Overcoming Rural Transportation Challenges to Improve Connections to Care for People with Substance Use Concerns

Transportation challenges in the rural United States pose significant barriers to engaging in health care, particularly for individuals dealing with substance use concerns. Rural communities are often isolated within large geographic areas with limited public transit options. Since many people struggling with a substance use disorder (SUD) may not have personal transportation due to financial hardship, license suspension, or legal issues, attending appointments for medical and behavioral health care becomes difficult, if not impossible, contributing to gaps in care and poorer health outcomes.
Additionally, recovery supports such as peer groups, counseling services, and social service agencies are often located far from where people live in rural communities. Even when services are available, long travel distances, poor road conditions, and lack of ride-share infrastructure can prevent individuals from getting the help they need consistently. This isolation not only limits connection to and engagement in treatment but can also hinder long-term recovery efforts, which often depend on ongoing connection and support.