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Rural Project Examples: Illicit drug use

Evidence-Based Examples

keepin' it REAL Rural
Updated/reviewed March 2019
  • Need: A drug and alcohol prevention program for middle school students that is specific to rural culture in Pennsylvania and Ohio.
  • Intervention: An adaptation of the evidence-based keepin' it REAL curriculum was customized for rural middle school students.
  • Results: Students showed a reduction in all substance use and less personal acceptability of substance use.

Effective Examples

Vermont Hub-and-Spoke Model of Care for Opioid Use Disorder
Updated/reviewed July 2019
  • Need: Increase access to medication-assisted treatment for opioid use disorder in rural Vermont.
  • Intervention: Statewide hub-and-spoke treatment access system.
  • Results: Increased treatment capacity and care coordination.

Other Project Examples

Opioid Overdose Prevention Outreach Program
Updated/reviewed August 2019
  • Need: To reduce opioid use disorder and overdose deaths in Maryland's Eastern Shore counties.
  • Intervention: An outreach program educates healthcare providers, EMS staff, and laypeople on the risks of opioids, prevention and treatment options, and Narcan training.
  • Results: Program coordinators have presented information to 988 people in Maryland's Eastern Shore counties and certified 609 people in Narcan training.
funded by the Health Resources Services Administration New Horizons Substance Use Recovery Network
Updated/reviewed July 2019
  • Need: In northern Michigan, a need for an integrated approach to deliver medication-assisted treatment for established patients of Federally Qualified Health Centers with opioid use disorder.
  • Intervention: Collaboration between one FQHC across 3 sites, a local waivered prescriber group, and a behavioral health organization created an integrated treatment approach for opioid use disorder.
  • Results: Increased access to medication-assisted treatment and comprehensive substance use disorder services leading to increased retention in treatment and increased engagement in stable recovery from opioid and alcohol use disorders.
funded by the Federal Office of Rural Health Policy funded by the Health Resources Services Administration Project Renew
Updated/reviewed July 2019
  • Need: To reduce deaths due to opioid overdose in rural southeast West Virginia.
  • Intervention: Project Renew trained and certified first responders, healthcare staff, and laypeople in naloxone administration.
  • Results: From April to June 2019, Project Renew has provided direct education to 120 individuals, completed 173 provider education activities, and distributed 260 Narcan kits.
Project VISION
Updated/reviewed July 2019
  • Need: To reduce opioid use and increase quality of life in Rutland, Vermont.
  • Intervention: Project VISION works to reduce opioid use through community engagement.
  • Results: Since 2012, Project VISION has collected and disposed of 550 pounds of unused medications, reduced thefts by over 32%, and had a 50% improvement on a neighborhood quality of life survey.
funded by the Federal Office of Rural Health Policy Nevada Rural Opioid Overdose Reversal (NROOR)
Updated/reviewed December 2018
  • Need: To reduce the number of overdoses and deaths related to opioid overdose in rural Nevada.
  • Intervention: The Nevada Rural Opioid Overdose Reversal (NROOR) Program, led by a Critical Access Hospital (CAH), furnished naloxone and provided education on prescription opioid use and overdose.
  • Results: In total, 117 EMTs were trained on the administration of naloxone. EMTs greatly appreciated the naloxone training and the naloxone kits.
funded by the Federal Office of Rural Health Policy MaineGeneral Harm Reduction Program
Updated/reviewed August 2018
  • Need: To reduce deaths from opioid overdoses in rural Maine.
  • Intervention: The MaineGeneral Harm Reduction Program provides community education and training for healthcare staff and first responders in rural Kennebec and Somerset counties.
  • Results: During the grant period, MaineGeneral trained 45 deputies and 246 healthcare staff and educated 60 community members.
The Dawn Center Intensive Outpatient Program
Updated/reviewed June 2017
  • Need: To treat substance addiction in rural South Carolina avoiding expensive inpatient facilities, including a treatment aim of keeping patients in their home communities.
  • Intervention: The Dawn Center offers an outpatient program for patients with substance abuse and addiction.
  • Results: Patients can receive counseling and treatment closer to home while becoming a part of the local recovery community.