Skip to main content
Rural Health Information Hub

Substance Use and Misuse in Rural Areas – Models and Innovations

These stories feature model programs and successful rural projects that can serve as a source of ideas and provide lessons others have learned. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.

Other Project Examples

Updated/reviewed February 2024

  • Need: To provide housing and recovery services for rural Kentuckians dealing with substance use.
  • Intervention: Recovery Kentucky has 8 rural locations and provides apartments within a congregate living environment and an opportunity to begin recovery from substance use disorder in a structured, peer-led 12-step environment.
  • Results: The rural and urban centers serve up to 2,200 people annually. An independent university-led resident outcome evaluation showed significant improvements in clients' drug and alcohol use, housing and employment status, decrease in criminal justice improvement, and improved health and mental health.

Updated/reviewed January 2024

  • Need: To foster relationships with American Indian people in New Mexico to determine culturally appropriate practices in reducing nicotine addiction.
  • Intervention: NUPAC provides outreach, community programs, and cessation services.
  • Results: In fiscal year 2023, 1,333 QUIT NOW and DEJELO YA quit line enrollees stopped using tobacco.
funded by the Federal Office of Rural Health Policy funded by the Health Resources Services Administration

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.

Added November 2023

  • Need: To reduce the number of overdose deaths in Richmond, Indiana and connect people in need of mental health treatment to community resources.
  • Intervention: A mobile integrated healthcare (MIH) program that connects social workers with people who have just experienced a mental health crisis or overdose.
  • Results: More than 320 people have been referred to Richmond's MIH programs since June 2022.
funded by the Health Resources Services Administration

Updated/reviewed August 2023

  • Need: To bring medication-assisted treatment to rural and underserved areas in Colorado.
  • Intervention: Six mobile health units travel to 32 counties and offer services like telehealth sessions, counseling, naloxone, and referrals to wraparound services.
  • Results: The units traveled more than 100,000 miles from January 2020 to January 2021.

Updated/reviewed July 2023

  • Need: School-based drug misuse prevention program in Appalachian Ohio, a need triggered by a high school student's overdose death.
  • Intervention: Implementation of the HOPE curriculum, an age-appropriate K through 12th grade drug abuse prevention program.
  • Results: No further drug overdose deaths after curriculum initiated.
funded by the Federal Office of Rural Health Policy

Updated/reviewed May 2023

  • Need: To address the needs of pregnant women who are using substances and infants born into drug-positive families.
  • Intervention: The Mothers and Infants Sober Together (MIST) program assisted mothers who used substances get treatment and provide a safe, drug-free home for themselves and their newborn.
  • Results: MIST has helped mothers find treatment and education and has helped children grow up in safe and healthy homes.
funded by the Federal Office of Rural Health Policy

Updated/reviewed January 2023

  • Need: To reduce the number of overdoses and overdose-related deaths from opioids in rural Pennsylvania.
  • Intervention: ARMOT provides 1) case management and recovery support services to individuals with substance use disorders and 2) education and support to rural hospital staff, patients, and their loved ones.
  • Results: Since 2015, ARMOT has received over 2,956 referrals.
funded by the Federal Office of Rural Health Policy funded by the Health Resources Services Administration

Updated/reviewed September 2022

  • Need: Improved approach in addressing the behavioral health and primary care disparities of Indiana's underserved rural counties.
  • Intervention: A network was established that trained community health workers (CHWs) to be certified health insurance enrollment navigators and provide mental health services.
  • Results: This year, ASPIN trained 230 CHWs, cross-trained 70 behavioral health case managers as CHWs, and 35 individuals in the Indiana Navigator Pre-certification Education.

Updated/reviewed August 2022

  • Need: To reduce the number of deaths and injuries caused by drunk driving in Isanti County.
  • Intervention: The SafeCab program provides alternative transportation home for bar patrons who would otherwise drive impaired.
  • Results: The program is credited with a significant decrease in DUI (Driving Under the Influence) arrests and the lower average corresponding BAC (Blood Alcohol Content) levels in Isanti County.

Last Updated: 2/23/2024