Rural Health
Resources by Topic: Substance use and misuse
KFF Tracking Poll July 2023: Substance Use Crisis And Accessing Treatment
Provides results of a poll focused on the impact of substance use on American families, such as experiences with addiction, social and mental health impacts of substance use, and potential outcomes of substance use such as homelessness or need for medical care. Includes information specific to opioid use with results categorized by race/ethnicity and community type, including urban, suburban, and rural.
Author(s): Grace Sparks, Alex Montero, Ashley Kirzinger, Isabelle Valdes, Liz Hamel
Date: 08/2023
Sponsoring organization: KFF
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Provides results of a poll focused on the impact of substance use on American families, such as experiences with addiction, social and mental health impacts of substance use, and potential outcomes of substance use such as homelessness or need for medical care. Includes information specific to opioid use with results categorized by race/ethnicity and community type, including urban, suburban, and rural.
Author(s): Grace Sparks, Alex Montero, Ashley Kirzinger, Isabelle Valdes, Liz Hamel
Date: 08/2023
Sponsoring organization: KFF
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Recovery In Rural America: Housing Helps Address the Substance Use Disorder Crisis
Describes the intersection of housing issues and substance use disorder (SUD) and discusses potential collaborations, innovations, and solutions. Includes examples of how rural communities across the U.S. have strategized to solve problems associated with housing and SUD.
Date: 08/2023
Sponsoring organization: Housing Assistance Council
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Describes the intersection of housing issues and substance use disorder (SUD) and discusses potential collaborations, innovations, and solutions. Includes examples of how rural communities across the U.S. have strategized to solve problems associated with housing and SUD.
Date: 08/2023
Sponsoring organization: Housing Assistance Council
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Bridging the Gaps in Women's Primary Care for Those Treated at a Residential Drug Treatment Facility in Southwest Ohio
Analyzes access to primary healthcare for women in a residential substance use disorder (SUD) facility in rural Southwest Ohio. Considers factors such as substance use, mental health, sexual transmitted infections (STIs), and reproductive health in relation to primary care needs.
Author(s): Anna Squibb, Bradley Subler, Tongfan Wu, Vijay K. Rings, Khadijah C. Collins
Citation: Ohio Journal of Public Health, 6(1)
Date: 08/2023
Sponsoring organization: Ohio Public Health Association
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Analyzes access to primary healthcare for women in a residential substance use disorder (SUD) facility in rural Southwest Ohio. Considers factors such as substance use, mental health, sexual transmitted infections (STIs), and reproductive health in relation to primary care needs.
Author(s): Anna Squibb, Bradley Subler, Tongfan Wu, Vijay K. Rings, Khadijah C. Collins
Citation: Ohio Journal of Public Health, 6(1)
Date: 08/2023
Sponsoring organization: Ohio Public Health Association
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Leveraging Policy Changes Made in Response to COVID-19 to Advance Telehealth and Novel Treatment Approaches for People Who Use Opioids: Qualitative Perspective from Two Rural North Carolina Communities
Results of interviews with 10 providers of healthcare and supportive services for people who use opioids in rural counties in North Carolina. Discusses topics including COVID-19's influence on telehealth, models for opioid treatment delivery in rural areas, and common barriers to service access. Identifies strategies for facilitating services in rural areas, including expanded telehealth access and implementation of other service delivery models.
Author(s): Hillary Chen, Brandon A. Knettel, Lisa Macon Harrison, et al.
Citation: North Carolina Medical Journal, 84(5), 54-60
Date: 07/2023
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Results of interviews with 10 providers of healthcare and supportive services for people who use opioids in rural counties in North Carolina. Discusses topics including COVID-19's influence on telehealth, models for opioid treatment delivery in rural areas, and common barriers to service access. Identifies strategies for facilitating services in rural areas, including expanded telehealth access and implementation of other service delivery models.
Author(s): Hillary Chen, Brandon A. Knettel, Lisa Macon Harrison, et al.
