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Rural Health
Resources by Topic: Illicit drug use

Pain in the Nation: The Epidemics of Alcohol, Drug, and Suicide Deaths - Special Feature: Youth Mental Health and Well-Being
Presents the rates of drug, alcohol, and suicide deaths in the U.S. in 2021 and from 1999 to 2021. Discusses the effect of the COVID-19 pandemic on deaths of despair and the state of the ongoing opioid crisis. Includes a special feature focusing on youth mental health and well being. Highlights data on rural and urban communities.
Date: 05/2023
Type: Document
Sponsoring organization: Trust for America's Health
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Evidence-Based, Whole-Person Care for Pregnant People Who Have Opioid Use Disorder
Report presents care recommendations for treatment of opioid use disorder during pregnancy. Discusses the risks of opioid use during and after pregnancy and explores factors to consider when treating pregnant people. Highlights barriers for rural patients.
Date: 05/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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An Exploratory Study of a Hands-on Naloxone Training for Rural Clinicians and Staff
Presents a study on the efficacy of a hands-on naloxone training for rural healthcare providers as a means of reducing opioid overdose fatalities in rural areas. Discusses the fentanyl-driven surge in opioid overdose deaths and describes the 1-hour training session, which involved a lecture and hands-on training with naloxone.
Author(s): Shameka L. Cody, Cheryl B. Hines, Christina J. Glenn, et al.
Citation: Journal of Nursing Scholarship, 55(3), 599-604
Date: 05/2023
Type: Document
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Medication for Opioid Use Disorder During Pregnancy — Maternal and Infant Network to Understand Outcomes Associated with Use of Medication for Opioid Use Disorder During Pregnancy (MAT-LINK), 2014–2021
Describes a surveillance network of seven clinical sites focused on the use of medication for opioid use disorder (MOUD) during pregnancy. Initial report is limited to selected demographic characteristics of pregnant persons overall and by MOUD treatment status, including data for urban and rural areas.
Author(s): Kathryn Miele, Shin Y. Kim, Rachelle Jones, et al.
Citation: MMWR Surveillance Summaries, 72(3), 1-14
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Challenges and Solutions for Disaster Behavioral Health in Rural and Remote Communities
Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Type: Document
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Stigma and Opioid Use Disorder in Northern New England
Report presents a study on the stigma around opioid use disorder (OUD) in Northern New England. Details the results of a survey of clinicians and counselors on the perceived stigma around OUD and OUD treatment in the rural counties of Maine, Vermont, New Hampshire, and Northern New York.
Date: 04/2023
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Augmenting Project ECHO for Opioid Use Disorder with Data-Informed Quality Improvement
Discusses the feasibility of training clinics that are participating in a Project ECHO virtual collaborative to implement quality initiative (QI) projects that mitigate opioid overdose and mortality. Provides results of 5 New Hampshire clinics that joined the training and includes considerations of QI projects and opioid mitigation taking place in rural areas.
Author(s): Owen B. Murray, Marcy Doyle, Bethany M. McLeman, et al.
Citation: Addiction Science & Clinical Practice, 18, 24
Date: 04/2023
Type: Document
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The Opioid Crisis: Impact on Native American Communities
Describes the opioid crisis impact on Non-Hispanic Native American communities since 2000. Compares deaths for Native Americans with the general U.S. population and the general New Mexican population. Also shows impact of different types of opioids and deaths for Non-Hispanic Native Americans by gender and age in 2021 as well as drug use among Native American high school students in New Mexico in 2021 by drug type.
Date: 04/2023
Type: Document
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Biopsychosocial Contexts of Timely and Adequate Prenatal Care Utilization among Women with Criminal Legal Involvement and Opioid Use Disorder
Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
Type: Document
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