Rural Health
Resources by Topic: Opioids
Expanding Behavioral Health Teams in Care Deserts With Community Health Workers and Peer Support Specialists
Report explores the role community health workers can play in expanding behavioral health access to rural areas and care deserts. Highlights how community health workers can support behavioral health access through outreach activities, serving as community liaisons, screening for behavioral health concerns, and providing community education, among other measures.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report explores the role community health workers can play in expanding behavioral health access to rural areas and care deserts. Highlights how community health workers can support behavioral health access through outreach activities, serving as community liaisons, screening for behavioral health concerns, and providing community education, among other measures.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Empowering Rural Communities: Overcoming Barriers to Substance Use Treatment
Webinar recording discusses the ways rural communities can overcome barriers to substance use disorder (SUD) treatment and uptake. Explores substance use data for rural communities and outlines common barriers, such as travel times and distance to care, provider shortages, and concerns about stigma and patient confidentiality. Highlights strategies for rural communities to leverage their community bonds and faith communities to address SUD, and details models for expanding treatment and patient support in rural areas.
Additional links: Webinar Slides
Date: 02/2026
Sponsoring organization: Addiction Technology Transfer Center Network
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Webinar recording discusses the ways rural communities can overcome barriers to substance use disorder (SUD) treatment and uptake. Explores substance use data for rural communities and outlines common barriers, such as travel times and distance to care, provider shortages, and concerns about stigma and patient confidentiality. Highlights strategies for rural communities to leverage their community bonds and faith communities to address SUD, and details models for expanding treatment and patient support in rural areas.
Additional links: Webinar Slides
Date: 02/2026
Sponsoring organization: Addiction Technology Transfer Center Network
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Model Standards for Crisis Care Workers
Proposes national standards for crisis care workers responding to the 988 Suicide and Crisis Lifeline and other behavioral health hotlines. Outlines 10 different standards for crisis care workers, such as core values and competencies; education, training, and qualifications; and standards for supervision, among others. Discusses some considerations for rural communities, such as lack of transportation and workforce shortages.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Proposes national standards for crisis care workers responding to the 988 Suicide and Crisis Lifeline and other behavioral health hotlines. Outlines 10 different standards for crisis care workers, such as core values and competencies; education, training, and qualifications; and standards for supervision, among others. Discusses some considerations for rural communities, such as lack of transportation and workforce shortages.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Expanding Access to Harm Reduction in Rural Communities Through Community-Informed Public Health Vending Machines
Examines the role of public health vending machines (PHVMs) to address the opioid epidemic in rural counties in North Carolina. Utilizes a community-based participatory research (CBPR) approach to gather qualitative feedback among people with substance use experience regarding issues such as naloxone access, stigma, preferred PHVM locations and distribution models, and more.
Author(s): Lori Ann Eldridge, Christian Dotson, Lauren Harrell, et al.
Citation: Harm Reduction Journal, 23, 26
Date: 01/2026
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Examines the role of public health vending machines (PHVMs) to address the opioid epidemic in rural counties in North Carolina. Utilizes a community-based participatory research (CBPR) approach to gather qualitative feedback among people with substance use experience regarding issues such as naloxone access, stigma, preferred PHVM locations and distribution models, and more.
Author(s): Lori Ann Eldridge, Christian Dotson, Lauren Harrell, et al.
Citation: Harm Reduction Journal, 23, 26
Date: 01/2026
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Examining Rural Community Pharmacists' Knowledge and Practices in Opioid Overdose Prevention and Treatment Services in the Southeastern United States
Highlights a study on the knowledge and practices of rural pharmacists around opioid use disorder-related education and counseling in the Southeastern U.S. Presents data by pharmacist demographic characteristics, knowledge, and experience with medications for opioid use disorder (MOUD).
Author(s): Stefanie P. Ferreri, Paige Q. Ngo, Kaileigh D. Yen, Kevin Wang, et al.
Citation: Harm Reduction Journal, 23(11)
Date: 01/2026
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Highlights a study on the knowledge and practices of rural pharmacists around opioid use disorder-related education and counseling in the Southeastern U.S. Presents data by pharmacist demographic characteristics, knowledge, and experience with medications for opioid use disorder (MOUD).
