Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
Youth Mental Health and Substance Use Task Force: Redesigning the Health Care Delivery System to Better Meet the Needs of Youth
Presents policy recommendations from 50 experts and thought leaders regarding how to maximize the potential of the U.S. healthcare system to better serve youth with behavioral health needs. Covers the behavioral health workforce, transparency and compliance with existing screening and treatment requirements, promoting integrated primary care and behavioral health services in pediatric settings, the needs of youth with the highest acuity behavioral health needs, and strengthening crisis and stabilization systems. Includes rural references and considerations throughout.
Date: 01/2025
Sponsoring organization: Bipartisan Policy Center
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Presents policy recommendations from 50 experts and thought leaders regarding how to maximize the potential of the U.S. healthcare system to better serve youth with behavioral health needs. Covers the behavioral health workforce, transparency and compliance with existing screening and treatment requirements, promoting integrated primary care and behavioral health services in pediatric settings, the needs of youth with the highest acuity behavioral health needs, and strengthening crisis and stabilization systems. Includes rural references and considerations throughout.
Date: 01/2025
Sponsoring organization: Bipartisan Policy Center
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Indian Health Service Program Evaluation Services: Community Opioid Intervention Pilot Projects Aggregate Report 2021-2024
Report evaluates the Indian Health Service's Community Opioid Intervention Pilot Project aimed at addressing opioid use disorder in tribal communities. Collects and evaluates data from grantees after the program's first 3 years, April 1, 2021 through March 31, 2024. Explores grantees' progress in building organizational capacity, community and educational events, and professional trainings, among other measures.
Additional links: Infographic
Date: 2025
Sponsoring organization: Indian Health Service
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Report evaluates the Indian Health Service's Community Opioid Intervention Pilot Project aimed at addressing opioid use disorder in tribal communities. Collects and evaluates data from grantees after the program's first 3 years, April 1, 2021 through March 31, 2024. Explores grantees' progress in building organizational capacity, community and educational events, and professional trainings, among other measures.
Additional links: Infographic
Date: 2025
Sponsoring organization: Indian Health Service
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Blueprint for a National Prevention Infrastructure for Mental, Emotional, and Behavioral Disorders
Explores evidence-based policies and approaches to preventing mental, emotional, and behavioral (MEB) disorders among population groups across the U.S. Discusses the need for prevention services on top of acute or episodic care during MEB crises. Details the infrastructure and workforce required for comprehensive MEB prevention and makes policy recommendations.
Additional links: Read Online
Author(s): Marcella Alsan, Marthe R. Gold, Alina B. Baciu, Alexis Wojtowicz
Date: 2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Explores evidence-based policies and approaches to preventing mental, emotional, and behavioral (MEB) disorders among population groups across the U.S. Discusses the need for prevention services on top of acute or episodic care during MEB crises. Details the infrastructure and workforce required for comprehensive MEB prevention and makes policy recommendations.
Additional links: Read Online
Author(s): Marcella Alsan, Marthe R. Gold, Alina B. Baciu, Alexis Wojtowicz
Date: 2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Understanding MAT Access in the Context of Unused MAT Capacity in the United States: When Increasing Rural MAT Capacity Is Not Enough
Examines the factors related to buprenorphine prescriptions to treat opioid use disorder (OUD) and the impacts of the federal DATA waiver to increase provider capacity. Utilizes multiple data sources to describe medication-assisted treatment (MAT) capacity, access, barriers, availability of MAT, and service area need in rural areas.
Author(s): Carolyn Carpenedo Mun, Rachel Zambrano, Eileen Tallman, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 19, 47
Date: 12/2024
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Examines the factors related to buprenorphine prescriptions to treat opioid use disorder (OUD) and the impacts of the federal DATA waiver to increase provider capacity. Utilizes multiple data sources to describe medication-assisted treatment (MAT) capacity, access, barriers, availability of MAT, and service area need in rural areas.
Author(s): Carolyn Carpenedo Mun, Rachel Zambrano, Eileen Tallman, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 19, 47
Date: 12/2024
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Perceptions of Substance Use Disorder in Rural Areas: How the Brain Disease Model Impacts Public Stigma
Presents a study on substance use disorder (SUD) stigma in rural communities by comparing the results from a 2020 study to a survey conducted in 2023. Explores rural perceptions in SUD as a legitimate illness and discusses perceptions of medication-assisted treatment (MAT) and SUD treatment and recovery.
Author(s): Erin E. Miller, Sarah Schweitzer, Patricia Ahmed, et al.
