RCORP Rural Centers of Excellence on Substance Use Disorders

The RCORP-Rural Centers of Excellence on Substance Use Disorders establishes three centers of excellence on substance use disorder (SUD).

The centers of excellence support the identification, translation, dissemination, and implementation of evidence-based programs and best practices related to the treatment for and prevention of SUD within rural communities, with a focus on the current opioid crisis and developing methods to address future SUD epidemics.

Rural Communities Opioid Response Program (RCORP)-Rural Centers of Excellence (RCOE) on Substance Use Disorder aims to reduce morbidity, mortality, and other adverse outcomes associated with substance use disorder (SUD), particularly opioid use disorder (OUD), in rural communities.  HRSA recently provided $20 million to establish three Rural Centers of Excellence, each with a separate and distinct Focus Area, to support the identification, translation, dissemination, and implementation of evidence-based programs and best practices related to the treatment for and prevention of SUD within rural communities.  RCORP-RCOE focuses on the current opioid crisis and assists rural communities to develop methods to address future SUD epidemics.

Grant Recipients

Focus Area 1: Innovative and effective treatment interventions for SUD, particularly OUD, in rural communities 

University of Vermont will establish the Center on Rural Addiction in Burlington, VT, to support capacity building for addiction treatment and prevention through adoption of effective evidence-based practices targeting rural communities in Maine, New Hampshire, and Vermont. Total grant amount is $6,666,666.

The University of Vermont Center on Rural Addiction will

  1. identify real-time needs and best practices need to effectively address current OUD treatment needs in northern New England;
  2. disseminate education and resources on evidence-based approaches for addressing SUD epidemics and facilitating rural workforce development;
  3. deliver systematic technical assistance in the selection, implementation, and ongoing use of best practices to assess and treat rural patients’ SUD and related needs; and
  4. support expansion of OUD treatment capacity in rural communities in northern New England and beyond using science-based knowledge and methods.

The University of Vermont Center on Rural Addiction builds on three decades of innovative research to develop and evaluate novel SUD treatments, including seminal studies demonstrating the efficacy of buprenorphine contributing to its FDA approval and the creation of the nation’s first hub-and-spoke model of care.

To request technical assistance from the RCOE at the University of Vermont, please contact Stacey Sigmon, PhD,  and Sarah Heil, PhD.

 

Focus Area 2: Best practices in recovery housing programs for SUD, particularly OUD, intervention among low-income, high-risk individuals in rural communities

Fletcher Group, Inc. will collaborate with the University of Kentucky to establish a Rural Center of Excellence to facilitate evidence-based prevention, promote effective treatment and social recovery, and establish quality community-based recovery housing targeting 101 rural counties in eight states highly affected by the national opioid crisis: Kentucky, Georgia, West Virginia, Ohio, Idaho, Montana, Oregon, and Washington.  Total grant amount is $6,666,666.

This Rural Center of Excellence will

  1. assist public health entities, practitioners, and leaders in rural communities address SUD/OUD with evidence-based prevention, treatment, and risk reduction with a focus on recovery housing;
  2. provide technical assistance to rural communities for the establishment of evidence-based, affordable, and sustainable recovery housing programs;
  3. assist rural communities to establish treatment and recovery housing options for low-income and high-risk individuals, including those involved with the criminal justice system, incorporating the Recovery KY model; and
  4. develop infrastructure for promoting and evaluating recovery housing programs.

Fletcher Group, Inc (Stockbridge, GA). administers the Recovery KY program, a peer-driven and professionally supervised long-term recovery program featuring 18 facilities each serving 100 or more residents for up to two years.  Annual evaluations of Recovery KY led by the University of Kentucky, the first multi-year systematic evaluation of long-term residential recovery supports in the United States, demonstrate effective recovery outcomes for residents, including decreases in opioid use and homelessness.

To request technical assistance from the RCOE at Fletcher Group, please contact Ernie Fletcher, MD  and Dave Johnson.

 

Focus Area 3: Addressing synthetic opioid-related overdose mortality in rural communities in the Delta and/or Appalachian regions

University of Rochester will establish a Rural Center of Excellence in Rochester, NY, to assist rural communities in using evidence-based practices that may ultimately reduce synthetic opioid-related morbidity and mortality. The University of Rochester will target 20 high-needs rural Appalachian counties in Kentucky, New York, Ohio, and West Virginia. Total grant amount is $6,666,666.

This Rural Center of Excellence will

  1. identify evidence-based and emerging best practices that directly or indirectly reduce morbidity and mortality from synthetic opioid use;
  2. convene key administrative and state leaders and clinical leaders from health care delivery systems and local communities to adapt evidence-based and emerging best practices for implementation in rural settings;
  3. disseminate evidence-based and emerging practices to address high-priority needs related to the opioid crisis in rural Appalachia; and
  4. provide technical assistance to help rural communities adapt and implement evidence-based and emerging best practices, including administrative research and support and financial modeling.

The RCOE at the University of Rochester builds on the institution’s history of scientific research, delivery system reform efforts, and network development initiatives to improve rural health.

To request technical assistance from the RCOE at the University of Rochester, please contact Gloria Baciewicz, MD, Michele Lawrence, and Christine Lasher.

    Date Last Reviewed:  November 2019


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