The Fletcher Group Rural Center of Excellence (RCOE) is a multi-state resource supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $17.1 million.

(Note: The content appearing here does not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government.)

As part of the Rural Communities Opioid Response Program (RCORP), the grant supports evidence-based efforts to prevent and treat Substance Use Disorders (SUDs) in rural communities.


Our efforts are focused on, but not limited to, those rural counties with the highest rates of overdose deaths.

For more detailed information about the grant, click HRSA Grant.

Our Target Counties

We partner with federal, state and local agencies as well as faith-based entities and the private sector to serve over 100 rural counties in ten states: Ohio, West Virginia, Georgia, Kentucky, Tennessee, Mississippi, Washington, Oregon, Idaho and Montana.

Our Success Stories

To see how our Rural Center of Excellence is helping rural communities across the country, take a look at a few of our Success Stories.

Our Logic Model

Are you interested in seeing the Goals, Team Members, Strategies, Activities, Outputs, and Impacts of the Fletcher Group Rural Center of Excellence? If so, just click Fletcher Group RCOE Logic Model.

Resources Available To You

Technical Assistance from the Fletcher Group Rural Center of Excellence coordinates and implements the following resources for our rural community-based partners.


Safe, stable Recovery Housing is an essential first step in any program seeking lasting recovery. No recovery program, no matter how well intended, can succeed without it.


We apply the latest recovery science, epidemiological data, and evidence-based practices to optimize your prevention, treatment, and recovery efforts.


Blended funding from existing sources can help you cover both construction and day-to- day operational costs. We can also help you partner with local courts and corrections facilities to ensure sustainability.


Peer Support Workers excel at leading recovery groups and training and mentoring as well as administration, supervision, community networking, resource development and public advocacy.


We can work with you to accurately assess the vocational interests, passions, predispositions, knowledge, and skills of potential employees as well as develop the life skills and job training they need for meaningful employment.


We can help you build systems to evaluate and quantify your outcomes, thereby providing the kind of documented return on investment needed to maintain the support of funders and policy makers.

Fulfilling RCORP’s Mission

The Fletcher Group is one of three organizations chosen to receive the HHS grant of $10.4 million over the next three years. The other recipients are the University of Vermont and the University of Rochester, New York. Alone among the three, the Fletcher Group RCOE features a strong focus on Recovery Housing.

According to a 2018 GAO report, the Recovery Housing industry is unregulated and fraught with fraud, ineffectiveness and, occasionally, client abuse. While quality and effectiveness vary greatly, consumers have little information with which to choose providers. As a result, families often spend thousands of dollars with little result as loved ones continue to experience the results of Substance Use and Opioid Use Disorders. Unfortunately, Recovery Housing is limited in rural communities, in large part because of a lack of resources and technical assistance.

A Team Effort

The Fletcher Group is a uniquely purpose-driven and agile organization that leverages a wide range of partners. The company’s RCOE evaluation team will draw on the expertise of the University of Kentucky College of Public Health and Kentucky Injury Prevention Research Center (KIPRC) as well as JBA, a leading program evaluation organization with over 40 years of multi-state experience.

Other partners will include the National Alliance for Recovery Residences (NARR), the Association of State and Territorial Health Officials (ASTHO), the National Association of County and City Health Officials (NACCHO), and the Hazelden Betty Ford Foundation.

An additional key role will be played by the Federation of Appalachian Housing Enterprises (FAHE), a financial intermediary with expertise in low-income housing tax credits, section-8 housing, and other financial resources needed to fund Recovery Housing.

Boots On The Ground

The Fletcher Group’s expertise in prevention, intervention, Medication-Assisted Treatment (MAT), and Recovery Housing will be promoted locally by Outreach and Engagement Specialists residing in each rural region. To lower overdose fatalities, provide alternatives to jail for drug offenders, reduce recidivism, and promote health and well-being, the Specialists will identify needs and assist in tailoring the response most appropriate to each rural community.

This web page is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $17.1 million with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government.

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