Rural Health
Resources by Topic: Illicit drug use
The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Patterns of Buprenorphine Use and Risk for Re-Arrest among Highly Vulnerable Opioid-Involved Women Released from Jails in Rural Appalachia
Study examining licit and illicit use of buprenorphine by women in the Appalachia region of Kentucky with moderate to severe opioid involvement who had recently been released from jail. Discusses the role of consistent healthcare services in relation to risk for re-arrest, presenting data on demographics, opioid use, and healthcare access over a 3-month tracking period.
Author(s): Hilary L. Surratt, Michele Staton, Carl G. Leukefeld, Carrie B. Oser, J. Matthew Webster
Citation: Journal of Addictive Diseases, 37(1-2), 1-4
Date: 12/2018
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Study examining licit and illicit use of buprenorphine by women in the Appalachia region of Kentucky with moderate to severe opioid involvement who had recently been released from jail. Discusses the role of consistent healthcare services in relation to risk for re-arrest, presenting data on demographics, opioid use, and healthcare access over a 3-month tracking period.
Author(s): Hilary L. Surratt, Michele Staton, Carl G. Leukefeld, Carrie B. Oser, J. Matthew Webster
Citation: Journal of Addictive Diseases, 37(1-2), 1-4
Date: 12/2018
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Mandatory Reporting of Fatal and Nonfatal Opioid Overdoses in a Rural Public Health Department
Describes a mandatory reporting initiative in rural Clallam County, Washington of fatal and nonfatal opioid overdoses. Offers data on reported cases from 2016-2017 including age, sex, participation in syringe exchanges, overdose characteristics, and public health services provided per case.
Author(s): Christopher J. Frank, Siri E. Kushner, David A. Doran, Jeanette Stehr-Green
Citation: American Journal of Public Health, 108(12), 1646-1648
Date: 12/2018
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Describes a mandatory reporting initiative in rural Clallam County, Washington of fatal and nonfatal opioid overdoses. Offers data on reported cases from 2016-2017 including age, sex, participation in syringe exchanges, overdose characteristics, and public health services provided per case.
Author(s): Christopher J. Frank, Siri E. Kushner, David A. Doran, Jeanette Stehr-Green
Citation: American Journal of Public Health, 108(12), 1646-1648
Date: 12/2018
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Pandora's Pill Bottle - 1: Opioids in Rural America
Presents a series of articles on the effect the opioid crisis has had on rural agricultural areas. Details the stories of rural people whose lives have been affected by opioids.
Additional links: Pandora's Pill Bottle - 2: How Opioids Become a Problem, Pandora's Pill Bottle - 3: Impact of Opioids, Pandora's Pill Bottle - 4: Battling Opioids at Ground Level, Pandora's Pill Bottle - 5: A Life of Hope Lost to Opioid Addiction, Pandora's Pill Bottle - 6: What Needs to be Done About Opioids?, Pandora's Pill Bottle - 7: Actionable Insights for Local Communities Against Opioid Abuse
Author(s): Todd Neeley
Date: 12/2018
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Presents a series of articles on the effect the opioid crisis has had on rural agricultural areas. Details the stories of rural people whose lives have been affected by opioids.
Additional links: Pandora's Pill Bottle - 2: How Opioids Become a Problem, Pandora's Pill Bottle - 3: Impact of Opioids, Pandora's Pill Bottle - 4: Battling Opioids at Ground Level, Pandora's Pill Bottle - 5: A Life of Hope Lost to Opioid Addiction, Pandora's Pill Bottle - 6: What Needs to be Done About Opioids?, Pandora's Pill Bottle - 7: Actionable Insights for Local Communities Against Opioid Abuse
Author(s): Todd Neeley
Date: 12/2018
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Drug, Opioid-Involved, and Heroin-Involved Overdose Deaths Among American Indians and Alaska Natives — Washington, 1999–2015
Reports on trends and disparities in drug, opioid-involved, and heroin-involved overdose mortality rates for American Indian/Alaska Native (AI/AN) and non-Hispanic White people in Washington state. Includes data on total overdose deaths for AI/AN and White people by county of residence for metropolitan and nonmetro counties.
