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Rural Health
Resources by Topic: Substance abuse

Alcohol Use and Co-Use of Other Substances Among Pregnant Females Aged 12–44 Years — United States, 2015–2018
Examines self-reported drinking in the past 12 months, current drinking, binge drinking, and the co-use of other substances among pregnant females aged 12–44 years. Includes data for metropolitan, micropolitan, and rural areas.
Author(s): Lucinda J. England, Carolyne Bennett, Clark H. Denny, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(31), 1009-1014
Date: 08/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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The Opioid Crisis and the Hispanic/Latino Population: An Urgent Issue
Report highlights the opioid crisis in Hispanic/Latino populations. Details rates of illicit opioid use and prescription drug misuse, as well as overdose and death rates. Discusses measures taken in to provide treatment and prevention in Latino communities, including in rural and border areas.
Date: 07/2020
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Elder Abuse and Grandparent Abuse
Presentation slides from the National Indigenous Elder Justice Initiative on elder abuse and grandparents raising grandchildren in Native American communities. Describes spiritual, cultural, and language considerations for responding to cases of abuse or neglect, including specific ways that hospitals can meet the needs of abused Native American elders. Offers census data on households in which grandparents raise grandchildren, including age and income characteristics and factors leading to grandparents caring for grandchildren. Includes a document outlining the needs and capacity of grandparents to take on a custodial role for children.
Additional links: Grandparent Preparedness Checklist
Author(s): Jacqueline Gray
Date: 07/2020
Type: Presentation Slides
Sponsoring organization: National Indigenous Elder Justice Initiative
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Barriers & Challenges to FQHC Use of Telehealth for Substance Use Disorder: An Examination of Policies Affecting FQHCs Pre- and During the COVID-19 Emergency
Describes barriers for implementing telehealth medication assisted treatment (MAT) programs in Federally Qualified Health Centers (FQHCs) prior to COVID-19 in Kentucky, Maine, Maryland, Ohio, and Pennsylvania, and where entities received funding from the Health Resources Services Administration for substance use disorder projects. Includes analysis on the policies that have impacted FQHCs' ability to deliver MAT via telehealth during the COVID-19 public health emergency, and features a chart showing changes to Medicare and Medicaid telehealth policies for FQHC MAT services.
Date: 07/2020
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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American Communities Experience Deaths of Despair at Uneven Rates
Analyzes nationally representative data from 2014-2018 on deaths of despair (DoD), or deaths resulting from substance use or suicide. Includes county-level statistics on DoD, with information broken down by rurality and race/ethnicity.
Author(s): Dante Chinni
Date: 07/2020
Type: Document
Sponsoring organization: American Communities Project
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Strategies for Rural Communities for Addressing Substance Misuse among Families Involved with the Child Welfare System
Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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COVID-19 and Rural Harm Reduction Challenges in the U.S. Southern Mountains
Explores the relationship between drug use and COVID-19 infections in the Southern Mountains region of Appalachia. Highlights the changes caused by COVID-19 and the challenges harm reduction programs face in providing services, such as syringe exchanges, naloxone access, and COVID-19-related services.
Author(s): Bayla Ostrach, Lesly-Marie Buer, Sam Armbruster, et al.
Citation: Journal of Rural Health
Date: 07/2020
Type: Document
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Michigan - Substance Use Disorder Project ECHO
Addresses the challenges facing providers in the provision of substance use prevention, treatment, and recovery services; provides practical resources to help providers meet the needs of patients; and offers ongoing support for providers by incorporating relevant COVID-19 information in all of their teleECHO™ clinics.
Date: 07/2020
Type: Tutorial/Training
Sponsoring organization: Saginaw Valley State University
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SAMHSA: Coronavirus (COVID-19)
Guidance and resources to help providers respond to COVID-19 while providing care and treatment of mental and substance use disorders. Includes guidance specific to opioid treatment programs.
Date: 07/2020
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Integrating Telemedicine for Medication Treatment for Opioid Use Disorder in Rural Primary Care: Beyond the COVID Pandemic
Discusses adapting expanded telehealth services used during the COVID-19 pandemic to provide treatment of opioid use disorder (OUD). Highlights the successes of telehealth expansion during COVID-19 and suggest ways it could be used to increase access to medication treatment for OUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney
Citation: Journal of Rural Health
Date: 06/2020
Type: Document
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