Rural Health
Resources by Topic: Illicit drug use
Cross-Agency Approaches to Substance Use Disorder Prevention and Treatment: National Recommendations
Provides recommendations on how state agencies can work together to prevent and treat substance use disorder, including engaging with state offices of rural health. Offers examples from 8 states and emphasizes state efforts related to opioid misuse disorder.
Date: 03/2019
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Provides recommendations on how state agencies can work together to prevent and treat substance use disorder, including engaging with state offices of rural health. Offers examples from 8 states and emphasizes state efforts related to opioid misuse disorder.
Date: 03/2019
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Identifying Safety-Net Resources at Health Centers to Prevent Infectious Disease Transmission Resulting from the Opioid Epidemic
Examines challenges faced and strategies used by Community Health Centers (CHCs) in rural areas to reduce the transmission of infectious diseases in relation to opioid use. Focuses on treatment of people with opioid use disorder; prevention of HIV and hepatitis C (HCV) transmission; integration of substance use services with mental health and primary care; information sharing among health centers and Ryan White Part C providers; and challenges related to staffing, administration, finances, and social stigma. Identifies 7 facilitators of successful programs.
Author(s): Joshua Breslau, Ryan K. McBain, Molly Simmons
Date: 03/2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examines challenges faced and strategies used by Community Health Centers (CHCs) in rural areas to reduce the transmission of infectious diseases in relation to opioid use. Focuses on treatment of people with opioid use disorder; prevention of HIV and hepatitis C (HCV) transmission; integration of substance use services with mental health and primary care; information sharing among health centers and Ryan White Part C providers; and challenges related to staffing, administration, finances, and social stigma. Identifies 7 facilitators of successful programs.
Author(s): Joshua Breslau, Ryan K. McBain, Molly Simmons
Date: 03/2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Medications for Opioid Use Disorder Save Lives
Reports on the findings from an expert committee regarding the evidence behind using medications to treat opioid use disorder, as well as issues with accessing medication-based treatment. Chapter 3 includes a section focusing on rural populations and chapter 5 addresses rural/urban differences in the number of healthcare providers waivered to prescribe buprenorphine, a medication used to treat opioid-use disorder.
Additional links: Read Online
Author(s): Committee on Medication-Assisted Treatment for Opioid Use Disorder
Date: 03/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Reports on the findings from an expert committee regarding the evidence behind using medications to treat opioid use disorder, as well as issues with accessing medication-based treatment. Chapter 3 includes a section focusing on rural populations and chapter 5 addresses rural/urban differences in the number of healthcare providers waivered to prescribe buprenorphine, a medication used to treat opioid-use disorder.
Additional links: Read Online
Author(s): Committee on Medication-Assisted Treatment for Opioid Use Disorder
Date: 03/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Pain in the Nation Update: While Deaths from Alcohol, Drugs, and Suicide Slowed Slightly in 2017, Rates Are Still at Historic Highs
Issue brief details updated rates of deaths related to drugs, alcohol, and suicide from 2016-2017. Breaks down data by race, age, and regionally, including rural versus metro areas.
Date: 03/2019
Type: Document
Sponsoring organization: Trust for America's Health
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Issue brief details updated rates of deaths related to drugs, alcohol, and suicide from 2016-2017. Breaks down data by race, age, and regionally, including rural versus metro areas.
Date: 03/2019
Type: Document
Sponsoring organization: Trust for America's Health
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Estimating the Number of People Who Inject Drugs in A Rural County in Appalachia
Demonstrates how a group of researchers conducted data collection in Cabell County, West Virginia in June and July 2018, to estimate the number of people who inject drugs such as heroin, methamphetamine, and fentanyl. Features statistics including demographics and breakdowns by type of drug injected.
Author(s): Sean T. Allen, Allison O'Rourke, Rebecca Hamilton White, et al.
Citation: American Journal of Public Health, 109(3), 445-450
Date: 03/2019
Type: Document
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Demonstrates how a group of researchers conducted data collection in Cabell County, West Virginia in June and July 2018, to estimate the number of people who inject drugs such as heroin, methamphetamine, and fentanyl. Features statistics including demographics and breakdowns by type of drug injected.
Author(s): Sean T. Allen, Allison O'Rourke, Rebecca Hamilton White, et al.
