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Rural Health Information Hub

Rural Health
Resources by Topic: Substance use and misuse

Emergence of Wasp Dope in Rural Appalachian Kentucky
Surveyed 278 Appalachian Kentucky adult residents between February 2018 and April 2019 that had used opioids or injected drugs in the previous 30 days about their use of "wasp dope," a drug made from insecticides. Discusses factors associated with wasp dope use. Includes break down of study participants by level of rurality.
Author(s): April M. Young, Melvin Livingston, Rachel Vickers-Smith, Hannah L.F. Cooper
Citation: Addiction, 116(7), 1901-1907
Date: 07/2021
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Innovations in Overdose Response: Strategies Implemented by Emergency Medical Services Providers
Reports on the findings of an environmental scan conducted in collaboration with the National Association of EMS Officials looking for new and promising overdose response strategies for state and local EMS providers to increase access to treatment and recovery services. Discusses sharing data for public health surveillance and response, building system-wide partnerships, administering buprenorphine, developing post-overdose response teams, utilizing mobile integrated health clinics, and implementation barriers to be considered.
Date: 07/2021
Sponsoring organization: Association of State and Territorial Health Officials
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Perceptions of Diseases of Despair by Members of Rural and Urban High-Prevalence Communities: A Qualitative Study
Reports on a study of community perceptions of despair-related illnesses based on 4 focus groups of 60 patients from 1 urban and 2 rural census blocks in central Pennsylvania where diseases of despair (DoD) are prevalent. Discusses perceived causes of DoD, such as economic instability, substance misuse, and fragmented family life; and intervention strategies at the community, local, and state level.
Author(s): Daniel R. George, Bethany Snyder, Lauren J. Van Scoy, et al.
Citation: JAMA Network Open, 4(7), e2118134
Date: 07/2021
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DATA 2000 Waiver Training Payment Program
Recording of a July 29, 2021, webinar providing technical assistance for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) applying for the Drug Addiction Treatment Act of 2000 (DATA 2000) Waiver Training Payment Program. Identifies organizations' eligibility to apply for payments and discusses the application process and requirements. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 07/2021
Sponsoring organization: National Association of Rural Health Clinics
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Trends in Drug Overdose Mortality Rates in Kentucky, 2019-2020
Evaluates the changes in drug overdose mortality rates for Kentucky residents, using provisional 2020 death certificate data from the Kentucky Office of Vital Statistics. Features statistics on Kentucky drug overdose deaths by month from 2011-2020, and Kentucky drug overdose mortality rates and rate ratios by demographic group from 2019-2020, with breakdowns by metropolitan and nonmetropolitan residence.
Author(s): Svetla Slavova, Dana Quesinberry, Sarah Hargrove, et al.
Citation: JAMA Network Open, 4(7)
Date: 07/2021
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Opioid Treatment Programs: A Key Treatment System Component
Issue brief examining state and federal-level policies related to opioid treatment programs (OTPs). Offers policy recommendations to increase access to opioid treatment in rural communities and other hard-to-reach settings.
Date: 07/2021
Sponsoring organization: Pew
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Clinical Knowledge and Trends in Physicians' Prescribing of Opioids for New Onset Back Pain, 2009-2017
Results of a study of 10,246 physicians to compare the association of clinical knowledge with opioid prescribing from the years 2009-2011 with 2015-2017, when guidelines shifted away from opioid prescribing. Features demographic statistics with breakdowns by rural location.
Author(s): Bradley M. Gray, Jonathan L. Vandergrift, Weifeng Weng, Rebecca S. Lipner, Michael L. Barnett
Citation: JAMA Network Open, 4(7), e2115328
Date: 07/2021
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The Arizona Behavioral Health Workforce Report
Reports on the distribution of the behavioral health workforce in Arizona and access to behavioral healthcare, comparing rural and urban areas. Discusses prevalence of mental health disorders and substance misuse disorder and compares workforce data to behavioral health needs for the state. Offers county-level data on total providers by type, ratio of providers per 100,000 residents, and provider percentages by Rural Urban Commuting Area (RUCA) codes.
Author(s): B. Koch, S. Coates, B. Brady, J. Peters, D. Derksen
Date: 07/2021
Sponsoring organization: Arizona Center for Rural Health
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Vermont Baseline Needs Assessment: Rural and Non-Rural Practitioners
Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Sponsoring organization: University of Vermont Center on Rural Addiction
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Intimate Partner Violence and Structural Violence in the Lives of Incarcerated Women: A Mixed-Method Study in Rural New Mexico
Presents a study of incarcerated women's experiences with intimate partner violence (IPV) and other structural issues disproportionately affecting rural women in New Mexico who are victims of IPV. Draws data from surveys of 99 women, discussing the correlation of IPV with mental health issues, substance use, and socioeconomic conditions.
Author(s): Shilo St. Cyr, Elise Trott Jaramillo, Laura Garrison, et al.
Citation: International Journal of Environmental Research and Public Health, 18(12), 6185
Date: 06/2021
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