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Rural Health
Resources by Topic: Opioids

Rurality is Associated with Increased Drive Times to Opioid Treatment Programs in Arizona
Research brief presenting data on drive times to reach opioid treatment programs and Federally Qualified Health Centers, comparing rural, small town, micropolitan, and metropolitan areas.
Author(s): Rachel Gildersleeve, Benjamin Brady, Bryna Koch, Doug Campos-Outcalt, Daniel Derksen
Date: 05/2021
Sponsoring organization: Arizona Center for Rural Health
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Pain in the Nation: Alcohol, Drug, and Suicide Epidemics - Special Feature: COVID-19 and Trauma
Explores the effect the COVID-19 pandemic and the subsequent trauma it has had on rates of suicide and alcohol- and drug-induced deaths across the nation. Breaks down data by a number of indicators, such as by age and rural versus urban location.
Date: 05/2021
Sponsoring organization: Trust for America's Health
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Medicare-Paid Naloxone: Trends in Non-Metropolitan and Metropolitan Areas Metropolitan Areas
Policy brief examining Medicare-paid naloxone dispensing, comparing rates in nonmetro and metro areas nationwide. Provides year-by-year data by payer type for 2013-2018, including insurance, Medicaid, and Medicare Part D. Compares numbers of Medicare-paid naloxone prescriptions year-to-year for retail pharmacies, comparing rate changes for rural and metro areas.
Author(s): Chris Delcher, Yue Cheng, Minji Sohn, Jeffery C. Talbert, Patricia R. Freeman
Date: 05/2021
Sponsoring organization: Rural and Underserved Health Research Center
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Guide for Future Directions for the Addiction and OUD Treatment Ecosystem
Details strategies for addressing the opioid use epidemic and improving the current addiction treatment ecosystem. Breaks down the strategies by capacity, competency, consistency, and compensation. Discusses some of the barriers to treating opioid use disorder in rural areas.
Author(s): R. Corey Waller, Kelly J. Clark, Alex Woodruff, et al.
Date: 04/2021
Sponsoring organization: National Academy of Medicine
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The Opioid Epidemic: A Geography in Two Phases
Examines population and geographic data on 2 phases of the U.S. opioid epidemic. Examines the association between overdose deaths and chronic pain, physical disability rates, and economic hardship. Discusses the shift from overdose mortality associated with prescription opioids to illicit and synthetic opioids in the early 2010s, including in rural areas and the Northeastern U.S.
Additional links: Report Summary
Author(s): David A. McGranahan, Timothy S. Parker
Date: 04/2021
Sponsoring organization: USDA Economic Research Service
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Addressing Opioid-Related Outcomes among Individuals with Co-Occurring Behavioral Health Conditions: An Environmental Scan of Quality Measures
Presents the results of an environmental scan of healthcare quality measures relevant to addressing polysubstance use among individuals with co-occurring behavioral health conditions. Includes information on access to buprenorphine providers in rural communities.
Date: 04/2021
Sponsoring organization: National Quality Forum
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Expanding Access to Methadone Treatment in Ohio Through Federally Qualified Health Centers and a Chain Pharmacy: A Geospatial Modeling Analysis
Examines the provision of methadone at opioid treatment programs (OTP) in Ohio. Compares how well existing OTPs meet the need for opioid use disorder treatment by urban-rural classification. Explores how expanding methadone administration to Federally Qualified Health Centers (FQHCs) could expand access to OUD treatment in urban and rural areas.
Author(s): Suzan Iloglu, Paul J. Joudrey, Emily A. Wong, Thomas A. Thornhill, Gregg Gonsalves
Citation: Drug and Alcohol Dependence, 220, 108534
Date: 03/2021
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Healing Tool - Pocket Guide for Addressing Behavioral Health Goals in Native Communities
Provides data and strategies for addressing mental health and substance use issues in American Indian and Alaska Native communities. Discusses issues around stigma, medication-assisted treatment, and traditional healing practices, among other measures, for creating culturally competent care in tribal communities.
Author(s): Shirley M. Cain
Date: 03/2021
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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Certified Community Behavioral Health Clinics and County Governments - A National Model Tailored for Local Mental Health and Substance Use Care
Discusses the Certified Community Behavioral Health Clinic (CCBHC) model and details how counties can deploy CCBHCs to address mental health and substance use issues in their communities. Breaks down the structure of CCBHCs and provides several state level examples.
Date: 03/2021
Sponsoring organizations: National Association of Counties, National Council for Mental Wellbeing
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An Examination of Telehealth Policy Impacts on Initial Rural Opioid Use Disorder Treatment Patterns During the COVID‐19 Pandemic
Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
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