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

Prevention

Click to explore popular toolkits and resources on Prevention

SAMHSA 988 Crisis Line
The course will help learners to understand what the 988 Crisis Lifeline is, how it …
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Recovery Communities Organizations 101
This course covers the definition of recovery community organization(RCO), describes the types of RCO’s that …
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Overdose Response Teams
ORTs are a multi-agency, harm reduction response unit that delivers support and person-centered services to …
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Why Addiction is a Chronic Disorder
Webinar
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Motivational Interviewing: Evidence-Based Strategies and Principles for Guiding Conversations With Your Patients
In this session, Dr. Jackson shares practical ways to implement and utilize motivational interviewing (MI) …
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Improving Prevention and Care Outcomes for LGBTQ People: Safer Spaces and Better Data Collection
This article describes key points in a presentation given by Dr. Blosnich (Assistant Professor and …
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Overdose Response Teams
ORTs are a multi-agency, harm reduction response unit that delivers support and person-centered services to …
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Resources for an Evolving Crisis: Preventing Overdose from Combined Substances
The aim of this resource page is to provide communities including health and human services …
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Facts for Life: Drug Interaction and Overdose
Fact sheet describing the interaction of multiple drugs and ways to prevent overdose.
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SAMHSA 988 Crisis Line
The course will help learners to understand what the 988 Crisis Lifeline is, how it …
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Cognitive-Behavioral Therapy for Treatment Seeking
This article and toolkit describes CBT for Treatment Seeking (CBT-TS). The program seeks to overcome …
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988 Suicide and Crisis Lifeline: Increasing Awareness to Save Lives
The 988 Suicide & Crisis Lifeline, launched in July, provides a fast way for people …
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Treatment

Click to explore popular toolkits and resources on Treatment

Medications for Opioid Use Disorder
Medications for Opioid Use Disorder (MOUD)
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The fourth wave of the U.S. overdose crisis
“The fourth wave of the U.S. overdose crisis: Disseminating incentive-based interventions for stimulant use disorder …
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Xylazine Trends and Public Health Implications
Xylazine Trends and Public Health Implications for Rural Communities
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SBIRT for Unhealthy Alcohol Use
In this webinar, Dr. Rose presents the origins of SBIRT and summarizes the evidence for …
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Peer Recovery as an Evidence-Based Practice: From Science to Impact
The presentation focuses on how peer recovery models of care can help rural recovery communities …
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Alcohol Use Disorder in the Primary Care Setting: Best Practices for Rural Communities
Our panel addresses the extent of rural alcohol use, specific rural barriers to treatment, clinical …
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Illicit Drug Supply: Fentanyl and Xylazine
This webinar presentation explores current information about fentanyl and xylazine including drug supply information, pharmacology, …
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Overdose Response Teams
ORTs are a multi-agency, harm reduction response unit that delivers support and person-centered services to …
View
Understanding the Harm Reduction Approach: Principles and Practice
This presentation outlines history, principles, and practices of harm reduction to reduce stigma and harm …
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Strategies for Distributing Intranasal Naloxone to Rural Communities
This presentation explores the need for naloxone distribution in rural areas, and discusses innovative methods …
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Medications for Opioid Use Disorder
Medications for Opioid Use Disorder (MOUD)
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Implementing Medication-Assisted Recovery
Strategies to streamline access to addiction treatment medications and creating equitable policies and procedures.
View
How to Prevent MAT-Related Discrimination
Information on developing non-discriminating policies in rural recovery housing based on FHA and ADA.
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Medications for Opioid Use Disorder
Medications for Opioid Use Disorder (MOUD)
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Prevention of Opioid Use Disorder in Women
This webinar reviews the literature on the development of chronic opioid use disorder in women, …
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Treatment of Stimulant Use Disorders
The presentation reviews new data on the neuropsychiatric and other medical effects of stimulants, and …
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Treatment and Assessment of Co-occurring PTSD and SUDs
This webinar by Dr. Peck provides a definition of trauma and posttraumatic stress disorder (PTSD) …
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Evidence-Based Treatment of PTSD in Individuals with OUD, and Innovative Approaches for Increasing Access to Care in Rural Communities
This presentation discusses effective treatment approaches for posttraumatic stress disorder (PTSD) in individuals with co-occurring …
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Smartphone-based Financial Incentives to Promote Smoking Cessation Among Pregnant Women
This webinar reviews the research, development, and outcomes produced by an innovative intervention with remotely-delivered …
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Reaching People Where They’re At: Smoking Cessation Treatment Delivery at Your Door
This webinar presentation discusses novel ways to deliver evidence-based treatment for smoking cessation within and …
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Applying Motivation-Phase Interventions to Treat Tobacco Use Among People with Opioid Use Disorder
This webinar presentation is on the importance of tobacco treatment for people with opioid use …
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Recovery

