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Rural Health Information Hub

Rural Health
Resources by Topic: Substance use and misuse

Recruitment Best Practices of a Cardiovascular Risk Reduction Randomised Control Trial in Rural Alaska Native Communities
Describes the research methods of the Healthy and Empowering Alaskan Lives Towards Healthy Hearts (HEALTHH) project, which recruited participants from the 16 communities that make up the rural Norton Sound region of Alaska to study smoking behavior and chronic disease prevention efforts among Alaska Native populations. Explores special considerations for research involving remote tribal communities and analyzes data related to recruitment best practices, staffing issues, and barriers to enrolling study participants.
Author(s): Mariah Knox, Jordan Skan, Neal L. Benowitz, Matthew Schnellbaecher, Judith J. Prochaska
Citation: International Journal of Circumpolar Health, 79(1), 1806639
Date: 08/2020
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Strategies for the Delivery of Behavioral Health Crisis Services in Rural and Frontier Areas of the U.S.
Report highlights the challenges of providing behavioral health crisis services to rural and frontier communities. Details the barriers to crisis service delivery such as lack of transportation, travel distance, and broadband access, among others. Includes a discussion on the effect of COVID-19 pandemic rural crisis service delivery.
Author(s): Kristin A. Neylon
Date: 08/2020
Sponsoring organization: National Association of State Mental Health Program Directors
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Arizona's American Indian Trauma Report 2020
Identifies the disproportionate impact of trauma on Native Americans in Arizona in order to target interventions to improve injury prevention programs and reduce traumatic injuries. Identifies patient demographics, trauma risk factors such as alcohol or drug use, injury characteristics, access to care, and mortality rates.
Date: 08/2020
Sponsoring organization: Arizona Department of Health Services
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Small Rural Hospital Transition (SRHT) Project Behavioral Health Care Coordination Summit: Summit Findings
Summarizes the findings from a two-day summit on the role of rural hospitals in addressing behavioral health as part of a community-wide initiative. Identifies barriers to behavioral health care coordination in rural areas. Describes four areas of opportunity to advance care coordination. Includes resources for each area of opportunity identified.
Author(s): Amy Harding
Date: 08/2020
Sponsoring organizations: Advocates for Human Potential, National Rural Health Resource Center
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Native American Youth: Agencies Incorporated Almost All Leading Practices When Assessing Grant Programs That Could Prevent or Address Delinquency
Examines federal financial assistance programs that could prevent or address juvenile delinquency in tribal communities, including 25 programs through the U.S. Department of Health and Human Services. Highlights substance misuse and mental health issues as risk factors to juvenile delinquency and discusses federal and tribal-operated Youth Regional Treatment Centers. Explores how federal agencies incorporated best practices into the performance measurement and program evaluation of the grant programs.
Additional links: Full Report
Date: 08/2020
Sponsoring organization: Government Accountability Office
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Nonfatal Drug and Polydrug Overdoses Treated in Emergency Departments — 29 States, 2018–2019
Reports on changes in rates and proportions of suspected nonfatal drug and polydrug overdoses treated in the emergency department (ED) between 2018 and 2019, based on data from 29 states. Includes data for urban and rural counties on ED visits for opioids, cocaine, amphetamines, and benzodiazepines, as well as for opioids in combination with each of the other types of drugs.
Author(s): Stephen Liu, Lawrence Scholl, Brooke Hoots, Puja Seth
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(34), 1149-1155
Date: 08/2020
Sponsoring organization: Centers for Disease Control and Prevention
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The Alcoholic Beverage: An Elixir, and Yet a Poison?
Examines health messages related to alcohol from federal agencies and the journal literature. Features a Missouri cardiologist who reviews the science on alcohol use and its impact on health and well-being.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2020
Sponsoring organization: Rural Health Information Hub
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Alcohol Use Disorder: Addressing Stigma and Treatment Access in Rural America
Examines alcohol use and misuse in rural America. Features the work of healthcare providers in Pennsylvania, Louisiana, Texas, and New Mexico. Discusses stigma, treatment access, and recovery. Addresses the impact of COVID-19 on treatment access, including the use of telehealth.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2020
Sponsoring organization: Rural Health Information Hub
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Addressing Opioid Use in Rural Communities: Examples from Critical Access Hospitals
Highlights strategies adopted by Critical Access Hospitals (CAHs) to combat opioid use in their communities. Describes lessons learned from the featured CAHs regarding the development and implementation of projects targeting opioid use. Identifies ways that State Flex Programs and State Offices of Rural Health can support the efforts of CAHs in addressing opioid use in their communities. Provides list of opioid-related resources for CAHs and State Flex Programs.
Author(s): John Gale, Sara Kahn-Troster, Karen Pearson, Nathan First
Date: 08/2020
Sponsoring organization: Flex Monitoring Team
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Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic - United States, June 24-30, 2020
Reports on the number of adults experiencing elevated adverse mental health conditions associated with COVID-19. Features statistics on self-reported incidence of anxiety or depressive disorder, trauma- and stressor-related disorder (TSRD) related to the pandemic, and substance use, with breakdowns by rural or urban residence.
Author(s): Mark E. Czeisler, Rashon I. Lane, Emiko Petrosky, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(32),1049-1057
Date: 08/2020
Sponsoring organization: Centers for Disease Control and Prevention
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