Skip to main content
Rural Health Information Hub

Rural Response to the Opioid Crisis – Resources

Selected recent or important resources focusing on Rural Response to the Opioid Crisis.

Medication for Opioid Use Disorder During Pregnancy — Maternal and Infant Network to Understand Outcomes Associated with Use of Medication for Opioid Use Disorder During Pregnancy (MAT-LINK), 2014–2021
Describes a surveillance network of seven clinical sites focused on the use of medication for opioid use disorder (MOUD) during pregnancy. Initial report is limited to selected demographic characteristics of pregnant persons overall and by MOUD treatment status, including data for urban and rural areas.
Author(s): Kathryn Miele, Shin Y. Kim, Rachelle Jones, et al.
Citation: MMWR Surveillance Summaries, 72(3), 1-14
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details
Association of Receipt of Opioid Use Disorder-Related Telehealth Services and Medications for Opioid Use Disorder with Fatal Drug Overdoses among Medicare Beneficiaries Before and During the COVID-19 Pandemic
Reports on a study to determine the benefits of expanding opioid use disorder (OUD) related telehealth services and remote prescribing of medications for opioid use disorder (MOUD) during the COVID-19 pandemic to reduce the number of fatalities due to drug overdose. Examines clinical and sociodemographic characteristics of Medicare fee-for-service beneficiaries with OUD by analyzing data on sex, age, race/ethnicity, county rural and urban status, death rates, disability, mental health diagnosis, chronic conditions, and other substance use disorders (SUDs).
Author(s): Christopher M. Jones, Carla Shoff, Carlos Blanco, et al.
Citation: JAMA Psychiatry, 80(5), 508–514
Date: 05/2023
Type: Document
view details
Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
view details
Biopsychosocial Contexts of Timely and Adequate Prenatal Care Utilization among Women with Criminal Legal Involvement and Opioid Use Disorder
Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
Type: Document
view details
Harm Reduction and Recovery Services Support (HRRSS) to Mitigate the Opioid Overdose Epidemic in a Rural Community
Examines factors impacting harm reduction and recovery services related to opioid use in a rural South Carolina county. Discusses feedback from 338 community respondents regarding issues such as syringe services programs, safe consumption sites, placement of naloxone in public places, and more, with data reported as a harm reduction and recovery support score (HRRSS) connected to various demographic variables and personal beliefs.
Author(s): Moonseong Heo, Taylor Beachler, Laksika B. Sivaraj, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 18, 23
Date: 04/2023
Type: Document
view details
Descriptive Study: The Novel "Full Spectrum People-With-Opioid-Use-Disorder Care Model"
Examines the implementation of a comprehensive care delivery model that provides access to harm reduction services for people with opioid use disorder (PWOUD). Analyzes 565 encounters with people utilizing medical and/or behavioral healthcare services in a rural New Mexico county. Provides demographic breakdown of encounters and data on the counties with highest overdose rates, along with discussion on how to provide harm reduction services to hard-to-reach populations.
Author(s): Richard Gadomski, Snehal Bhatt, Jessica Gross, et al.
Citation: Harm Reduction Journal, 20, 47
Date: 04/2023
Type: Document
view details
A Qualitative Analysis of Rural Syringe Service Program Fidelity in Appalachian Kentucky: Staff and Participant Perspectives
Presents a study exploring the fidelity of rural syringe service programs (SSPs) to the core components of SSPs. Highlights five SSPs in rural Appalachia and evaluates the programs' adherence to the six core components of SSPs. Bases findings on interviews with clients and staff.
Author(s): E.J. Batty, U. Ibragimov, M. Fadanelli, et al.
Citation: Journal of Rural Health, 39(2), 328-337
Date: 03/2023
Type: Document
view details
Community Member Perspectives on Adapting the Cascade of Care for Opioid Use Disorder for a Tribal Nation in the United States
Explores the potential efficacy of the Opioid Use Disorder (OUD) Cascade of Care model for American Indian and Alaska Native communities. Bases conclusion on interviews with clinicians, peer support specialists, cultural practitioners, and others familiar with OUD treatment for Anishinaabe people in rural Minnesota. Breaks down data by age, sex, and employment type.
Author(s): Frank Johnson Jr, Amy RedCloud, Jennifer Mootz, et al.
Citation: Addiction, 118(8), 1540-1548
Date: 03/2023
Type: Document
view details
RCORP - Implementation IV Grantee Directory: 2022 Cohort
Provides contact information and initial project information for 65 initiatives funded under the Rural Communities Opioid Response Program - Implementation grant program for 2022. Projects focus on strengthening and expanding substance use disorder/opioid use disorder prevention, treatment, and recovery service delivery.
Date: 03/2023
Type: Document
Sponsoring organizations: Federal Office of Rural Health Policy, JBS International, Inc.
view details
Review of Four CARA Programs and Preparing for Future Evaluations
Report highlights a review of four programs funded through the Comprehensive Addiction and Recovery Act (CARA) aimed at expanding access to overdose prevention and treatment of opioid use disorder. Explores the impact of the programs on their communities and makes recommendations for policy makers. Discusses challenges and program adaptations for rural communities.
Additional links: Read Online, Report Highlights
Author(s): Board on Population Health and Public Health Practice
Date: 03/2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
view details

Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 5/2/2024