Rural Health
Resources by Topic: Illicit drug use
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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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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Arizona Opioid Action Plan Version 2.0, July 2019 - June 2021
Outlines the Arizona Department of Health Services' goals and recommendations for responding to the state's opioid-related public health emergency declaration. Intended to serve as an action plan and primary data source, containing information on opioid legislation, federal barriers, public education, youth prevention, medical education curriculum, and more. Includes rural-specific information and recommendations.
Date: 07/2019
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Outlines the Arizona Department of Health Services' goals and recommendations for responding to the state's opioid-related public health emergency declaration. Intended to serve as an action plan and primary data source, containing information on opioid legislation, federal barriers, public education, youth prevention, medical education curriculum, and more. Includes rural-specific information and recommendations.
Date: 07/2019
Type: Document
Sponsoring organization: Arizona Department of Health Services
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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 governance and the size of the population the LHD serves. 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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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 governance and the size of the population the LHD serves. 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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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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Unintentional Injury Death Rates in Rural and Urban Areas: United States, 1999–2017
Examines trends in unintentional injury deaths from 1999 through 2017. Provides urban versus rural age-adjusted death rates related to motor vehicle traffic injuries, unintentional drug overdoses, and unintentional falls, with data for 2014 and 2017.
Author(s): R. Henry Olaisen, Lauren M. Rossen, Margaret Warner, Robert N. Anderson
Date: 07/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines trends in unintentional injury deaths from 1999 through 2017. Provides urban versus rural age-adjusted death rates related to motor vehicle traffic injuries, unintentional drug overdoses, and unintentional falls, with data for 2014 and 2017.
Author(s): R. Henry Olaisen, Lauren M. Rossen, Margaret Warner, Robert N. Anderson
Date: 07/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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Psychosocial Supports in Medication-Assisted Treatment: Site Visit Findings and Conclusions
Profiles 5 programs that offer medication-assisted treatment (MAT) for opioid use disorder (OUD), including several with rural components. Covers psychosocial support offered, staffing and staff training, collaboration and coordination, financing, data collection and quality improvement, lessons learned, and next steps for each program. Discusses the aspects of psychosocial support that are most important for positive outcomes, types of psychosocial support being used, and factors helping or impeding psychosocial support implementation, including stigma and workforce challenges. Appendix B reviews the literature on psychosocial support in MAT.
Additional links: Appendix B: Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice
Author(s): Garrett Moran, Hannah Knudsen, Caroline Snyder
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Profiles 5 programs that offer medication-assisted treatment (MAT) for opioid use disorder (OUD), including several with rural components. Covers psychosocial support offered, staffing and staff training, collaboration and coordination, financing, data collection and quality improvement, lessons learned, and next steps for each program. Discusses the aspects of psychosocial support that are most important for positive outcomes, types of psychosocial support being used, and factors helping or impeding psychosocial support implementation, including stigma and workforce challenges. Appendix B reviews the literature on psychosocial support in MAT.
Additional links: Appendix B: Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice
Author(s): Garrett Moran, Hannah Knudsen, Caroline Snyder
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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The Role of Primary Care in Improving Access to Medication-Assisted Treatment for Rural Medicaid Enrollees with Opioid Use Disorder
Examines the utilization of primary care among rural Medicaid enrollees in rural Pennsylvania diagnosed with an opioid use disorder (OUD). Describes the relationship between primary care utilization, distance to a medication-assisted treatment (MAT) prescriber, and MAT utilization.
Author(s): Evan S. Cole, Ellen DiDomenico, Gerald Cochran, et al.
Citation: Journal of General Internal Medicine, 34(6), 936-943
Date: 06/2019
Type: Document
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Examines the utilization of primary care among rural Medicaid enrollees in rural Pennsylvania diagnosed with an opioid use disorder (OUD). Describes the relationship between primary care utilization, distance to a medication-assisted treatment (MAT) prescriber, and MAT utilization.
Author(s): Evan S. Cole, Ellen DiDomenico, Gerald Cochran, et al.
Citation: Journal of General Internal Medicine, 34(6), 936-943
Date: 06/2019
Type: Document
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Determining Spatial Access to Opioid Use Disorder Treatment and Emergency Medical Services in New Hampshire
Highlights a study on the effect of geospatial determinants on access to opioid use disorder treatment and emergency medical services in New Hampshire. Breaks down data by metropolitan, micropolitan, small town, and rural communities.
Author(s): Yanjia Cao, Kathleen Stewart, Eric Wish, et al.
Citation: Journal of Substance Abuse Treatment, 101, 55-66
Date: 06/2019
Type: Document
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Highlights a study on the effect of geospatial determinants on access to opioid use disorder treatment and emergency medical services in New Hampshire. Breaks down data by metropolitan, micropolitan, small town, and rural communities.
Author(s): Yanjia Cao, Kathleen Stewart, Eric Wish, et al.
Citation: Journal of Substance Abuse Treatment, 101, 55-66
Date: 06/2019
Type: Document
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Pain in the Nation: Building a National Resilience Strategy: Alcohol and Drug Misuse and Suicide and the Millennial Generation - a Devastating Impact
Report highlights the rates of alcohol and drug misuse and suicide among the millennial generation (people in their 20s and 30s). Discusses the role of the opioid crisis in the increases in "deaths of despair" among millennials. Chart on page 6 compares rates in rural and metro areas.
Date: 06/2019
Type: Document
Sponsoring organizations: Trust for America's Health, Well Being Trust
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Report highlights the rates of alcohol and drug misuse and suicide among the millennial generation (people in their 20s and 30s). Discusses the role of the opioid crisis in the increases in "deaths of despair" among millennials. Chart on page 6 compares rates in rural and metro areas.
Date: 06/2019
Type: Document
Sponsoring organizations: Trust for America's Health, Well Being Trust
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Location of Medication-Assisted Treatment for Opioid Addiction: In Brief
Examines the location of providers who offer medication-assisted treatment (MAT) for opioid use disorder based on the location of providers with Drug Addiction Treatment Act (DATA) waivers and federally certified opioid treatment programs. Includes maps showing the location of both by county. Addresses the number of rural counties with no providers and policy options for rural access to MAT.
Date: 06/2019
Type: Document
Sponsoring organization: Congressional Research Service
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Examines the location of providers who offer medication-assisted treatment (MAT) for opioid use disorder based on the location of providers with Drug Addiction Treatment Act (DATA) waivers and federally certified opioid treatment programs. Includes maps showing the location of both by county. Addresses the number of rural counties with no providers and policy options for rural access to MAT.
Date: 06/2019
Type: Document
Sponsoring organization: Congressional Research Service
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