Rural Health
Resources by Topic: Substance use and misuse
Evaluation of Post-Discharge Engagement for Emergency Department Patients with Opioid Use History Who Received Telehealth Recovery Coaching Services
Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention,18(9)
Date: 02/2023
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Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention,18(9)
Date: 02/2023
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Geography, Rurality, and Community Distress: Deaths Due to Suicide, Alcohol-Use, and Drug-Use among Colorado Veterans
Explores the connection between distressed communities and mortality disparities in the Colorado veteran population. Utilizes 2009-2020 Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiologic Research (WONDER) to examine suicide, alcohol, and drug related mortalities, with demographic data broken down by sex, age, race/ethnicity, marital status, distressed community index (DCI), and frontier, rural, or urban location. Includes county-level maps showing DCI and rurality.
Author(s): Talia L. Spark, Colleen E. Reid, Rachel Sayko Adams, et al.
Citation: Injury Epidemiology, 10, 8
Date: 02/2023
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Explores the connection between distressed communities and mortality disparities in the Colorado veteran population. Utilizes 2009-2020 Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiologic Research (WONDER) to examine suicide, alcohol, and drug related mortalities, with demographic data broken down by sex, age, race/ethnicity, marital status, distressed community index (DCI), and frontier, rural, or urban location. Includes county-level maps showing DCI and rurality.
Author(s): Talia L. Spark, Colleen E. Reid, Rachel Sayko Adams, et al.
Citation: Injury Epidemiology, 10, 8
Date: 02/2023
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Filling Behavioral Health Gaps in Rural Communities: A Unique Partnership in Washington State
Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
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Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
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The Doorway at Cheshire Medical Center Leads to Healing
Profiles the Doorway at Cheshire Medical Center, a program at Cheshire Medical Center, a rural hospital in Keene, New Hampshire. Describes how the Doorway uses evidence-based assessment tools to refer clients to the appropriate services in the community and serves as a connection point between multiple substance use disorder (SUD) services.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Profiles the Doorway at Cheshire Medical Center, a program at Cheshire Medical Center, a rural hospital in Keene, New Hampshire. Describes how the Doorway uses evidence-based assessment tools to refer clients to the appropriate services in the community and serves as a connection point between multiple substance use disorder (SUD) services.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Strategies to Recruit Rural Primary Care Providers to Implement a Medication for Opioid Use Disorder (MOUD) Focused Integrated Care Model
Highlights a study on an intervention aimed at addressing systemic barriers to accessing medications for opioid used disorder (MOUD) for rural patients via an integrated care model. Breaks down the intervention structure and discusses project replication and sustainability.
Author(s): Renee M. Cloutier, Evan S. Cole, Brianna L. McDonough, et al.
Citation: Implementation Research and Practice, 4, 1-12
Date: 01/2023
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Highlights a study on an intervention aimed at addressing systemic barriers to accessing medications for opioid used disorder (MOUD) for rural patients via an integrated care model. Breaks down the intervention structure and discusses project replication and sustainability.
Author(s): Renee M. Cloutier, Evan S. Cole, Brianna L. McDonough, et al.
Citation: Implementation Research and Practice, 4, 1-12
Date: 01/2023
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Analysis of Substance Use and Suicidal Ideation in Midwestern Frontier and Non-Frontier Locations
Evaluated emergency department data in South Dakota from 2017 to 2018 to identify ED usage by frontier and non-frontier residents for substance use disorder and suicidal ideation. Discusses usage by substance and the connection between substance use and suicidal ideation.
Author(s): Alexandra Dolezal, Marie Severson, Rusul Ali, Phil Dohn, Lisa McFadden
Citation: South Dakota Medicine, 76(1), 24-27
Date: 01/2023
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Evaluated emergency department data in South Dakota from 2017 to 2018 to identify ED usage by frontier and non-frontier residents for substance use disorder and suicidal ideation. Discusses usage by substance and the connection between substance use and suicidal ideation.
