A Prescription for Action: Local Leadership in Ending the Opioid Crisis


This report contains recommendations for city and county officials to combat opioid misuse, diversion, overdose, and death.

A joint report from National Association of Counties (NACo) and the National League of Cities (NLC) examines how cities and counties can strengthen collaboration with each other and state, federal, private-sector and nonprofit partners to tackle the opioid crisis. Several of the recommendations are accompanied by existing local practices from cities and counties. The report also includes recommendations for state and federal officials, who are pivotal partners in local efforts to combat opioid misuse, diversion, overdose, and death.

Federal Resources for Rural Communities to Help Address Substance Use Disorder and Opioid Misuse


This guide documents federal resources and partnership opportunities for rural communities.

This guide is an output of ONDCP’s Rural Opioid Federal Interagency Working Group, co-chaired by the U.S. Department of Agriculture.

How Can USDA Help Address the Opioid Epidemic?


This one-page infographic identifies USDA resources available to support rural America’s response to the opioid epidemic.

The United States Department of Agriculture (USDA) has tools to help rural America respond to the opioid epidemic, including:

  • Resources for prevention, treatment and recovery
  • Programs to build upstream resilience and prosperity for the future

National Judicial Opioid Task Force: Tools and Resources for Courts


This document lists publications, videos, and webinars by the National Judicial Opioid Task Force to assist courts in addressing the opioid crisis.

In August 2017, the Conference of CHief Justices and the Conference of State Court Administrators formed the National Judicial Opioid Task Force (NJOTF) to examine current efforts and find solutions to address the opioid epidemic. The NJOTF is actively engaged in the creation of products to assist courts in addressing the opioid crisis.

Opioids in Appalachia


This publication provides recommendations and case studies to aid Appalachian county leaders in their efforts to respond to the opioid epidemic.

This report by the National Association of Counties and the Appalachian Regional Commission describes the impact of the opioid epidemic on Appalachian counties and offers recommendations for local action. These recommendations are discussed in five sections, each of which features key action steps and one or more case studies highlighting an Appalachian county: (1) leadership, (2) prevention, (3) recovery, (4) rehabilitation for justice-involved individuals, and (5) economic development. The recommendations and case studies contained in the report are designed to aid Appalachian county leaders in their efforts to formulate effective, efficient, and sustainable responses to the opioid epidemic.

Out of Sight: The Growth of Jails in Rural America


This paper uses an Incarceration Trends data tool to examine incarceration rates across urban and rural counties.

This report is one of a series that the Vera Institute of Justice (Vera) is releasing with the Safety and Justice Challenge—the John D. and Catherine T. MacArthur Foundation’s initiative to reduce overincarceration. This report explores one of the Incarceration Trends project’s most startling revelations, the dramatic shift in the geography of incarceration to rural counties.

Rural Communities in Crisis: Strategies to Address the Opioid Crisis


This publication provides an overview of the challenges faced by rural system of care and outlines the strategies to help curb the opioid crisis.

This publication by the National Rural Health Association provides an overview of the challenges faced by rural system of care and outlines the strategies and policy recommendations to curb the opioid crisis.

Rural Community Action Guide: Building Stronger, Healthy, Drug-Free Rural Communities


This tool is offered to assist rural community leaders in building an effective local response to the crisis of addiction.

The purpose of the guide is to arm rural leaders with information they can put into immediate action to create change. It provides background information, recommended action steps, and promising practices to help manage the impact of substance use disorder on local communities and help persons with the disease of addiction. The topics are based on lessons learned from Department of Agriculture rural roundtable discussions held in over a dozen states, as well as the experiences of several rural stakeholder partners.

Rural Community Action Guide: Promising Practices Supplement


This is a companion supplement to the Rural Community Action Guide: Building Stronger, Healthy, Drug-Free Rural Communities.

This supplement offers a listing of promising practices that a community can replicate or use to inspire its own action to find a solution to substance use disorder.

Rural Development Can Help Address Opioid Misuse in Rural Communities With Funding


Funding from the United States Department of Agriculture can assist rural communities in addressing opioid misuse.

This document identifies the types of equipment, facilities, and support the United States Department of Agriculture funds that can help rural communities address the opioid epidemic.

Self-Assessment for Employment-Focused Reentry Programs


A tool to identify programs’ capacity to provide employment services for people returning to the community from incarceration or on parole/probation.

This self-assessment from the National Reentry Resource Center helps programs gauge their capacity to provide integrated reentry and employment interventions, including work readiness, to people with varying risks and needs. The tool helps reentry practitioners identify opportunities to build the capacity of their programming and services, which, in turn, can better prepare participants for employment and decrease their likelihood of returning to incarceration.

Teleservices: Happening Now!


This document highlights promising practices and recommendations for implementing teleservices in problem-solving courts.

This document, developed by the Center for Court Innovation, provides an overview of jurisdictions implementing pilot teleservice projects in their problem-solving courts. This report provides a checklist designed to assist practitioners in planning an effective teleservices project. Some of the issues addressed are how teleservices support current drug court operations; how teleservices can fill gaps in treatment; the technology readily available and the technology needed; which stakeholders should be included in planning for court teleservices; funding sources needed; confidentiality requirements in teleservices; needed policies and procedures; and the training needed for court staff and service providers.

The Delivery of Pretrial Justice in Rural Areas: A Guide for Rural County Officials


This publication identifies the strengths and challenges of rural jurisdictions and offers recommendations to enhance local policies and practices.

“This is a guide for elected officials seeking to enhance existing or develop new pretrial justice practices in rural areas. By identifying the characteristics, strengths and challenges in rural jurisdictions and combining these factors with the lessons and experiences of urban, suburban and rural pretrial justice programs, national standards and best practices, this guide offers a set of recommendations to enhance local policies and practices within the context of rural settings” (p. 3).

The Opioid Misuse Community Assessment Tool


This tool gives county-specific data about deaths and factors which may make a community more vulnerable to addiction.

To better understand the national opioid crisis and inform effective conversations and interventions, NORC at the University of Chicago and the U.S. Department of Agriculture’s USDA Rural Development have created this tool to allow users to map overdose hotspots and overlay them with data that provide additional context to opioid addiction and death including the strength and diversity of local economies, ethnicity, educational attainment, and disability status of residents.