Rural Health
                Resources by Topic: Substance use and misuse
    
                    Commission on Combating Synthetic Opioid Trafficking Final Report
        
Reports on synthetic drug trafficking in the U.S., including the challenges for law enforcement, need for updated drug policy, and surveillance and data analysis concerns. Discusses public health considerations and challenges for reducing the demand for drugs via treatment. Technical Appendixes include rural references throughout, and Figure B.5 shows opioid-involved overdose deaths by Core-Based Statistical Areas (CBSAs) for 2000-2019.
Additional links: Technical Appendixes
Date: 02/2022
Sponsoring organizations: Drug Enforcement Administration, Office of National Drug Control Policy, Office of the Director of National Intelligence, RAND Corporation, U.S. Department of Defense, U.S. Department of Homeland Security, U.S. Department of State, U.S. Department of Treasury, U.S. House of Representatives, U.S. Senate
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    Reports on synthetic drug trafficking in the U.S., including the challenges for law enforcement, need for updated drug policy, and surveillance and data analysis concerns. Discusses public health considerations and challenges for reducing the demand for drugs via treatment. Technical Appendixes include rural references throughout, and Figure B.5 shows opioid-involved overdose deaths by Core-Based Statistical Areas (CBSAs) for 2000-2019.
Additional links: Technical Appendixes
Date: 02/2022
Sponsoring organizations: Drug Enforcement Administration, Office of National Drug Control Policy, Office of the Director of National Intelligence, RAND Corporation, U.S. Department of Defense, U.S. Department of Homeland Security, U.S. Department of State, U.S. Department of Treasury, U.S. House of Representatives, U.S. Senate
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                    Meeting the Behavioral Health Needs of Farm Families in Times of Economic Distress
        
Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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    Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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                    2022 Heart Disease & Stroke Statistical Update Fact Sheet: American Indian/Alaska Natives & Cardiovascular Diseases
        
Reports statistics on cardiovascular disease, coronary heart disease, stroke, and high blood pressure among American Indians and Alaska Natives. Includes data on smoking, physical inactivity, and diabetes.
Date: 01/2022
Sponsoring organization: American Heart Association
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    Reports statistics on cardiovascular disease, coronary heart disease, stroke, and high blood pressure among American Indians and Alaska Natives. Includes data on smoking, physical inactivity, and diabetes.
Date: 01/2022
Sponsoring organization: American Heart Association
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                    Postmortem Screening of Opioids, Benzodiazepines, and Alcohol Among Rural and Urban Suicide Decedents
        
Presents a study comparing the co-use of opioids and other substances in opioid-related overdose suicides in rural and urban areas. Breaks down 2012-2015 data from the National Violent Death Reporting System (NVDRS) by toxicology reports, sex, and mental health history, among other factors.
Author(s): K.M. Bensley, William C. Kerr, Sarah Beth Barnett, Nina Mulia
Citation: Journal of Rural Health, 38(1), 77-86
Date: 01/2022
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    Presents a study comparing the co-use of opioids and other substances in opioid-related overdose suicides in rural and urban areas. Breaks down 2012-2015 data from the National Violent Death Reporting System (NVDRS) by toxicology reports, sex, and mental health history, among other factors.
Author(s): K.M. Bensley, William C. Kerr, Sarah Beth Barnett, Nina Mulia
Citation: Journal of Rural Health, 38(1), 77-86
Date: 01/2022
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                    A Profile of Migrant Health: 2020 Uniform Data System Analysis
        
Analyzes the demographic, socioeconomic, and health characteristics of migrants from community and migrant health centers that receive funding through the U.S. Public Health Service Act, Section 330. Discusses common conditions faced by migrants, including COVID-19.
Date: 01/2022
Sponsoring organization: National Center for Farmworker Health
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    Analyzes the demographic, socioeconomic, and health characteristics of migrants from community and migrant health centers that receive funding through the U.S. Public Health Service Act, Section 330. Discusses common conditions faced by migrants, including COVID-19.
Date: 01/2022
Sponsoring organization: National Center for Farmworker Health
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                    A Pilot Study Examining Access to and Satisfaction with Maternal Mental Health and Substance Use Disorder Treatment via Telemedicine
        
Highlights a study on the role telemedicine plays in increasing access to mental health and substance use treatment for women who are pregnant or have recently given birth. The study received a high percentage of participants from rural areas and breaks down the demographic data by rural, as well as several other factors such as age, race, and diagnosis, to name a few.
Author(s): Constance Guille, Emily Johnson, Edie Douglas, et al.
Citation: Telemedicine Reports, 3(1), 24-29
Date: 01/2022
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    Highlights a study on the role telemedicine plays in increasing access to mental health and substance use treatment for women who are pregnant or have recently given birth. The study received a high percentage of participants from rural areas and breaks down the demographic data by rural, as well as several other factors such as age, race, and diagnosis, to name a few.
Author(s): Constance Guille, Emily Johnson, Edie Douglas, et al.
Citation: Telemedicine Reports, 3(1), 24-29
Date: 01/2022
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                    Increasing Capacity for Treatment of Opioid Use Disorder in Rural Primary Care Practices
        