Author(s): Sujata Joshi, Thomas Weiser, Victoria Warren-Mears
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(50), 1384-1387
Date: 12/2018
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on trends and disparities in drug, opioid-involved, and heroin-involved overdose mortality rates for American Indian/Alaska Native (AI/AN) and non-Hispanic White people in Washington state. Includes data on total overdose deaths for AI/AN and White people by county of residence for metropolitan and nonmetro counties.
Author(s): Sujata Joshi, Thomas Weiser, Victoria Warren-Mears
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(50), 1384-1387
Date: 12/2018
Sponsoring organization: Centers for Disease Control and Prevention
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Public Health and Other Related Provisions in P.L 115-271, the SUPPORT for Patients and Communities Act
Summarizes Title VII and VIII provisions in the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act). Addresses provisions affecting access to opioid abuse treatment and providers, data collection, child welfare, the Department of Justice, substance abuse prevention, and more. Sections highlighting rural authorize grants for first responder training, data collection on adverse childhood experiences, recovery support services, and reauthorization of the State and Tribal Response to the Opioid Abuse Crisis grant program with technical assistance for rural and underserved communities.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Summarizes Title VII and VIII provisions in the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act). Addresses provisions affecting access to opioid abuse treatment and providers, data collection, child welfare, the Department of Justice, substance abuse prevention, and more. Sections highlighting rural authorize grants for first responder training, data collection on adverse childhood experiences, recovery support services, and reauthorization of the State and Tribal Response to the Opioid Abuse Crisis grant program with technical assistance for rural and underserved communities.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Buprenorphine and the Opioid Crisis: A Primer for Congress
Discusses the use of buprenorphine in Medication-Assisted Treatment (MAT) of opioid addiction. Report addresses questions for U.S. lawmakers to craft opioid treatment policy. Looks at the effectiveness, demand, and access of buprenorphine.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Discusses the use of buprenorphine in Medication-Assisted Treatment (MAT) of opioid addiction. Report addresses questions for U.S. lawmakers to craft opioid treatment policy. Looks at the effectiveness, demand, and access of buprenorphine.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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The Special Registration for Telemedicine: In Brief
Describes changes to the Controlled Substance Act (CSA) authorizing special registration for telemedicine to increase access to healthcare providers that can prescribe controlled substances using telemedicine, with the goal of helping address the opioid crisis and shortage of mental health providers. Outlines the seven categories for the practice of telemedicine under the authority of the CSA. The Drug Enforcement Administration plans to publish the related proposed rule to finalize the registration process and procedures.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Describes changes to the Controlled Substance Act (CSA) authorizing special registration for telemedicine to increase access to healthcare providers that can prescribe controlled substances using telemedicine, with the goal of helping address the opioid crisis and shortage of mental health providers. Outlines the seven categories for the practice of telemedicine under the authority of the CSA. The Drug Enforcement Administration plans to publish the related proposed rule to finalize the registration process and procedures.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Talking about Hepatitis C: FAQs from Young Adults who Inject Drugs
Highlights some common questions posed by rural young adults at high risk of hepatitis C (HCV) infection due to injectable drug use. Breaks down demographic data by sex and education among other measures.
Author(s): Lauren L. Knight, Katherine Wagner, Yuridia Leyva, et al.
Citation: Health Promotion Practice, 19(6), 815-822
Date: 11/2018
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Highlights some common questions posed by rural young adults at high risk of hepatitis C (HCV) infection due to injectable drug use. Breaks down demographic data by sex and education among other measures.
Author(s): Lauren L. Knight, Katherine Wagner, Yuridia Leyva, et al.
Citation: Health Promotion Practice, 19(6), 815-822
Date: 11/2018
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A Large HCV Transmission Network Enabled a Fast-growing HIV Outbreak in Rural Indiana, 2015
Highlights a study of the co-infection of hepatitis C among HIV patients who inject opioids in rural Indiana. Details the age, race, and county of residence, as well as several risk factors of the patients.
Author(s): Sumathi Ramachandran, Hong Thai, Joseph C. Forbi, et al.
Citation: EBioMedicine, 37, 374-381
Date: 11/2018
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Highlights a study of the co-infection of hepatitis C among HIV patients who inject opioids in rural Indiana. Details the age, race, and county of residence, as well as several risk factors of the patients.
Author(s): Sumathi Ramachandran, Hong Thai, Joseph C. Forbi, et al.
Citation: EBioMedicine, 37, 374-381
Date: 11/2018
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