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

Pathways Vermont Housing First Program

Updated/reviewed April 2021

• Need: Ending a local Vermont population's homelessness experience.
• Intervention: In 2010, Pathways Vermont implemented a first-of-its-kind, rural-focused Housing First program in order to provide housing and support services to those with mental health and substance use conditions experiencing homelessness.
• Results: Since its initial start-up, Pathways Vermont has assisted over 560 Vermonters — about 70% from rural areas — experiencing homelessness using the Housing First model. The organization has collaborated with the state mental health department, corrections department, local healthcare systems and providers, and other organizations to end homelessness. In addition, programmatic work has expanded to reach other local populations, including veterans and at-risk families.

SLV N.E.E.D.: Naloxone Education Empowerment Distribution Program

Updated/reviewed August 2020

• Need: Growing concern in rural Colorado communities regarding prescription and illegal opioid overdoses.
• Intervention: Education efforts for health workers and the larger community, in addition to establishing a naloxone overdose reversal drug program.
• Results: In addition to continuing to train nearly all first responders to administer naloxone, the organization provides harm reduction education in various community settings.

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