Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
Empowering Rural Communities: Overcoming Barriers to Substance Use Treatment
Webinar recording discusses the ways rural communities can overcome barriers to substance use disorder (SUD) treatment and uptake. Explores substance use data for rural communities and outlines common barriers, such as travel times and distance to care, provider shortages, and concerns about stigma and patient confidentiality. Highlights strategies for rural communities to leverage their community bonds and faith communities to address SUD, and details models for expanding treatment and patient support in rural areas.
Additional links: Webinar Slides
Date: 02/2026
Sponsoring organization: Addiction Technology Transfer Center Network
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Webinar recording discusses the ways rural communities can overcome barriers to substance use disorder (SUD) treatment and uptake. Explores substance use data for rural communities and outlines common barriers, such as travel times and distance to care, provider shortages, and concerns about stigma and patient confidentiality. Highlights strategies for rural communities to leverage their community bonds and faith communities to address SUD, and details models for expanding treatment and patient support in rural areas.
Additional links: Webinar Slides
Date: 02/2026
Sponsoring organization: Addiction Technology Transfer Center Network
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Model Standards for Crisis Care Workers
Proposes national standards for crisis care workers responding to the 988 Suicide and Crisis Lifeline and other behavioral health hotlines. Outlines 10 different standards for crisis care workers, such as core values and competencies; education, training, and qualifications; and standards for supervision, among others. Discusses some considerations for rural communities, such as lack of transportation and workforce shortages.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Proposes national standards for crisis care workers responding to the 988 Suicide and Crisis Lifeline and other behavioral health hotlines. Outlines 10 different standards for crisis care workers, such as core values and competencies; education, training, and qualifications; and standards for supervision, among others. Discusses some considerations for rural communities, such as lack of transportation and workforce shortages.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Methamphetamine Use, Mental Health Comorbidities, and Treatment in Rural and Urban Areas, 2016-2019
Examines the prevalence of methamphetamine use by level of rurality and U.S. region, with data on methamphetamine use and mental illness, suicide and suicidal ideation, concurrent alcohol use, treatment for methamphetamine use disorder, method of use, and other relating to methamphetamine use prevalence and associated risks.
Author(s): Signe E. Burchim, Lisa A. Garberson, Sara C. Woolcock, et al.
Date: 02/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Examines the prevalence of methamphetamine use by level of rurality and U.S. region, with data on methamphetamine use and mental illness, suicide and suicidal ideation, concurrent alcohol use, treatment for methamphetamine use disorder, method of use, and other relating to methamphetamine use prevalence and associated risks.
Author(s): Signe E. Burchim, Lisa A. Garberson, Sara C. Woolcock, et al.
Date: 02/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Integrating Substance Use Disorder Prevention with Physical Health Care: Progress in States
Discusses how states can integrate substance use disorder (SUD) prevention with physical healthcare, including examples of integration activities that are applicable to rural settings. Highlights opportunities for behavioral health integration aimed at serving adolescents aged 12-18. Includes a rural case study example of a school-based health center SUD prevention program in Oregon.
Date: 01/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Discusses how states can integrate substance use disorder (SUD) prevention with physical healthcare, including examples of integration activities that are applicable to rural settings. Highlights opportunities for behavioral health integration aimed at serving adolescents aged 12-18. Includes a rural case study example of a school-based health center SUD prevention program in Oregon.
Date: 01/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Exploring the Use of Telemedicine to Expand Addiction and Recovery Resources in Great Plains Tribal Communities
Explores the use of telemedicine to provide medications for opioid use disorder (MOUD) to patients in tribal communities. Explores the barriers and facilitators to implementing telemedicine-based MOUD services across the Great Plains Area of the Indian Health Service.
Author(s): Michael C. Harding, Anna C. Kihlstrom, Allison Kelliher, et al.
Citation: Journal of Rural Health, 42(1), e70113
Date: 01/2026
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Explores the use of telemedicine to provide medications for opioid use disorder (MOUD) to patients in tribal communities. Explores the barriers and facilitators to implementing telemedicine-based MOUD services across the Great Plains Area of the Indian Health Service.
Author(s): Michael C. Harding, Anna C. Kihlstrom, Allison Kelliher, et al.
