Rural Health
Resources by Topic: Substance use and misuse
A Look at New or Expanded Medicaid and Public Health Partnerships from 2025: Findings from A Survey of State Medicaid Programs
Identifies themes from a survey of state Medicaid directors regarding new or expanded public health initiatives that were implemented in fiscal year (FY) 2025 or planned for FY 2026. Summarizes initiatives related to maternal and child health, child and youth mental health, opioid use disorder (OUD), lead screening, infectious disease, and workforce. Describes rural-related initiatives and examples throughout.
Author(s): Alisha Rao, Anna Mudumala, Elizabeth Hinton, Cory Caldwell
Date: 05/2026
Sponsoring organization: KFF
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Identifies themes from a survey of state Medicaid directors regarding new or expanded public health initiatives that were implemented in fiscal year (FY) 2025 or planned for FY 2026. Summarizes initiatives related to maternal and child health, child and youth mental health, opioid use disorder (OUD), lead screening, infectious disease, and workforce. Describes rural-related initiatives and examples throughout.
Author(s): Alisha Rao, Anna Mudumala, Elizabeth Hinton, Cory Caldwell
Date: 05/2026
Sponsoring organization: KFF
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Access to and Provision of Child and Youth Behavioral Health Services in the Rural and Urban U.S.
Compiles findings from 9 reports on youth behavioral health in the rural U.S. Describes prevalence of behavioral health conditions, the youth behavioral health workforce, behavioral health licensure and reimbursement policy, and provision of youth behavioral health services. Features statistics with breakdowns by 7 levels of population density.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 05/2026
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Compiles findings from 9 reports on youth behavioral health in the rural U.S. Describes prevalence of behavioral health conditions, the youth behavioral health workforce, behavioral health licensure and reimbursement policy, and provision of youth behavioral health services. Features statistics with breakdowns by 7 levels of population density.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 05/2026
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North Carolina Mental Health & Substance Use Services Workforce Data 2024 Snapshot: Addiction Counselors
Offers statistics on number of addiction counselors in North Carolina, with breakdowns by type; demographics; county-level maps showing number of licensed clinical addiction specialists and certified drug and alcohol counselors per 10,000 population; and metro and nonmetro rate to 10,000 population by credential type, as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Offers statistics on number of addiction counselors in North Carolina, with breakdowns by type; demographics; county-level maps showing number of licensed clinical addiction specialists and certified drug and alcohol counselors per 10,000 population; and metro and nonmetro rate to 10,000 population by credential type, as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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North Carolina Mental Health & Substance Use Services Workforce Data 2024 Snapshot: Certified Peer Support Specialists
Presents statistics on North Carolina peer support specialists, including demographics, rate per 10,000 population with breakdowns by metro and nonmetro areas, and a county-level map showing rate per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Presents statistics on North Carolina peer support specialists, including demographics, rate per 10,000 population with breakdowns by metro and nonmetro areas, and a county-level map showing rate per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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2025 Kentucky Drug Overdose Fatality Report
Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
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Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
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Exploring the Geographic Variation of Hepatitis C Screening and Treatment in Ohio
Examines geographic differences in hepatitis C virus (HCV) screening and treatment across Ohio. Utilizes State of Ohio Integrated Behavioral Health Dashboard data to provide a county-level map showing number of HCV screening exams and people treated for HCV per 100,000 people as well as location of health center testing sites.
Author(s): Michael Topmiller, Aaron T. Vissman, Peter J. Mallow, Adam Visconti
Citation: Ohio Journal of Public Health, 8(1)
Date: 04/2026
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Examines geographic differences in hepatitis C virus (HCV) screening and treatment across Ohio. Utilizes State of Ohio Integrated Behavioral Health Dashboard data to provide a county-level map showing number of HCV screening exams and people treated for HCV per 100,000 people as well as location of health center testing sites.
Author(s): Michael Topmiller, Aaron T. Vissman, Peter J. Mallow, Adam Visconti
Citation: Ohio Journal of Public Health, 8(1)
Date: 04/2026
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Comparing the Care, Distance Traveled, and Health Workforce Clinician Mix for Rural and Urban Commercially Insured Enrollees With Opioid Use Disorder
Examines characteristics of opioid treatment in rural and urban communities across the United States. Utilizes 2019 commercial claims data from the Health Care Cost Institute (HCCI) to analyze rural versus urban differences in opioid use disorder and overdose diagnoses, healthcare utilization, healthcare visits by clinician type, average distance traveled to utilize healthcare, and location of received care.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Examines characteristics of opioid treatment in rural and urban communities across the United States. Utilizes 2019 commercial claims data from the Health Care Cost Institute (HCCI) to analyze rural versus urban differences in opioid use disorder and overdose diagnoses, healthcare utilization, healthcare visits by clinician type, average distance traveled to utilize healthcare, and location of received care.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Collaborating for Transportation Access in Rural Communities
Features the nonprofit Feonix – Mobility Rising and its work to support Waupaca County Catch a Ride in Wisconsin and the Transportation Rx program in South Texas. Shares how these programs work to improve transportation in their communities so people can more easily access healthcare, employment, and other needs.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2026
Sponsoring organization: Rural Health Information Hub
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Features the nonprofit Feonix – Mobility Rising and its work to support Waupaca County Catch a Ride in Wisconsin and the Transportation Rx program in South Texas. Shares how these programs work to improve transportation in their communities so people can more easily access healthcare, employment, and other needs.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2026
Sponsoring organization: Rural Health Information Hub
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Comparing the Care and Distance Traveled by Rural and Urban Children and Adolescents with Medicaid Insurance and Opioid Use Disorder
Presents a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and enrolled in Medicaid in 2019. Discusses the effects of rurality, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Presents a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and enrolled in Medicaid in 2019. Discusses the effects of rurality, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Rural-Urban Variation in Opioid Use Disorder Treatment Access among Commercially Insured Children and Adolescents
Details a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and covered by commercial insurance in 2019. Discusses the effects of rurality, provider type, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): C. Holly A. Andrilla, Lisa A. Garberson, Sara C. Woolcock, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Details a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and covered by commercial insurance in 2019. Discusses the effects of rurality, provider type, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): C. Holly A. Andrilla, Lisa A. Garberson, Sara C. Woolcock, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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