Rural Response to the Opioid Crisis – Resources
Selected recent or important resources focusing on Rural Response to the Opioid Crisis.
Rural Health Care and Medicaid Telehealth Flexibilities, and Guidance Regarding Section 1009 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (Pub. L. 115-271), entitled Medicaid Substance Use Disorder Treatment via Telehealth
Discusses the benefits of utilizing telehealth services to expand access to Medicaid services in rural areas and the flexibility states have in covering these services. Provides guidance on options states have to receive federal reimbursement for substance use disorder treatments provided via telehealth services.
Date: 04/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Discusses the benefits of utilizing telehealth services to expand access to Medicaid services in rural areas and the flexibility states have in covering these services. Provides guidance on options states have to receive federal reimbursement for substance use disorder treatments provided via telehealth services.
Date: 04/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Nonfatal Drug Overdoses Treated in Emergency Departments — United States, 2016–2017
Examines nonfatal overdoses for all drugs, all opioids, nonheroin opioids, heroin, benzodiazepines, and cocaine. Looks at changes from 2016 to 2017, with data by drug type, patient, facility, and visit characteristics. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Alana M. Vivolo-Kantor, Brooke E. Hoots, Lawrence Scholl, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(13), 371-376
Date: 04/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Examines nonfatal overdoses for all drugs, all opioids, nonheroin opioids, heroin, benzodiazepines, and cocaine. Looks at changes from 2016 to 2017, with data by drug type, patient, facility, and visit characteristics. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Alana M. Vivolo-Kantor, Brooke E. Hoots, Lawrence Scholl, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(13), 371-376
Date: 04/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Motivation to Change and Treatment Participation Among Syringe Service Program Utilizers in Rural Kentucky
Details a study on the efficacy of syringe services programs (SSPs) in connecting people who inject drugs to treatment programs in rural Kentucky. Breaks down data by age, sex, and substances used of SSP users, among other measures. Highlights rates of SSP users who sought treatment for substance use disorder.
Author(s): Hilary L. Surratt, Janet K. Otachi, Timothy Williams, et al.
Citation: Journal of Rural Health, 36(2), 224-233
Date: 03/2020
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Details a study on the efficacy of syringe services programs (SSPs) in connecting people who inject drugs to treatment programs in rural Kentucky. Breaks down data by age, sex, and substances used of SSP users, among other measures. Highlights rates of SSP users who sought treatment for substance use disorder.
Author(s): Hilary L. Surratt, Janet K. Otachi, Timothy Williams, et al.
Citation: Journal of Rural Health, 36(2), 224-233
Date: 03/2020
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Drug and Opioid-Involved Overdose Deaths — United States, 2017–2018
Examines drug overdose deaths involving all opioids, prescription opioids, heroin, and synthetic opioids other than methadone. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Nana Wilson, Mbabazi Kariisa, Puja Seth, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(11), 290-297
Date: 03/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Examines drug overdose deaths involving all opioids, prescription opioids, heroin, and synthetic opioids other than methadone. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Nana Wilson, Mbabazi Kariisa, Puja Seth, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(11), 290-297
Date: 03/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Polysubstance Use in Rural West Virginia: Associations between Latent Classes of Drug Use, Overdose, and Take-Home Naloxone
Examines the relationship between overdose experiences and polysubstance use by rural people who inject drugs (PWID) based on surveys of 420 individuals in West Virginia. Classifies substance use involving stimulants and opioids and discusses implications for take-home naloxone interventions.
Author(s): Kristin E. Schneider, Allison O'Rourke, Rebecca Hamilton White, et al.
Citation: International Journal of Drug Policy, 76, 102642
Date: 02/2020
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Examines the relationship between overdose experiences and polysubstance use by rural people who inject drugs (PWID) based on surveys of 420 individuals in West Virginia. Classifies substance use involving stimulants and opioids and discusses implications for take-home naloxone interventions.
Author(s): Kristin E. Schneider, Allison O'Rourke, Rebecca Hamilton White, et al.
Citation: International Journal of Drug Policy, 76, 102642
Date: 02/2020
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Medications for Opioid Use Disorder: The Treatment Improvement Protocol (TIP) 63
Details guidelines for implementing medication assisted treatment (MAT) of opioid use disorder (OUD) for healthcare professionals, policymakers, patients, and families. Discusses the different medications available to treat OUD, how and when to administer them, as well as what to watch for when using MAT for OUD.
