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Rural Health
Resources by Topic: Illicit drug use

Addressing Opioid Overdose Deaths: The Vision for the HEALing Communities Study
Highlights a study on the effect of the COVID-19 pandemic on the ongoing HEALing Communities Study (HCS), which began in 2019 with the goal of reducing opioid overdose deaths by 40% over 3 years. Discusses the intersection of the two crises across the country and discusses the variations in rural and urban locations.
Author(s): Redonna K. Chandlera, Jennifer Villani, Thomas Clarke, et al.
Citation: Drug and Alcohol Dependence, 217(1),
Date: 10/2020
Type: Document
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Health Equity Report 2019-2020: Special Feature on Housing and Health Inequalities
Provides an overview of the Health Resources and Services Administration's (HRSA) program efforts in reducing health disparities and promoting health equity for various populations at the national, state, and local levels. Chapter 10 addresses rural-urban health disparities, with a focus on rural housing inequities and the opioid epidemic, and describes Federal Office of Rural Health Policy programs.
Date: 10/2020
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Increase in Drug Overdose Deaths Involving Cocaine: United States, 2009–2018
Reports on trends in drug overdose deaths involving cocaine, with data by sex, age group, race and Hispanic origin, and concurrent involvement of opioids. Includes cocaine overdose death rate data for 2018 for urban and rural areas by Census region.
Author(s): Holly Hedegaard, Merianne Rose Spencer, Matthew F. Garnett
Date: 10/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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SAMHSA: Coronavirus (COVID-19)
Guidance and resources to help providers respond to COVID-19 while providing care and treatment of mental and substance use disorders. Includes guidance specific to opioid treatment programs.
Date: 10/2020
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Tracking FY2019 Federal Funding to Combat the Opioid Crisis
Report covering the allocation of federal resources for opioid initiatives at the federal, state, and local level. Presents data on federal funding and offers case studies of state and county-level spending data for Ohio, Arizona, Louisiana, Washington, Tennessee, and New Hampshire. Makes policy recommendations and briefly discusses grant initiatives that target rural-specific barriers to treatment.
Date: 09/2020
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Rural Variation of Medicaid Expansion on Access to Naloxone
Poster examining the rate of naloxone prescriptions dispensed by retail pharmacies between 2011 and 2017. Compares the rate of naloxone prescriptions before and after Medicaid expansion and as the rural population increased.
Author(s): Yue Cheng, Minji Sohn, Patricia R. Freeman,Eugene Shin, Chris Delcher
Date: 09/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Nonfatal Drug and Polydrug Overdoses Treated in Emergency Departments — 29 States, 2018–2019
Reports on changes in rates and proportions of suspected nonfatal drug and polydrug overdoses treated in the emergency department (ED) between 2018 and 2019, based on data from 29 states. Includes data for urban and rural counties on ED visits for opioids, cocaine, amphetamines, and benzodiazepines, as well as for opioids in combination with each of the other types of drugs.
Author(s): Stephen Liu, Lawrence Scholl, Brooke Hoots, Puja Seth
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(34), 1149-1155
Date: 08/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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The University of Arizona Center for Rural Health Annual Report, FY 2019-20
Highlights the Center for Rural Health's accomplishments, and describes challenges and opportunities for improving the health of rural Arizonans in the upcoming year. Discusses the Arizona Rural Hospital Flexibility program (AzFLEX, the Arizona Small Rural Hospital Improvement Program (AzSHIP), the Arizona First Responders Initiative, and other programs.
Date: 08/2020
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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The Opioid Crisis and the Hispanic/Latino Population: An Urgent Issue
Report highlights the opioid crisis in Hispanic/Latino populations. Details rates of illicit opioid use and prescription drug misuse, as well as overdose and death rates. Discusses measures taken in to provide treatment and prevention in Latino communities, including in rural and border areas.
Date: 07/2020
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Barriers & Challenges to FQHC Use of Telehealth for Substance Use Disorder: An Examination of Policies Affecting FQHCs Pre- and During the COVID-19 Emergency
Describes barriers for implementing telehealth medication assisted treatment (MAT) programs in Federally Qualified Health Centers (FQHCs) prior to COVID-19 in Kentucky, Maine, Maryland, Ohio, and Pennsylvania, and where entities received funding from the Health Resources Services Administration for substance use disorder projects. Includes analysis on the policies that have impacted FQHCs' ability to deliver MAT via telehealth during the COVID-19 public health emergency, and features a chart showing changes to Medicare and Medicaid telehealth policies for FQHC MAT services.
Date: 07/2020
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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