Rural Health
Resources by Topic: Opioids
How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Non-Metropolitan vs. Metropolitan Variations in Alcohol, Illicit Drug, and Prescription Therapeutic Drug Misuse
Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Rural and Urban Availability of Substance Use Treatment Facilities
Discusses the national availability of and regional variance in substance use disorder treatment facilities for rural and urban residents. Highlights the number of facilities per 100,000 population by rural status and county, as well as the number of facilities offering medication for opioid use disorder (MOUD) services.
Author(s): Aaron P. Smith, Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Discusses the national availability of and regional variance in substance use disorder treatment facilities for rural and urban residents. Highlights the number of facilities per 100,000 population by rural status and county, as well as the number of facilities offering medication for opioid use disorder (MOUD) services.
Author(s): Aaron P. Smith, Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Buprenorphine Dispensed by Pharmacies and Administered in Emergency Departments in Urban and Rural Areas — United States, 2019–2025
Reports on how the provision of buprenorphine in pharmacies and emergency departments varied by rural or urban area between 2019 and 2025. Includes rural and urban data comparisons on the frequency of dispensing or administering buprenorphine, dosing, prescribing, availability, and more, including year-by-year comparisons.
Author(s): Gery P. Guy Jr., Yijie Chen, Kun Zhang, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(33), 522-528
Date: 08/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on how the provision of buprenorphine in pharmacies and emergency departments varied by rural or urban area between 2019 and 2025. Includes rural and urban data comparisons on the frequency of dispensing or administering buprenorphine, dosing, prescribing, availability, and more, including year-by-year comparisons.
Author(s): Gery P. Guy Jr., Yijie Chen, Kun Zhang, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(33), 522-528
Date: 08/2026
Sponsoring organization: Centers for Disease Control and Prevention
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NSDUH (National Survey on Drug Use and Health) Detailed Tables - 2025
Explores 2025 survey data on use of prescription and illicit drugs, alcohol, tobacco and nicotine products, trends in substance use disorder (SUD) and mental illness, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Additional links: Methodological Summary and Definitions - 2025
Date: 07/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Explores 2025 survey data on use of prescription and illicit drugs, alcohol, tobacco and nicotine products, trends in substance use disorder (SUD) and mental illness, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Additional links: Methodological Summary and Definitions - 2025
Date: 07/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Postoperative Pain Management in Rural Communities
Describes the University of Rochester Medicine Recovery Center of Excellence's approach to addressing opioid overprescribing after surgery. Discusses topics including provider engagement, patient empowerment and effective communication strategies, and rural implementation concerns.
Date: 07/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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Describes the University of Rochester Medicine Recovery Center of Excellence's approach to addressing opioid overprescribing after surgery. Discusses topics including provider engagement, patient empowerment and effective communication strategies, and rural implementation concerns.
Date: 07/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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Frequent Police Contact and Nonfatal Overdose among People Who Use Drugs in Rural Appalachia
Explores the relationship between non-fatal overdoses and frequent stop-and-search contact with the police for rural people who use drugs (PWUD) in Kentucky. Breaks down data by participant demographic measures, such as age, sex, housing stability, frequency of police stops, and drug use, among other measures.
Author(s): Javier A. Cepeda, Talia Loeb, Zach R. Salazar, et al.
Citation: Drug and Alcohol Dependence, 284, 113188
Date: 07/2026
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Explores the relationship between non-fatal overdoses and frequent stop-and-search contact with the police for rural people who use drugs (PWUD) in Kentucky. Breaks down data by participant demographic measures, such as age, sex, housing stability, frequency of police stops, and drug use, among other measures.
Author(s): Javier A. Cepeda, Talia Loeb, Zach R. Salazar, et al.
Citation: Drug and Alcohol Dependence, 284, 113188
Date: 07/2026
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Drug Overdose Deaths: South Carolina, 2024
Reports drug overdose deaths for South Carolina in 2024 using state vital statistics data. Includes statistics on the demographics of drug-related mortality, unintentional and intentional deaths, drug categories, and selected drugs. Includes statistics and county-level maps showing totals, rates, and change over time.
Date: 06/2026
Sponsoring organization: South Carolina Department of Public Health
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Reports drug overdose deaths for South Carolina in 2024 using state vital statistics data. Includes statistics on the demographics of drug-related mortality, unintentional and intentional deaths, drug categories, and selected drugs. Includes statistics and county-level maps showing totals, rates, and change over time.
Date: 06/2026
Sponsoring organization: South Carolina Department of Public Health
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Transitions from First Drug Use to Illicit Opioid and Injection Drug Use in a Multisite Rural U.S. Cohort of People Who Use Drugs
Presents a study aiming to understand the transition from initial drug use to non-prescription opioid use and injection drug use among rural people who use non-prescription opioids. Bases finding on structured interviews of rural drug users in ten states describing their "first use" event and the transition to illicit opioid use.
Author(s): Rob J. Fredericksen, Adams Sibley, Kathryn E. Lancaster, et al.
Citation: Harm Reduction Journal, 23, 111
Date: 06/2026
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Presents a study aiming to understand the transition from initial drug use to non-prescription opioid use and injection drug use among rural people who use non-prescription opioids. Bases finding on structured interviews of rural drug users in ten states describing their "first use" event and the transition to illicit opioid use.
Author(s): Rob J. Fredericksen, Adams Sibley, Kathryn E. Lancaster, et al.
Citation: Harm Reduction Journal, 23, 111
Date: 06/2026
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Drug Use and Social Connectivity Related to Hepatitis C Infection Among Rural People Who Use Drugs
Presents a study on the levels of social connectivity of rural people who use drugs (PWUDs) that correlate hepatitis C virus (HCV) positivity. Explores data by demographic characteristics, and measurements of social connectivity, such as currently seeing a primary care provider, past substance use treatment, and access to transportation, among other measures.
Author(s): Alex Rains, Ellen Almirol, William Nicholson, et al.
Citation: Journal of Viral Hepatitis, 33(7), e70200
Date: 06/2026
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Presents a study on the levels of social connectivity of rural people who use drugs (PWUDs) that correlate hepatitis C virus (HCV) positivity. Explores data by demographic characteristics, and measurements of social connectivity, such as currently seeing a primary care provider, past substance use treatment, and access to transportation, among other measures.
Author(s): Alex Rains, Ellen Almirol, William Nicholson, et al.
Citation: Journal of Viral Hepatitis, 33(7), e70200
Date: 06/2026
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