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Rural Health
Resources by Topic: Illicit drug use

Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Views of Rural US Adults About Health and Economic Concerns
Results of phone surveys of 1705 rural adults, conducted in 2018 and 2019. Explores their views on the most important problems facing their communities, including healthcare access and costs, suicide, and opioid or other drug abuse.
Author(s): Mary G. Findling, Robert J. Blendon, John M. Benson, Justin M. Sayde, Carolyn E. Miller
Citation: JAMA Network Open, 3(1)
Date: 01/2020
Type: Document
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Comparison of Rural vs Urban Direct-to-Physician Commercial Promotion of Medications for Treating Opioid Use Disorder
Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
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The Impact of the Opioid Epidemic on the Aging Services Network and the Older Adults They Serve
Report highlights the results of a survey of National Council on Aging (NCOA) grantees and partners on the effect of the opioid epidemic on older adults. Details the percentage of respondents from rural areas and offers recommendations and resources to address the epidemic among the aging population.
Date: 12/2019
Type: Document
Sponsoring organization: National Council on Aging
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Finalized CY 2020 Physician Fee Schedule
Fact sheet describing calendar year 2020 changes to Medicare's telehealth reimbursement policy as a part of the Physician Fee Schedule (PFS) final rule. Includes sections on opioid use disorder treatment services, care management services, chronic care remote physiologic monitoring services, and online digital evaluation service (E-visit).
Date: 11/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Creating a Consortium to Combat the Opioid Epidemic in Ohio
Highlights a program formed to address the opioid crisis in five counties in Ohio. Discusses the use of the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program (RCORP) to form a hub-and-spoke consortium of state, county, and community partners.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Intersection of Substance Use Disorder and Infectious Diseases
Webinar presented on October 23, 2019, exploring Hepatitis C and HIV outbreaks in southern West Virginia, describing strategies to reduce harm associated with injection drug use in outpatient HIV care clinics, and identifying challenges in implementing public health syringe programs in rural areas. Available with free registration.
Additional links: Presentation slides
Author(s): Christine Teague
Date: 10/2019
Type: Video/Multimedia
Sponsoring organization: AIDS Education & Training Center Southeast
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The Opioid Hydra: Understanding Overdose Mortality Epidemics and Syndemics Across the Rural-Urban Continuum
Documents the trends in drug overdose mortality by opioid type along the ruralā€urban continuum. Identifies the opioid overdose mortality epidemics and opioid syndemic mortality rates by core-based statistical area (metropolitan and non-metropolitan county). Discusses the socioeconomic indicators including demographic, drug risk, and economic characteristics of communities affected by the different classes of opioid overdose epidemics.
Author(s): David J. Peters, Shannon M. Monnat, Andrew L. Hochstetler, et al.
Citation: Rural Sociology, 2019, 1-3
Date: 10/2019
Type: Document
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Analysis of Buprenorphine Prescribing Patterns Among Advanced Practitioners in Medicaid
Presentation slides from an October/November 2019 public meeting, describing the effects of the Comprehensive Addiction and Recovery Act of 2016 on access to opioid use disorder treatment for Medicaid beneficiaries. Includes information on urban and rural trends in prescribing.
Author(s): John Wedeles
Date: 10/2019
Type: Presentation Slides
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Obstetric Delivery Inpatient Stays Involving Substance Use Disorders and Related Clinical Outcomes, 2016
Presents statistics from the 2016 National Inpatient Sample (NIS) on delivery-related inpatient stays involving substance use disorders (SUDs). Types of SUDs reported include the use of opioids, cocaine, and other stimulants in urban and rural areas. Examines clinical outcomes at delivery including preterm delivery, severe preeclampsia/eclampsia, obstetric hemorrhage, and placental abruption. Compares delivery outcomes with or without SUD diagnosis, and by rural or urban residence of patient.
Author(s): Anita Soni, Kathryn R. Fingar, Lawrence D. Reid
Date: 10/2019
Type: Document
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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