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Rural Health Information Hub

Rural Health
Resources by Topic: Substance use and misuse

21st Century Cures Mobile Crisis Teams
Findings brief evaluating mobile crisis teams dedicated to addressing opioid and other substance use, especially in rural communities of Indiana. Discusses barriers and facilitators to implementing and operating mobile crisis teams, and offers recommendations.
Author(s): Beca Stockman, Staci Rising, Karla Camacho-Reyes
Date: 10/2020
Sponsoring organization: Indiana University Public Policy Institute
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The American Opioid Epidemic in Special Populations: Five Examples
Report on the disproportionate impacts of the opioid crisis on populations, in the criminal justice system, rural residents, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Sponsoring organization: National Academy of Medicine
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Increase in Drug Overdose Deaths Involving Cocaine: United States, 2009–2018
Reports on trends in drug overdose deaths involving cocaine, with data by sex, age group, race and Hispanic origin, and concurrent involvement of opioids. Includes cocaine overdose death rate data for 2018 for urban and rural areas by Census region.
Author(s): Holly Hedegaard, Merianne Rose Spencer, Matthew F. Garnett
Date: 10/2020
Sponsoring organization: National Center for Health Statistics
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Rates of Alcohol-induced Deaths Among Adults Aged 25 and Over in Urban and Rural Areas: United States, 2000–2018
Examines trends in alcohol-induced deaths among adults aged 25 and over. Includes data by sex for urban and rural residents from 2000 through 2018, with information for metropolitan, micropolitan, and non-core areas.
Author(s): Merianne Rose Spencer, Sally C. Curtin, Holly Hedegaard
Date: 10/2020
Sponsoring organization: National Center for Health Statistics
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Costs of Emergency Department Visits for Mental and Substance Use Disorders in the United States, 2017
Examines the costs of emergency department (ED) visits with diagnoses of mental and substance use disorders compared to total ED visits, with data on total costs and cost per visit. Includes information by hospital location for large metropolitan, small metropolitan, micropolitan, and rural areas.
Author(s): Zeynal Karaca, Brian J. Moore
Date: 10/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Polysubstance Use among Pregnant Women with Opioid Use Disorder in the United States, 2007–2016
Details a study on polysubstance use, or the use of multiple substances at once, by pregnant women from 2007-2016. Breaks down results by demographic data such as age and socioeconomic status, as well as by substances used and rural versus urban location.
Author(s): Marian P. Jarlenski, Nicole C. Paul, Elizabeth E. Krans
Citation: Obstetrics and Gynecology, 136(3), 556-564
Date: 09/2020
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Impaired Driving Among Rural Female Drug-Involved Offenders
Highlights a study on women convicted of impaired driving in rural areas. Breaks down data by demographic data such as age and education, as well as prior history of mental health and substance use issues.
Author(s): J. Matthew Webster, Martha Tillson, Megan F. Dickson, Michele Staton
Citation: Traffic Injury Prevention, 21(8), 513-520
Date: 09/2020
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Willingness to Participate in At-Home HIV Testing Among Young Adults Who Use Opioids in Rural Appalachia
Explores a study on the willingness of people who use drugs to take at-home HIV tests in rural Appalachian Kentucky. Breaks down data by participant's age, sex, and syringe usage, among others.
Author(s): April M. Ballard, Regine Haardöerfer, Nadya Prood, et al.
Citation: AIDS and Behavior, 25, 699-708
Date: 09/2020
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Building Capacity for Medication Assisted Treatment in Rural Primary Care Practices: The IT MATTTRs Practice Team Training
Evaluates IT MATTTRs, a training intervention for primary care practice (PCP) teams regarding medication-assisted treatment (MAT) for opioid use disorder. Compares in-person training to web-based training through Project ECHO. Discusses the implementation of the training program, participant satisfaction, and impact on participants' perceived ability to deliver MAT.
Author(s): Linda Zittleman, Kristen Curcija, Christin Sutter, et al.
Citation: Journal of Primary Care and Community Health, 11
Date: 09/2020
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Tracking FY2019 Federal Funding to Combat the Opioid Crisis
Report covering the allocation of federal resources for opioid initiatives at the federal, state, and local level. Presents data on federal funding and offers case studies of state and county-level spending data for Ohio, Arizona, Louisiana, Washington, Tennessee, and New Hampshire. Makes policy recommendations and briefly discusses grant initiatives that target rural-specific barriers to treatment.
Date: 09/2020
Sponsoring organization: Bipartisan Policy Center
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