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Rural Health
Resources by Topic: Substance use and misuse

Telemedicine Increases Access to Buprenorphine Initiation During the COVID-19 Pandemic
Discusses the expanded access to buprenorphine prescription through telemedicine during COVID-19, comparing the experiences of two harm reduction primary care programs in a rural and urban region of New York. Discusses reduced barriers to treatment, particularly delays due to in-person evaluation requirements before to the pandemic, and innovations to Opioid Use Disorder treatment made possible through telehealth.
Author(s): Linda Wang, Jeffrey Weiss, Elizabeth Bogel Ryan, et al.
Citation: Journal of Substance Abuse Treatment, 124, 108272
Date: 05/2021
Type: Document
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Escalating Alcohol-Involved Death Rates: Trends and Variation across the Nation and in the States from 2006 to 2019
Examines alcohol-involved deaths by state and at the national level, discussing Centers for Disease Control and Prevention vital statistics data. Explores death rate changes, trends, and variation, comparing state rates to U.S. rates and comparing rates across demographic and age groups, by sex, and by urban/rural location. Offers a map with links to infographics for each state.
Additional links: Issue Brief
Date: 04/2021
Type: Document
Sponsoring organization: State Health Access Data Assistance Center
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Rural Suicide Prevention: Reviewing the Evidence and Gaps
Cyberseminar discusses current state of suicide prevention for rural veterans. Highlights data, risk and protective factors, and current and potential prevention practices. Details knowledge gaps and makes recommendations for researchers.
Additional links: Audio Recording, Presentation Slides
Author(s): Nate Mohatt
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: U.S. Department of Veterans Affairs
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Rural and Urban Experiences with EMS Overdose Treatment
Results of a survey of 90 urban and rural emergency medical service (EMS) providers practicing in Indiana during the period from November 2020 to March 2021, to determine how many training hours they receive and how comfortable they are with treating opioid overdoses and general drug overdoses. Features survey responses with breakdowns by urban and rural location. Poster presented at the 2021 RTT Collaborative Annual Meeting.
Author(s): Brycen Ratcliffe, Robin Danek, Ellen Ireland, Eric Reyes
Date: 04/2021
Type: Document
Sponsoring organization: Indiana University School of Medicine
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Looking at the Rural Homelessness Experience: Definitions, Data, and Solutions
Explains how homelessness impacts health. Features a Vermont organization's work using the evidence-based Housing First model to help people with mental health and substance use challenges and others who lack social supports and have housing needs.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Guide for Future Directions for the Addiction and OUD Treatment Ecosystem
Details strategies for addressing the opioid use epidemic and improving the current addiction treatment ecosystem. Breaks down the strategies by capacity, competency, consistency, and compensation. Discusses some of the barriers to treating opioid use disorder in rural areas.
Author(s): R. Corey Waller, Kelly J. Clark, Alex Woodruff, et al.
Date: 04/2021
Type: Document
Sponsoring organization: National Academy of Medicine
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The Opioid Epidemic: A Geography in Two Phases
Research report examining population and geographic data on two phases of the U.S. opioid epidemic. Examines the association between overdose deaths and chronic pain, physical disability rates, and economic hardship. Discusses the shift from overdose mortality associated with prescription opioids to illicit and synthetic opioids in the early 2010s, including in rural areas and the Northeastern U.S.
Additional links: Report summary
Author(s): David A. McGranahan, Timothy S. Parker
Date: 04/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
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Addressing Opioid-Related Outcomes Among Individuals With Co-Occurring Behavioral Health Conditions: An Environmental Scan of Quality Measures
Presents the results of an environmental scan of healthcare quality measures relevant to addressing polysubstance use among individuals with co-occurring behavioral health conditions. Includes information on access to buprenorphine providers in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: National Quality Forum
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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: 04/2021
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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An Examination of Telehealth Policy Impacts on Initial Rural Opioid Use Disorder Treatment Patterns During the COVIDÔÇÉ19 Pandemic
Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health
Date: 03/2021
Type: Document
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