Rural Health
Resources by Topic: Prescription drug misuse
Changes in Buprenorphine Visits in Frontier and Remote Locations: Effects of the SARS-COV-2 Pandemic
Evaluated patient appointments offering buprenorphine prescriptions in the 55 weeks before and after the start of the COVID-19 pandemic to determine the impact of the pandemic and pandemic-era policies on buprenorphine access for frontier residents in the Great Plains region.
Author(s): Lisa M. McFadden
Citation: Drug and Alcohol Dependence Reports, 7, 100155
Date: 06/2023
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Evaluated patient appointments offering buprenorphine prescriptions in the 55 weeks before and after the start of the COVID-19 pandemic to determine the impact of the pandemic and pandemic-era policies on buprenorphine access for frontier residents in the Great Plains region.
Author(s): Lisa M. McFadden
Citation: Drug and Alcohol Dependence Reports, 7, 100155
Date: 06/2023
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Access to Medications for Opioid Use Disorder in Rural Versus Urban Veterans Health Administration Facilities
Explores rural veterans' access to medications for opioid use disorder (MOUD) via the Veterans Health Administration (VHA) system. Highlights VHA efforts to expand access to MOUD within VHA facilities and aims to identify access levels for rural veterans via the VA's Community Care program. Breaks down data by type of MOUD and by rural or urban location.
Author(s): Jessica J. Wyse, Sarah Shull, Stephan Lindner, et al.
Citation: Journal of General Internal Medicine, 38(8), 1871-1876
Date: 06/2023
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Explores rural veterans' access to medications for opioid use disorder (MOUD) via the Veterans Health Administration (VHA) system. Highlights VHA efforts to expand access to MOUD within VHA facilities and aims to identify access levels for rural veterans via the VA's Community Care program. Breaks down data by type of MOUD and by rural or urban location.
Author(s): Jessica J. Wyse, Sarah Shull, Stephan Lindner, et al.
Citation: Journal of General Internal Medicine, 38(8), 1871-1876
Date: 06/2023
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Pain in the Nation: The Epidemics of Alcohol, Drug, and Suicide Deaths - Special Feature: Youth Mental Health and Well-Being
Presents the rates of drug, alcohol, and suicide deaths in the U.S. in 2021 and from 1999 to 2021. Discusses the effect of the COVID-19 pandemic on deaths of despair and the state of the ongoing opioid crisis. Includes a special feature focusing on youth mental health and well being. Highlights data on rural and urban communities.
Date: 05/2023
Sponsoring organization: Trust for America's Health
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Presents the rates of drug, alcohol, and suicide deaths in the U.S. in 2021 and from 1999 to 2021. Discusses the effect of the COVID-19 pandemic on deaths of despair and the state of the ongoing opioid crisis. Includes a special feature focusing on youth mental health and well being. Highlights data on rural and urban communities.
Date: 05/2023
Sponsoring organization: Trust for America's Health
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The Impacts of Opioid Addiction on the Rural Workforce
A recorded webinar that examines how the rural workforce has been impacted by opioid addiction. Discusses issues of healthcare access, poverty, mental health, and farmworker health, along with data on workforce impacts. Includes resources to support opioid recovery and examples of recovery efforts in specific regions, such as Appalachia.
Additional links: Executive Summary, Presentation, Transcript
Author(s): Kellie Kubena, Carol Wetuski, Lauren Wood, et al.
Date: 05/2023
Sponsoring organizations: Appalachian Regional Commission, First Tennessee Development District, Office of Workforce Investment (OWI), U.S. Department of Agriculture
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A recorded webinar that examines how the rural workforce has been impacted by opioid addiction. Discusses issues of healthcare access, poverty, mental health, and farmworker health, along with data on workforce impacts. Includes resources to support opioid recovery and examples of recovery efforts in specific regions, such as Appalachia.
Additional links: Executive Summary, Presentation, Transcript
Author(s): Kellie Kubena, Carol Wetuski, Lauren Wood, et al.