Author(s): Stefanie P. Ferreri, Paige Q. Ngo, Kaileigh D. Yen, Kevin Wang, et al.
Citation: Harm Reduction Journal, 23(11)
Date: 01/2026
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"It's a Last Straw Situation"; Overdose Response and Preferences for Seeking Support from Emergency Services During Overdose in Rural Ohio
Explores the perceptions and preferences of people in rural Ohio affected by the opioid epidemic about contacting first responders during an overdose. Bases findings on a survey of 43 rural people who have experienced or witnessed an overdose on the factors they considered when deciding whether or not to call 911.
Author(s): David C. Colston, Vivian F. Go, Clare Barrington, et al.
Citation: PLOS One, 21(1), e0338689
Date: 01/2026
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Explores the perceptions and preferences of people in rural Ohio affected by the opioid epidemic about contacting first responders during an overdose. Bases findings on a survey of 43 rural people who have experienced or witnessed an overdose on the factors they considered when deciding whether or not to call 911.
Author(s): David C. Colston, Vivian F. Go, Clare Barrington, et al.
Citation: PLOS One, 21(1), e0338689
Date: 01/2026
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Exploring the Use of Telemedicine to Expand Addiction and Recovery Resources in Great Plains Tribal Communities
Explores the use of telemedicine to provide medications for opioid use disorder (MOUD) to patients in tribal communities. Explores the barriers and facilitators to implementing telemedicine-based MOUD services across the Great Plains Area of the Indian Health Service.
Author(s): Michael C. Harding, Anna C. Kihlstrom, Allison Kelliher, et al.
Citation: Journal of Rural Health, 42(1), e70113
Date: 01/2026
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Explores the use of telemedicine to provide medications for opioid use disorder (MOUD) to patients in tribal communities. Explores the barriers and facilitators to implementing telemedicine-based MOUD services across the Great Plains Area of the Indian Health Service.
Author(s): Michael C. Harding, Anna C. Kihlstrom, Allison Kelliher, et al.
Citation: Journal of Rural Health, 42(1), e70113
Date: 01/2026
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Supporting Rural Primary Care Practices in Delivering Care for Chronic Pain
Provides guidance on chronic pain care in rural primary care practices. Discusses best practices for delivering high-quality care in rural areas, including discussion of substance use disorder treatment and prevention, barriers to care delivery in rural practices, and more.
Date: 01/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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Provides guidance on chronic pain care in rural primary care practices. Discusses best practices for delivering high-quality care in rural areas, including discussion of substance use disorder treatment and prevention, barriers to care delivery in rural practices, and more.
Date: 01/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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2021-2024 NSDUH Data Brief: Trends in Substance Use among Young Adults
Report details the substance use trends for young adults from 2021 to 2024 based on the findings from the Nation Survey on Drug Use and Health. Identifies substance use patterns and breaks down data by age, substance used, and whether participants resided in a large or small metropolitan or nonmetro county.
Date: 12/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report details the substance use trends for young adults from 2021 to 2024 based on the findings from the Nation Survey on Drug Use and Health. Identifies substance use patterns and breaks down data by age, substance used, and whether participants resided in a large or small metropolitan or nonmetro county.
Date: 12/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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2024 NSDUH Data Brief: Symptoms of Generalized Anxiety Disorder Among Adults
Report examines generalized anxiety disorder in American adults through data from the National Survey on Drug Use and Health (NSDUH). Breaks down data by demographic characteristics, such as age, sex, education level, co-occurring substance use, and employment, as well as geographic and socioeconomic characteristics, such as geographic region, health insurance, rurality, and federal poverty level.
Date: 11/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report examines generalized anxiety disorder in American adults through data from the National Survey on Drug Use and Health (NSDUH). Breaks down data by demographic characteristics, such as age, sex, education level, co-occurring substance use, and employment, as well as geographic and socioeconomic characteristics, such as geographic region, health insurance, rurality, and federal poverty level.
Date: 11/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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