One strategy for sustaining rural substance use disorder (SUD) programs is
to identify funding sources. For current funding opportunities for SUD programs, see Rural
Funding & Opportunities by
Topic in the Rural Health Information Hub Online Library. For an overview of entities that fund
rural health programs, see Funders
Programs in the Rural Community Health Toolkit.
Examples of Funding from the Federal Government
The Health Resources and Services Administration Federal Office of Rural Health
Policy offers several funding opportunities for rural SUD programs, including the Rural Communities Opioid Response Program
The Substance Abuse and Mental Health Services
Administration (SAMHSA) offers multiple grants for SUD programs, including the
Substance Abuse Prevention and Treatment
SUD-focused grant programs funded by the U.S.
Department of Veterans Affairs include the Collaborative Research to Enhance and Advance
Transformation and Excellence (CREATE) initiative
The National Institute on Drug
Abuse (NIDA) of the National Institutes of Health and the Centers for Disease Control and Prevention
(CDC) regularly release funding opportunities related to SUD treatment and prevention. For example, NIDA,
CDC, SAMHSA, and the Appalachian Regional Commission co-funded
a grant program focused on addressing HIV, HCV and related comorbidities in rural communities
affected by opioid injection drugs.
- The U.S. Department of Justice's Bureau of Justice Assistance
provides funding for SUD programs, including adult drug
courts and veterans treatment courts.
- The U.S. Department of
Housing and Urban Development funds treatment programs for public housing residents under the
Public Housing Drug Elimination Program.
The Administration for Children and Families also supports SUD
programs. Some states are using Temporary
Assistance to Needy Families (TANF) funding to cover SUD treatment and services that support
recovery, such as employment training. States can also use the Social
Services Block Grant to fund a range of social services, including residential treatment programs
Examples of Funding from State, County, and Local Governments
- States governments commonly
include funding for SUD treatment and funding in their annual budgets. For example,
state of New York includes funding for MAT, residential programs, and public awareness
campaigns in its executive budget. State funding for SUD treatment and recovery is often directed
toward child protective services, correctional systems, and drug courts.
- County governments and agencies may also offer diverse funding opportunities to rural
communities. The National Association of Counties prepared
a report that
describes how counties in Appalachia are helping to address and fund programs to address the opioid
- Some rural communities work with local law enforcement agencies to secure funding for services.
For example, rural naloxone expansion programs have worked with law enforcement to develop processes
for allocating money from drug seizures to support naloxone distribution.
Examples of Funding from Philanthropies:
National foundations. National foundations and philanthropies can be a key
source of SUD prevention and treatment funding for rural communities. For example, the Conrad
N. Hilton Foundation funds Screening, Brief
Intervention, and Referral to Treatment (SBIRT) programs in rural communities. The Pew
Charitable Trusts and the Robert
Johnson Foundation are funding the Community Opioid Response and Evaluation (CORE) project to
help communities evaluate innovative programs to treat opioid use disorder.
Regional or local foundations. Rural SUD programs may be eligible for funding from
regional, state, or local foundations. For example, the Colorado
Health Foundation focuses on promoting adult recovery services. The North
Carolina Community Foundation provides funding for a multi-year residential SUD treatment program
that serves rural communities in North Carolina.
Pharmaceutical companies. Pharmaceutical companies often provide philanthropic
support for substance use issues, often through an associated foundation or corporate
philanthropy effort. For example, the Gilead
COMPASS (COMmitment to Partnership in Addressing HIV/AIDS in Southern States) Initiative is
funding programs to reduce HIV disparities in the south, including interventions that focus on
well-being, mental health, substance use and trauma-informed care. Rural naloxone expansion
programs have also partnered with pharmaceutical companies to provide free or reduced naloxone.
Resources to Learn More
and Substance Abuse Treatment: Chapter 6 - Financing and Organizational Issues
This chapter provides information on federal, state, and local sources of funding for substance abuse
Organization(s): Substance Abuse and Mental Health Services Administration, Center for Substance
Strategies to Meet the Needs of Young Children and Families Affected by the Opioid Crisis
Discusses ways to improve access, expand coverage of services, implement care delivery models, and
maximize resources to meet the needs of children and families affected by opioid use disorder.
Author(s): Normile, B., Hanlon, C., & Eichner, H.
Organization(s): National Academy for State Health Policy