Author(s): Alexandra Dolezal, Marie Severson, Rusul Ali, Phil Dohn, Lisa McFadden
Citation: South Dakota Medicine, 76(1), 24-27
Date: 01/2023
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HCV Serostatus and Injection Sharing Practices Among Those Who Obtain Syringes From Pharmacies and Directly and Indirectly From Syringe Services Programs in Rural New England
Explores the effect that syringe services programs (SSPs) have on hepatitis C (HCV) infection rates in rural people who inject drugs (PWID). Breaks down data by user characteristics, such as age, employment, and syringe sharing practices, among others.
Author(s): Eric Romo, Abby E. Rudolph, Thomas J. Stopka, et al.
Citation: Addiction Science and Clinical Practice, 18
Date: 01/2023
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Explores the effect that syringe services programs (SSPs) have on hepatitis C (HCV) infection rates in rural people who inject drugs (PWID). Breaks down data by user characteristics, such as age, employment, and syringe sharing practices, among others.
Author(s): Eric Romo, Abby E. Rudolph, Thomas J. Stopka, et al.
Citation: Addiction Science and Clinical Practice, 18
Date: 01/2023
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Development and Implementation of the ECHO Model in a School Setting to Address Youth Electronic Cigarette Use in Kansas: A Protocol
Evaluates the development of an ECHO pilot project in Kansas to build staff capacity for the purpose of addressing youth e-cigarette use in rural and frontier areas. Utilizes 20 interdisciplinary school teams to participate in the ECHO model from 2021-2022 and discusses the potential effectiveness of the ECHO model.
Author(s): Eleanor L. S. Leavens, Jordan Roberts, Babalola Faseru, et al.
Citation: Frontiers in Public Health, 10
Date: 01/2023
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Evaluates the development of an ECHO pilot project in Kansas to build staff capacity for the purpose of addressing youth e-cigarette use in rural and frontier areas. Utilizes 20 interdisciplinary school teams to participate in the ECHO model from 2021-2022 and discusses the potential effectiveness of the ECHO model.
Author(s): Eleanor L. S. Leavens, Jordan Roberts, Babalola Faseru, et al.
Citation: Frontiers in Public Health, 10
Date: 01/2023
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Over the Hills and Through the Hollers: How One Program is Assisting Residents of Appalachia with Opioid Use Recovery
Results of a study evaluating the Kentucky Access to Recovery Program (KATR), which provides services to low-income adults recovering from opioid addiction in several rural eastern Kentucky counties. Examines the impact of KATR on service recipients' access to recovery services and supports.
Author(s): Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown
Citation: Journal of Appalachian Health, 4(3), 71-86
Date: 01/2023
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Results of a study evaluating the Kentucky Access to Recovery Program (KATR), which provides services to low-income adults recovering from opioid addiction in several rural eastern Kentucky counties. Examines the impact of KATR on service recipients' access to recovery services and supports.
Author(s): Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown
Citation: Journal of Appalachian Health, 4(3), 71-86
Date: 01/2023
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Exploring Rural-Based Professionals' and Community Stakeholders' Perceptions Towards the Uptake of Buprenorphine
Examines barriers and facilitators related to the uptake of buprenorphine in 7 southern Indiana counties. Discusses cultural issues impacting the perception of buprenorphine uptake, including stigma, transportation, education, collaboration, telehealth, and insurance.
Author(s): Josephine Njeri Mwangi
Date: 01/2023
Sponsoring organizations: Indiana Center for Rural Engagement, Indiana University's School of Public Health
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Examines barriers and facilitators related to the uptake of buprenorphine in 7 southern Indiana counties. Discusses cultural issues impacting the perception of buprenorphine uptake, including stigma, transportation, education, collaboration, telehealth, and insurance.
Author(s): Josephine Njeri Mwangi
Date: 01/2023
Sponsoring organizations: Indiana Center for Rural Engagement, Indiana University's School of Public Health
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