Rural Project Examples: Illicit drug use

Evidence-Based Examples

keepin' it REAL Rural

Updated/reviewed April 2025

• Need: A drug and alcohol prevention program for middle school students that is specific to rural culture.
• 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 August 2020

• 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

Arukah Institute's Living Room Program

Added December 2023

• Need: To address high rates of substance use in Princeton, Illinois and the surrounding area.
• Intervention: The Arukah Institute, a local nonprofit organization providing mental health services, adapted a statewide model to provide support and a safe space for people in need of substance use resources.
• Results: The Living Room program had 1,485 visits in its first year, with 100% of clients served by recovery support specialists.

New Horizons Substance Use Recovery Network

Updated/reviewed August 2021

• 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.