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Rural Health
Resources by Topic: Substance use and misuse

Medicaid Coverage of Medications to Reverse Opioid Overdose and Treat Alcohol and Opioid Use Disorders
Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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A Federally Qualified Health Center and Certified Community Behavioral Health Clinic Partnership in Rural Missouri
Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
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El Dorado Community Health Centers: Addressing the Opioid Epidemic in Rural California Through Community Partnerships
Case study describing how El Dorado Community Health Centers, a Federally Qualified Health Center (FQHC) in California, works with a community coalition to address the opioid epidemic and implement a medication for opioid use disorder (MOUD) program. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
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Association of Spatial Proximity to Fixed-Site Syringe Services Programs with HCV Serostatus and Injection Equipment Sharing Practices Among People Who Inject Drugs in Rural New England, United States
Examines the correlation of proximity to a syringe services program (SSP) and Hepatitis C virus (HCV) infection in rural areas of the northeastern United States. Utilizes 2018-2019 data to analyze people who inject drugs (PWID) and their demographic characteristics, drug usage, and distance to the nearest fixed-site SSP.
Author(s): Eric Romo, Thomas J. Stopka, Bill M. Jesdale, et al.
Citation: Harm Reduction Journal, 21, 23
Date: 01/2024
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Overdose Prevention Policy Considerations: A Policy Playbook for State and Territorial Health Officials and Agencies
Provides an overview of policy considerations related to overdose prevention, with a focus on health equity and stigma reduction, community distribution, drug checking equipment, syringe service programs, and substance use support peer programs. Includes case examples, strategies for overdose prevention interventions, and considerations for rural and frontier areas.
Author(s): Victoria Pless, Kaela Hurd, Kayley Humm, Arieana Love
Date: 01/2024
Sponsoring organization: Association of State and Territorial Health Officials
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2022 National Survey on Drug Use and Health: Among the American Indian or Alaska Native (AIAN) Population Aged 12 or Older
Highlights data from the 2022 National Survey on Drug Use and Health pertaining specifically to American Indians and Alaska Natives (AI/AN) over the age of 12. Compares AI/AN rates of drug use and mental illness, as well as co-occurring disorders, to rates for the U.S. as a whole.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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The Impact of Fentanyl on State- and County-Level Psychostimulant and Cocaine Overdose Death Rates by Race in Ohio from 2010 to 2020: A Time Series and Spatiotemporal Analysis
Analyzes the role of fentanyl in overdose deaths in Ohio. Examines 2010-2020 state- and county-level overdose mortality rates with data further broken down by drug type and race/ethnicity. Discusses related geographical factors such as rurality and Appalachian region.
Author(s): Angela T. Estadt, Brian N. White, JaNelle M. Ricks, et al.
Citation: Harm Reduction Journal, 21, 13
Date: 01/2024
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Crime, Violence, Discipline, and Safety in U.S. Public Schools: Findings From the School Survey on Crime and Safety, 2021–22
Reports on crime and violence in U.S. public schools based on data from the School Survey on Crime and Safety (SSOCS). Includes programs and practices in schools to prevent crime as well as data tables on recorded incidents of crime, threats and physical attacks, hate crimes, substance abuse issues, mental health factors, and more. Include breakdowns of crime and violence variables by city, suburb, town, or rural location.
Author(s): Riley Burr, Jana Kemp Ke, Wang
Date: 01/2024
Sponsoring organizations: American Institutes for Research, National Center for Education Statistics
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Temporal Trends in Substance Use and Cardiovascular Disease–Related Mortality in the United States
Analyzes 636,572 death certificates to identify trends for both substance use and cardiovascular disease-related mortality between 1999 and 2019. Breaks down data by rurality, sex, type of substance use, and more. Includes state-level comparisons.
Author(s): Abdul Mannan Khan Minhas, Jakrin Kewcharoen, Michael E. Hall, et al.
Citation: Journal of the American Heart Association 13(2)
Date: 01/2024
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Arkansas State Health Improvement Plan 2024-2029
Offers data on Arkansas health in 5 priority areas: access to care, addiction and mental health, infectious disease and vaccinations, maternal mortality, and obesity. Discusses trends over time and identifies action steps to improve health indicators. Includes rural-specific considerations throughout.
Date: 2024
Sponsoring organization: Arkansas Department of Health
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