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Rural Health Information Hub

Rural Health
Resources by Topic: Illicit drug use

Examining Rural Community Pharmacists' Knowledge and Practices in Opioid Overdose Prevention and Treatment Services in the Southeastern United States
Highlights a study on the knowledge and practices of rural pharmacists around opioid use disorder-related education and counseling in the Southeastern U.S. Presents data by pharmacist demographic characteristics, knowledge, and experience with medications for opioid use disorder (MOUD).
Author(s): Stefanie P. Ferreri, Paige Q. Ngo, Kaileigh D. Yen, Kevin Wang, et al.
Citation: Harm Reduction Journal, 23(11)
Date: 01/2026
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"It's a Last Straw Situation"; Overdose Response and Preferences for Seeking Support from Emergency Services During Overdose in Rural Ohio
Explores the perceptions and preferences of people in rural Ohio affected by the opioid epidemic about contacting first responders during an overdose. Bases findings on a survey of 43 rural people who have experienced or witnessed an overdose on the factors they considered when deciding whether or not to call 911.
Author(s): David C. Colston, Vivian F. Go, Clare Barrington, et al.
Citation: PLOS One, 21(1), e0338689
Date: 01/2026
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Supporting Rural Primary Care Practices in Delivering Care for Chronic Pain
Provides guidance on chronic pain care in rural primary care practices. Discusses best practices for delivering high-quality care in rural areas, including discussion of substance use disorder treatment and prevention, barriers to care delivery in rural practices, and more.
Date: 01/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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Exploring the Use of Telemedicine to Expand Addiction and Recovery Resources in Great Plains Tribal Communities
Explores the use of telemedicine to provide medications for opioid use disorder (MOUD) to patients in tribal communities. Explores the barriers and facilitators to implementing telemedicine-based MOUD services across the Great Plains Area of the Indian Health Service.
Author(s): Michael C. Harding, Anna C. Kihlstrom, Allison Kelliher, et al.
Citation: Journal of Rural Health, 42(1), e70113
Date: 01/2026
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2024 NSDUH Data Brief: Symptoms of Generalized Anxiety Disorder Among Adults
Report examines generalized anxiety disorder in American adults through data from the National Survey on Drug Use and Health (NSDUH). Breaks down data by demographic characteristics, such as age, sex, education level, co-occurring substance use, and employment, as well as geographic and socioeconomic characteristics, such as geographic region, health insurance, rurality, and federal poverty level.
Date: 11/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Funding Rural Health: The Role and Reach of Federal Support
A series of briefs and spotlights focused on how the Federal Office of Rural Health Policy (FORHP) supports population health in rural Kansas and the rural United States. Focuses on FORHP funding processes and organizational structure, distribution of funds, the Medicare Rural Hospital Flexibility Program, the Rural Health Care Services Outreach Program, and Rural Communities Opioid Response Program.
Author(s): Shelby C. Rowell, Wyatt J. Beckman, Viktoria Sterkhova
Date: 11/2025
Sponsoring organization: Kansas Health Institute
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South Carolina 2025-2030 State Health Improvement Plan
Describes a plan for public health improvement in South Carolina. Identifies priorities, strategies, and metrics for topics including health outcomes, maternal and infant health, and behavioral health. Mentions rural throughout.
Date: 10/2025
Sponsoring organization: South Carolina Department of Public Health
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Cost of Implementing Evidence-Based Practices to Reduce Opioid Overdose Fatalities in New York State Communities
Presents a study on the cost of implementing an intervention to deploy opioid education, naloxone distribution, and medication for opioid use disorder (MOUD) during the COVID-19 pandemic in rural and urban locations in New York. Evaluates data from two time periods, or waves, from January 2020 to June 2022 and July 2022 to December 2023.
Author(s): Jazmine M. Li, Dawn Gruss, Timothy Hunt, et al.
Citation: Addiction Science & Clinical Practice, 20, 77
Date: 10/2025
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Examining Trends in Polydrug Overdose Deaths Across Rural Midwest Counties in the United States, 2022 Through 2024
Highlights a study examining the presence of the drug xylazine in postmortem toxicology of drug overdose deaths in rural Minnesota. Breaks down data by county, drugs co-occurring with xylazine, and demographic characteristics of the deceased, among other measures.
Author(s): Bradley R. Ray, Shane Sheets, Patti Constant, et al.
Citation: Drug and Alcohol Dependence, 275, 112832
Date: 10/2025
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Implementing a Mobile Clinic for Opioid Use Disorder Treatment in an Urban and Rural Context
Highlights a study on the efficacy of the mobile clinic model at providing opioid use disorder (OUD) treatment in rural and urban areas. Compares and evaluates mobile OUD treatment programs in Pittsburgh, PA and rural Robeson County, NC. Evaluates programs on the basis of community engagement, cost, and partnerships with local pharmacies, among other measures.
Author(s): Orrin D. Ware, Divya Venkat, Robyn Jordan, et al.
Citation: Substance Use & Addiction Journal, 46(4), 799–805
Date: 10/2025
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