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Rural Health
Resources by Topic: Substance use and misuse

Leading a Faith-Based Charge Against Opioid Abuse: How a Minnesota Rural Health Organization Became a National Leader
Describes prescription drug abuse treatment efforts of CHI St. Gabriel's Health, a multifacility rural health organization in Little Falls, Minnesota.
Author(s): Patrick Rioux
Citation: Health Progress, 99(2), 29-32
Date: 2018
Type: Document
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Portraying a More Complete Picture of Illicit Drug Use Epidemiology and Policy for Rural America: A Competing Viewpoint to the CDC's MMWR Report
Commentary on the CDC MMWR report, Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas — United States. Discusses a range of factors that may impact our understanding of nonmetropolitan drug use and identifies additional studies that have been undertaken related to nonmetro drug use. Also discusses potential differences in effective ways to address drug use in nonmetro compared to metro areas.
Author(s): Tyrone F. Borders
Citation: Journal of Rural Health, 34(1), 3-5
Date: 2018
Type: Document
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Vermont Results First: Inventory and Benefit-Cost Analysis for the Department of Health/Division of Alcohol and Drug Abuse Program's Medication Assisted Treatment for Opioid Use Disorder (Hub and Spoke)
Examines the program inventory and benefit-cost analysis of Vermont's Care Alliance for Opioid Addiction, a "Hub and Spoke" system of regional opioid treatment programs that treat individuals with opioid use disorder using medication along with counseling and supportive services.
Date: 12/2017
Type: Document
Sponsoring organizations: Criminal Research Group, Results First Initiative, Justice Research and Statistics Association, State of Vermont Blueprint for Health, Vermont Department of Health, Division of Alcohol and Drug Abuse Programs (ADAP)
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Preventing Farm-Related Stress, Depression, Substance Abuse, and Suicide
Discusses stressors specific to farmers, their families, and rural communities, offering information on recognizing signs of depression, substance abuse, and suicide risk. Offers strategies for managing stress and lists resources for suicide prevention, substance abuse treatment, and farm and ranch stress and depression. Part of the collected volume Surviving the Farm Economy Downturn.
Additional links: Surviving the Farm Economy Downturn
Author(s): Rebekka M. Dudensing, Samuel D. Towne, Carly E. McCord
Date: 12/2017
Type: Document
Sponsoring organizations: Southern Extension Risk Management Education, U.S. Department of Agriculture
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Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report
Assesses demand and capacity for substance use disorder treatment, with comparisons between years 2013 and 2016. Features statistics including numbers of clients, staff hours, percentage of facilities offering pharmacotherapies and accepting various insurance types, and distribution of specialty treatments, with breakdowns by urban and rural locations.
Additional links: In Focus Brief, May 2018
Author(s): Ellen Bouchery
Date: 12/2017
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Alaska Facts and Figures: Alaska Resident Drug Overdoses by Year (2012-2016)
Describes the number and rate of drug overdose mortality for Alaska residents from 2012 to 2016 by year. Covers drug overdoses by five year rolling average and gender, race, age group, and public health region.
Date: 12/2017
Type: Document
Sponsoring organization: Alaska Division of Public Health
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Vermont Hub-and-Spoke Model of Care for Opioid Use Disorders: An Evaluation
Details an evaluation of Vermont's hub-and-spoke model of medication-assisted treatment (MAT) for opioid addiction. Discusses the system's successes and areas that need focus and improvement.
Additional links: Summary Brief
Author(s): Richard A. Rawson
Date: 12/2017
Type: Document
Sponsoring organization: Vermont Center on Behavior & Health
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Prevalence and Disparities in Tobacco Product Use Among American Indians/Alaska Natives — United States, 2010-2015
Examines the use of five types of tobacco - cigarettes, cigars, roll-your-own tobacco, pipes, and smokeless tobacco - among American Indian/Alaska Natives (AI/ANs) compared to non-AI/ANs, with data by sex, age, education level, poverty level, and other factors.
Author(s): Satomi Odani, Brian S. Armour, Corinne M. Graffunder, Bridgette E. Garrett, Israel T. Agaku
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(50), 1374-1378
Date: 12/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Chartbook: Racial and Ethnic Health Disparities in a Changing Kansas
Examines trends in demographics, the social determinants of health, and health outcomes in Kansas. Includes statistics and data with a rural versus urban comparison on: population characteristics; education; income, employment, and insurance; housing and household characteristics; nutrition, physical activity, and related outcomes; substance use; healthcare and preventive services; disease and disability; births; and mortality.
Additional links: Appendix A. Population Characteristics, Appendix B. Education, Appendix C. Income, Employment, and Insurance, Appendix D. Housing and Housing Characteristics, Appendix E. Disease and Disability, Appendix F. Births, Appendix G: Mortality, Appendix H: Technical Notes
Author(s): Lawrence John Panas
Date: 12/2017
Type: Document
Sponsoring organization: Kansas Health Institute
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Behavioral, Mental, and Physical Health Characteristics and Opioid Medication Misuse among Community Pharmacy Patients: A Latent Class Analysis
Study of opioid misuse risk factors based on mental, behavioral, and physical health characteristics for patients in 2 rural and 2 urban Pennsylvania counties. Uses latent class analysis methodology to identify combinations of indicators that may be visible to pharmacists and that may suggest increased risk of opioid misuse, including age, employment, whether a pharmacy is in a rural area, and education level.
Author(s): Gerald Cochran, Valerie Hruschak, Jennifer L. Bacci, Kenneth C. Hohmeier, Ralph Tarter
Citation: Research in Social and Administrative Pharmacy, 13(6), 1055-1061
Date: 11/2017
Type: Document
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