Southwestern Wisconsin Recovery Pathways

Awarded in 2017
Updated May 21, 2025

At a Glance

This project, led by Southwestern Wisconsin Community Action Program, aimed to address the growing opioid addiction epidemic in rural Southwestern Wisconsin. The prevalence of opioid addiction in this region has reached critical levels, revealing gaps in health care infrastructure and capacity, including shortages of psychiatric and substance abuse professionals and a lack of accessible long-term recovery options. This situation forces affected individuals to seek care in distant urban areas, contributing to a cycle of recidivism without clear pathways for sustained treatment.

This project made significant progress in addressing the opioid addiction in Southwestern Wisconsin. The Opportunity House provided essential housing and support to 48 residents in early recovery and expanded its capacity to serve both men and women. Collaborative efforts with county agencies, treatment providers and academic partners and educational events in the community have strengthened access to substance use treatment resources, fostered a more cohesive care network and made strides in reducing stigma in the region.

The Challenge

In rural Southwestern Wisconsin, the prevalence of opioid addiction has reached critical levels, exacerbated by significant infrastructure and capacity gaps in health care services. The region faces shortages of professionals trained in psychiatric medication and substance abuse counseling, coupled with the lack of accessible long-term recovery programs and treatment facilities. This scarcity forces many affected individuals to travel long distances to urban centers for essential care, often hindered by financial barriers and limited insurance coverage. Law enforcement has acknowledged their inability to address underlying addiction issues effectively within the current system. Meanwhile, hospitals and emergency services struggle with the escalating burden of treating individuals with withdrawal or overdose states, compounded by a lack of structured pathways into sustained treatment. This disjointed approach perpetuates a cycle of recidivism, where individuals often return to environments that reinforce drug use post-release.

Project Goals

This project aimed to address the growing opioid addiction epidemic in rural Southwestern Wisconsin. It recognized the lack of infrastructure and resources, such as health care professionals and treatment facilities, as major barriers. The project’s goals included establishing early treatment protocols, educating primary care providers, developing sober living housing, employing peer support specialists and integrating community programs for ongoing support. By focusing on these initiatives, the project sought not only to enhance immediate care options but also to foster sustainable, long-term recovery pathways in order to reduce the social and financial toll on hospitals, communities and individuals affected by opioid addiction.

Results

This project has made significant progress in combating opioid addiction through the establishment and operation of Opportunity House. Serving Iowa, Grant and neighboring counties, Opportunity House has provided housing and support to 48 residents in early recovery. This facility ensured secure housing and cultivated a community environment where individuals could build personal, social and environmental resources to support their recovery. Over the course of the project, the housing capacity was expanded to accommodate both men and women, and peer support specialist roles were optimized to better meet the needs of residents. Additionally, the Opportunity House was accredited by the Wisconsin Association of Sober Housing, underscoring its adherence to national standards for recovery residences.

Through collaborative efforts with county agencies, treatment providers, law enforcement and social services, this project has enhanced local access to substance use treatment resources and fostered a more cohesive care network. Community education initiatives reached over 75 individuals, educating them on substance use disorder and overdose prevention. Additionally, academic partnerships have played a critical role in guiding strategic planning, data management and quality improvement efforts, ensuring effective project implementation. Overall, these efforts highlight the project’s success in enhancing recovery services, reducing substance use disorder stigma and solidifying Opportunity House as a cornerstone of the region’s integrated care systems for individuals recovering from substance use disorder.