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Rural Health Information Hub

Rural Health
Resources by Topic: Substance use and misuse

Medicaid Behavioral Health Providers Delivering Most Behavioral Health Services via Telehealth Before and During the COVID-19 Pandemic Issue Brief
Examines the extent to which Medicaid behavioral health providers shifted their practices to mostly telebehavioral health services during the COVID-19 pandemic through December 2021. Explores differences between specialty and non-specialty behavioral health providers, providers serving enrollees with mental health conditions versus substance use disorders, and rural and urban providers.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Tennessee Child Fatality 2024 Annual Report
Detailed review of deaths of Tennessee children ages 0-17 in 2022. Includes a section on the Sources of Strength program, an initiative to promote mental health and prevent suicides in rural communities.
Date: 12/2024
Sponsoring organization: Tennessee Department of Health
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Sobering Statistics: Acceleration of Alcohol-Attributable Deaths Across the United States During the COVID-19 Pandemic
Provides information on alcohol use and drinking guidelines. Includes data on alcohol-attributable deaths in the U.S. per 100,00 people from 2006-2022, with breakdowns by state, race/ethnicity, sex, age, and large metro, small/medium metro, or nonmetro location.
Author(s): Andrea Stewart, Colin Planalp, Tyler Winkelman
Date: 12/2024
Sponsoring organization: State Health Access Data Assistance Center
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Understanding MAT Access in the Context of Unused MAT Capacity in the United States: When Increasing Rural MAT Capacity is Not Enough
Examines the factors related to buprenorphine prescriptions to treat opioid use disorder (OUD) and the impacts of the federal DATA waiver to increase provider capacity. Utilizes multiple data sources to describe medication-assisted treatment (MAT) capacity, access, barriers, availability of MAT, and service area need in rural areas.
Author(s): Carolyn Carpenedo Mun, Rachel Zambrano, Eileen Tallman, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 19, 47
Date: 12/2024
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The Effects of Message Framing on US Police Chiefs' Support for Interventions for Opioid Use Disorder: A Randomized Survey Experiment
Examines how U.S. police chiefs frame cultural messages surrounding opioid use disorder interventions and the focus on public health and harm reduction versus public safety. Analyzes data from 276 police chiefs related to overdose prevention centers, syringe service programs (SSPs), Good Samaritan laws, Narcan distribution, collaboration for public health and safety, and acceptance of officers in recovery. Includes demographic breakdowns of police chiefs, such as region, urbanicity, and population per officer.
Author(s): Brandon del Pozo, Saba Rouhani, Amelia Bailey, et al.
Citation: Health & Justice, 12, 50
Date: 12/2024
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Perceptions of Substance Use Disorder in Rural Areas: How the Brain Disease Model Impacts Public Stigma
Presents a study on substance use disorder (SUD) stigma in rural communities by comparing the results from a 2020 study to a survey conducted in 2023. Explores rural perceptions in SUD as a legitimate illness and discusses perceptions of medication-assisted treatment (MAT) and SUD treatment and recovery.
Author(s): Erin E. Miller, Sarah Schweitzer, Patricia Ahmed, et al.
Citation: BMC Public Health, 24, 3531
Date: 12/2024
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Unveiling Socioeconomic Disparities in Maternal Smoking During Pregnancy: A Comprehensive Analysis of Rural and Appalachian Areas in Virginia Utilizing the Multi-Dimensional YOST Index
Examines associations of rurality, Appalachian dwelling, county socioeconomic status (SES), and other demographic factors with smoking behaviors during pregnancy. Utilizes 2009-2020 Virginia Pregnancy Risk Assessment Monitoring System (PRAMS) data.
Author(s): Asal Pilehvari, Ashley Chipoletti, Rebecca Krukowski, Melissa Little
Citation: BMC Pregnancy and Childbirth, 24, 828
Date: 12/2024
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Lifting Kids Up with Grace: How a New Mexico Community Built a Grassroots Youth and Family Center from the Ground Up
Features the GRACE Youth and Family Center for Everyone, a New Mexico grassroots initiative that offers free programming to children, teenagers, and families in a rural county with high rates of substance use.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 12/2024
Sponsoring organization: Rural Health Information Hub
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Buprenorphine Injection Among Rural Persons Who Inject Drugs
Describes buprenorphine use by rural people who inject drugs, using data from the Rural Opioid Initiative, to inform patient-clinician discussions and public health interventions. Features demographics and behavioral characteristics of 2,369 people who were surveyed between 2018-2020.
Author(s): Kaitlin A. Zinsli, Elenore P. Bhatraju, Judith Feinberg, et al.
Citation: JAMA Network Open, 7(12), e2450108
Date: 12/2024
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Caring for Pennsylvanians with Dementia and Related Disorders: An Analysis of Needs and Capacity in Rural Areas, 2024 to 2034
Examines potential demand for care of people living with Alzheimer's disease or a related disorder (ADRD) in rural Pennsylvania. Features county-level maps showing numbers of various types of care facilities and their capacity, and statistics including projections of the population aged 65+ and rate of increase from 2020 to 2040, age-adjusted mortality rate from ADRD, projections of number of ADRD cases by 2040, and impact of smoking and obesity on ADRD, with breakdowns by county.
Author(s): Dara P. Bourassa, Sara A. Grove
Date: 12/2024
Sponsoring organization: Center for Rural Pennsylvania
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