Citation: American Journal of Public Health, 109(3), 445-450
Date: 03/2019
Type: Document
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Addressing the Rural Opioid Addiction and Overdose Crisis Through Cross-Sector Collaboration: Little Falls, Minnesota
Explores a cross-sector community-based care coordination effort to reduce the use of opioids in Little Falls, MN. Discusses the collaboration between a rural hospital and clinic with the Morrison County Accountable Communities for Health (ACH) program and highlights changes to opioid prescribing practices and community awareness of treatment options.
Author(s): Caroline Au-Yeung, Lynn A. Blewett, Kathy Lange
Citation: American Journal of Public Health, 109(2), 260-262
Date: 02/2019
Type: Document
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Explores a cross-sector community-based care coordination effort to reduce the use of opioids in Little Falls, MN. Discusses the collaboration between a rural hospital and clinic with the Morrison County Accountable Communities for Health (ACH) program and highlights changes to opioid prescribing practices and community awareness of treatment options.
Author(s): Caroline Au-Yeung, Lynn A. Blewett, Kathy Lange
Citation: American Journal of Public Health, 109(2), 260-262
Date: 02/2019
Type: Document
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Premature Mortality from All Causes and Drug Poisonings in the USA According to Socioeconomic Status and Rurality: An Analysis of Death Certificate Data by County from 2000–15
Examines premature deaths from drug poisoning versus all causes by county for White, Black, and Latino people. Addresses differences by rural/urban location, socioeconomic status, education level, gender, and race/ethnicity. See additional link for detailed tables.
Additional links: Supplementary Appendix
Author(s): Meredith S. Shiels, Amy Berrington de Gonzalez, Ana F. Best, et al.
Citation: The Lancet, 4(2), e97-e106
Date: 02/2019
Type: Document
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Examines premature deaths from drug poisoning versus all causes by county for White, Black, and Latino people. Addresses differences by rural/urban location, socioeconomic status, education level, gender, and race/ethnicity. See additional link for detailed tables.
Additional links: Supplementary Appendix
Author(s): Meredith S. Shiels, Amy Berrington de Gonzalez, Ana F. Best, et al.
Citation: The Lancet, 4(2), e97-e106
Date: 02/2019
Type: Document
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Opioid Use Disorder: Challenges and Opportunities in Rural Communities
Discusses challenges rural communities face in providing access to evidence-based treatment for opioid use disorder (OUD). Identifies federal and state strategies to address treatment capacity, including expanding the workforce authorized to prescribe buprenorphine and using technology to provide treatment. Highlights how Scott County, Indiana responded to an HIV outbreak related to OUD by addressing the barriers to care faced by people with OUD and HIV.
Date: 02/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Discusses challenges rural communities face in providing access to evidence-based treatment for opioid use disorder (OUD). Identifies federal and state strategies to address treatment capacity, including expanding the workforce authorized to prescribe buprenorphine and using technology to provide treatment. Highlights how Scott County, Indiana responded to an HIV outbreak related to OUD by addressing the barriers to care faced by people with OUD and HIV.
Date: 02/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Oklahoma Drug Induced Causes of Death Due to Opioid Poisoning, 1999 to 2017
County-level map of Oklahoma, using data from the Centers for Disease Control and Prevention/National Center for Health Statistics, to show drug induced age-adjusted mortality rate due to opioid poisoning from 1999 to 2017.
Date: 01/2019
Type: Map/Mapping System
Sponsoring organization: Oklahoma State University Center for Rural Health
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County-level map of Oklahoma, using data from the Centers for Disease Control and Prevention/National Center for Health Statistics, to show drug induced age-adjusted mortality rate due to opioid poisoning from 1999 to 2017.
Date: 01/2019
Type: Map/Mapping System
Sponsoring organization: Oklahoma State University Center for Rural Health
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Association Among County-Level Economic Factors, Clinician Supply, Metropolitan or Rural Location, and Neonatal Abstinence Syndrome
Highlights a study on demographic factors that correlate with neonatal abstinence syndrome (NAS). Looks at a county's economic factors, rural status, and clinician supply in 8 different states.
Author(s): Stephen W. Patrick, Laura J. Faherty, Andrew W. Dick, et al.
Citation: JAMA, 321(4), 385-393
Date: 01/2019
Type: Document
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Highlights a study on demographic factors that correlate with neonatal abstinence syndrome (NAS). Looks at a county's economic factors, rural status, and clinician supply in 8 different states.
Author(s): Stephen W. Patrick, Laura J. Faherty, Andrew W. Dick, et al.
Citation: JAMA, 321(4), 385-393
Date: 01/2019
Type: Document
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