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The goal of Community Conversations on Opioid Use Disorder workshops is to shed light on substance use disorder (SUD)-related stigma as a barrier to recovery and to collaborate with rural communities to develop local solutions that reduce it.

This campaign aims to promote a stigma-free care environment while connecting individuals and families with treatment resources. It includes posters featuring people in recovery and emergency department providers who care for patients with substance use disorder. QR codes on the posters link to short videos with these individuals' stories.

The focus of this program is to train and provide consultation to providers in rural communities who are interested in increasing substance use and/or mental health treatment initiation and retention of their patients. Providers can receive training quickly and can implement the program easily. The intervention consists of just one session with a patient, using cognitive-behavioral techniques. Ongoing support is available.

The 988 Suicide & Crisis Lifeline, launched in July 2022, provides a fast way for people experiencing a suicidal, mental health, or substance use disorder (SUD) crisis to urgently get help 24 hours a day, 7 days a week. This national service can be particularly important for rural communities, extending the capacity of limited and strained mental health and SUD services and suicide prevention programs to ensure more people in crisis—or family and friends concerned about someone who is—can access help.

To help rural primary care practices provide more comprehensive care to patients they serve, we highlight the role of the Behavioral Health Care Manager (BHCM) on this resource page. We have drawn upon best practices and learnings from the Collaborative Care Model of behavioral health integration and adapted the BHCM role to make it a practical approach for providers in rural communities.

 A hybrid in-person and virtual event, the summit convened a diverse group of people with deep knowledge of the issues and dedication to finding solutions to discuss how stigma and health inequity increase barriers around substance use disorder (SUD). More importantly, presenters shared their knowledge, perspectives, and experience about how to overcome stigma and health inequities and more effectively address the SUD crisis in rural communities.

The aim of this resource page is to provide communities—including health and human services providers, individuals with substance use disorder, their families and friends, and local leaders—with convenient, evidence-based tools to use and share in addressing risks related to polysubstance use.

The Ecosystem of Recovery reflects the approach we are using in the Appalachian region of New York State to create broader access to and community-wide support for best practices in opioid use disorder (OUD) treatment. This approach may be a helpful framework for other rural communities.

We have developed comprehensive training on the treatment of opioid use disorder (OUD) in primary care to support providers and staff in rural areas as they deliver evidence-based care to patients. The free training carries continuing education credits.

Transitions Clinic Network (TCN) programs address the high rates of overdose mortality among people recently released from incarceration and other health risks and challenges these individuals face. A primary care practice that implements a TCN program provides patients with care for chronic health conditions including substance use disorder upon release. It adds a community health worker with a history of incarceration who connects with patients before release, helps them navigate services in the community, and provides warm handoffs.

For people with substance use disorder, the road to recovery can be long and hard. In rural communities, where rates of overdose mortality have increased at higher rates than in urban areas, limited access to treatment makes the journey even harder. The ROADSS program, introduced here in a video, addresses that disparity by bringing treatment and resources closer to home.