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Rural Health
Resources by Topic: Prescription drug misuse

Geographic Trends in Opioid Overdoses in the US From 1999 to 2020
Results of a study examining trends in opioid-involved overdose death (OOD) rates in urban and rural counties. Explores OODs due to overprescription of opioids, use of heroin and illicit synthetic opioids such as fentanyl, and stimulants in combination with synthetic opioids. Features statistics with breakdowns by 6 levels of population density.
Author(s): Lori Ann Post, Alexander Lundberg, Charles B. Moss, et al.
Citation: JAMA Network Open, 5(7)
Date: 07/2022
Type: Document
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Fighting Fentanyl: The Federal Response to a Growing Crisis
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the government's response to the fentanyl crisis. Includes testimonies from the Substance Abuse and Mental Health Administration (SAMHSA), National Center for Injury Prevention and Control, Health Resources and Services Administration (HRSA), and the Office of National Drug Control Policy regarding current efforts to address the expanding use of fentanyl across the U.S.
Additional links: Carole Johnson Testimony, Christopher Jones Testimony, Kemp Chester Testimony, Miriam E. Delphin-Rittmon Testimony
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Responding to a Surge in Overdose Deaths: Perspectives From US Syringe Services Programs
Highlights a study on the perspectives of syringe service program (SSP) leadership and staff regarding overdose deaths in the US. Bases conclusions on interviews done from February to March of 2021 and breaks down participant data by geographic region, distribution approach, and rurality, among others factors.
Author(s): Madeline C. Frost, Elizabeth J. Austin, Maria A. Corcorran, et al.
Citation: Harm Reduction Journal, 19, 79
Date: 07/2022
Type: Document
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UVM CORA Community Rounds: Strategies for Distributing Naloxone to Rural Communities
Webinar recording discusses rural opioid overdoses and methods for distributing naloxone to prevent overdoses. Explores the use of data, technology, and working with emergency services partners to deliver naloxone to people at risk of overdosing, among other factors.
Additional links: Webinar Slides
Author(s): Geoff Capraro, Brooke A. Lawrence
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: University of Vermont Center on Rural Addiction
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Wiping Away the Tears: Addressing Increasing Death in Rural America
Examines rural mortality trends and discusses the impact of the opioid epidemic and COVID-19 pandemic, as well as rural maternal and infant mortality. Describes federally-funded efforts to address rural disparities.
Author(s): Whitney Zahnd
Citation: Rural Monitor
Date: 07/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicaid & State Telehealth Policy – Medicaid Telehealth Policy & Substance Use Disorder
Webinar covering state and federal Medicaid telehealth policy for the treatment of substance use disorder (SUD). Offers an overview of telehealth, its expansion during the COVID-19 pandemic, and its application in SUD treatment with examples from Arkansas and Philadelphia. Also covers research on disparities in drug-related mortality and access to treatment during the pandemic. Captions are available by clicking "CC" at the bottom of the video pane.
Additional links: Presentation slide deck
Date: 06/2022
Type: Video/Multimedia
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Characteristics of Adults Aged ≥18 Years Evaluated for Substance Use and Treatment Planning — United States, 2019
Examines past 30-day substance use patterns for alcohol, cannabis, cocaine, illicit stimulants, heroin, illicit fentanyl, prescription opioid misuse, prescription stimulant misuse, and prescription sedative, tranquilizer, and sleeping pill use. Also looks at the severity of problems experienced in these areas: alcohol, drug, employment, family, legal, medical, and psychiatric issues. Includes data for metropolitan, micropolitan, and rural areas.
Author(s): Akadia Kacha-Ochana, Christopher M. Jones, Jody L. Green, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(23), 749-756
Date: 06/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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A Rural Community's Perspective on the Causes of and Solutions to the Opioid Crisis in Southern Virginia: A Qualitative Study
Results of a study to gain insight into the perceptions, knowledge, and experiences of members of a southern Virginia rural community affected by the opioid crisis, to inform the development of local strategies to address the problem. Examines barriers and facilitators to treatment programs and offers recommendations for targeting populations at risk.
Author(s): Angelina J. Hargrove, Carlin Rafie, Emily Zimmerman, Dawn E. Moser
Citation: Rural and Remote Health, 22(2), 7152
Date: 06/2022
Type: Document
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Rx for the Rural Healthcare Workforce and Access to Care
Podcast with Tom Morris of the Federal Office of Rural Health Policy about trends related to the rural healthcare workforce and efforts to overcome challenges. Discusses the effect of the COVID-19 pandemic, rural hospital closures, telehealth, graduate medical education in rural areas, community health workers and community paramedics, funding opportunities to promote healthcare access in rural areas, the opioid crisis, and more.
Author(s): Jessica Nicholson
Date: 05/2022
Type: Audio
Sponsoring organization: The Conference Board
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Expanded Naloxone Distribution to Reduce Rural Opioid Overdose Mortality
Discusses a study on the effect community-based and pharmacy-initiated naloxone distribution has had on rates of rural opioid overdose mortality. Highlights an intervention that expands naloxone access points in rural communities and pharmacies in addition to traditional provider-based treatment.
Date: 05/2022
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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