Rural Health
Resources by Topic: Substance use and misuse
Tribal Opioid Response: Healing Our Nations Together - National Strategic Agenda
Addresses the tribal opioid epidemic, with recommendations based on input from tribal policymakers, service providers, and community members. Offers insights from experts, feedback from people with opioid use disorder, and tips for creating a plan to collect and analyze opioid data from local communities.
Date: 2019
Sponsoring organizations: National Indian Health Board, Northwest Portland Area Indian Health Board
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Addresses the tribal opioid epidemic, with recommendations based on input from tribal policymakers, service providers, and community members. Offers insights from experts, feedback from people with opioid use disorder, and tips for creating a plan to collect and analyze opioid data from local communities.
Date: 2019
Sponsoring organizations: National Indian Health Board, Northwest Portland Area Indian Health Board
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Rural Development 2018 Performance Report
Report highlights the performance of investments by the U.S. Department of Agriculture (USDA) Rural Development for 2018. Features three successful rural programs funded by USDA Rural Development. Includes a list of Rural Development State Offices.
Date: 2019
Sponsoring organization: USDA Rural Development
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Report highlights the performance of investments by the U.S. Department of Agriculture (USDA) Rural Development for 2018. Features three successful rural programs funded by USDA Rural Development. Includes a list of Rural Development State Offices.
Date: 2019
Sponsoring organization: USDA Rural Development
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Through the Diamond Threshold: A Community-based Psycho-educational Group Training Program for Treatment of Substance Use Disorders among American Indians
Discusses an intervention providing cultural competency training for providers of substance use disorder treatment in American Indian communities. Features a literature review outlining the training's framework.
Author(s): Rockey R. Robbins, Bryan G. Stare, Brittany M. Riggin
Citation: American Indian and Alaska Native Mental Health Research, 26(1), 79-105
Date: 2019
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Discusses an intervention providing cultural competency training for providers of substance use disorder treatment in American Indian communities. Features a literature review outlining the training's framework.
Author(s): Rockey R. Robbins, Bryan G. Stare, Brittany M. Riggin
Citation: American Indian and Alaska Native Mental Health Research, 26(1), 79-105
Date: 2019
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Opioid Epidemic in the United States: Empirical Trends, and A Literature Review of Social Determinants and Epidemiological, Pain Management, and Treatment Patterns
Analyzes trends in U.S. drug overdose mortality by key social determinants. Reports findings from a selective review of the literature on how the opioid crisis is impacting different segments of the population, including rural residents.
Author(s): Gopal K. Singh, Isaac E. Kim, Mehrete Girmay, et al.
Citation: International Journal of Maternal and Child Health and AIDS, 8(2), 89-100
Date: 2019
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Analyzes trends in U.S. drug overdose mortality by key social determinants. Reports findings from a selective review of the literature on how the opioid crisis is impacting different segments of the population, including rural residents.
Author(s): Gopal K. Singh, Isaac E. Kim, Mehrete Girmay, et al.
Citation: International Journal of Maternal and Child Health and AIDS, 8(2), 89-100
Date: 2019
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The Relationship Between Rural Setting and Health: Factors that Influence Individuals With or at Risk of CVD - A Summary of the Literature
Describes current literature on rural challenges and opportunities, including cardiovascular risk due to obesity, lack of access to healthcare, workforce shortages, importance of paramedics and community health workers, telehealth and broadband, and impact of the substance use disorder epidemic. Intended to help stakeholders understand the causes of health disparities and to support action to improve the health of rural communities.
Date: 2019
Sponsoring organization: American Heart Association
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Describes current literature on rural challenges and opportunities, including cardiovascular risk due to obesity, lack of access to healthcare, workforce shortages, importance of paramedics and community health workers, telehealth and broadband, and impact of the substance use disorder epidemic. Intended to help stakeholders understand the causes of health disparities and to support action to improve the health of rural communities.
