The availability and accessibility of supportive services play a critical role in shaping opioid use outcomes across communities. Social associations and community-based organizations, such as youth clubs, faith-based groups, and civic organizations, provide essential protective factors by fostering social connection, engagement, and a sense of purpose—all of which can reduce the risk of substance misuse and support recovery. Mental health treatment providers are equally vital, as timely access to care for conditions like depression, anxiety, and trauma can reduce the likelihood of individuals turning to opioids as a form of self-medication. Similarly, access to high-quality substance use treatment services is a critical component of community care, reducing opioid use, improving recovery outcomes, and lowering overdose rates. Gaps in service availability—whether due to provider shortages, stigma, cost, or geographic barriers—can leave individuals and families without the support they need, leading to higher rates of opioid misuse and poorer long-term outcomes.