance to increase the quality and effectiveness of mental healthcare for individuals with serious mental illness (SMI) and first episode psychosis (FEP). Supports professionals, community members, family members, and people experiencing SMI with resources and training on evidence-based practices for identification, assessment, treatment, and recovery for adults with SMI and FEP.

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.

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

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

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.

Offers free, confidential, and anonymous support to Native American individuals who are victims of domestic and sexual violence and their family members. Provides immediate support, crisis intervention, and other culturally appropriate information and services. Call or text 1-844-762-8483 to get help. An online chat option is also available on the program website. Service is available 24 hours a day, 7 a week.

Offers training and technical assistance to enhance the infrastructure and capacity of states, tribes, health systems, colleges and universities, and other organizations to carry out suicide prevention activities and programs. Promotes the implementation of the U.S. Department of Health and Human Services' National Strategy for Suicide Prevention to help communities reduce suicide deaths for at-risk populations.

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.

Provides an overview of the Title V Maternal Child Health Services Block Grant (MCHB) that works to support and improve the health and well-being of mothers, children, and families. Discusses the goals of Title V funding, who receives MCHB funds and services, how outcomes are measured, and other resources provided through the program.

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 an overview of transportation in rural America as it relates to supporting access to rural healthcare and related services. Answers frequently asked questions on the topic, details successful rural model program examples, and includes links to additional resources and information for funding, events, and related organizations.

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.

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

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 an overview of violence and abuse in rural America. Answers frequently asked questions on the topic, details successful rural model program examples, and links to additional resources and information for funding, events, and related organizations.

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.