Rural Project Examples from FORHP Rural Communities Opioid Response Program (RCORP)
Promising Examples
Nurse Navigator and Recovery Specialist Outreach Program
Updated/reviewed November 2022
- Need: To properly address and treat patients who have concurrent substance use and chronic healthcare issues.
- Intervention: A referral system utilizes community health workers (CHWs) in a drug and alcohol treatment setting. A registered nurse helps with providers' medication-assisted treatment programs.
- Results: This program has reduced hospital emergency visits and hospital readmissions for patients since its inception.
Other Project Examples
First Day Forward
Added March 2024
- Need: Enhanced support for people with substance use disorders leaving jail and reentering communities in rural northeastern Kentucky.
- Intervention: A reentry program that uses peer support specialists to teach cognitive life skills, obtain essential identification documents, and help people create and follow personalized case plans before and after their release.
- Results: More than 420 people have been served by First Day Forward, with recidivism rates significantly lower among people who successfully completed the program.
CMH Addiction Recovery Program
Added November 2023
- Need: To help people who use drugs and their families access treatment and counseling in rural Missouri.
- Intervention: The CMH Addiction Recovery Program provides medication-assisted treatment, counseling, peer and family support, and other related services through a Rural Health Clinic.
- Results: The program operates 5 days a week and sees 400 patients each month.
One Health Recovery Doulas
Added October 2023
- Need: To support pregnant and parenting women with a history of substance use, mental health, or co-occurring disorders in rural areas of Montana.
- Intervention: One Health, a consortium of Federally Qualified Health Centers (FQHCs), developed a team of "recovery doulas" – individuals who are dual-certified as doulas and peer-support specialists. The One Health recovery doula program offers group and individual services to women and their partners from pregnancy through the first years of parenthood.
- Results: A team of nine recovery doulas (or doulas-in-training) employed by One Health offer services in ten rural Montana counties. Recovery doulas have provided essential support to women with substance use disorder, survivors of sexual abuse, unhoused individuals, and individuals facing other complex challenges.
SLV N.E.E.D.: Naloxone Education Empowerment Distribution Program
Updated/reviewed August 2020
- Need: Growing concern in rural Colorado communities regarding prescription and illegal opioid overdoses.
- Intervention: Education efforts for health workers and the larger community, in addition to establishing a naloxone overdose reversal drug program.
- Results: In addition to continuing to train nearly all first responders to administer naloxone, the organization provides harm reduction education in various community settings.