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Rural Health
Resources by Topic: Illicit drug use

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: 08/2020
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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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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COVID-19 and Rural Harm Reduction Challenges in the U.S. Southern Mountains
Explores the relationship between drug use and COVID-19 infections in the Southern Mountains region of Appalachia. Highlights the changes caused by COVID-19 and the challenges harm reduction programs face in providing services, such as syringe exchanges, naloxone access, and COVID-19-related services.
Author(s): Bayla Ostrach, Lesly-Marie Buer, Sam Armbruster, et al.
Citation: Journal of Rural Health
Date: 07/2020
Type: Document
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Integrating Telemedicine for Medication Treatment for Opioid Use Disorder in Rural Primary Care: Beyond the COVID Pandemic
Discusses adapting expanded telehealth services used during the COVID-19 pandemic to provide treatment of opioid use disorder (OUD). Highlights the successes of telehealth expansion during COVID-19 and suggest ways it could be used to increase access to medication treatment for OUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney
Citation: Journal of Rural Health
Date: 06/2020
Type: Document
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Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016
Examines characteristics of U.S. counties, comparing counties with high and low rates of opioid-related inpatient stays and treat-and-release emergency department (ED) visits among patients 15 years and older. Includes data for metro, rural adjacent to metro, and rural remote counties, as well as by urban-rural location and poverty rate.
Additional links: Appendix
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural Community Toolbox: Funding & Tools to Build Healthy Drug-Free Rural Communities
Provides access to federal funding programs and information related to substance use disorder (SUD), including opioids, to help rural communities and stakeholders address SUD and issues related to SUD in their communities. Offers resources for technical assistance, training, treatment, and recovery support services for rural communities. Features a community assessment tool that provides county-level data on SUD and a resource guide that provides guidance and recommendations for communities to address SUD.
Additional links: Federal Rural Resource Guide
Date: 06/2020
Type: Website
Sponsoring organizations: U.S. Department of Agriculture, White House Office of National Drug Control Policy
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National Hospital Care Survey Demonstration Projects: Opioid-Involved Emergency Department Visits, Hospitalizations, and Deaths
Demonstrates a method for linking three data sets to examine opioid-involved emergency department (ED) visits, hospitalizations, and mortality. Reported results are not nationally representative. Includes analysis of opioid-involved and nonopioid-involved ED-only visits for rural and urban areas.
Author(s): Merianne Rose Spencer, Lee Anne Flagg, Geoff Jackson, Carol DeFrances, Holly Hedegaard
Date: 06/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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CMS Roadmap: Strategy to Fight the Opioid Crisis
An overview of the efforts the Centers for Medicare and Medicaid Services is undertaking to address the opioid epidemic. Highlights a three-pronged approach focusing on prevention, treatment, and data utilization to target prevention and treatment activities.
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Virtually Possible: Using Telehealth to Bring Reproductive Health Care to Women with Opioid Use Disorder in Rural Maine
Describes a program implemented by a Maine family planning clinic, in which HIV counseling, contraception, and pregnancy testing and counseling were made available to women with opioid use disorder (OUD) through meetings with a community educator and through telehealth. Explores challenges in receiving OUD care in rural Maine and discusses findings.
Author(s): Terri-Ann Thompson, Katherine A. Ahrens, Leah Coplon
Citation: mHealth
Date: 05/2020
Type: Document
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