Citation: North Carolina Medical Journal, 84(5), 54-60
Date: 07/2023
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North Dakota Statewide Traffic Safety Survey, 2023: Traffic Safety Performance Measures for State and Federal Agencies
Provides information on traffic safety issues among varied demographic groups in North Dakota and their beliefs, practices, and distractions related to driving. Includes rural versus urban comparisons about driving safety, driving under the influence, and more.
Author(s): Kimberly Vachal, Andrew Kubas, Jaclyn Andersen
Date: 07/2023
Sponsoring organization: Upper Great Plains Transportation Institute
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Provides information on traffic safety issues among varied demographic groups in North Dakota and their beliefs, practices, and distractions related to driving. Includes rural versus urban comparisons about driving safety, driving under the influence, and more.
Author(s): Kimberly Vachal, Andrew Kubas, Jaclyn Andersen
Date: 07/2023
Sponsoring organization: Upper Great Plains Transportation Institute
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Health Panel Comment Letter – HHS Smoking Cessation Framework 2023
Offers comments in response to the U.S. Department of Health and Human Services (HHS) Request for Information on the draft HHS 2023 Framework to Support and Accelerate Smoking Cessation. Discusses tobacco use in rural areas, incorporating payment strategies to incentivize clinical providers and health plans to address tobacco cessation, the importance of culturally competent interventions, and more.
Date: 07/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the U.S. Department of Health and Human Services (HHS) Request for Information on the draft HHS 2023 Framework to Support and Accelerate Smoking Cessation. Discusses tobacco use in rural areas, incorporating payment strategies to incentivize clinical providers and health plans to address tobacco cessation, the importance of culturally competent interventions, and more.
Date: 07/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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The Frontier of Harm Reduction: Expanding Services for Rural People Who Use Drugs
Describes how harm reduction approaches help reduce health risks related to substance use and explains how these approaches are being adapted in rural areas. Highlights innovative harm reduction strategies being used in rural communities in Alaska, Wisconsin, and South Dakota.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 07/2023
Sponsoring organization: Rural Health Information Hub
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Describes how harm reduction approaches help reduce health risks related to substance use and explains how these approaches are being adapted in rural areas. Highlights innovative harm reduction strategies being used in rural communities in Alaska, Wisconsin, and South Dakota.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 07/2023
Sponsoring organization: Rural Health Information Hub
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Indian Health Service Program Evaluation Services: Community Opioid Intervention Pilot Projects FY 2021-2022 Report
Report evaluates the Indian Health Service's Community Opioid Intervention Pilot Project aimed at addressing opioid use disorder in tribal communities. Collects and evaluates data from grantees after the program's first year, April 1, 2021-March 31, 2022. Explores grantees' progress in building organizational capacity, community and educational events, and professional trainings, among other measures.
Date: 07/2023
Sponsoring organization: Indian Health Service
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Report evaluates the Indian Health Service's Community Opioid Intervention Pilot Project aimed at addressing opioid use disorder in tribal communities. Collects and evaluates data from grantees after the program's first year, April 1, 2021-March 31, 2022. Explores grantees' progress in building organizational capacity, community and educational events, and professional trainings, among other measures.
Date: 07/2023
Sponsoring organization: Indian Health Service
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: Third Evaluation Report
Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Factors Associated with Homelessness Among US Veterans: A Systematic Review
Examines individual-level risk factors for homelessness in the U.S. veterans population by reviewing 60 relevant studies. Analyzes factors related to homelessness such as military service, mental health, substance use, and sociodemographic variables, including the impact of living in a rural area.
Additional links: Appendices, Executive Summary, Report
Author(s): JK Anderson, KM Mackey, EH Beech, S Young, NJ Parr
Date: 07/2023
Sponsoring organization: U.S. Department of Veterans Affairs
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Examines individual-level risk factors for homelessness in the U.S. veterans population by reviewing 60 relevant studies. Analyzes factors related to homelessness such as military service, mental health, substance use, and sociodemographic variables, including the impact of living in a rural area.
Additional links: Appendices, Executive Summary, Report
Author(s): JK Anderson, KM Mackey, EH Beech, S Young, NJ Parr
Date: 07/2023
Sponsoring organization: U.S. Department of Veterans Affairs
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