Date: 02/2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Details guidelines for implementing medication assisted treatment (MAT) of opioid use disorder (OUD) for healthcare professionals, policymakers, patients, and families. Discusses the different medications available to treat OUD, how and when to administer them, as well as what to watch for when using MAT for OUD.
Date: 02/2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural-Urban Differences in Hospitalizations for Opioid Use-Associated Infective Endocarditis in the United States, 2003-2016
Using 2003-2016 National Inpatient Sample data compares trends between rural and urban populations in hospitalization for opioid use-associated infective endocarditis, a serious heart infection that can result from injection drug use.
Author(s): E. Katherine Nenninger, Jenny L. Carwile, Katherine A. Ahrens, Brett Armstrong, Kinna Thakarar
Citation: Open Forum Infectious Diseases, 7(2)
Date: 02/2020
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Using 2003-2016 National Inpatient Sample data compares trends between rural and urban populations in hospitalization for opioid use-associated infective endocarditis, a serious heart infection that can result from injection drug use.
Author(s): E. Katherine Nenninger, Jenny L. Carwile, Katherine A. Ahrens, Brett Armstrong, Kinna Thakarar
Citation: Open Forum Infectious Diseases, 7(2)
Date: 02/2020
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Syringe Service Program Use Among People Who Inject Drugs in Appalachian Kentucky
Explores implementation of a harm reduction program for people who inject drugs (PWIDs) in rural Kentucky. Evaluates the efficacy of a syringe service program at reducing the transmission rates of HIV and HCV among PWIDs in Appalachian Kentucky.
Author(s): Hilary L. Surratt, Amy M. Cowley, Jennifer Gulley, et al.
Citation: American Journal of Public Health, 110(1), 34-36
Date: 01/2020
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Explores implementation of a harm reduction program for people who inject drugs (PWIDs) in rural Kentucky. Evaluates the efficacy of a syringe service program at reducing the transmission rates of HIV and HCV among PWIDs in Appalachian Kentucky.
Author(s): Hilary L. Surratt, Amy M. Cowley, Jennifer Gulley, et al.
Citation: American Journal of Public Health, 110(1), 34-36
Date: 01/2020
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Preventing Opioid Overdose with Peer-Administered Naloxone: Findings from a Rural State
Highlights a study on the efficacy of peer-administered naloxone to prevent opioid overdose deaths. Bases conclusions on interviews with individuals who have received the training and the naloxone kits from a program in rural Alaska.
Author(s): Bridget L. Hanson, Rebecca R. Porter, Amanda L. Zöld, Heather Terhorst-Miller
Citation: Harm Reduction Journal, 17(1), 4
Date: 01/2020
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Highlights a study on the efficacy of peer-administered naloxone to prevent opioid overdose deaths. Bases conclusions on interviews with individuals who have received the training and the naloxone kits from a program in rural Alaska.
Author(s): Bridget L. Hanson, Rebecca R. Porter, Amanda L. Zöld, Heather Terhorst-Miller
Citation: Harm Reduction Journal, 17(1), 4
Date: 01/2020
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Socioeconomic Risk Factors for Fatal Opioid Overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)
Highlights a study that correlates demographic and socioeconomic status with opioid overdose fatalities. Draws data from the Mortality Disparities in American Community Study (MDAC) and compares results by rural/nonrural residence, race, employment, and educational attainment, among other measures.
Author(s): Sean F. Altekruse, Candace M. Cosgrove, William C. Altekruse, Richard A. Jenkins, Carlos Blanco
Citation: PLoS One, 15(1)
Date: 01/2020
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Highlights a study that correlates demographic and socioeconomic status with opioid overdose fatalities. Draws data from the Mortality Disparities in American Community Study (MDAC) and compares results by rural/nonrural residence, race, employment, and educational attainment, among other measures.
Author(s): Sean F. Altekruse, Candace M. Cosgrove, William C. Altekruse, Richard A. Jenkins, Carlos Blanco
Citation: PLoS One, 15(1)
Date: 01/2020
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Last Updated: 4/4/2025