In September 2021, Rural Health, Inc. was awarded the RCORP Implementation Grant. This grant aims to reduce the morbidity and mortality of Substance use disorders (SUD), such as Opioid Use Disorders (OUD), in high risk rural areas. This will advance RCORP’s overall goal by strengthening and expanding SUD/OUD prevention, treatment, and recovery services to enhance rural residents’ ability to access treatment and move towards recovery.
Rural Health and the consortium it leads have developed a strategic plan to address the intersection of opioid used disorder (OUD) and meth use disorder (MUD) and how these prevalent addictions are impacting children, mostly due to parental drug use. The project area is Union, Massac, and Johnson counties and these are located in the southern third of the state of Illinois, also known as “Little Egypt.” This is a socioeconomic depressed region, and transportation difficulties arise for many people.
Rural Health, Inc started the Medication Assisted Treatment Program for Opiate Dependence in April 2017. RHI’s MAT program utilizes medication while also addressing other factors that may play a role in substance use through therapy. Research has shown that medication in combination with counseling and behavioral therapies can successfully treat substance use disorders, and for some people struggling with addiction, MAT can help sustain recovery. MAT is also used to prevent and reduce opioid overdoses.
Rural Health currently has 11 licensed providers and 9 of those are actively prescribing medication for MAT. Our MAT program is offered at each of our 5 locations across Union, Massac, and Johnson counties. We typically have 150-170 patients receiving treatment at any given time and we always attempt to get patients into treatment in a timely manner. Frequent appointments and drug screens are used to provide patients with structure and accountability, both being vital to sustaining recovery.
Untreated substance use contributes to thousands of deaths every year. Medication Assisted Treatment and counseling are both effective tools to treat SUD/OUD, however they are not being utilized widely enough, and many people who could benefit do not even seek them out. Stigma surrounding substance use creates a barrier to treatment and blames the individual for their circumstances. We have included a community wide stigma campaign in our RCORP work plan. Through this campaign we intend to bring awareness to this topic, provide education, resources, and ultimately reduce the stigma surrounding substance use.
Overall, the goal of RCORP-Implementation grant is to create a collective community response to implement the strategic plan. This overarching goal contains the following sub-goals:
Develop a cohesive, coordinated system of care and broaden the scope of the current activities to reach more individuals
Provide and assess the impact of culturally and linguistically appropriate awareness education to improve public knowledge and understanding of evidence-based OUD and MUD overdose prevention, treatment, and recovery services
Support local and regional primary prevention activities particularly targeting the youth in general and in schools in particular
Promote harm reduction treatment and assessments
Expand naloxone access
Screen and provide, or refer to, treatment for patients with MUD/OUD who have infectious complications, including HIS, viral hepatitis, and endocarditis, particularly among PWID
Increase access to evidence-based harm reduction interventions particularly through local partnerships with providers, law enforcement, and first responders
Create a data system to track, screen, and refer to treatment of patients with OUD/MUD being identified in the child protective services investigative mechanisms by coordinating child welfare and addiction recovery services
Enhance telehealth services access to receive OUD/MUD treatment in the project area
Assess and address the OUD/MUD treatment and recovery workforce shortage
Train providers, administrative staff, and other relevant stakeholders to optimize reimbursement for encounters through proper coding and billing across insurance types to ensure long=term financial sustainability of services
Increase the number of certified peer support providers in communities through community partners recruiting and retaining this role
Enhance sustainability to recovery through reducing the barriers to access treatment for persons in recovery
Support the development of recovery communities, recovery coaches, and recovery community organizations to expand the availability of and access to recovery support services