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Rural Health
Resources by Topic: Substance use and misuse

The Opioid Crisis: Leadership and Innovation in the States
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on state policy approaches to combating the opioid crisis. Features testimony from the governors of Maryland and Oregon detailing the opioid interventions implemented in their states.
Date: 03/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses — United States, July 2016-September 2017
Reports on changes in opioid overdoses seen in emergency departments (EDs) by region, state, and urbanization level. Addresses the need for real-time data to coordinate responses to outbreaks and the role ED data can play. Discusses how ED physicians and staff can help address future overdoses among ED patients. Figure 2 shows quarterly suspected opioid overdose data for metropolitan, micropolitan, and noncore counties.
Author(s): Alana M. Vivolo-Kantor, Puja Seth, R. Matthew Gladden, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(9), 279-285
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Notes from the Field: HIV Infection Investigation in a Rural Area — West Virginia, 2017
Reports on an investigation by the West Virginia Department of Health and Human Resources that began with 10 cases of human immunodeficiency virus (HIV) infection identified in three counties during January-July 2017. Describes how the investigation broadened to 15 counties based on injection drug use and sexual contacts. Identifies risk reduction and treatment options available in these counties and discusses strategies undertaken to limit further transmission of HIV.
Author(s): Mary E. Evans, Sarah M. Labuda, Vicki Hogan, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(8), 257-258
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Suicides Among American Indian/Alaska Natives — National Violent Death Reporting System, 18 States, 2003-2014
Compares differences in suicide characteristics and circumstances between American Indian/Alaska Native (AI/AN) and White populations. Includes data on age, sex, nonmetropolitan residence, mechanism and location of suicide, interpersonal circumstances, life stressors, mental health, and substance use.
Author(s): Rachel A. Leavitt, Allison Ertl, Kameron Sheats, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(8), 237-242
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Pain in the Nation Update: Deaths from Alcohol, Drugs and Suicide Reach the Highest Level Ever Recorded
Report details deaths related to alcohol, drugs, and suicide across the nation. Highlights rates for non-metro areas, as well as by race, gender, and by age groups, among others.
Date: 02/2018
Type: Document
Sponsoring organization: Trust for America's Health
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Rural Child Welfare Practice
Issue brief discussing the needs and concerns of rural children and families, including healthcare and social services. Examines factors linked to child maltreatment, such as poverty, violence, and substance use, and features descriptions of successful programs designed to promote child welfare in rural areas of Montana, South Dakota, Kansas, and Colorado, as well as Appalachian Ohio and Kentucky.
Date: 02/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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The Opioid Crisis: The Role of Technology and Data in Preventing and Treating Addiction
Highlights the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the use of data and technology interventions in combating the opioid epidemic. Features testimony from representatives of Express Scripts, the National Alliance for Model State Drug Laws, the Santa Clara University Public Health Program, and the University of Illinois at Chicago.
Date: 02/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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The Opioid Crisis: Impact on Children and Families
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the opioid crisis's effect on children and families. Features testimony from representatives of the 525 Foundation, Casey Family Programs, and Vanderbilt University Medical Center.
Date: 02/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Intensive Referral to Mutual-Help Groups: A Field Trial of Adaptations for Rural Veterans
Highlights a study on the effect of mutual help groups (MHGs) on outcomes for rural veterans with substance use disorder within the VA's Nebraska-Western Iowa Health Care System. Breaks down data by age, race, and substance use, among other factors.
Author(s): Kathleen M. Grant, Lance Brendan Young, Kimberly A. Tyler, et al.
Citation: Patient Education and Counseling, 101(1), 79-84
Date: 01/2018
Type: Document
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Injection Drug Use and Overdose among Young Adults Who Use Prescription Opioids Non-Medically
Examines the injection drug use of non-medical prescription opioids by young adults, age 18-29, in Rhode Island. Correlates certain characteristics including race, rural residency, homelessness, previous arrests, childhood physical, sexual and emotional abuse, and experiences with accidental overdose to a high prevalence of lifetime injection drug misuse.
Author(s): Elliott J. Liebling, Traci C. Green, Scott E. Hadland, Brandon D.L. Marshall
Citation: Addictive Behaviors, 76, 20-26
Date: 01/2018
Type: Document
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