Date: 05/2023
Sponsoring organizations: Appalachian Regional Commission, First Tennessee Development District, Office of Workforce Investment (OWI), U.S. Department of Agriculture
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An Exploratory Study of a Hands-on Naloxone Training for Rural Clinicians and Staff
Presents a study on the efficacy of a hands-on naloxone training for rural healthcare providers as a means of reducing opioid overdose fatalities in rural areas. Discusses the fentanyl-driven surge in opioid overdose deaths and describes the 1-hour training session, which involved a lecture and hands-on training with naloxone.
Author(s): Shameka L. Cody, Cheryl B. Hines, Christina J. Glenn, et al.
Citation: Journal of Nursing Scholarship, 55(3), 599-604
Date: 05/2023
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Presents a study on the efficacy of a hands-on naloxone training for rural healthcare providers as a means of reducing opioid overdose fatalities in rural areas. Discusses the fentanyl-driven surge in opioid overdose deaths and describes the 1-hour training session, which involved a lecture and hands-on training with naloxone.
Author(s): Shameka L. Cody, Cheryl B. Hines, Christina J. Glenn, et al.
Citation: Journal of Nursing Scholarship, 55(3), 599-604
Date: 05/2023
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Medication for Opioid Use Disorder During Pregnancy — Maternal and Infant Network to Understand Outcomes Associated with Use of Medication for Opioid Use Disorder During Pregnancy (MAT-LINK), 2014–2021
Describes a surveillance network of seven clinical sites focused on the use of medication for opioid use disorder (MOUD) during pregnancy. Initial report is limited to selected demographic characteristics of pregnant persons overall and by MOUD treatment status, including data for urban and rural areas.
Author(s): Kathryn Miele, Shin Y. Kim, Rachelle Jones, et al.
Citation: MMWR Surveillance Summaries, 72(3), 1-14
Date: 05/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Describes a surveillance network of seven clinical sites focused on the use of medication for opioid use disorder (MOUD) during pregnancy. Initial report is limited to selected demographic characteristics of pregnant persons overall and by MOUD treatment status, including data for urban and rural areas.
Author(s): Kathryn Miele, Shin Y. Kim, Rachelle Jones, et al.
Citation: MMWR Surveillance Summaries, 72(3), 1-14
Date: 05/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Augmenting Project ECHO for Opioid Use Disorder with Data-Informed Quality Improvement
Discusses the feasibility of training clinics that are participating in a Project ECHO virtual collaborative to implement quality initiative (QI) projects that mitigate opioid overdose and mortality. Provides results of 5 New Hampshire clinics that joined the training and includes considerations of QI projects and opioid mitigation taking place in rural areas.
Author(s): Owen B. Murray, Marcy Doyle, Bethany M. McLeman, et al.
Citation: Addiction Science & Clinical Practice, 18, 24
Date: 04/2023
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Discusses the feasibility of training clinics that are participating in a Project ECHO virtual collaborative to implement quality initiative (QI) projects that mitigate opioid overdose and mortality. Provides results of 5 New Hampshire clinics that joined the training and includes considerations of QI projects and opioid mitigation taking place in rural areas.
Author(s): Owen B. Murray, Marcy Doyle, Bethany M. McLeman, et al.
Citation: Addiction Science & Clinical Practice, 18, 24
Date: 04/2023
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The Opioid Crisis: Impact on Native American Communities
Describes the opioid crisis impact on Non-Hispanic Native American communities since 2000. Compares deaths for Native Americans with the general U.S. population and the general New Mexican population. Also shows impact of different types of opioids and deaths for Non-Hispanic Native Americans by sex and age in 2021 as well as drug use among Native American high school students in New Mexico in 2021 by drug type.
Date: 04/2023
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Describes the opioid crisis impact on Non-Hispanic Native American communities since 2000. Compares deaths for Native Americans with the general U.S. population and the general New Mexican population. Also shows impact of different types of opioids and deaths for Non-Hispanic Native Americans by sex and age in 2021 as well as drug use among Native American high school students in New Mexico in 2021 by drug type.
Date: 04/2023
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Biopsychosocial Contexts of Timely and Adequate Prenatal Care Utilization among Women with Criminal Legal Involvement and Opioid Use Disorder
Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
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Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
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