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The START-SD Planning Grant was a Rural Communities Opioid Response Program (RCORP) planning grant, awarded to South Dakota State University by the Health Resources and Services Administration (HRSA). Through the planning grant, the START-SD team successfully developed a multi-sector care network to optimize access to care for rural patients with opioid use disorder in South Dakota, with a focus on Yankton, Lyman, Roberts and Hughes Counties.

START-SD Opioid Support was a Rural Communities Opioid Response Program (RCORP) implementation grant, awarded to South Dakota State University by the Health Resources and Services Administration (HRSA). Through the Opioid Support work, the START-SD team built upon the work completed through the planning grant to optimize access to prevention, treatment and recovery services in rural areas to patients and families affected by substance use disorder, with a focus on opioid use disorders. Barriers this work addressed included stigma surrounding substance use disorder, lack of access to providers offering medication assisted treatment and social determinants of health. Initial funding was secured through Aug. 31, 2023, however the project period was extended to Aug. 31, 2024 to most effectively utilize resources.

Final report for START-SD Opioid Support coming soon.

START-SD-PSS (Psychostimulant Support) Support was a Rural Communities Opioid Response Program (RCORP) implementation grant, awarded to South Dakota State University by the Health Resources and Services Administration (HRSA). Through the Psychostimulant Support work, the START-SD team built upon the work completed through the planning grant and the Opioid Support work to optimize access to prevention, treatment, and recovery services in rural areas to patients and families affected by psychostimulant use disorder. Facilitators to completion of treatment and maintaining recovery included incentive programs for attending appointments and having negative drug screens, exercise and peer coaching support. Barriers to implementing these facilitators included current lack of funding for incentives and exercise programs, lack of culturally appropriate programs and training for peer coaching and avoidance of treatment due to stigma.

Final Report for START-SD-PSS coming soon.

START-SD-OR (Overdose Response) was a Rural Communities Opioid Response Program (RCORP) implementation grant, awarded to South Dakota State University by the Health Resources and Services Administration (HRSA). Through the Overdose Response work, the START-SD team built upon the work completed through the planning grant, the Opioid Support work, and the Psychostimulant Support work to reduce morbidity and mortality associated with overdoses related to substance use among adults aged 18-54 through promotion of harm reduction strategies, education and training with healthcare facilities to improve treatment and increasing access to treatment and recovery services through education, training and placement of peer coaches.

Final report for START-SD-OR coming soon.

START-SD-Impact will provide  substance use disorder (SUD) treatment and support services to adults aged 18-54 in Hughes, Bon Homme, Yankton, and Codington counties, focusing on inmates transitioning out of the South Dakota’s Women Prison, the Mike Durfee State Prison, and the Yankton Minimum Security Unit, individuals who are justice-impacted, and the families and loved-ones of both. The prevalence of SUD is a growing problem throughout the rural state of South Dakota, precipitating a need for expanded and newly established treatment, recovery, and prevention services. We intend to decrease rates of post-release overdose, decrease rates of recidivism, and provide justice-involved individuals who have SUD with the resources they need to successfully reenter their communities and recover from SUD/OUD.