Examines strategies to improve the treatment of opioid use disorder (OUD) in primary care practices (PCPs) through the program Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs). Reports on 42 PCPs who participated in IT MATTTRs over 20 months beginning in September 2017. Discusses program efficacy and potential impacts on OUD in rural areas.
Author(s): Linda Zittleman, Kristen Curcija, Donald E. Nease Jr, et al.
Citation: Annals of Family Medicine, 20(1), 18-23
Date: 01/2022
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    Examines strategies to improve the treatment of opioid use disorder (OUD) in primary care practices (PCPs) through the program Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs). Reports on 42 PCPs who participated in IT MATTTRs over 20 months beginning in September 2017. Discusses program efficacy and potential impacts on OUD in rural areas.
Author(s): Linda Zittleman, Kristen Curcija, Donald E. Nease Jr, et al.
Citation: Annals of Family Medicine, 20(1), 18-23
Date: 01/2022
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                    Applications of Research Evidence During Processes to Acquire Approvals for Syringe Services Program Implementation in Rural Counties in Kentucky
        
Presents a study on the research used to implement syringe services programs (SSPs) for people who inject drugs (PWID) in rural counties in Kentucky. Discusses the methods used for applying SSP research to the program approval and implementation processes.
Author(s): Sean T. Allen, Suzanne M. Grieb, Jennifer L. Glick, et al.
Citation: Annals of Medicine, 54(1), 404–412
Date: 01/2022
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    Presents a study on the research used to implement syringe services programs (SSPs) for people who inject drugs (PWID) in rural counties in Kentucky. Discusses the methods used for applying SSP research to the program approval and implementation processes.
Author(s): Sean T. Allen, Suzanne M. Grieb, Jennifer L. Glick, et al.
Citation: Annals of Medicine, 54(1), 404–412
Date: 01/2022
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                    Integrating SUD and OB/GYN Care: Policy Challenges and Opportunities Final Report
        
Describes opportunities to integrate obstetrics and gynecology (OB/GYN) and substance use disorder (SUD) care to address treatment opportunities and reduce the impacts of SUD on mothers, children, and healthcare spending. Provides a review of literature on the effectiveness of integrated OB/GYN and SUD models, a scan of integrated models. Summarizes selected findings from subject matter experts on incentives for integrated OB/GYN and SUD models, as well as state and federal policy options to encourage the expansion of integrated OB/GYN and SUD care. Includes rural references throughout.
Author(s): Julie Seibert, Erin Dobbins, Elysha Theis, et al.
Date: 01/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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    Describes opportunities to integrate obstetrics and gynecology (OB/GYN) and substance use disorder (SUD) care to address treatment opportunities and reduce the impacts of SUD on mothers, children, and healthcare spending. Provides a review of literature on the effectiveness of integrated OB/GYN and SUD models, a scan of integrated models. Summarizes selected findings from subject matter experts on incentives for integrated OB/GYN and SUD models, as well as state and federal policy options to encourage the expansion of integrated OB/GYN and SUD care. Includes rural references throughout.
Author(s): Julie Seibert, Erin Dobbins, Elysha Theis, et al.
Date: 01/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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                    A Qualitative Study on Pharmacy Policies Toward Over-the-Counter Syringe Sales in a Rural Epicenter of US Drug-Related Epidemics
        
Examines pharmacy over-the-counter (OTC) policies and pharmacists' rationale for, and barriers and facilitators to, OTC syringe sales in a rural Appalachian Kentucky area hard hit by drug-related epidemics. Uses data collected from interviews with 14 pharmacists between February 2018 and January 2019.
Author(s): Monica Fadanelli, Hannah L.F. Cooper, Patricia R. Freeman, et al.
Citation: Harm Reduction Journal, 19(1)
Date: 01/2022
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    Examines pharmacy over-the-counter (OTC) policies and pharmacists' rationale for, and barriers and facilitators to, OTC syringe sales in a rural Appalachian Kentucky area hard hit by drug-related epidemics. Uses data collected from interviews with 14 pharmacists between February 2018 and January 2019.
Author(s): Monica Fadanelli, Hannah L.F. Cooper, Patricia R. Freeman, et al.
Citation: Harm Reduction Journal, 19(1)
Date: 01/2022
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