Improving Hospital Inpatient Management of Opioid Use Disorders in Rural Communities

The Foundation for Healthy Communities was recently awarded more than $586,000 in grant funding from the Foundation for Opioid Response Efforts (FORE) to enhance access to access to treatment for those with an opioid use disorder in an inpatient hospital setting.  The FORE grant will help support New Hampshire hospitals in the development and implementation of strategies to care for patients with an Opioid Use Disorder (OUD) in the acute care setting, and as evidence-based solutions to the crisis, are designed to adopted and sustained as best practices.

The FORE grant will address existing gaps in addiction treatment in New Hampshire for hospital inpatient populations, while engaging this vulnerable population in identifying and testing solution strategies. The project will be implemented through the Experience Based Co-Design (EBCD) model, an approach that includes participation from all stakeholders, including patients, and will provide innovative methods and strategies to further access to lifesaving treatment for OUD patients. 

A survey conducted by the Foundation for Healthy Communities in August 2019 revealed that only 9 of the 26 acute care hospitals in the state are currently providing OUD medications for addiction treatment in the inpatient setting. Anecdotal reports from hospitals in NH suggest that OUD affected patients in inpatient settings are more likely to leave the hospital against medical advice, inappropriately receive pain medications, experience disruptions in their established care, or whose recovery from the admission illness or injury was impaired by unidentified or unmanaged OUD. 

A private, national organization focused on contributing sustainable and scalable solutions to the opioid crisis, FORE awarded $10.1 million in grants to 19 organizations across the country, supporting projects that address access to opioid use disorder treatment and services in urban, rural, minority, tribal, and low-income communities.   Recognizing the urgency of the crisis, FORE wanted to inspire and accelerate action toward ending the overdose epidemic by convening and supporting stakeholders advancing patient-centered, evidence-based solutions to opioid use disorder and overdose.  

In response to its first request for proposals, FORE received responses from 443 organizations from 46 states. The 19 projects were selected after rigorous review by a panel of 50 independent experts from across the country. They include several projects that are developing or expanding models to better deliver treatment services to adults, adolescents, pregnant or parenting women, justice-involved persons, and uninsured populations. Other funded projects are addressing payment and regulatory policies to increase access to treatment or provide telehealth, mobile, and rural hospital services. In addition, a consortium of leading national organizations is receiving funding for initiatives to improve care delivery in emergency departments across the country.  


Available Resources


Community Partner Overview

Community Partner Toolkit

Participant Invitation


Upcoming Trainings & Events


Treatment Without Stigma:  Changing the Language of Substance Use Treatment

10/30/2020, 12:30 – 2:00 pm


Understanding the Various Pathways to Recovery

11/6/2020, 1:30 – 3:00 pm


Brief Assessment and Substance Use Screening Tools and Strategies

11/13/2020, 12:30 – 2:00 pm


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This work was funded by the Foundation for Opioid Response Efforts (FORE). The views and conclusions contained in these documents are those of the authors and should not be interpreted as representing the official policies or stance, either expressed or implied, of FORE. FORE is authorized to reproduce and distribute reprints for Foundation purposes notwithstanding any copyright notation hereon.