Click to explore popular toolkits and resources on Recovery

How to Become a Better Public Speaker
Recovery allies can earn how to become better public speakers so they can promote their …
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How Recovery Homes Can Help Sex Trafficking Survivors
In this webinar, learn about how recovery homes can support survivors of human trafficking.
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How to Use the Recovery Ecosystem Mapping Tool
Learn about how to use the Recovery Ecosystem Index Mapping Tool
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How to Use the Recovery Ecosystem Mapping Tool
Learn about how to use the Recovery Ecosystem Index Mapping Tool
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Welcome to the Recovery Ecosystem Index Mapping Tool
Learn about a new resource for rural communities– the Recovery Ecosystem Index Mapping Tool
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Recovery Allies: Understanding Recovery Capital and Building Recovery-Friendly Communities
The course outlines how you can become a recovery ally, support recovery ecosystems, and be …
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How Recovery Homes Can Help Sex Trafficking Survivors
In this webinar, learn about how recovery homes can support survivors of human trafficking.
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Contingency Management Workbook for Rural Recovery Housing
This toolkit considers the unique setting of rural recovery housing and was informed and inspired …
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How to Manage Food Costs
Recovery housing best practices for managing food costs.
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Rural Recovery House Management – Understanding & Responding to NIMBYism in Rural Communities
NIMBY (Not In My Back Yard) is a characterization of opposition by residents in a …
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A Campaign to Reduce Stigma
“Individuals impacted by opioid use disorder (OUD) met with artist Charmaine Wheatley to have their …
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Reducing Stigma in Rural EDs and Other Care Settings
This campaign aims to promote a stigma-free care environment while connecting individuals and families with …
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Implementing contingency management into rural recovery housing
Implementing contingency management into rural recovery housing: recommendations of a professional advisory expert panel.
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Why Evaluation Matters
Find out why evaluation matters to your rural recovery house, what data is the most …
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Intermediate Evaluation
This course will consist of five modules covering resident outcomes of interest, construction and use …
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How to Become a Better Public Speaker
Recovery allies can earn how to become better public speakers so they can promote their …
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How to Hire an Executive Director
A methodology and checklist: how to hire the best talent
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A New Path Forward: Harnessing the Benefits of Relational Employment for Those in Recovery
Rob and Diane Perez of DV8 Kitchen in Lexington, KY, partner with the Fletcher Group …
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Policy

Click to explore popular toolkits and resources on Policy

How to Use the Recovery Ecosystem Mapping Tool
Learn about how to use the Recovery Ecosystem Index Mapping Tool
View
Welcome to the Recovery Ecosystem Index Mapping Tool
Learn about a new resource for rural communities– the Recovery Ecosystem Index Mapping Tool
View
Contingency Management Workbook for Rural Recovery Housing
This toolkit considers the unique setting of rural recovery housing and was informed and inspired …
View
Contingency Management Workbook for Rural Recovery Housing
This toolkit considers the unique setting of rural recovery housing and was informed and inspired …
View
Implementing contingency management into rural recovery housing
Implementing contingency management into rural recovery housing: recommendations of a professional advisory expert panel.
View
A Qualitative Analysis of US State Laws Regulating Incentives for Health Behavior
This presentation describes the results of a qualitative study examining state laws regulating incentives for …
View
Implementing Medication-Assisted Recovery
Strategies to streamline access to addiction treatment medications and creating equitable policies and procedures.
View
How to Prevent MAT-Related Discrimination
Information on developing non-discriminating policies in rural recovery housing based on FHA and ADA.
View
Resources for Monitoring Substance Use Trends
This article describes the websites for federal agencies and national or international organizations which can …
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Compliance Law in Recovery Housing
A webinar on a practical guide to structuring legally compliant RH and SUD services
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What Are You Thinking? An Exploration of Thinking Styles
The Whole Brain? Model is a time tested framework to decode and harness the cognitive …
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How to be an Ally for Diversity and Inclusion
This course provides some tips on how you can become an ally for diversity and …
View
Motivational Interviewing: Evidence-Based Strategies and Principles for Guiding Conversations With Your Patients
In this session, Dr. Jackson shares practical ways to implement and utilize motivational interviewing (MI) …
View
Behavioral Health Care Managers: An Approach to Integrating Behavioral Health in Rural Primary Care Practices
This article discusses a model for integrating Behavioral Health into rural primary care practices, recognizing …
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Transitions Clinic Network Programs
Transitions Clinic Network (TCN) programs address the high rates of overdose mortality among people recently …
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Identifying SUD Bias and Addressing Stigma in the Clinical Setting
This presentation outlines practical approaches to identifying personal bias and addressing stigma in the clinical …
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Pregnancy, Parenting, And Substance Use: Stigma, Fear and a Call for Improved Messaging to our Families
This presentation covers unique barriers that people with opioid use disorder face when pregnant and …
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Tony Hoffman Highlights the Cost of Institutional Stigma
This article summarizes the main points from a keynote address at the Taking Action Summit …
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Justice: Post-Adjudication
This course is an overview of the justice system while also discussing issues addressing SUD …
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Justice & Correctional Initiatives
Focus on person-centered approaches and the impact of discrimination on those in the legal and …
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Justice: Pre-Adjudication
The course provides a glossary of commonly used terms and gives an overview of the …
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Funding & Reimbursement

