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Rural Health
Resources by Topic: Opioids

Families in Crisis: The Human Service Implications of Rural Opioid Misuse
Presents findings and policy recommendations from the National Advisory Committee on Rural Health and Human Services' 2016 meeting with rural residents, healthcare providers, and stakeholders regarding the impact and effects of opioid use disorders on rural families. Topics addressed include drug overdose and death, conflict with partners and children, emotional disturbance, adverse health risks, and related impacts on employment and economic sustainability.
Date: 07/2016
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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On Pills and Needles: Counties Fight the Opioid Drug Crisis
Special issue focused on how counties are responding to the opioid crisis. Includes an interview with Michael Botticelli, director of the White House Office of National Drug Control Policy, focused on the federal response to rural opioid misuse.
Citation: County News
Date: 07/2016
Sponsoring organization: National Association of Counties
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The Opioid Epidemic: Rural Organizations Fight Back
Highlights programs across the country, such as the ANGEL Program, the Police Assisted Addiction and Recovery Initiative (PARRI) and the Second Chance Drug Initiative, in which police departments and treatment facilities work together to fight addiction and move drug users toward treatment rather than incarceration. Also discusses the use and availability of naloxone, an opioid overdose reversal drug.
Author(s): Zachary Toliver
Citation: Rural Monitor
Date: 06/2016
Sponsoring organization: Rural Health Information Hub
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The Communities That Care Coalition Model for Improving Community Health through Clinical-Community Partnerships: A Population Health Case Report
Discussion paper featuring a community coalition in rural western Massachusetts focused on supporting youth well-being and reducing youth substance use. Describes the initiative and the partners involved, including clinicians and public health. Discusses how the Communities That Care Coalition works within a network of local coalitions, including acting as the prevention arm of the region's Opioid Task Force.
Author(s): Jeanette Voas, Katherine Allen, Ruth Potee
Date: 05/2016
Sponsoring organization: National Academy of Medicine
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The Opioid Epidemic: Testing the Limits of Rural Healthcare
Discusses the factors that make rural communities vulnerable to the ongoing opioid epidemic and efforts needed in rural areas to address this crisis, including the role of rural first responders.
Author(s): Zachary Toliver
Citation: Rural Monitor
Date: 05/2016
Sponsoring organization: Rural Health Information Hub
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Rural Communities in Crisis: Strategies to Address the Opioid Crisis
Policy brief describing the effects of the opioid and heroin crisis in rural areas. Covers challenges to rural healthcare organizations combating this issue, and identifies and discusses policy recommendations for addressing the opioid and heroin crisis in rural communities and in rural healthcare systems.
Author(s): John A. Gale, Dave Schmitz, Michael Meit, et al.
Date: 04/2016
Sponsoring organization: National Rural Health Association
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Rural Opioid Abuse: Prevalence and User Characteristics
Compares non-medical use of opioids, opiates, and heroin in rural and urban areas and assesses socioeconomic characteristics associated with their use.
Author(s): Jennifer D. Lenardson, John A. Gale, Erika C. Ziller
Date: 02/2016
Sponsoring organization: Maine Rural Health Research Center
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Caring for Pregnant Opioid Abusers in Vermont: A Potential Model for Non-Urban Areas
Provides an overview of the challenges managed and the approach used for the development of a comprehensive program for the treatment of opioid dependence during pregnancy in rural Vermont.
Author(s): Marjorie Meyer, Julie Phillips
Citation: Preventive Medicine, 80, 18-22
Date: 11/2015
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Where Is Buprenorphine Dispensed to Treat Opioid Use Disorders? The Role of Private Offices, Opioid Treatment Programs, and Substance Abuse Treatment Facilities in Urban and Rural Counties
Examines the impact of 2006 federal legislation allowing waivered physicians to prescribe and expand FDA approved buprenorphine as a treatment for opioid use disorder to a maximum of 100 patients. Discusses buprenorphine distribution by both urban and rural waivered physicians, opioid treatment programs, and treatment facilities for substance use.
Author(s): Bradley D. Stein, Rosalie Liccardo Pacula, Adam J. Gordon, et al.
Citation: The Milbank Quarterly, 93(3), 561-583
Date: 09/2015
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Disparity in Naloxone Administration by Emergency Medical Service Providers and the Burden of Drug Overdose in US Rural Communities
Examines the factors that influence the administration of naloxone by emergency medical technicians (EMTs) in drug overdoses occurring in rural, suburban, and urban areas, using data from the National Emergency Medical Services Information System.
Author(s): Mark Faul, Michael W. Dailey, David E. Sugerman, et al.
Citation: American Journal of Public Health, 105(Suppl), e26-e32
Date: 07/2015
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