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Rural Health
Resources by Topic: Illicit drug use

Urban-Rural Differences in Injury and Drug Overdose Death Rates: Data from the National Vital Statistics System
Webinar recording discusses two reports from the National Center for Health Statistics detailing mortality from injuries and opioids in rural versus urban areas. Features presentations by representatives form the National Center for Health Statistics.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 08/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Evidence Brief: Barriers and Facilitators to Use of Medications for Opioid Use Disorder
Report details an analysis of barriers and facilitators to administering medication-assisted treatment (MAT) for opioid use disorder (OUD) that are applicable to the Veterans Health Administration. Highlights a synthesis of data extracted from a number of selected studies from 2014-2019, as well as VA data from 2006-2019. Includes data focusing on rural areas.
Date: 08/2019
Type: Document
Sponsoring organization: Veterans Health Administration
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Unclassified Drug Overdose Deaths in the Opioid Crisis: Emerging Patterns of Inequity
Presents a study that explores correlations between certain geographic, economic, or demographic characteristics and missing data pertaining to drug overdose deaths. Looks at unclassified drug overdose deaths and breaks down data by sex, age, race, and economic status, among other factors. Depicts overdose mortality data in nationwide, county-level maps.
Author(s): Andrew J Boslett, Alina Denham, Elaine L Hill, Meredith C B Adams
Citation: Journal of the American Medical Informatics Association, 26(8-9), 767–777
Date: 08/2019
Type: Document
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Rural Access to MAT in Pennsylvania (RAMP): A Hybrid Implementation Study Protocol for Medication Assisted Treatment Adoption among Rural Primary Care Providers
Presents a study on the implementation of an intervention designed to expand access to medication-assisted treatment for people with opioid use disorder in rural Pennsylvania. Highlights the collaborators and roles within the intervention, breaking down the delivery and support infrastructure.
Author(s): Gerald Cochran, Evan S. Cole, Jack Warwick, et al.
Citation: Addiction Science & Clinical Practice, 14, 25
Date: 08/2019
Type: Document
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Evidence Brief: Managing Acute Pain in Patients with Opioid Use Disorder on Medication-assisted Treatment
Brief details the Veterans Health Administration's best practice on acute pain treatment for patients undergoing medication-assisted treatment for opioid use disorder. Includes supplemental materials that highlight search strategies and evidence tables among other materials.
Additional links: Supplementary Materials
Author(s): Stephanie Veazie, Katherine Mackey, Donald Bourne, Kim Peterson
Date: 08/2019
Type: Document
Sponsoring organization: Veterans Health Administration
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Life-Saving Naloxone from Pharmacies
Describes the role naloxone plays in reversing the effects of an opioid overdose. Discusses the need for greater access to naloxone, particularly in rural areas, and highlights trends in opioid and naloxone prescribing. Includes links to related CDC resources.
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Vital Signs: Pharmacy-Based Naloxone Dispensing — United States, 2012–2018
Reports on trends and characteristics of naloxone dispensing from retail pharmacies. Includes data for metropolitan, micropolitan, and rural counties on high-dose opioid and naloxone prescriptions. Also includes county-level maps of naloxone prescriptions per 100,000 people and naloxone prescriptions per 100 high-dose opioid prescriptions.
Author(s): Gery P. Guy Jr., Tamara M. Haegerich, Mary E. Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(31), 679-686
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Urban-Rural Differences in Drug Overdose Death Rates, by Sex, Age, and Type of Drugs Involved, 2017
Data brief examining differences in urban and rural areas, using the most recent data from the National Vital Statistics System. Features statistics including age-adjusted rates of overdose rates from 1999-2017 by urban and rural residence, and rates of overdose death in 2017 by sex, age group, and type of drug, with breakdowns by urban and rural areas.
Author(s): Holly Hedegaard, Arialdi M. Minino, Margaret Warner
Citation: NCHS Data Brief, No. 345
Date: 08/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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Local Health Department Approaches to Opioid Use Prevention and Response: An Environmental Scan
Summarizes the results of an environmental scan of 198 local health departments (LHDs) regarding their local opioid overdose prevention and response activities. Reports and compares statistics by the size of the population the LHD serves and governance. Discusses efforts and activities related to workforce, clinical and programmatic services, policy, communication, partnership, and data collection. Includes LHD stories from the field.
Author(s): Kamya Raja, Francis Higgins
Date: 07/2019
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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Critical Crossroads: Pediatric Mental Health Care in the Emergency Department: A Care Pathway Resource Toolkit
Toolkit designed to support hospitals that provide high-quality, effective emergency care to pediatric patients in psychiatric distress. Includes case stories from rural emergency departments in various states.
Date: 07/2019
Type: Document
Sponsoring organizations: Health Resources and Services Administration, Maternal and Child Health Bureau
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