Click to explore popular toolkits and resources on Funding & Reimbursement

How to Become a Better Public Speaker
Recovery allies can earn how to become better public speakers so they can promote their …
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A Deeper Dive into ASAM’s Recent Criteria Changes
Fletcher Group Rural SUD and Recovery Housing Specialist Anne Shields does a deeper dive into …
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Recovery Residences and 4th Edition ASAM
Thanks to recent changes in the American Society of Addiction Medicine criteria, recovery housing is …
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How to Become a Better Public Speaker
Recovery allies can earn how to become better public speakers so they can promote their …
View
Beginning Your Rural Grant Seeking Journey
The course covers the resourcing, relationship-building, and other topics for rural recovery housing fundraising and …
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How to Write Winning Grants
Show me the money! Grant writer and former grant reviewer Pamela Baston shares the grant …
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How to Become a Better Public Speaker
Recovery allies can earn how to become better public speakers so they can promote their …
View
Beginning Your Rural Grant Seeking Journey
The course covers the resourcing, relationship-building, and other topics for rural recovery housing fundraising and …
View
Budgeting for Rural Recovery Residences
This course covers the basics of recovery house financing considerations, including capital expenses, operating expenses, …
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Search For Resources:

www
How to Become a Better Public Speaker

Recovery allies can earn how to become better public speakers so they can promote their good work with maximum impact

View
pdf
Medications for Opioid Use Disorder

Medications for Opioid Use Disorder (MOUD)

View
pdf
The fourth wave of the U.S. overdose crisis

“The fourth wave of the U.S. overdose crisis:
Disseminating incentive-based interventions for stimulant use
disorder into rural community settings “

View
pdf
Xylazine Trends and Public Health Implications

Xylazine Trends and Public Health Implications for Rural Communities

View
www
How Recovery Homes Can Help Sex Trafficking Survivors

In this webinar, learn about how recovery homes can support survivors of human trafficking.

View
pdf
How to Manage Food Costs

Recovery housing best practices for managing food costs.

View
www
How to Use the Recovery Ecosystem Mapping Tool

Learn about how to use the Recovery Ecosystem Index Mapping Tool

View
www
Welcome to the Recovery Ecosystem Index Mapping Tool

Learn about a new resource for rural communities– the Recovery Ecosystem Index Mapping Tool

View
Not finding what you're looking for?
Advanced Search

Welcome to the Rural SUD Info Center, a collection of best practices, tools, and research for rural communities as they work to build and strengthen a comprehensive approach to substance use disorder (SUD). These resources offer support to rural providers/partners, recovery specialists, rural community members, and more.

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Quick Links

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

FAQs

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

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

How often are the Rural SUD Info Center materials updated?

Materials are updated on a quarterly basis.

How can I contact the Rural SUD Info Center?

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

Is there an Urban SUD Resource Center?

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

What are the Rural Centers of Excellence?

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

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

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

What is the Rural SUD Info Center?

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

What resources are available for providers and patients?

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

Where can I find rural providers in my area?

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

Where can I find previous versions of toolkits?

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

Who operates the Rural SUD Info Center?

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

In Crisis? Call or Text 988