More than 1 in 5 Americans live within a rural area … where economic, religious, historical, and geographic factors combine to create a unique culture that influences mental health outcomes, physical health conditions, and health behaviors. By the end of this presentation, participants will be able to define and articulate: Rural Definition and Statistics, Rural Culture-Rurality, Rural Issues/Barriers Related to Health, Substance Use and Opioid Use, Substance Use and Opioid Use in Rural Areas, Four Factors Explaining Opioid Use Rates in Rural Areas, Training Workforce in Rurality. Registration fee includes a Continental Breakfast.