Rural Response to the Opioid Crisis – Resources
Selected recent or important resources focusing on Rural Response to the Opioid Crisis.
The Opioid Crisis and Community-Level Spillovers onto Children's Education
Presents a study on the link between the opioid epidemic and children's educational outcomes. Evaluates community-level resources for handling the opioid crisis and how that correlates with educational outcomes, specifically in rural areas.
Author(s): Rajeev Darolia, John Tyler
Date: 04/2020
Sponsoring organizations: Brookings Institution, Brown Center on Education Policy
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Presents a study on the link between the opioid epidemic and children's educational outcomes. Evaluates community-level resources for handling the opioid crisis and how that correlates with educational outcomes, specifically in rural areas.
Author(s): Rajeev Darolia, John Tyler
Date: 04/2020
Sponsoring organizations: Brookings Institution, Brown Center on Education Policy
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Hospital Inpatient Stays Related to Opioid Use Disorder and Endocarditis, 2016
Examines inpatient stays for adults 18 years and older related to opioid use disorder (OUD) and endocarditis, stays related to OUD but not endocarditis, and stays related to endocarditis but not OUD. Includes data by patient location for metropolitan, rural adjacent to metro, and rural remote areas.
Author(s): Audrey J. Weiss, Kevin C. Heslin, Carol Stocks, Pamela L. Owens
Date: 04/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines inpatient stays for adults 18 years and older related to opioid use disorder (OUD) and endocarditis, stays related to OUD but not endocarditis, and stays related to endocarditis but not OUD. Includes data by patient location for metropolitan, rural adjacent to metro, and rural remote areas.
Author(s): Audrey J. Weiss, Kevin C. Heslin, Carol Stocks, Pamela L. Owens
Date: 04/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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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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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 & 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 & Medicaid Services
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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 medications for opioid use disorder (MOUD) for healthcare professionals, policymakers, patients, and families. Discusses the different medications available to treat OUD, how and when to administer them, as well as challenges to expanding access to MOUD treatment.
Date: 02/2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Details guidelines for implementing medications for opioid use disorder (MOUD) for healthcare professionals, policymakers, patients, and families. Discusses the different medications available to treat OUD, how and when to administer them, as well as challenges to expanding access to MOUD treatment.
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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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, 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, 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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