Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Illicit drug use

The Path to Coordinated Federal Leadership to Strengthen Primary Health Care
Discusses the potential of a Secretary's Council on Primary Care within the U.S. Department of Health and Human Services. Describes primary care's role in addressing policy challenges related to health equity, payment, workforce training, pandemic recovery and resilience, the opioid crisis, and mental health. Offers recommendations to include and strengthen high-quality primary care as part of a long-term vision of a high-value healthcare system. Includes rural references throughout.
Author(s): Robert L. Phillips Jr., Christopher Koller, Alice Hm Chen
Date: 11/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
view details
Use of and Retention on Video, Telephone, and In-Person Buprenorphine Treatment for Opioid Use Disorder During the COVID-19 Pandemic
Examines modality of treatment delivery for patients with opioid use disorder (OUD) and how various modalities are associated with 90-day patient retention. Analyzes 17,182 Veterans Health Administration (VHA) patients who received buprenorphine for OUD treatment from March 2020 to March 2021 by video, telephone, in-person care, or a combination of the modalities. Includes data broken down by age, sex, race/ethnicity, VHA eligibility, housing status, substance use, mental health, comorbidities, and rurality, including urban, large rural, small/isolated rural, and unknown location.
Author(s): Madeline C. Frost, Lan Zhang, H. Myra Kim, Lewei (Allison) Lin
Citation: JAMA Network Open, 5(10), e2236298
Date: 10/2022
Type: Document
view details
Association of Co-Occurring Mental Health Problems with Hepatitis C Status among Young People Who Inject Drugs in Rural New Mexico, 2016–2018
Study examining mental health problems and hepatitis C virus (HCV) for young adult people who inject drugs (PWID) in 2 rural New Mexico counties. Analyzes data from a parent study of 263 patients, discussing implications for addiction treatment and HCV prevention in rural settings.
Author(s): Akash Gupta, Fatma M. Shebl, Yao Tong, et al.
Citation: Addiction Science and Clinical Practice, 17, 58
Date: 10/2022
Type: Document
view details
Impacts of the COVID-19 Pandemic on a Rural Opioid Support Services Program
Study examining the impacts of the early stages of the COVID-19 pandemic on a rural, nonprofit opioid use disorder (OUD) system support service program located in eastern Kentucky. Describes findings from interviews conducted in early fall 2020 discussing changes to daily life, service access and provision, and financial impacts.
Author(s): Jayme E. Walters, Aubrey E. Jones, Aaron R. Brown, Dorothy Wallis
Citation: International Journal of Environmental Research and Public Health, 19(8), 11164
Date: 09/2022
Type: Document
view details
Opioid-Related Outcomes Among Individuals with Co-Occurring Behavioral Health Conditions
Provides an overview of a quality measurement framework to improve the prevention and monitoring of opioid-related overdoses and mortality among individuals with co-occurring behavioral health conditions. Identifies existing measures, measure concepts, and recommendations to serve as a starting point for quality measurement. Highlights three essential domains for measurement: equitable access, clinical interventions, and integrated and comprehensive care for concurrent behavioral health conditions.
Date: 09/2022
Type: Document
Sponsoring organization: National Quality Forum
view details
Availability of Substance Use Disorder Treatment in Minoritized Racial/Ethnic Group Areas
Explores the availability of substance use disorder treatment facilities and providers nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the straight-line distance to the nearest opioid treatment facility that offers methadone, nearest substance use disorder treatment facility that does not offer methadone, and closest buprenorphine provider by rurality in minoritized and non-minoritized ZCTA.
Author(s): Sophia N. D. Negaro, Gabriel A. Benavidez, Christina M. Andrews, et al.
Date: 09/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
view details
Physician Response to COVID-19–Driven Telehealth Flexibility for Opioid Use Disorder
Presents survey responses of physicians who provide Opioid Use Disorder (OUD) treatment on telehealth flexibilities driven by the COVID-19 pandemic, particularly their OUD telehealth policy preferences. Notes rural implications of access equity issues and policy changes.
Author(s): Tamara Beetham, David A. Fiellin, Susan H. Busch
Citation: The American Journal of Managed Care, 28(9)
Date: 09/2022
Type: Document
view details
America's Rural Roads: Beautiful and Deadly
Examines rural road fatal crashes using data for years 2016-2020. Describes where people crash on rural roads, who crashes, and what risky behaviors may contribute to crashes. Includes statistics on road fatalities, proportions of rural and urban population compared with proportions of road fatalities, fatalities per vehicle miles traveled, crash type and vehicle type, sex, race and ethnicity, age, alcohol use, drug involvement, and speeding, with breakdowns by rural or urban location. Includes state-level statistics on fatalities by state maximum speed limit.
Author(s): Paula Raymond
Date: 09/2022
Type: Document
Sponsoring organizations: Governors Highway Safety Association, State Farm
view details
The University of Arizona Center for Rural Health Annual Report, FY 2022
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), and other programs.
Date: 08/2022
Type: Document
Sponsoring organization: Arizona Center for Rural Health
view details
Patient-Level and County-Level Trends in Nonfatal Opioid-Involved Overdose Emergency Medical Services Encounters — 491 Counties, United States, January 2018–March 2022
Reports on trends in rates of EMS encounters for nonfatal opioid-involved overdoses during January 2018–March 2022, based on data from 491 counties in 21 states. Includes trend data by quarter for rural and urban counties.
Author(s): Shannon M. Casillas, Cassandra M. Pickens, Erin K. Stokes, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(34), 1073-1080
Date: 08/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details