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Rural Health
Resources by Topic: Illicit drug use

Availability of Naloxone at Rural Georgia Pharmacies, 2019
Research letter describing a study of 374 rural Georgia pharmacies. Examines pharmacists' awareness of the Georgia law allowing purchase of naloxone without a prescription, and availability and cost of the medicine.
Author(s): Jennifer L. Nguyen, Lauren R. Gilbert, Lauren Beasley, et al.
Citation: JAMA Network Open, 3(2)
Date: 02/2020
Type: Document
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Syringe Service Program Use Among People Who Inject Drugs in Appalachian Kentucky
Explores a study on a harm reduction program for people who inject drugs (PWIDs) in rural Kentucky. Evaluates the efficacy of a syringe service program at reducing the transmission rates of HIV and HCV among PWIDs in Appalachian Kentucky. Breaks down day by age, gender, and site county, among other measures.
Author(s): Hilary L. Surratt, Amy M. Cowley, Jennifer Gulley, et al.
Citation: American Journal of Public Health, 110(1), 34-36
Date: 01/2020
Type: Document
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Preventing Opioid Overdose with Peer-Administered Naloxone: Findings from a Rural State
Highlights a study on the efficacy of peer-administered naloxone to prevent opioid overdose deaths. Bases conclusions on interviews with individuals who have received the training and the naloxone kits from a program in rural Alaska.
Author(s): Bridget L. Hanson, Rebecca R. Porter, Amanda L. Zöld, Heather Terhorst-Miller
Citation: Harm Reduction Journal, 17(1), 4
Date: 01/2020
Type: Document
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Assessing the Needs of Front-Line Providers in Addressing the Opioid Crisis in South Carolina
Study of treatment needs for opioid use disorder (OUD) patients and staff capacity in South Carolina. Data reflects a needs assessment from 33 rural and urban agencies covering buprenorphine-waivered provider staffing, access to medication-assisted treatment (MAT), prevalence of OUD, referrals to other facilities, and barriers to providing MAT. Discusses policy and provider solutions to these issues.
Author(s): Angela Moreland, Jenna McCauley, Kelly Barth, et al.
Citation: Journal of Substance Abuse Treatment, 108, 4-8
Date: 01/2020
Type: Document
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Socioeconomic Risk Factors for Fatal Opioid Overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)
Highlights a study that correlates demographic and socioeconomic status with opioid overdose fatalities. Draws data from the Mortality Disparities in American Community Study (MDAC) and compares results by rural/nonrural residence, race, employment, and educational attainment, among other measures.
Author(s): Sean F. Altekruse, Candace M. Cosgrove, William C. Altekruse, Richard A. Jenkins, Carlos Blanco
Citation: PLoS One, 15(1)
Date: 01/2020
Type: Document
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Geographic Disparities Affect Access to Buprenorphine Services for Opioid Use Disorder
Results of a national study to determine the patient capacity of healthcare providers who received waivers to prescribe buprenorphine and the extent to which they were located in rural or urban areas with high rates of opioid abuse. Features 2018 county-level maps showing rates of patient capacity and counties with high need for treatment services.
Author(s): Christi A. Grimm
Date: 01/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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New Mexico Substance Use Disorder Treatment Gap Analysis
An overview of substance use disorder (SUD) treatment services available in the state by county. Includes alcohol-related death rates and drug overdose death rates. Presents estimates of the people living with SUD who are in treatment or are in need of treatment. Offers recommendations for additional services needed to maximize and address the current gaps in services.
Date: 01/2020
Type: Document
Sponsoring organization: New Mexico Department of Health
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A Public Health Emergency: State Efforts to Curb the Opioid Crisis
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the outcomes of public health efforts to combat the opioid crisis. Features testimony from representatives of the Rhode Island Department of Health, the Massachusetts Department of Public Health, the North Carolina Department of Health and Human Services, the West Virginia Department of Health and Human Resources, and the Pennsylvania Department of Drug and Alcohol Programs.
Date: 01/2020
Type: Video/Multimedia
Sponsoring organization: House Committee on Energy and Commerce
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Rural Community Action Guide: Building Stronger, Healthy, Drug-Free Rural Communities
Provides an overview of challenges rural communities face related to substance use disorder (SUD), including prescription opioid misuse. Identifies action steps rural communities can take related to prevention, treatment, recovery, and SUD-related issues such as stigma, transportation barriers, and lack of employment opportunities. Features programs that are working to address these issues in rural communities.
Additional links: Promising Practices Supplement
Date: 01/2020
Type: Document
Sponsoring organization: Office of National Drug Control Policy
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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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