Resources: Social Services

Caring for Women with Opioid Use Disorder: A Toolkit for Organization Leaders and Providers

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.

Resource Type: Document / Report
Date: 11/2020
Sponsor: HRSA Office of Women's Health (OWH)
Delta Region Community Health Systems Development (DRCHSD) Program

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.

Resource Type: Technical Assistance
Sponsors: Delta Regional Authority (DRA), Federal Office of Rural Health Policy (FORHP)
Evaluation of the Maternal Opioid Misuse (MOM) Model

Evaluates 7 states participating in CMS's Maternal Opioid Misuse (MOM) Model, which is designed to support delivery system transformation for pregnant and postpartum people enrolled in Medicaid who have opioid use disorder (OUD). Provides an overview of program activities for implementation year 2 from 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.

Resource Type: Document / Report
Sponsor: Centers for Medicare & Medicaid Services (CMS)
First Responder Deflection Mentoring Initiative

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

Resource Type: Technical Assistance
Sponsor: Bureau of Justice Assistance (BJA)
Health Care for Re-Entry Veterans (HCRV) Services and Resources

Helps veterans achieve success and avoid homelessness following release from incarceration in state or federal prison. Provides outreach and assessment services; referral services to connect veterans to clinical, mental health, and social services, such as job assistance; and short-term case management support.

Resource Type: Recovery Support
Sponsor: Veterans Health Administration (VHA)
Helping Rural Communities Thrive: How Federal Leaders Can Transform Federal Assistance to Support Rural Justice Practitioners

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

Resource Type: Document / Report
Date: 06/2023
Sponsor: Bureau of Justice Assistance (BJA)
Human Services to Support Rural Health Topic Guide

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.

Resource Type: Website
Sponsor: Federal Office of Rural Health Policy (FORHP)
Maintaining Fidelity to ACT: Current Issues and Innovations in Implementation

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

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

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

Resource Type: Treatment Provision
Sponsor: Maternal and Child Health Bureau (MCHB)
National Resource Directory

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

Resource Type: Treatment Provision
Sponsors: U.S. Department of Defense, U.S. Department of Labor (DOL), U.S. Department of Veterans Affairs
Opioid-Overdose Reduction Continuum of Care Approach: A Guide for Policymakers for Implementing Evidence-Based Strategies That Address Opioid Overdose

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

Resource Type: Document / Report
Date: 2023
Sponsors: National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH)
Projects for Assistance in Transition from Homelessness (PATH)

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.

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

Offers a collection of Substance Abuse and Mental Health Services Administration (SAMHSA) programs and resources designed to prevent and end homelessness among men, women, youth, and families with mental illness or substance use disorder (SUD). Includes grant programs 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.

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

Provides an overview of Substance Abuse and Mental Health Services Administration (SAMHSA) efforts to increase the supply of trained, culturally aware behavioral health professionals, including psychiatrists, therapists, addiction counselors, homeless outreach specialists, recovery coaches, and other professionals in fields related to prevention, healthcare, and social services. Includes links to programs and resources to help address workforce shortages and provide culturally competent care to individuals with mental illness and substance use disorder (SUD).

Resource Type: Website
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SSI/SSDI Outreach, Access, and Recovery (SOAR)

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

Resource Type: Training
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Tribal Healing to Wellness Courts: Case Management

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

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

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

Resource Type: Document / Report
Date: 05/2021
Sponsor: Bureau of Justice Assistance (BJA)