Citation: BMC Public Health, 24, 3531
Date: 12/2024
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Presents a study on substance use disorder (SUD) stigma in rural communities by comparing the results from a 2020 study to a survey conducted in 2023. Explores rural perceptions in SUD as a legitimate illness and discusses perceptions of medication-assisted treatment (MAT) and SUD treatment and recovery.
Author(s): Erin E. Miller, Sarah Schweitzer, Patricia Ahmed, et al.
Citation: BMC Public Health, 24, 3531
Date: 12/2024
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Lifting Kids Up with Grace: How a New Mexico Community Built a Grassroots Youth and Family Center from the Ground Up
Features the GRACE Youth and Family Center for Everyone, a New Mexico grassroots initiative that offers free programming to children, teenagers, and families in a rural county with high rates of substance use.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 12/2024
Sponsoring organization: Rural Health Information Hub
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Features the GRACE Youth and Family Center for Everyone, a New Mexico grassroots initiative that offers free programming to children, teenagers, and families in a rural county with high rates of substance use.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 12/2024
Sponsoring organization: Rural Health Information Hub
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Eliminating Tobacco-Related Disease and Death: Addressing Disparities - A Report of the Surgeon General
Report explores disparities in tobacco use and tobacco use-related health outcomes. Identifies tobacco-related disparities and the various demographic groups that still use tobacco products at a higher rate than the national average, such as people below the poverty level, workers in manual labor or service industry jobs, and people who live in rural communities, among others. Highlights strategies for curtailing the expansion of tobacco use and details promising interventions for reducing tobacco-related health disparities.
Additional links: Executive Summary, Full Report
Date: 11/2024
Sponsoring organization: U.S. Department of Health and Human Services
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Report explores disparities in tobacco use and tobacco use-related health outcomes. Identifies tobacco-related disparities and the various demographic groups that still use tobacco products at a higher rate than the national average, such as people below the poverty level, workers in manual labor or service industry jobs, and people who live in rural communities, among others. Highlights strategies for curtailing the expansion of tobacco use and details promising interventions for reducing tobacco-related health disparities.
Additional links: Executive Summary, Full Report
Date: 11/2024
Sponsoring organization: U.S. Department of Health and Human Services
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Implementation Outcomes from a Pilot Study of Training Probation Officers to Deliver Contingency Management for Emerging Adults with Substance Use Disorders
Discusses the risk for young adults in the criminal justice system to misuse substances and develop substance use disorders. Highlights the increased risk for those young adults living in rural communities and explores the efficacy of a program that empowers probation officers to connect their clients to evidence-based substance use services. Details the results of this pilot program in two rural counties in Oregon.
Author(s): Tess K. Drazdowskia, Katherine Keltonc, Patrick F. Hibbard, et al.
Citation: Journal of Substance Use & Addiction Treatment, 166, 209450
Date: 11/2024
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Discusses the risk for young adults in the criminal justice system to misuse substances and develop substance use disorders. Highlights the increased risk for those young adults living in rural communities and explores the efficacy of a program that empowers probation officers to connect their clients to evidence-based substance use services. Details the results of this pilot program in two rural counties in Oregon.
Author(s): Tess K. Drazdowskia, Katherine Keltonc, Patrick F. Hibbard, et al.
Citation: Journal of Substance Use & Addiction Treatment, 166, 209450
Date: 11/2024
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2023 Report to Congress on the State Opioid Response Grants (SOR)
Report details the outcomes of state opioid response (SOR) grants to Congress. Highlights demographic breakdown of people served by SOR programs and discusses key accomplishments by state/territory. Includes rural references throughout.
Date: 09/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report details the outcomes of state opioid response (SOR) grants to Congress. Highlights demographic breakdown of people served by SOR programs and discusses key accomplishments by state/territory. Includes rural references throughout.
Date: 09/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Santa Fe and Las Vegas, New Mexico, September 4-6, 2024
Summarizes the 95th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Santa Fe and Las Vegas, New Mexico. Presents an overview of national, state, and community perspectives on the rural opioid and substance use crisis.
Date: 09/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 95th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Santa Fe and Las Vegas, New Mexico. Presents an overview of national, state, and community perspectives on the rural opioid and substance use crisis.
Date: 09/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Alcohol use
- Behavioral health
- Behavioral health workforce
- Illicit drug use
- Prescription drug misuse
- Substance use and misuse
- Tobacco use
Last Updated: 1/22/2026