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Rural Health
Resources by Topic: Illicit drug use

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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Characteristics of US Counties With High Opioid Overdose Mortality and Low Capacity to Deliver Medications for Opioid Use Disorder
Highlights a study on opioid overdose mortality in U.S. counties that lack the capacity to treat opioid use disorder. Breaks down counties by patient demographic and geographic region, as well as by rural, metropolitan, and micropolitan status.
Author(s): Rebecca L. Haffajee, Lewei Allison Lin, Amy S. B. Bohnert, Jason E. Goldstick
Citation: JAMA Network Open, 2(6)
Date: 06/2019
Type: Document
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How the Federal Government Supports State and Local Efforts to Improve Rural Health: A Q&A with Tom Morris
Provides a Q&A with Tom Morris, associate administrator of rural health policy at the Health Resources and Services Administration (HRSA). Focuses on how government agencies are addressing rural hospital closures, population health, rural workforce development, and the opioid epidemic.
Date: 06/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Binge Drinking and Prescription Opioid Misuse in the U.S., 2012-2014
Explores the relationship between binge drinking and opioid misuse. Analyzes data from the 2012-2014 National Survey on Drug Use and Health and presents data by age, race, and rural versus urban status, among other measures.
Author(s): Marissa B. Esser, Gery P. Guy Jr., Kun Zhang, et al.
Citation: American Journal of Preventive Medicine
Date: 06/2019
Type: Document
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Medicaid's Role in Addressing the Opioid Epidemic
Provides state-by-state information on opioid overdose deaths and death rates per 100,000 population, Medicaid coverage of Medication Assisted Treatment (MAT) drugs, and whether states waived the Medicaid Institutions for Mental Diseases (IMD) exclusion for substance use disorder treatment. Includes additional statistics on the opioid epidemic and related Medicaid coverage statistics.
Date: 06/2019
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Leveraging Medicaid Financing and Coverage Benefits to Deliver PrEP Intervention Services
Shows how stakeholders in Medicaid agencies, Medicaid managed care organizations, and public health departments can identify barriers to pre-exposure prophylaxis (PrEP) medication and clinical services, in an effort to prevent HIV. Includes a section on provision of PrEP through Federally Qualified Health Centers and Rural Health Centers, and through telehealth.
Author(s): Naomi Seiler
Date: 05/2019
Type: Document
Sponsoring organization: AcademyHealth
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Understanding the Public Health Consequences of Suspending a Rural Syringe Services Program: A Qualitative Study of the Experiences of People Who Inject Drugs
Details a study on the public health outcomes associated with discontinuing syringe services programs (SSPs) in rural areas where people who inject drugs (PWIDs) are prevalent. Focuses on the Kanawha-Charleston Health Department in West Virginia.
Author(s): Sean T. Allen, Suzanne M. Grieb, Allison O'Rourke, et al.
Citation: Harm Reduction Journal, 16
Date: 05/2019
Type: Document
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Briefing - Expanding the Role of Nurse Practitioners
Provides a webinar recording and slides on expanding the role of nurse practitioners, focusing on models from Nevada, Colorado, and New Mexico, and what California can learn from them. Includes some information on nurse practitioners providing care in rural and frontier areas, as well as what they are doing to help combat the opioid epidemic.
Date: 05/2019
Type: Video/Multimedia
Sponsoring organization: California Health Care Foundation
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Opioids in Appalachia: The Role of Counties in Reversing a Regional Epidemic
Details the state of the opioid epidemic in Appalachia and presents recommendations to help county leaders respond to the opioid crisis. Features individual county case studies highlighting the challenges and strategies in addressing the opioid crisis.
Additional links: Executive Summary
Date: 05/2019
Type: Document
Sponsoring organization: National Association of Counties
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Spotlight on North Carolina: Best Practices and Next Steps in the Opioid Epidemic
Discusses the best practices for addressing the opioid epidemic in North Carolina. Details methods for increasing access to naloxone, medication-assisted treatment (MAT), and non-opioid comprehensive pain care.
Date: 05/2019
Type: Document
Sponsoring organizations: American Medical Association, Manatt Health, North Carolina Medical Society
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