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Characterizing Rural Substance Use Treatment Experiences Among Individuals Under Community Correctional Supervision
Journal of Addiction Medicine
|August 13, 2026
Summary
Many individuals on community supervision use illicit substances. Treatment access is higher for women, insured individuals, and those with transportation, but stimulant use requires targeted interventions.
Area of Science:
- Public Health
- Substance Use Disorders
- Correctional Health
Background:
- Over 3.7 million Americans are under community supervision, with ~46% reporting illicit substance use.
- High rates of substance use disorder (SUD) in this population, particularly in rural areas, necessitate tailored treatment research.
Purpose of the Study:
- To characterize SUD treatment needs and receipt among individuals under community supervision in rural US communities.
- To identify factors influencing treatment engagement in this underserved population.
Main Methods:
- Analysis of data from the Rural Opioid Initiative across 10 states.
- Examined past 6-month SUD treatment receipt in 978 participants under community supervision.
Main Results:
- Over 55% received SUD treatment; 46% of those utilized inpatient/residential care.
- Women, those with insurance, and access to transportation had higher odds of treatment receipt.
- Methamphetamine/amphetamine users had lower treatment receipt compared to users of other primary substances.
Conclusions:
- Increase SUD treatment engagement by addressing insurance, transportation, and stimulant-specific modalities.
- Develop gender-specific interventions for rural individuals under community supervision with SUD.
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