Citation: Journal of Rural Health, 42(1), e70113
Date: 01/2026
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2021-2024 NSDUH Data Brief: Trends in Substance Use among Young Adults
Report details the substance use trends for young adults from 2021 to 2024 based on the findings from the Nation Survey on Drug Use and Health. Identifies substance use patterns and breaks down data by age, substance used, and whether participants resided in a large or small metropolitan or nonmetro county.
Date: 12/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report details the substance use trends for young adults from 2021 to 2024 based on the findings from the Nation Survey on Drug Use and Health. Identifies substance use patterns and breaks down data by age, substance used, and whether participants resided in a large or small metropolitan or nonmetro county.
Date: 12/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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County-Level Vulnerability Is Associated with Mental Health and Substance Use Treatment among Rural Suicide Decedents: A National Multi-Year Cross-Sectional Study
Presents a study on the relationship between individual- and county-level factors that correlate with rural suicide decedents who receive mental health and substance use dependence treatment. Breaks down data by county-level factors, such as number of mental health providers, number of primary care providers, and rate of social associations, among others, as well as individual characteristics, such as age, sex, education, and marital status, among others.
Author(s): J. Priyanka Vakkalanka, Victor A. Soupene, Jennifer Van Tiem, et al.
Citation: Journal of Rural Health, 41(4), e70094
Date: 11/2025
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Presents a study on the relationship between individual- and county-level factors that correlate with rural suicide decedents who receive mental health and substance use dependence treatment. Breaks down data by county-level factors, such as number of mental health providers, number of primary care providers, and rate of social associations, among others, as well as individual characteristics, such as age, sex, education, and marital status, among others.
Author(s): J. Priyanka Vakkalanka, Victor A. Soupene, Jennifer Van Tiem, et al.
Citation: Journal of Rural Health, 41(4), e70094
Date: 11/2025
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How States Can Boost Behavioral Health Services in Rural Communities
Explores ways state officials can utilize federal funds to increase mental health and substance use treatment for rural communities. Highlights strategies for increasing access to behavioral health services in rural communities that can be funded through the Rural Health Transformation (RHT) Program.
Author(s): Alexandra Duncan, Kristen Mizzi Angelone
Date: 10/2025
Sponsoring organization: Pew Research Center
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Explores ways state officials can utilize federal funds to increase mental health and substance use treatment for rural communities. Highlights strategies for increasing access to behavioral health services in rural communities that can be funded through the Rural Health Transformation (RHT) Program.
Author(s): Alexandra Duncan, Kristen Mizzi Angelone
Date: 10/2025
Sponsoring organization: Pew Research Center
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The ELEVATE Maternal Health Center of Excellence: A Program to Reduce Maternal Morbidity from Substance Use Disorder in Utah
Presents a study detailing the efforts of the ELEVATE Maternal Health Center of Excellence to address mental health and substance use disorders (SUD) among pregnant and postpartum women in rural and American Indian and Alaska Native communities in Utah. Discusses the role mental health disorders and SUD play in contributing to maternal deaths and highlights the way ELEVATE interventions aim to improve care and reduce maternal mortality.
Author(s): Erin P. Johnson, Marcela C. Smid, Susanna R. Cohen, et al.
Citation: Substance Use & Addiction Journal, 47(1), 216-223
Date: 09/2025
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Presents a study detailing the efforts of the ELEVATE Maternal Health Center of Excellence to address mental health and substance use disorders (SUD) among pregnant and postpartum women in rural and American Indian and Alaska Native communities in Utah. Discusses the role mental health disorders and SUD play in contributing to maternal deaths and highlights the way ELEVATE interventions aim to improve care and reduce maternal mortality.
Author(s): Erin P. Johnson, Marcela C. Smid, Susanna R. Cohen, et al.
Citation: Substance Use & Addiction Journal, 47(1), 216-223
Date: 09/2025
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Binge Alcohol Use in the Past Month
Report using 2022-2024 National Survey on Drug Use and Health (NSDUH) data to highlight binge alcohol in the previous month use among adults and youth aged 12 to 17. Appendix includes demographic and geographic characteristics of survey participants including 5 levels of urbanization by county.
Date: 09/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report using 2022-2024 National Survey on Drug Use and Health (NSDUH) data to highlight binge alcohol in the previous month use among adults and youth aged 12 to 17. Appendix includes demographic and geographic characteristics of survey participants including 5 levels of urbanization by county.
Date: 09/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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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: 2/27/2026