Resources: Recovery

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.

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.

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

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

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

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.

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

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

Provides 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 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 June 2022 to July 2023, including adoption, implementation, reach, and sustainability of the model, as well as the model's outcomes and effectiveness. Discusses barriers and other factors affecting care in rural areas.

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

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

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

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

Infographic highlighting areas where resources and programs from the U.S. Department of Agriculture Rural Development (USDA RD) have worked to address prevention, treatment, and recovery from opioid use, as well as programs to help build upstream resilience and future prosperity in rural communities.

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.

Interview with Colin Cash from the Mille Lacs Band of Ojibwe in Minnesota discussing his experience founding and leading the Sober Squad Recovery Movement program. Highlights ways that this program can serve as a model for advancing and sustaining recovery communities during periods of change and disruption.

Interview with Ruby Takushi, Director of Programs for the Recovery Café in Seattle, Washington. Discusses aspects of the recovery cafe model and how it may be used to advance and sustain recovery communities during periods of change and disruption.

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

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

Interview with Precia Stuby, Executive Director of the Hancock County Board of Alcohol, Drug Addiction and Mental Health Services in Ohio. Discusses how embedding a recovery-oriented system of care (ROSC) model in local health agencies may be employed as a strategy to advance and sustain recovery communities during periods of change and disruption.

Panel discussion featuring 5 representatives from recovery communities in different regions of the country. Draws on the speakers' experiences working to build successful community-based recovery programs and explores how their various approaches and strategies may serve as models to advance and sustain recovery communities during periods of change and disruption.

Offers 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.

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.

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

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.

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

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

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

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

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

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.

Offers a range of essential behavioral health and housing services and supports through over 500 local PATH provider organizations working to reduce or eliminate homelessness for individuals diagnosed with serious mental illness (SMI) and/or co-occurring substance use disorders (COD) who are currently experiencing homelessness or are at risk of becoming homeless. Focuses on providing services that are not well supported by mainstream mental health programs and aims to serve areas with the greatest need, including underserved populations and communities.

Interactive map providing county-level data describing community-level factors to support individuals in recovery from substance use disorder (SUD). Allows users to create maps illustrating connections between overdose deaths including opioid deaths, and selected demographic and economic factors.

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

Shares programs from the U.S. Department of Agriculture Rural Development (USDA RD) to address specific community needs related to substance use disorder (SUD) and opioid misuse prevention, treatment, and recovery efforts. Provides brief program summaries with information on program eligibility, as well as how the program may be used to confront issues of substance and opioid misuse in rural communities.

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

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

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

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

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.

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

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

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 (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).

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.

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

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

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.

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

Offers evidence-based information, recommendations, guides, and tools for U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) healthcare providers and patients to assist in the decision making process to improve the treatment and outcomes for patients with substance use disorder (SUD), including opioid use disorder (OUD), methamphetamine use, and co-occurring mental health conditions. Describes best practices to help patients avoid preventable complications, reduce substance use, and improve their overall health and wellness.