Key clinical point: Lack of trust, communication, and coordination among stakeholders impedes access to services for people who misuse opioids in rural southern Ohio.

Major finding: Overall, trust among stakeholder organizations in three rural southern Ohio counties was 86% (Jackson), 78% (Pike), and 60% (Scioto).

Study details: The findings are based on 64 qualitative interviews and a community survey in Jackson, Pike, and Scioto counties in southern Ohio in 2018.

Disclosures: The National Institutes of Health funded the research. The authors had no disclosures.