Date: 2019
Sponsoring organization: American Heart Association
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Review and Evaluation of the Substance Abuse, Mental Health, and Homelessness Grant Formulas
Examines the formulas for distributing state funds under the the Substance Abuse Prevention and Treatment Block Grant, Community Mental Health Services Block Grant, and Projects for Assistance in Transition from Homelessness program as required by the 21st Century Cures Act. Focuses on how well the formulas reflect state service needs, offers recommendations for updating the grant formulas, and considers the potential impact of updates on state funding. Addresses how the current formulas take rural areas into consideration, whether updates are needed, and whether data is available for those updates.
Additional links: Federal Block Grants to States for Mental Health, Substance Abuse, and Homelessness: Research Brief
Author(s): J. Scott Ashwood, Karen Chan Osilla, Maria DeYoreo, et al.
Date: 2019
Sponsoring organization: RAND Corporation
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Examines the formulas for distributing state funds under the the Substance Abuse Prevention and Treatment Block Grant, Community Mental Health Services Block Grant, and Projects for Assistance in Transition from Homelessness program as required by the 21st Century Cures Act. Focuses on how well the formulas reflect state service needs, offers recommendations for updating the grant formulas, and considers the potential impact of updates on state funding. Addresses how the current formulas take rural areas into consideration, whether updates are needed, and whether data is available for those updates.
Additional links: Federal Block Grants to States for Mental Health, Substance Abuse, and Homelessness: Research Brief
Author(s): J. Scott Ashwood, Karen Chan Osilla, Maria DeYoreo, et al.
Date: 2019
Sponsoring organization: RAND Corporation
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Comparing Buprenorphine-Prescribing Physicians Across Nonmetropolitan and Metropolitan Areas in the United States
Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Patterns of Buprenorphine Use and Risk for Re-Arrest among Highly Vulnerable Opioid-Involved Women Released from Jails in Rural Appalachia
Study examining licit and illicit use of buprenorphine by women in the Appalachia region of Kentucky with moderate to severe opioid involvement who had recently been released from jail. Discusses the role of consistent healthcare services in relation to risk for re-arrest, presenting data on demographics, opioid use, and healthcare access over a 3-month tracking period.
Author(s): Hilary L. Surratt, Michele Staton, Carl G. Leukefeld, Carrie B. Oser, J. Matthew Webster
Citation: Journal of Addictive Diseases, 37(1-2), 1-4
Date: 12/2018
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Study examining licit and illicit use of buprenorphine by women in the Appalachia region of Kentucky with moderate to severe opioid involvement who had recently been released from jail. Discusses the role of consistent healthcare services in relation to risk for re-arrest, presenting data on demographics, opioid use, and healthcare access over a 3-month tracking period.
Author(s): Hilary L. Surratt, Michele Staton, Carl G. Leukefeld, Carrie B. Oser, J. Matthew Webster
Citation: Journal of Addictive Diseases, 37(1-2), 1-4
Date: 12/2018
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Mandatory Reporting of Fatal and Nonfatal Opioid Overdoses in a Rural Public Health Department
Describes a mandatory reporting initiative in rural Clallam County, Washington of fatal and nonfatal opioid overdoses. Offers data on reported cases from 2016-2017 including age, sex, participation in syringe exchanges, overdose characteristics, and public health services provided per case.
Author(s): Christopher J. Frank, Siri E. Kushner, David A. Doran, Jeanette Stehr-Green
Citation: American Journal of Public Health, 108(12), 1646-1648
Date: 12/2018
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Describes a mandatory reporting initiative in rural Clallam County, Washington of fatal and nonfatal opioid overdoses. Offers data on reported cases from 2016-2017 including age, sex, participation in syringe exchanges, overdose characteristics, and public health services provided per case.
Author(s): Christopher J. Frank, Siri E. Kushner, David A. Doran, Jeanette Stehr-Green
Citation: American Journal of Public Health, 108(12), 1646-1648
Date: 12/2018
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