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Rural Health
Resources by Topic: Illicit drug use

Stem the Tide: Opioid Stewardship Measurement Implementation Guide
Identifies best practices for hospitals and health systems to use data to improve opioid stewardship. Addresses six elements that can support facilities through implementing a data-driven opioid stewardship program. Provides a list of quality improvement measures for hospitals and health systems to track progress. Highlights a consortium of providers serving rural communities across Minnesota, North Dakota, and Wisconsin focused on access to treatment and interventions that address social determinants of health.
Date: 2020
Type: Document
Sponsoring organization: American Hospital Association
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DEA COVID-19 Information Page
Guidance for DEA-registered telehealth practitioners to issue prescriptions for controlled substances to patients for whom they have not conducted an in-person medical evaluation, for the duration of the COVID-19 public health emergency.
Date: 2020
Type: Website
Sponsoring organizations: Drug Enforcement Administration, U.S. Department of Justice
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U.S. Department of Health and Human Services: 2019 Annual Report
Highlights the U.S. Department of Health and Human Services' major accomplishments during 2019. Discusses the federal response to the opioid crisis, Indian Health Service healthcare quality efforts, value-based healthcare models, and strategies to improve healthcare in rural and underserved communities.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Opportunities to Improve Opioid Use Disorder and Infectious Disease Services: Integrating Responses to a Dual Epidemic
Examines opioid use and drug-related infectious diseases. Identifies the barriers to integration of opioid use disorder (OUD) and infectious disease services, including barriers faced in rural areas such as workforce shortages. Offers strategies to overcome those barriers. Offers case studies of programs that have successfully integrated services, including programs serving rural areas. Includes policy recommendations.
Additional links: Read Online, Report Highlights
Author(s): Board on Population Health and Public Health Practice
Date: 2020
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Impact of Emotional Distress on Prescription Opioid Abuse in a Rural Juvenile Drug Court Sample
Assesses the relationship between emotional distress and opioid misuse among juvenile drug court participants in a rural Ohio county. Includes information on sociodemographic factors, such as race/ethnicity, age, and gender, as well as trends in Emotional Problem Scale (EPS) scores across time for both prescription opioid misusers and nonusers.
Author(s): Ross Kauffman, Keith Durkin
Citation: Ohio Journal of Public Health, 2(2), 37-43
Date: 12/2019
Type: Document
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Migration to the US among Rural Puerto Ricans Who Inject Drugs: Influential Factors, Sources of Support, and Challenges for Harm Reduction Interventions
Details a study of the migration patterns of rural people who inject drugs (PWID) from Puerto Rico to the United States. Breaks down data by age, gender, and HIV and HCV status among other measures.
Author(s): R. Abadie, P. Habecker, C. Gelpi-Acosta, K. Dombrowski
Citation: BMC Public Health, 19, 1710
Date: 12/2019
Type: Document
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A Systematic Review of Rural-specific Barriers to Medication Treatment for Opioid Use Disorder in the United States
Analyzes a number of studies looking at medication-assisted treatment (MAT) for opioid use disorder in rural areas. Explores barriers to accessing MAT in rural areas and makes rural and urban comparisons.
Author(s): Jamey J. Lister, Addie Weaver, Jennifer D. Ellis, Joseph A. Himle, David M. Ledgerwood
Citation: The American Journal of Drug and Alcohol Abuse
Date: 12/2019
Type: Document
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Comparison of Rural vs Urban Direct-to-Physician Commercial Promotion of Medications for Treating Opioid Use Disorder
Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
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The Impact of the Opioid Epidemic on the Aging Services Network and the Older Adults They Serve
Report highlights the results of a survey of National Council on Aging (NCOA) grantees and partners on the effect of the opioid epidemic on older adults. Details the percentage of respondents from rural areas and offers recommendations and resources to address the epidemic among the aging population.
Date: 12/2019
Type: Document
Sponsoring organization: National Council on Aging
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Finalized CY 2020 Physician Fee Schedule
Fact sheet describing calendar year 2020 changes to Medicare's telehealth reimbursement policy as a part of the Physician Fee Schedule (PFS) final rule. Includes sections on opioid use disorder treatment services, care management services, chronic care remote physiologic monitoring services, and online digital evaluation service (E-visit).
Date: 11/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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